About
Dr. Lara De Guerke 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 Hôpital Maisonneuve-Rosemont in Montréal, QC, she offers accessible and high-quality care to the community, adhering to the standards set by the Collège des médecins du Québec (CMQ). With a special interest in areas such as Gynecologic Oncology, she brings focused expertise to her practice in Obstetrics and Gynecology, ensuring women receive personalized and compassionate care throughout their life stages.
Dr. De Guerke graduated with a Medical Degree in 2013 and has been practicing as a specialist in Obstetrician and Gynecology for over 11 years. She completed extensive post-graduate medical training and holds certifications in her field, demonstrating her commitment to maintaining the highest standards of women’s health care. Her experience encompasses a broad range of diagnostic, therapeutic, and surgical services tailored to women of all ages, including prenatal and postnatal care, gynecologic screenings, and surgical interventions.
Driven by a philosophy of patient-centered care, Dr. De Guerke believes in shared decision-making and evidence-based practice. She is dedicated to supporting women’s health in Montréal with empathy and respect, ensuring each patient feels heard and cared for. Fluent in French, she strives to create a welcoming environment for her diverse patient community, providing education and guidance every step of the way.
Dr. Lara De Guerke provides care for a wide spectrum of women's health issues, including:
Sexual Health and Dysfunction
- Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.
- Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
- Dyspareunia (Painful Intercourse): Persistent or recurrent genital pain that occurs just before, during or after sexual intercourse.
Infertility and Reproductive Health
- 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.
- 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.
- 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.
Pregnancy and Childbirth Related Conditions
- Preeclampsia & Hypertensive Disorders of Pregnancy: Pregnancy complications characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys.
- Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both 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.
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. Lara De Guerke or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- Dilation and Curettage (D&C) / Dilation and Evacuation (D&E): Procedures to dilate the cervix and remove tissue from the inside of the uterus, for diagnosis or treatment of various uterine conditions or after miscarriage.
- Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.
- External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
- Management of Precancerous Gynecologic Conditions (e.g., CIN, VIN, Endometrial Hyperplasia): Treatment of conditions like cervical intraepithelial neoplasia (CIN), vulvar intraepithelial neoplasia (VIN), or complex atypical endometrial hyperplasia to prevent progression to invasive cancer.
- 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.
- Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
- Diagnosis, Staging & Surgical Treatment of Gynecologic Cancers: Comprehensive evaluation, staging, and surgical management of cancers affecting the ovaries, uterus, cervix, vulva, vagina, and fallopian tubes.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. De Guerke 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. Lara De Guerke practices at the Hôpital Maisonneuve-Rosemont, located in the areas near central Montréal. The hospital is conveniently situated close to the Jewish General Hospital and is easily accessible via the Société de transport de Montréal (STM), including Métro and Bus services. The facility is wheelchair accessible, ensuring barrier-free access for all patients. Paid parking options are close by, providing convenient parking for visitors. The hospital's central location and accessible amenities make it an ideal choice for women seeking comprehensive obstetric and gynecological care in Montréal.
- Are services from Dr. De Guerke, 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. De Guerke 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. De Guerke, 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. De Guerke 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. De Guerke's office or your referring doctor.
- I have uterine fibroids. What treatment options might Dr. De Guerke suggest?
- Treatment for uterine fibroids depends on their size, number, location, and the severity of your symptoms (like heavy bleeding or pain), as well as your reproductive goals. Options range from watchful waiting for asymptomatic fibroids, to medications (hormonal therapies to manage symptoms), to minimally invasive procedures (like uterine artery embolization - often by interventional radiology), or surgical removal of fibroids (myomectomy) or the uterus (hysterectomy). Dr. De Guerke will help you decide the best course of action.
- How can Dr. De Guerke help with menopause symptoms?
- Dr. De Guerke can help manage bothersome menopause symptoms such as hot flashes, night sweats, vaginal dryness, mood changes, sleep disturbances, and bone density concerns. Treatment options may include lifestyle modifications (diet, exercise, stress reduction), non-hormonal medications, vaginal estrogen for localized symptoms, or systemic hormone replacement therapy (HRT) after a thorough discussion of the benefits and risks based on your individual health profile and preferences.
- Does Dr. De Guerke manage high-risk pregnancies?
- Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. De Guerke 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. De Guerke 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. De Guerke.
- What are some common gynecological surgeries Dr. De Guerke 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. De Guerke will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.
Hôpital Maisonneuve-Rosemont
5415 boul de l'Assomption
Montréal, QC H1T 2M4
Phone: (514) 252-3400
The facility is wheelchair accessible.
Dr. De Guerke 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=13380