Dr. Julie Margaret Francis – Obstetrician and Gynecologist (OBGYN) | North Bay, ON

Specializing in Obstetrics and Gynecology, Dr. Julie Margaret Francis (an OBGYN) is committed to delivering personalized and evidence-based care to patients in North Bay, fostering a supportive healthcare environment. Practicing at the Public Health Agency of Canada in North Bay, ON, she offers accessible and high-quality care to the community. Her approach emphasizes compassionate, patient-centered care tailored to each woman's unique health needs. Dr. Francis adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and professional medical practice.

With a solid foundation in medical education, Dr. Francis graduated with a Medical Degree from McMaster University in 2008. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 2013, accumulating over 11 years of experience. She is certified as a RCPSC Specialist, demonstrating her commitment to maintaining the highest standards of specialty practice through ongoing certification and professional development.

Dr. Francis’s clinical philosophy centers on providing comprehensive, evidence-based, and patient-centered care. She values shared decision-making, ensuring her patients are well-informed and involved in their healthcare choices. Dedicated to promoting women’s health in North Bay, she speaks English fluently and strives to create a welcoming, supportive environment for all her patients, fostering trust and confidence in her care.

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

Menstrual and Hormonal Disorders

• Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD): A collection of emotional and physical symptoms that occur in the one to two weeks before a woman's period, with PMDD being a more severe, debilitating form.
• 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.
• Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).

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.

Screening and Preventative Care

• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.
• 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.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.

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. Julie Francis or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• Hysterectomy (Abdominal, Vaginal, Laparoscopic, Robotic-Assisted): Surgical removal of the uterus, performed through various approaches including minimally invasive techniques, depending on the medical indication and patient factors.
• 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).
• 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.
• Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Francis 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. Julie Francis practices at the Public Health Agency of Canada located in the vibrant Downtown North Bay, Central neighborhood of North Bay, ON. The facility is conveniently situated near the Downtown North Bay and North Bay Museum, making it easily accessible for local residents. Public transit options via North Bay Transit provide straightforward access for patients coming from various parts of the city. The practice is committed to providing accessible healthcare services; the facility is wheelchair accessible, ensuring comfort and ease of access for all patients. Metered street parking is available nearby, offering convenient parking options for those visiting the clinic.

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

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

What are my options for pain management during labor discussed by Dr. Francis?

Dr. Francis will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Francis during your prenatal visits.

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

Yes, Dr. Francis 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. Francis 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. She will ensure your comfort and provide guidance throughout the process.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Francis 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. Francis 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 about your pregnancy journey and what to expect in the coming months.

Public Health Agency of Canada
1221 Algonquin Avenue
North Bay, ON P1B 4Y3

Phone: (705) 478-7444 | Fax: (705) 478-8884

The facility is wheelchair accessible.

Dr. Francis 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/Francis-Julie-Margaret/0249886-88502