Dr. Gillian Sabrina Dharmai – Obstetrician and Gynecologist (OBGYN) | Markham, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Gillian Sabrina Dharmai offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at a clinic and/or hospital setting in Markham, ON, she provides accessible and high-quality care to the community. Dr. Dharmai's practice adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Her role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on women's reproductive health, pregnancy, and childbirth. She serves women of all ages, including prenatal and postnatal care, ensuring personalized and attentive medical attention.

Dr. Dharmai graduated with a Medical Degree from McMaster University in 2011 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 2016, accumulating over 8 years of dedicated experience. She is certified as a RCPSC Specialist, reflecting her advanced training and commitment to maintaining high standards of care. Her expertise covers a wide range of women's health issues, with a focus on evidence-based practice and patient-centered care.

Her clinical philosophy centers on providing compassionate, patient-centered care with a shared decision-making approach. Dr. Dharmai is dedicated to promoting women's health in Markham through continuous education, individualized treatment plans, and respectful communication. She speaks English fluently, ensuring clear and effective communication with her patients to facilitate understanding and comfort in all clinical encounters.

Dr. Gillian Dharmai 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.
• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.

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.

Menstrual and Hormonal Disorders

• 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.
• Hirsutism (Excess Hair Growth) & Acne (Hormonal): Excessive growth of dark or coarse hair in a male-like pattern or persistent acne, often related to hormonal imbalances like those seen in PCOS.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.

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

• 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.
• 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.
• Management of Menstrual Disorders & Abnormal Uterine Bleeding: Diagnosis and treatment for conditions like heavy menstrual bleeding (menorrhagia), irregular periods, painful periods (dysmenorrhea), amenorrhea (absence of periods), and premenstrual syndrome (PMS)/PMDD.
• 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.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• 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).

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Dharmai 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. Gillian Sabrina Dharmai practices primarily in a clinic and hospital setting located in the areas near central Markham. The facility is situated conveniently close to Uptown Market, making it accessible for patients in the community. It is easily reachable via York Region Transit (YRT) / Viva, providing public transportation options. The facility is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are close by, offering convenient parking solutions for visitors. The practice is committed to providing high-quality, accessible women's health care in a welcoming environment.

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

How often do I need a Pap test, and what is it for?

A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Dharmai will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

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

Yes, Dr. Dharmai 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. Dharmai 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. If you have concerns or questions about the procedure, Dr. Dharmai will guide you through the process and address any discomfort or risks involved.

306 Copper Creek Drive
Markham, ON L0H 1J0

Phone: (905) 554-1040 | Fax: (905) 554-1041

The facility is wheelchair accessible.

Dr. Dharmai 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/Dharmai-Gillian-Sabrina/0272794-95077