Dr. David Alexander Rouselle – Obstetrician and Gynecologist (OBGYN) | Newmarket, ON

Dr. David Alexander Rouselle is a dedicated Obstetrician and Gynecologist (OBGYN) providing comprehensive care for women's reproductive health, pregnancy, and childbirth. He offers a patient-focused approach to manage a wide spectrum of conditions. Practicing at Toronto Western Hospital in Newmarket, ON, he offers accessible and high-quality care to the community. His practice adheres to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Rouselle's role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on supporting women throughout all stages of reproductive life.

He graduated with a Medical Degree from Queen's University in 1981 and has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 37 years, since 1987. Dr. Rouselle is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, reflecting his expertise and commitment to maintaining the highest standards of medical care in his field.

His clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practices. Dr. Rouselle is dedicated to addressing women's health needs in Newmarket with compassion and professionalism. He communicates fluently in English and is committed to providing respectful and personalized care to each patient, fostering a supportive environment for open dialogue and informed choices.

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

Pregnancy and Childbirth Related Conditions

• Preeclampsia & Hypertensive Disorders of Pregnancy: Pregnancy complications characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys.
• Preterm Labor & Birth: Labor or delivery that occurs before 37 completed weeks of pregnancy, potentially leading to complications for the newborn.
• Routine & High-Risk Prenatal Care: Comprehensive monitoring and management throughout all stages of pregnancy, including those with increased maternal or fetal risks.

Gynecologic Cancers and Precancerous Conditions

• Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).
• 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.
• Ovarian Cancer (Epithelial, Germ Cell, Stromal Tumors): Cancer that begins in the ovaries, which can be difficult to detect early and often requires specialized surgical and medical treatment.

Infertility and Reproductive Health

• 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.
• Uterine Factors Affecting Fertility (e.g., Septum, Asherman's Syndrome): Structural abnormalities or conditions of the uterus that can interfere with implantation or pregnancy maintenance.

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

• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• 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.
• 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.
• 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).
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Rouselle 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. Rouselle practices primarily at Toronto Western Hospital located in the Central Newmarket, Gorham-College Manor neighborhood of Newmarket, ON. The hospital is conveniently situated near Magna Centre (Recreation) and Mulock GO Station (Future), accessible via York Region Transit (YRT) / Viva. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the hospital, providing convenient options for those visiting for appointments or procedures. The location offers a welcoming environment dedicated to high-quality women's health services in a community-focused setting.

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

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

Dr. Rouselle 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. Rouselle during your prenatal visits.

At which hospital(s) does Dr. Rouselle deliver babies or perform surgeries?

Dr. Rouselle is affiliated with hospitals in Newmarket. You can confirm the specific hospital(s) where he performs deliveries and gynecological surgeries by contacting Dr. Rouselle's office directly. This information is important for planning your care and delivery.

Does Dr. Rouselle manage high-risk pregnancies?

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

Does Dr. Rouselle support VBAC (Vaginal Birth After Cesarean)?

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Rouselle's approach to VBAC will depend on your specific medical history, the reason for your previous C-section, the type of uterine incision you had, and current pregnancy factors. He will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.

How can Dr. Rouselle help with menopause symptoms?

Dr. Rouselle 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.

Toronto Western Hospital
8 East Wing, 679 Davis Drive, Dermatology Centre
Newmarket, ON L3Y 5G8

Phone: (905) 853-2322 | Fax: (905) 853-7311

The facility is wheelchair accessible.

Dr. Rouselle 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/Rouselle-David-Alexander/0037551-51527