Dr. Tadeusz Czeslaw Kosalka

Dr. Tadeusz Kosalka provides care for a wide spectrum of women's health issues, including:

Menstrual and Hormonal Disorders

• Polycystic Ovary Syndrome (PCOS): A common hormonal disorder among women of reproductive age, characterized by irregular periods, excess androgen levels, and/or polycystic ovaries on ultrasound.
• Abnormal Uterine Bleeding (Heavy, Irregular, Prolonged Periods): Menstrual bleeding that is different in frequency, duration, or amount than what is typical for an individual, requiring investigation.
• Hirsutism (Excess Hair Growth) & Acne (Hormonal): Excessive growth of dark or coarse hair in a male-like pattern or persistent acne, often related to hormonal imbalances like those seen in PCOS.

Gynecologic Cancers and Precancerous Conditions

• Cervical Dysplasia (CIN) & Cervical Cancer: Precancerous changes (Cervical Intraepithelial Neoplasia) or malignant tumors of the cervix, the lowermost part of the uterus, often linked to HPV infection.
• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
• Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).

Pregnancy and Childbirth Related Conditions

• Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.
• Placenta Previa & Placental Abruption: Conditions where the placenta is abnormally positioned (previa) or detaches prematurely from the uterine wall (abruption), posing risks to mother and baby.
• Hyperemesis Gravidarum (Severe Morning Sickness): A severe form of nausea and vomiting during pregnancy that can lead to dehydration and weight loss, requiring medical management.

This list highlights some common conditions managed within Obstetrics and Gynecology and is not exhaustive. For personalized advice regarding your specific health concerns, please schedule a consultation with Dr. Tadeusz Kosalka or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Diagnosis & Treatment of Vaginal Infections & Sexually Transmitted Infections (STIs): Management of conditions such as yeast infections, bacterial vaginosis, trichomoniasis, and screening/treatment for STIs like chlamydia, gonorrhea, syphilis, and HIV counseling.
• Labor and Delivery Management (Vaginal & Cesarean): Professional medical care and support during labor and childbirth, including management of vaginal deliveries, assisted vaginal deliveries (forceps/vacuum if needed), and planned or emergency Cesarean sections (C-sections).
• Hysterectomy (Abdominal, Vaginal, Laparoscopic, Robotic-Assisted): Surgical removal of the uterus, performed through various approaches including minimally invasive techniques, depending on the medical indication and patient factors.
• Dilation and Curettage (D&C) / Dilation and Evacuation (D&E): Procedures to dilate the cervix and remove tissue from the inside of the uterus, for diagnosis or treatment of various uterine conditions or after miscarriage.
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.
• Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Kosalka provides a wide array of diagnostic, therapeutic, and surgical options tailored to individual patient needs within women's health, pregnancy, and childbirth. Specific services offered can be confirmed by contacting the clinic.

All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO). A referral may be required for insured services.

Dr. Tadeusz Czeslaw Kosalka practices at Apartment 201, located in the vibrant neighborhoods of Keelesdale, Silverthorn, Mount Dennis, and York in Toronto, ON. The clinic is conveniently situated near Polson Pier, making it accessible for patients from various parts of the city. The facility is wheelchair accessible, ensuring ease of access for patients with mobility needs. Public transportation options are plentiful, with TTC services including subway, streetcar, and bus routes providing easy access to the clinic. Metered street parking is available nearby for those arriving by car, offering additional convenience for patients seeking timely and comfortable care.

Are services from Dr. Kosalka, an Obstetrician and Gynecologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Kosalka are generally covered by Ontario Health Insurance Plan (OHIP) in ON when you have a valid referral from your family doctor or another referring physician. Some elective procedures, certain fertility treatments, or non-medically indicated services may not be covered. It's always recommended to confirm specific coverage details with Ontario Health Insurance Plan (OHIP) or the clinic.

Do I need a referral from my family doctor to see Dr. Kosalka, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Ontario Health Insurance Plan (OHIP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Kosalka for most consultations and treatments. This ensures coordinated care. Some specific services or clinics (e.g., some sexual health or contraception clinics) might have different access pathways, but for ongoing obstetrical or gynecological care, a referral is standard. Please check with Dr. Kosalka's office or your referring doctor.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Kosalka is usually quite comprehensive, typically scheduled around 8-10 weeks of pregnancy. It will involve a detailed review of your medical history, your partner's medical history (if applicable), and any previous pregnancies. Dr. Kosalka will likely perform a physical exam, which may include a pelvic exam, confirm your pregnancy (often with an ultrasound referral), estimate your due date, and discuss important aspects of a healthy pregnancy such as nutrition, lifestyle, prenatal vitamins, and options for genetic screening and prenatal testing. You'll also have the opportunity to ask any questions you may have.

What are the treatment options for endometriosis that Dr. Kosalka might recommend?

Treatment for endometriosis aims to manage pain and improve fertility if desired. Options vary based on symptom severity and patient goals and can include pain medications (NSAIDs), hormonal therapies (like birth control pills, progestins, GnRH agonists) to suppress endometrial tissue growth, and surgical treatments (laparoscopy) to remove endometrial implants and scar tissue. Dr. Kosalka will discuss the most appropriate approach for your situation.

Does Dr. Kosalka manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Kosalka has a particular focus on/experience with managing high-risk pregnancies, which may include conditions like gestational diabetes, preeclampsia, multiple gestations (twins/triplets), or pre-existing maternal health issues. If your pregnancy is considered high-risk due to specific maternal or fetal conditions, Dr. Kosalka will provide comprehensive care and may work closely with, or refer you to, a Maternal-Fetal Medicine (MFM) specialist if needed for highly specialized management. It's best to discuss your specific situation with Dr. Kosalka.

What is an IUD insertion like? Does Dr. Kosalka perform this?

Yes, Dr. Kosalka can perform IUD (Intrauterine Device) insertions in the office. The procedure involves placing a small, T-shaped device into your uterus for long-acting, reversible contraception. During the insertion, you might experience some cramping, similar to period pains. Dr. Kosalka can discuss pain management options, such as taking an over-the-counter pain reliever beforehand or using local anesthetic in some cases. The actual insertion usually takes only a few minutes.

How often do I need a Pap test, and what is it for?

A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Kosalka will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

Apartment 201
2221 Keele Street
Toronto, ON M6M 3Z5

Phone: (416) 241-7988 | Fax: (416) 241-5528

The facility is wheelchair accessible.

Dr. Kosalka is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Kosalka-Tadeusz-Czeslaw/0041030-55006