Dr. Dimitrois Giannoulias – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

Dr. Dimitrois Giannoulias 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 a clinic and/or hospital setting in Toronto, ON, he offers accessible and high-quality care to the community. His practice adheres strictly to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and effective treatment for all patients.

Providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, Dr. Giannoulias is committed to supporting women through all stages of life. His services include prenatal care, childbirth, family planning, gynecologic health, and surgical interventions tailored to each patient’s needs. He serves women of all ages, including those seeking prenatal, postnatal, and general gynecological care, with a focus on personalized, respectful, and evidence-based medicine.

Dr. Giannoulias graduated with a Medical Degree from the National and Kapodistrian University of Athens in Greece in 1973. He has been practicing as a specialist in Obstetrics and Gynecology for over 43 years since 1981. He is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, demonstrating his commitment to maintaining high standards of medical excellence. His clinical work is driven by a dedication to advancing women’s health and well-being.

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

Infertility and Reproductive Health

• 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.
• 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.
• 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.

Sexual Health and Dysfunction

• Dyspareunia (Painful Intercourse): Persistent or recurrent genital pain that occurs just before, during or after sexual intercourse.
• Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
• Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.

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).
• 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.
• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.

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

• Diagnosis & Treatment of Vaginal Infections & Sexually Transmitted Infections (STIs): Management of conditions such as yeast infections, bacterial vaginosis, trichomoniasis, and screening/treatment for STIs like chlamydia, gonorrhea, syphilis, and HIV counseling.
• 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.
• Oophorectomy / Salpingo-oophorectomy (Laparoscopic or Open): Surgical removal of one or both ovaries, and potentially fallopian tubes, often for cysts, tumors, endometriosis, or cancer risk reduction.
• 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).
• 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).
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Giannoulias 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. Giannoulias practices in a modern clinic located in the vibrant Rosedale neighborhood of Toronto, ON. The facility is conveniently situated within a short distance from the MaRS Discovery District, making it easily accessible for patients in downtown Toronto. The clinic is accessible via TTC services, including the subway, streetcar, and bus routes, providing convenient transportation options. The facility is wheelchair accessible to accommodate all patients, and metered street parking is available nearby for those preferring to drive.

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

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

Yes, Dr. Giannoulias 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. Giannoulias 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 are my options for pain management during labor discussed by Dr. Giannoulias?

Dr. Giannoulias 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. Giannoulias during your prenatal visits.

Suite 410 A, 600 Sherbourne Ave.
Toronto, ON M4W 3T1

Phone: (416) 975-2549 | Fax: (416) 975-2568

The facility is wheelchair accessible.

Dr. Giannoulias 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/Giannoulias-Dimitrois/0025516-30339