Dr. Josée Lefèbvre – Obstetrician and Gynecologist (OBGYN) | Montréal, QC

Specializing in Obstetrics and Gynecology, Dr. Josée Lefèbvre (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Montréal, fostering a supportive healthcare environment. Practicing at the Clinique Médicale Origyne in Montréal, QC, she offers accessible and high-quality care to the community. Her practice adheres to the standards set by the Collège des médecins du Québec (CMQ), ensuring that each patient receives safe and ethical treatment. Dr. Lefèbvre provides 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, in a compassionate and reassuring manner.

Dr. Lefèbvre graduated with her Medical Degree in 1985 and has practiced as a specialist in Obstetrics and Gynecology (OBGYN) for over 39 years. Her extensive post-graduate training and certification in the field underpin her expertise in managing a wide array of women's health issues, from routine exams to complex surgical interventions. Throughout her career, she has remained dedicated to continuous learning and applying the latest evidence-based practices to her clinical work.

Her clinical philosophy centers on patient-centered care, shared decision-making, and the importance of empowering women to make informed choices about their health. She is committed to offering empathetic, respectful, and holistic care to her diverse patient population in Montréal. Dr. Lefèbvre speaks French fluently, ensuring effective communication and understanding with her patients in their preferred language.

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

Screening and Preventative Care

• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Cervical Cancer Screening (Pap Tests & HPV Testing): Regular screening to detect precancerous changes or cancer of the cervix, primarily through Pap tests and HPV DNA testing.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.

Pelvic Floor and Urinary Disorders

• 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.
• 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.
• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.

Sexual Health and Dysfunction

• Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.
• 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.

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. Josée Lefèbvre 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.
• 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.
• 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.
• 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.
• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• 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.
• Laparoscopic Surgery for Endometriosis & Ovarian Cysts (Excision/Ablation): Minimally invasive surgical techniques for diagnosing and treating endometriosis implants (excision or ablation) and removing benign ovarian cysts.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Lefèbvre 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 Collège des médecins du Québec (CMQ). A referral may be required for insured services.

Dr. Lefèbvre practices at Clinique Médicale Origyne, located in the vibrant Côte-des-Neiges Central (UdeM area) neighborhood of Montréal. The clinic is conveniently situated near Alexis Nihon Plaza and the Downtown Shopping District, making it easily accessible for patients from various parts of the city. The facility is wheelchair accessible, ensuring that all patients can receive care comfortably. It is well-connected via the Société de transport de Montréal (STM) network, including Métro and Bus routes, facilitating easy travel. Paid parking options are available nearby for those arriving by car, providing added convenience for patients attending appointments.

Are services from Dr. Lefèbvre, an Obstetrician and Gynecologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Lefèbvre are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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 Régie de l'assurance maladie du Québec (RAMQ) or the clinic.

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

Yes, for services to be covered by your provincial health plan (Régie de l'assurance maladie du Québec (RAMQ)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Lefèbvre 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. Lefèbvre's office or your referring doctor.

What birth control options can Dr. Lefèbvre discuss with me?

Dr. Lefèbvre can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Lefèbvre will help you make an informed choice.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Lefèbvre is usually quite comprehensive, typically scheduled around 8-10 weeks of pregnancy. It will involve a detailed review of your medical history, your partner's medical history (if applicable), and any previous pregnancies. Dr. Lefèbvre will likely perform a physical exam, which may include a pelvic exam, confirm your pregnancy (often with an ultrasound referral), estimate your due date, and discuss important aspects of a healthy pregnancy such as nutrition, lifestyle, prenatal vitamins, and options for genetic screening and prenatal testing. You'll also have the opportunity to ask any questions you may have.

Does Dr. Lefèbvre support VBAC (Vaginal Birth After Cesarean)?

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Lefèbvre's approach to VBAC will depend on your specific medical history, the reason for your previous C-section, the type of uterine incision you had, and current pregnancy factors. She will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.

What are the treatment options for endometriosis that Dr. Lefèbvre 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. Lefèbvre will discuss the most appropriate approach for your situation.

Clinique Médicale Origyne
317-5450 ch de la Côte-des-Neiges
Montréal, QC H3T 1Y6

Phone: (514) 736-2496 | Fax: (514) 736-2554

The facility is wheelchair accessible.

Dr. Lefèbvre is a licensed Obstetrician and Gynecologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=85531