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Dr. Michael Howard Hotchkiss, MD

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Specializes in: Obstetrics

University of Maryland School of Medicine (1974)

Professional interests include: preconception counseling, laparoscopic hysterectomy, implant removal, and more.

7503 Surratts Road
Clinton, MD 20735

(301) 868-8000

Dr. Michael Howard Hotchkiss, MD is an obstetrician in Waldorf, MD specializing in obstetrics. He graduated from University of Maryland School of Medicine in 1974 and has 50 years of experience. Dr. Michael Howard Hotchkiss, MD is affiliated with MedStar Health and MedStar Southern Maryland Hospital Center.

Office Locations

Address:

11350 Pembrooke Square Suite 303
Waldorf, MD 20603

Address:

7503 Surratts Road
Clinton, MD 20735

Some issues Dr. Michael Howard Hotchkiss, MD can help you with:

Cesarean Section (C-Section)

A Cesarean section (more often known as "C-Section") is a surgery performed during labor and delivery. A C-Section is a procedure that delivers a baby through an incision in the lower abdomen and uterus. In the United States, about a third of all births are performed by Cesarean section. Most often, a C-section is done by an obstetrician/gynecologist (OB-GYN), or in certain regions, a general surgeon or family physician.

C-section incisions can be up-and-down (vertical), from belly button to lower abdomen or side-to-side (horizontal), across the lower abdomen. Side-to-side incisions are more frequently used. After the exterior incisions are made, the doctor then cuts into the uterus and amniotic sac and delivers the infant and cuts the baby's umbilical cord. The mother receives medicine to expel the placenta and the doctor helps to safely remove it. Finally, the doctor uses sutures to seal the uterus and tissue incisions. The initial C-section skin incision is also closed with sutures or staples.

C-sections are typically performed with regional anesthesia, which inhibits pain in the lower half of the body, but allows mothers to be awake. However, some mothers may receive general anesthesia, where they are put to sleep during the surgical procedure.

C-sections may be planned or unplanned, depending on the circumstances of the birth.

Pre-existing conditions like heart disease, high blood pressure, herpes, and HIV may prompt a doctor to prescribe a C-section. Other situations for C-section include:

A large baby or birth to multiple children
Pelvic fracture or limited birth canal
Baby in the "breech position," where a baby is positioned feet or bottom first in the uterus
Baby with a developmental disorder
Irregular fetal heartbeat
Mother with a history of previous C-sections

Other mothers may require a C-section due to complications arising during delivery. These unplanned, emergency C-sections allow for a healthy birth even when complex complications are present. Problems during labor which may necessitate a C-section include:

Labor not progressing
Fetus switching position during labor
Distressed infant
Blockage of the cervical opening by the placenta
Prolapsed umbilical cord

Mothers should expect about a six-week recovery period following a C-section, including an initial hospital stay of two to three days. While in the hospital, mothers may spend time with their baby and begin breastfeeding. After returning home, mothers should limit strenuous activities such as lifting, reaching, and exercise, and should make sure to get plenty of rest.

Hysterectomy (Uterus Removal)

A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.

There are a variety of reasons that women have hysterectomies, including:

Heavy bleeding or pain, such as that due to fibroids, endometriosis, or adenomyosis
Cancer
Prolapsed uterus, where the pelvic muscles can no longer completely hold the uterus in place

It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.

Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.

A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.

Pessary

A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.

Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.

The following tips can help guide the process of finding the right fit:

Once in place, patients should not be able to feel the device at all. If there is even slight pressure, patients should let their healthcare provider know, and she will find a pessary of a different size or shape.
The pessary should not fall out with sneezing, coughing, jumping, or squatting. While getting fitted, patients should try jumping or squatting to see if the device will fall out. If it does, a different pessary will be inserted until they find one that stays in place.
Patients and their healthcare providers should make sure the device is improving symptoms by having a check-up 5 to 15 days after it is inserted. If there is no improvement, patients may have to be re-fitted with a different pessary, or patients may be asked to consider surgical options.

The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.

breast exam	154
cytology	30
doctor visit	241
gynecologic pathology	30
gynecologic procedures	154
placement of vaginal support device	39
preventive care	30

**Ethnicity**
Non-Hispanic White	260
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	182
From 75 to 84	73
85 and over	16
Less than 65	12

Hypertension	63
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	18
Depression	11
Chronic Kidney Disease	10
Asthma	6
Osteoperosis	12
Atrial Fibrilation	4
Heart Failure	5
Chronic Obstructive Pulmonary Disease	7
Diabetes	23
Dementia	0
Cancer	12

breast exam	80
cytology	23
doctor visit	171
gynecologic pathology	23
gynecologic procedures	80
placement of vaginal support device	47
preventive care	23

**Ethnicity**
Non-Hispanic White	193
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	138
From 75 to 84	50
85 and over	12
Less than 65	15

Hypertension	60
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	19
Depression	11
Chronic Kidney Disease	7
Asthma	5
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	6
Chronic Obstructive Pulmonary Disease	7
Diabetes	21
Dementia	0
Cancer	12

breast exam	130
cytology	48
doctor visit	126
gynecologic pathology	48
gynecologic procedures	130
placement of vaginal support device	30
preventive care	48

