Dr. Jennifer Anne Cram – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

Dr. Jennifer Anne Cram 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 and/or hospital setting in Toronto, ON, she offers accessible and high-quality care to the community. Dr. Cram adheres to the standards and guidelines 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, ensuring women receive personalized and evidence-based treatment.

She graduated with a Medical Degree from the University of Toronto in 1994 and has been practicing as a specialist in Obstetrics and Gynecology since 1999, accumulating over 25 years of experience. Dr. Cram is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, demonstrating her commitment to maintaining high standards of medical excellence and ongoing professional development.

Committed to delivering compassionate, patient-centered care, Dr. Cram values shared decision-making and evidence-based practices to optimize health outcomes for women of all ages. She is dedicated to women's health in Toronto and speaks English fluently, ensuring clear communication and understanding with her patients.

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

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.
• Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.

Pregnancy and Childbirth Related Conditions

• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.
• Placenta Previa & Placental Abruption: Conditions where the placenta is abnormally positioned (previa) or detaches prematurely from the uterine wall (abruption), posing risks to mother and baby.
• Ectopic Pregnancy: A pregnancy in which the fertilized egg implants outside the uterus, typically in a fallopian tube, requiring urgent medical attention.

Pelvic Floor and Urinary Disorders

• Interstitial Cystitis / Painful Bladder Syndrome (IC/PBS): A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, ranging from mild discomfort to severe pain.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
• Pelvic Organ Prolapse (Cystocele, Rectocele, Uterine Prolapse, Enterocele, Vaginal Vault Prolapse): A condition where one or more pelvic organs (bladder, uterus, rectum, small bowel, vaginal apex) drop or press into or out of the vagina due to weakened pelvic floor muscles.

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. Jennifer Cram 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.
• 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.
• 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.
• 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.
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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).

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Cram 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. Cram practices in a well-equipped clinic located in the Don Mills South (Flemingdon Park) neighborhood of Toronto, ON. The facility is situated in a convenient hospital or clinic setting, easily accessible via public transportation, including TTC services such as subway, streetcar, and bus routes. It is located near the Toronto Reference Library and the World's Biggest Bookstore Site, making it easy to reach for residents and visitors alike. The facility is wheelchair accessible to accommodate all patients, and paid parking options are available nearby for added convenience.

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

Does Dr. Cram manage high-risk pregnancies?

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

Does Dr. Cram discuss or offer the HPV vaccine?

The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Cram can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.

29 Gervais Drive
Toronto, ON M3C 1Y9

Phone: (416) 385-3431 | Fax: (416) 385-1945

The facility is wheelchair accessible.

Dr. Cram 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/Cram-Jennifer-Anne/0056511-68099