About
Dr. Josiane Lavigne, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With a practice located at the Clinique d'endocrinologie de Trois-Rivières in Trois-Rivières, QC, she is a dedicated member of the local medical community. Her practice primarily centers on the comprehensive management of type 1 and type 2 diabetes, metabolic syndrome, and lipid disorders. Dr. Lavigne's approach emphasizes personalized, evidence-based care to optimize hormonal and metabolic health for her patients.
She holds a Medical Degree from a recognized institution and has accumulated over 7 years of experience practicing as an Endocrinologist (Diabetes & Metabolism Focus) since 2017. She has completed extensive post-graduate training in endocrinology and holds the necessary certifications to practice within the province of Quebec, adhering to the standards set by the Collège des médecins du Québec (CMQ). Her credentials ensure that her clinical practice aligns with the highest professional and ethical standards.
Dr. Lavigne is committed to delivering compassionate, patient-centered care rooted in the latest clinical evidence. Her philosophy emphasizes early and accurate diagnosis, patient education on managing chronic conditions, and the development of individualized treatment plans aimed at long-term well-being. She is dedicated to supporting her patients in Trois-Rivières through clear communication and ongoing support. She speaks French fluently, ensuring accessible communication for her diverse patient community.
Dr. Josiane Lavigne diagnoses and treats a wide range of hormonal and metabolic disorders, including:
Diabetes & Related Metabolic Disorders
- Gestational Diabetes Mellitus (GDM): Diabetes diagnosed during pregnancy that was not clearly overt diabetes prior to gestation, requiring careful management to ensure healthy outcomes for both mother and baby.
- 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.
Pituitary, Adrenal & Gonadal Axis Disorders
- Adrenal Nodules (Incidentalomas) & Adrenal Tumors (e.g., Pheochromocytoma, Aldosteronoma): Masses found on the adrenal glands, often discovered incidentally. Evaluation is needed to determine if they are hormonally active or potentially malignant.
- 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.
- Pituitary Adenomas & Tumors (e.g., Prolactinoma, Non-Functioning Adenoma, GH-secreting/Acromegaly, ACTH-secreting/Cushing's Disease): Mostly benign growths in the pituitary gland that can cause symptoms due to hormone overproduction (e.g., prolactin, growth hormone, ACTH), hormone deficiency (hypopituitarism), or pressure effects on surrounding structures.
Bone Health & Mineral Metabolism Disorders
- Disorders of Phosphate Homeostasis (Hypophosphatemia, Hyperphosphatemia): Imbalances in blood phosphate levels, which can be caused by various underlying conditions and affect bone health, muscle function, and energy metabolism.
- Rickets & Osteomalacia: Conditions characterized by softening and weakening of bones, typically due to severe and prolonged vitamin D deficiency. Rickets occurs in children, leading to skeletal deformities, while osteomalacia occurs in adults.
This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Josiane Lavigne.
- 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.
- 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.
- 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.
- 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.
- 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.
Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Lavigne 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.
Clinique d'endocrinologie de Trois-Rivières is situated in the Saint-Louis-de-France Sector neighborhood of Trois-Rivières. The clinic is conveniently located near Cégep de Trois-Rivières and Université du Québec à Trois-Rivières (UQTR), making it accessible for students and university staff. Public transit options are available via the Société de transport de Trois-Rivières (STTR), providing easy access from various parts of the city. The facility is wheelchair accessible, ensuring barrier-free access for all patients. Parking is available with metered street parking and nearby lots for convenience.
- Are consultations, hormone tests, and treatments with Dr. Lavigne, an Endocrinologist (Diabetes & Metabolism Focus), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?
- Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Lavigne, 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. Lavigne's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.
- Is a referral required to see Dr. Lavigne, an Endocrinologist (Diabetes & Metabolism Focus)?
- 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 Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Lavigne. 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.
- Does Dr. Lavigne deal with hormonal issues related to infertility or conditions like PCOS?
- Yes, as a Reproductive Endocrinologist and Infertility specialist (REI), Dr. Lavigne has advanced training in diagnosing and treating complex hormonal disorders that affect fertility and reproductive health in both women and men. This includes conditions like Polycystic Ovary Syndrome (PCOS), ovulatory dysfunction, endometriosis-related hormonal issues, premature ovarian insufficiency, male hypogonadism impacting fertility, and recurrent pregnancy loss. She can manage ovulation induction, provide hormonal support for assisted reproductive technologies like IVF, and address other intricate reproductive endocrine problems.
- What is Hormone Replacement Therapy (HRT) and when might Dr. Lavigne recommend it?
- Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Lavigne might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Lavigne will discuss thoroughly.
Clinique d'endocrinologie de Trois-Rivières
5050 boul des Forges
Trois-Rivières, QC G8Y 1X2
Phone: (819) 379-1442 | Fax: (819) 379-9708
The facility is wheelchair accessible.
Dr. Lavigne is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Lavigne for services covered by the provincial health plan.
Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17024