About
Dr. Kirsten Leigh Smith, a respected Obstetrician and Gynecologist (OBGYN), focuses on empowering women through all stages of life with expert medical and surgical care, from adolescence through menopause and beyond. Practicing at a clinic and/or hospital setting in Toronto, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards and guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Smith's role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring that women receive personalized and compassionate treatment tailored to their unique needs.
She graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 1999 and has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 2004, accumulating over 20 years of experience. Dr. Smith is certified as a RCPSC Specialist, demonstrating her commitment to maintaining the highest standards of medical excellence and ongoing professional development.
With a philosophy centered on patient-centered care, shared decision-making, and evidence-based practice, Dr. Smith is dedicated to supporting women's health in Toronto with compassion and expertise. She communicates fluently in English and is committed to creating a welcoming, respectful environment where every woman feels heard and cared for. Her goal is to empower patients to make informed choices about their health and well-being throughout their lives.
Dr. Kirsten Smith provides care for a wide spectrum of women's health issues, including:
Screening and Preventative Care
- 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.
- Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
Gynecologic Cancers and Precancerous Conditions
- Endometrial Hyperplasia & Uterine (Endometrial) Cancer: Precancerous thickening of the uterine lining (endometrial hyperplasia) or cancer that begins in the lining of the uterus (endometrium).
- Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
- Gestational Trophoblastic Disease (GTD) (e.g., Molar Pregnancy): A group of rare pregnancy-related tumors that develop in the uterus from cells that normally form the placenta, requiring careful monitoring and treatment.
Infertility and Reproductive Health
- Ovulatory Dysfunction (e.g., Anovulation, Oligo-ovulation): Problems with ovulation (the release of an egg from the ovary), such as infrequent or absent ovulation, a common cause of infertility.
- Uterine Factors Affecting Fertility (e.g., Septum, Asherman's Syndrome): Structural abnormalities or conditions of the uterus that can interfere with implantation or pregnancy maintenance.
- Fallopian Tube Disorders (Blockage, Hydrosalpinx, Adhesions): Conditions affecting the fallopian tubes, such as blockages or scarring, that can prevent sperm from reaching the egg or a fertilized egg from reaching the uterus.
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. Kirsten Smith 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.
- 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.
- 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.
- External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
- 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).
- Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
- 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.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Smith 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. Kirsten Leigh Smith practices in Toronto, Ontario, at a modern clinic located in the vibrant neighborhoods of Fairview, Henry Farm, and Oriole. The facility is conveniently situated near Massey Hall, making it accessible for patients coming from different parts of the city. Easily reachable via TTC (Subway, Streetcar, Bus), the clinic offers a comfortable environment for women seeking obstetric and gynecological care. The facility is wheelchair accessible, ensuring barrier-free access for all patients. Parking is available at the location, providing added convenience for those driving to their appointments.
- Are services from Dr. Smith, 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. Smith 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. Smith, 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. Smith 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. Smith's office or your referring doctor.
- Does Dr. Smith support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Smith'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.
- Does Dr. Smith manage high-risk pregnancies?
- Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Smith 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. Smith 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. Smith.
- What can I expect during my first prenatal visit?
- Your first prenatal visit with Dr. Smith 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. Smith 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.
- 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. Smith will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.
1333 Sheppard Avenue East
Toronto, ON M2J 1V1
Phone: (416) 494-0007 | Fax: (416) 494-8758
The facility is wheelchair accessible.
Dr. Smith 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/Smith-Kirsten-Leigh/0163003-78752