Dr. Vivian Yan Wang

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

Screening and Preventative Care

• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.
• Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.

Gynecologic Cancers and Precancerous Conditions

• Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
• Gestational Trophoblastic Disease (GTD) (e.g., Molar Pregnancy): A group of rare pregnancy-related tumors that develop in the uterus from cells that normally form the placenta, requiring careful monitoring and treatment.

Common Benign Gynecological Conditions

• Endometriosis: A painful disorder in which tissue similar to the uterine lining (endometrium) grows outside the uterus, commonly on ovaries, fallopian tubes, or pelvic lining.
• Ovarian Cysts (Functional, Dermoid, Endometriomas): Fluid-filled sacs or pockets in an ovary or on its surface, which are common and often benign but can sometimes cause pain or require intervention.
• Vaginitis (Yeast Infections, Bacterial Vaginosis, Trichomoniasis): Inflammation of the vagina that can result in discharge, itching, and pain, commonly caused by infections or imbalances in vaginal flora.

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. Vivian Wang or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• 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.
• Contraceptive Counseling & Full Range Management: Comprehensive discussion and provision of various birth control methods, including oral contraceptives, patches, rings, injectables, IUD insertion/removal (hormonal and copper), and contraceptive implant insertion/removal.
• Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Wang 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. Wang practices at The Hospital for Sick Children, located in the areas near central Maple. The hospital is conveniently accessible via local public transit and is situated close to several local points of interest, making it easy for patients to reach. The facility is wheelchair accessible, ensuring barrier-free access for all patients. Parking is available at the hospital, providing convenient options for those arriving by car. The hospital's central location in Maple allows for easy access to comprehensive pediatric, obstetric, and gynecological services, serving the community with high standards of care.

Are services from Dr. Wang, 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. Wang 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. Wang, 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. Wang 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. Wang's office or your referring doctor.

Does Dr. Wang manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Wang 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. Wang 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. Wang.

When should a teenager have her first OBGYN visit, and what does it involve?

The first visit to an OBGYN for a teenager is often recommended between ages 13-15, or sooner if there are specific concerns like very painful periods, irregular cycles, or questions about sexual health. This initial visit may not involve a pelvic exam unless there's a specific medical reason. It's primarily an opportunity to build a rapport with Dr. Wang, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

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

Yes, Dr. Wang 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. Wang 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.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Wang 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. Wang 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.

I have uterine fibroids. What treatment options might Dr. Wang suggest?

Treatment for uterine fibroids depends on their size, number, location, and the severity of your symptoms (like heavy bleeding or pain), as well as your reproductive goals. Options range from watchful waiting for asymptomatic fibroids, to medications (hormonal therapies to manage symptoms), to minimally invasive procedures (like uterine artery embolization - often by interventional radiology), or surgical removal of fibroids (myomectomy) or the uterus (hysterectomy). Dr. Wang will help you decide the best course of action.

The Hospital for Sick Children
205-191 McNaughton Rd E, Pain Medicine Department of Anesthesia and
Maple, ON L6A 4E2

Phone: (289) 217-5177 | Fax: (905) 553-2820

The facility is wheelchair accessible.

Dr. Wang 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/Wang-Vivian-Yan/0288464-100433