**Ethnicity**
Non-Hispanic White	400
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	298
From 75 to 84	96
85 and over	22
Less than 65	22

Hypertension	64
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	16
Depression	11
Chronic Kidney Disease	9
Asthma	6
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Dementia	0
Cancer	13

breast exam	80
cytology	25
doctor visit	177
gynecologic pathology	25
gynecologic procedures	80
placement of vaginal support device	29
preventive care	25

**Ethnicity**
Non-Hispanic White	165
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	46
85 and over	0
Less than 65	0

Hypertension	63
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	11
Depression	13
Chronic Kidney Disease	12
Asthma	13
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	0
Cancer	12

breast exam	108
cytology	15
doctor visit	158
gynecologic pathology	15
gynecologic procedures	108
preventive care	15

**Ethnicity**
Non-Hispanic White	193
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	50
85 and over	0
Less than 65	0

Hypertension	58
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	13
Depression	16
Chronic Kidney Disease	17
Asthma	8
Osteoperosis	6
Atrial Fibrilation	0
Heart Failure	5
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	0
Cancer	12

breast exam	70
doctor visit	120
gynecologic procedures	70

**Ethnicity**
Non-Hispanic White	143
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	47
85 and over	0
Less than 65	0

Hypertension	62
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	15
Depression	14
Chronic Kidney Disease	20
Asthma	0
Osteoperosis	7
Atrial Fibrilation	0
Heart Failure	7
Chronic Obstructive Pulmonary Disease	11
Diabetes	27
Dementia	0
Cancer	10

breast exam	107
cytology	17
doctor visit	137
gynecologic pathology	17
gynecologic procedures	107
preventive care	17

**Ethnicity**
Non-Hispanic White	194
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	148
From 75 to 84	41
85 and over	0
Less than 65	0

Hypertension	62
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	12
Depression	14
Chronic Kidney Disease	17
Asthma	8
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	5
Chronic Obstructive Pulmonary Disease	8
Diabetes	26
Dementia	0
Cancer	0

breast exam	56
doctor visit	72
gynecologic procedures	56

**Ethnicity**
Non-Hispanic White	101
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	27
85 and over	0
Less than 65	0

Hypertension	61
High Cholesterol	74
Stroke	0
Ischemic Heart Disease	10
Depression	12
Chronic Kidney Disease	16
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	21
Dementia	0
Cancer	0

breast exam	173
doctor visit	380
gynecologic procedures	173
vascular procedures	58

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Michael Howard Hotchkiss, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Howard Hotchkiss, MD treated as an obstetrician in Waldorf, MD were breast exam, gynecologic procedures, vascular procedures and preventive care.

breast exam	106
cytology	26
doctor visit	176
gynecologic pathology	26
gynecologic procedures	106
preventive care	26
vascular procedures	58

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Michael Howard Hotchkiss, MD.

**Gender**
Male	0
Female	182

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	164
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	43
85 and over	5
Less than 65	4
65 to 74	119

Average of Total of Conditions of Medicare patients treated by Dr. Michael Howard Hotchkiss, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Michael Howard Hotchkiss, MD treated were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	49
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	11
Depression	10
Chronic Kidney Disease	10
Asthma	4
Osteoporosis	7
Heart Failure	2
Chronic Obstructive Pulmonary Disease	5
Diabetes	18
Atrial Fibrillation	0
Cancer	7
Dementia	0

Education & Training

Dr. Michael Howard Hotchkiss, MD graduated from University of Maryland School of Medicine in 1974. He completed residency at University of Maryland Affiliated Hospitals. He is certified by the American Board of Obstetrics and Gynecology, Obstetrics and Gynecology and has a state license in Maryland.

Medical School: University of Maryland School of Medicine (1974)

Residency: University of Maryland Affiliated Hospitals (1977)

Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology

Licensed In: Maryland

Affiliations & Hospitals

Dr. Michael Howard Hotchkiss, MD is associated with these hospitals and organizations:

MedStar Health

MedStar Southern Maryland Hospital Center

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General Payments

These charts describe general payments received by Dr. Michael Howard Hotchkiss, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
KARL STORZ Endoscopy-America	$6,466 $6,466
Covidien Sales LLC	$775 Electrosurgery $660	Women's Health $114
Duchesnay USA Incorporated	$137 Osphena $137
Ethicon US, LLC	$126 Energy Harmonic $126
Noven Therapeutics, LLC	$119 BRISDELLE $119
Other	$776 NON-PRODUCT $75	NovaSure $59	LO LOESTRIN FE $42	INTRAROSA $41	NEXPLANON $35	Other $523

**Types of Payments**
Gift	$6,466
Food and Beverage	$1,061
Travel and Lodging	$718
Education	$77
Consulting Fee	$75

Biography

Dr. Michael Hotchkiss is a specialist in obstetrics in Waldorf, MD. His areas of expertise include the following: colposcopy, adolescent gynecology, and dysfunctional uterine bleeding. Dr. Hotchkiss graduated from the University of Maryland School of Medicine and then he performed his residency at a hospital affiliated with the University of Maryland. He is affiliated with MedStar Southern Maryland Hospital Center.