Dr. Élise Marie Renée Monceau

Dr. Élise Marie Renée Monceau diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Reproductive Health & Infertility (Endocrine Aspects)

• Male Infertility (Hormonal Causes, e.g., Hypogonadotropic Hypogonadism): Endocrine disorders contributing to male infertility, such as low testosterone production due to pituitary or testicular issues, affecting sperm production and function.
• Amenorrhea (Absent Menstruation) & Oligomenorrhea (Infrequent Menstruation): Absence or infrequent occurrence of menstrual periods, which can be caused by a variety of hormonal imbalances affecting the hypothalamic-pituitary-ovarian axis.

Pituitary, Adrenal & Gonadal Axis Disorders

• Female Hypogonadism & Premature Ovarian Insufficiency (POI): Conditions involving low estrogen levels in women, leading to symptoms like amenorrhea, infertility, and menopausal symptoms, occurring before the typical age of menopause in POI.
• Male Hypogonadism (Primary & Secondary Testosterone Deficiency): Condition in which the body doesn't produce enough testosterone, leading to symptoms like low libido, fatigue, muscle loss, and infertility. Can be due to testicular failure or pituitary/hypothalamic issues.
• Polycystic Ovary Syndrome (PCOS) - Endocrine Management: A common hormonal disorder among women of reproductive age, characterized by irregular periods, signs of androgen excess (e.g., hirsutism, acne), and polycystic ovaries on ultrasound, with associated metabolic risks.

Diabetes & Related Metabolic Disorders

• Type 1 Diabetes Mellitus (T1DM): An autoimmune condition resulting in the destruction of insulin-producing beta cells in the pancreas, requiring lifelong insulin therapy for survival and glucose management.
• Hypoglycemia (Low Blood Sugar - various causes): Abnormally low blood glucose levels, which can occur as a side effect of diabetes treatment (insulin or certain oral medications), or due to other underlying conditions like insulinoma or adrenal insufficiency.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Élise Marie Renée Monceau.

• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Monceau for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Monceau’s practice is situated within the vibrant neighborhood of Côte-des-Neiges Central (UdeM area) in Montréal, QC, at CHU Sainte-Justine. The facility is easily accessible via Eaton Centre Access, making it convenient for patients to reach. Public transit options include the Société de transport de Montréal (STM), with access via Métro and Bus routes. The location is fully wheelchair accessible to accommodate all patients. Paid parking options are conveniently located nearby, ensuring ease of access for those arriving by car. The practice offers a welcoming environment designed to meet the needs of diverse patients seeking expert endocrine and reproductive health care in Montréal.

Are consultations, hormone tests, and treatments with Dr. Monceau, an Reproductive Endocrinologist (Fertility Specialist), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Reproductive Endocrinologist (Fertility Specialist) like Dr. Monceau, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Monceau's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Monceau, an Reproductive Endocrinologist (Fertility Specialist)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Reproductive Endocrinologist (Fertility Specialist) such as Dr. Monceau. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

What conditions does an Reproductive Endocrinologist (Fertility Specialist) like Dr. Monceau typically treat?

An Reproductive Endocrinologist (Fertility Specialist) is a medical doctor who specializes in diagnosing and treating diseases related to the endocrine system, which is the network of glands that produce and release hormones. These hormones control many important body functions, including metabolism (how your body gets energy from foods), growth and development, sexual function and reproduction, sleep, and mood. She is a Reproductive Endocrinologist (Fertility Specialist), concentrating on hormonal issues related to fertility, pregnancy, and reproductive health. Dr. Monceau manages conditions such as diabetes, thyroid diseases (hyperthyroidism, hypothyroidism, nodules), osteoporosis, adrenal gland disorders (like Cushing's or Addison's disease), pituitary gland disorders, parathyroid and calcium imbalances, polycystic ovary syndrome (PCOS), and some forms of hypertension or lipid disorders related to hormonal imbalances.

What types of diagnostic tests are commonly used by an Reproductive Endocrinologist (Fertility Specialist) like Dr. Monceau?

An Reproductive Endocrinologist (Fertility Specialist) like Dr. Monceau utilizes a variety of tests to diagnose endocrine disorders. Blood tests are fundamental for measuring levels of specific hormones (e.g., TSH, free T4, cortisol, ACTH, testosterone, estrogen, LH, FSH, insulin, HbA1c, prolactin, PTH, calcium, vitamin D). She often orders dynamic endocrine function tests, where hormone levels are measured after administering a stimulating or suppressing agent (e.g., ACTH stimulation test for adrenal function, oral glucose tolerance test for diabetes/acromegaly, dexamethasone suppression test for Cushing's). Imaging studies like thyroid ultrasounds, CT scans, or MRIs of the pituitary or adrenal glands are common. Bone mineral density (DXA) scans assess for osteoporosis. For thyroid nodules, a fine-needle aspiration (FNA) biopsy might be performed or arranged.

CHU Sainte-Justine
3175 ch de la Cote-Sainte-Catherine
Montréal, QC H3T 1C5

Phone: (514) 345-4931

The facility is wheelchair accessible.

Dr. Monceau is a licensed Reproductive Endocrinologist (Fertility Specialist) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral is typically required for consultations with Dr. Monceau for services covered by the provincial health plan. Patients seeking fertility assessment may also be referred by their family physician or gynecologist.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=13381