Dr. Cynthia Vivianne Maxwell – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Cynthia Vivianne Maxwell offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at Transfusion Medicine, CC 2-035 in Toronto, ON, she provides accessible and high-quality care to the community. Her practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical care. Dr. Maxwell is dedicated to supporting women through every stage of life, from adolescence to postmenopause, with a comprehensive approach tailored to individual needs.

Dr. Maxwell graduated with a Medical Degree from Harvard Medical School in 1997, bringing extensive training and expertise to her practice. She has been practicing as a specialist in Obstetrics and Gynecology for over 22 years, since 2002. She is certified as a RCPSC Specialist, maintaining ongoing professional development to stay current with evolving medical advancements and best practices in women’s health.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based medicine. Committed to improving women’s health outcomes in Toronto, Dr. Maxwell speaks English and French fluently, ensuring clear communication and compassionate care for diverse patient populations. She believes in empowering women through education and respectful partnership, fostering a supportive environment for health and well-being.

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

Pelvic Floor and Urinary Disorders

• Interstitial Cystitis / Painful Bladder Syndrome (IC/PBS): A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, ranging from mild discomfort to severe pain.
• Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.

Screening and Preventative Care

• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
• Cervical Cancer Screening (Pap Tests & HPV Testing): Regular screening to detect precancerous changes or cancer of the cervix, primarily through Pap tests and HPV DNA testing.
• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.

Menstrual and Hormonal Disorders

• Menopause & Perimenopausal Symptoms: The natural cessation of menstruation and the preceding transitional period, often accompanied by symptoms like hot flashes, night sweats, vaginal dryness, and mood changes.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
• Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).

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

• Laparoscopic Surgery for Endometriosis & Ovarian Cysts (Excision/Ablation): Minimally invasive surgical techniques for diagnosing and treating endometriosis implants (excision or ablation) and removing benign ovarian cysts.
• 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.
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• 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.
• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• 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. Maxwell 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. Maxwell practices at the Transfusion Medicine, CC 2-035, located in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto. The facility is conveniently situated near the Metro Toronto Convention Centre and CN Tower, making it easily accessible for patients. Public transportation options are abundant, with TTC services including subway, streetcar, and bus routes providing direct access. The location is wheelchair accessible, ensuring barrier-free entry for all patients. Parking is available at the facility for those arriving by car, offering added convenience for visitors.

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

How can Dr. Maxwell help with menopause symptoms?

Dr. Maxwell 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.

Does Dr. Maxwell discuss or offer the HPV vaccine?

The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Maxwell can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.

I have uterine fibroids. What treatment options might Dr. Maxwell 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. Maxwell will help you decide the best course of action.

What are some common gynecological surgeries Dr. Maxwell might perform?

Common gynecological surgeries include procedures like hysterectomy (removal of the uterus), oophorectomy (removal of ovaries), tubal ligation (female sterilization), D&C (dilation and curettage), endometrial ablation, and surgeries to treat conditions such as fibroids (myomectomy), endometriosis, ovarian cysts, or pelvic organ prolapse. Many of these can be performed using minimally invasive techniques like laparoscopy or hysteroscopy. Dr. Maxwell will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Maxwell 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. Maxwell 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.

Transfusion Medicine, CC 2-035
700 University Avenue, St. Michael's Hospital
Toronto, ON M5G 1Z5

Phone: (416) 586-4800 | Fax: (416) 586-5992

The facility is wheelchair accessible.

Dr. Maxwell 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/Maxwell-Cynthia-Vivianne/0185893-76532