Dr. Fiona Anne Liston – Obstetrician and Gynecologist (OBGYN) | Duncan, BC

Dr. Fiona Anne Liston is a dedicated Obstetrician and Gynecologist (OBGYN) providing comprehensive care for women's reproductive health, pregnancy, and childbirth. She offers a patient-focused approach to manage a wide spectrum of conditions. Practicing at a clinic in Duncan, BC, she is committed to delivering accessible, high-quality care to the community. Her practice adheres to the standards established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that every patient receives safe and evidence-based medical services.

Providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, Dr. Liston is well-equipped to support women of all ages. Whether managing pregnancy, postpartum recovery, or general gynecological concerns, she emphasizes compassionate and individualized treatment plans tailored to each patient's needs. Her practice in Duncan serves women throughout their reproductive journey, including prenatal and postnatal care, ensuring continuity and trust in her patient relationships.

Dr. Fiona Anne Liston graduated with a Doctor of Medicine (MD) from Dalhousie University in 2007 and completed extensive postgraduate training in Obstetrics and Gynecology. She holds certifications from the Royal College of Physicians and Surgeons of Canada, reflecting her commitment to maintaining high standards of medical excellence. Her ongoing dedication to professional development ensures her practice remains aligned with the latest clinical guidelines and innovations in women's health.

Her clinical philosophy centers on providing patient-centered care, fostering shared decision-making, and applying evidence-based practices. Dr. Liston is dedicated to empowering women in Duncan to make informed choices about their health and well-being. She speaks English fluently and strives to create a supportive environment where her patients feel heard, respected, and cared for at every stage of life.

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

Menstrual and Hormonal Disorders

• Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
• 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.

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.

Common Benign Gynecological Conditions

• Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs (uterus, fallopian tubes, ovaries), often caused by sexually transmitted bacteria, which can lead to serious complications if untreated.
• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.
• 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.

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

• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.
• Postpartum Care & Follow-up: Medical follow-up and support for mothers in the weeks following childbirth, addressing physical recovery, incision care (if applicable), breastfeeding support, contraception planning, and screening for postpartum mood disorders.
• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• 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).
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Liston 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 British Columbia (CPSBC). A referral may be required for insured services.

Dr. Liston's practice is located within a modern clinic in Duncan, BC, in a facility situated in the areas near central Duncan. The clinic is conveniently accessible via local public transit and is close to several local points of interest, making it easy for patients to visit. The facility is wheelchair accessible, ensuring comfortable access for all patients. Parking is available at the site, providing added convenience for those arriving by car. The clinic's location aims to serve the community effectively, offering a welcoming environment for women seeking obstetric and gynecological care.

Are services from Dr. Liston, an Obstetrician and Gynecologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Liston are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP) or the clinic.

Do I need a referral from my family doctor to see Dr. Liston, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Liston 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. Liston's office or your referring doctor.

What are the treatment options for endometriosis that Dr. Liston might recommend?

Treatment for endometriosis aims to manage pain and improve fertility if desired. Options vary based on symptom severity and patient goals and can include pain medications (NSAIDs), hormonal therapies (like birth control pills, progestins, GnRH agonists) to suppress endometrial tissue growth, and surgical treatments (laparoscopy) to remove endometrial implants and scar tissue. Dr. Liston will discuss the most appropriate approach for your situation.

What are some common gynecological surgeries Dr. Liston 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. Liston will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.

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

190 Ingram St
Duncan, BC V9L 1P1

Phone: (250) 748-2422 | Fax: (250) 748-7334

The facility is wheelchair accessible.

Dr. Liston is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/341998/Liston%2CFiona