Dr. Alysha Nensi – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

Specializing in Obstetrics and Gynecology, Dr. Alysha Nensi (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Toronto, fostering a supportive healthcare environment. Practicing at Listowel Memorial Hospital in Toronto, ON, she offers accessible and high-quality care to the community. She adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that her practice maintains the highest level of professionalism and patient safety. Providing comprehensive care across the full scope of Obstetrics and Gynecology, Dr. Nensi manages both routine and complex conditions with compassion and expertise.

Dr. Nensi graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2013 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 6 years, since 2018. She is certified as a RCPSC Specialist, reflecting her advanced training and commitment to her field.

Her clinical philosophy centers on patient-centered care, emphasizing shared decision-making, evidence-based practice, and empathy. Dr. Nensi is dedicated to advancing women's health in Toronto through personalized treatment plans that respect each patient's values and preferences. She speaks English fluently, ensuring clear communication and compassionate support for her diverse patient population.

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

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.
• Vulvodynia & Vulvar Pain Syndromes: Chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause, requiring careful management.
• 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.

Menstrual and Hormonal Disorders

• Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).
• 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.
• Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.

Infertility and Reproductive Health

• Ovulatory Dysfunction (e.g., Anovulation, Oligo-ovulation): Problems with ovulation (the release of an egg from the ovary), such as infrequent or absent ovulation, a common cause of infertility.
• Female Infertility Evaluation & Initial Management: Comprehensive assessment to identify potential causes of difficulty conceiving in women and initiation of basic treatments.
• Fallopian Tube Disorders (Blockage, Hydrosalpinx, Adhesions): Conditions affecting the fallopian tubes, such as blockages or scarring, that can prevent sperm from reaching the egg or a fertilized egg from reaching the uterus.

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. Alysha Nensi or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Preconception Counseling & Health Optimization: Guidance and health optimization for individuals or couples planning a pregnancy, including discussion of folic acid supplementation, chronic medical conditions, genetic carrier screening, and lifestyle factors.
• Pap Tests, HPV Testing & Cervical Cancer Screening (Colposcopy, LEEP): Cervical cancer screening through Pap tests and HPV testing, with follow-up diagnostic procedures like colposcopy and treatment for precancerous changes (e.g., LEEP - Loop Electrosurgical Excision Procedure).
• 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.
• 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.
• 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.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Nensi 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. Nensi practices at Listowel Memorial Hospital, located in the Garden District of Toronto, in the Ryerson neighborhood. The hospital is conveniently situated near the Financial District Core, easily accessible via TTC (Subway, Streetcar, Bus). The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the hospital, providing convenient options for those coming by car. The hospital’s central location and accessible facilities aim to support patients in receiving timely and comfortable care.

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

What are my options for pain management during labor discussed by Dr. Nensi?

Dr. Nensi will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Nensi during your prenatal visits.

What birth control options can Dr. Nensi discuss with me?

Dr. Nensi can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Nensi will help you make an informed choice.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Nensi 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. Nensi 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.

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. Nensi, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

How can Dr. Nensi help with menopause symptoms?

Dr. Nensi can help manage bothersome menopause symptoms such as hot flashes, night sweats, vaginal dryness, mood changes, sleep disturbances, and bone density concerns. Treatment options may include lifestyle modifications (diet, exercise, stress reduction), non-hormonal medications, vaginal estrogen for localized symptoms, or systemic hormone replacement therapy (HRT) after a thorough discussion of the benefits and risks based on your individual health profile and preferences.

Listowel Memorial Hospital
61 Queen St. East - 5th Floor
Toronto, ON M5B 1W8

Phone: (416) 867-7480 | Fax: (416) 867-7478

The facility is wheelchair accessible.

Dr. Nensi 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/Nensi-Alysha/0288668-101378