Dr. Marie-Pier Comeau

Dr. Marie-Pier Comeau provides care for a wide spectrum of women's health issues, including:

Common Benign Gynecological Conditions

• Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs (uterus, fallopian tubes, ovaries), often caused by sexually transmitted bacteria, which can lead to serious complications if untreated.
• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.
• Adenomyosis: A condition where endometrial tissue exists within and grows into the muscular wall of the uterus, often causing heavy, painful periods.

Menstrual and Hormonal Disorders

• Menopause & Perimenopausal Symptoms: The natural cessation of menstruation and the preceding transitional period, often accompanied by symptoms like hot flashes, night sweats, vaginal dryness, and mood changes.
• 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.
• Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.

Gynecologic Cancers and Precancerous Conditions

• Vaginal Intraepithelial Neoplasia (VAIN) & Vaginal Cancer: Precancerous changes (VAIN) or rare cancers affecting the vagina.
• Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
• 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.

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. Marie-Pier Comeau or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• 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).
• Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
• External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
• 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.
• 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.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Comeau 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. Marie-Pier Comeau practices at the Clinique gynécologique, located in the areas near central Alma. The clinic is conveniently situated close to local points of interest and accessible via local public transit, making it easy for patients to reach. The facility is wheelchair accessible, ensuring barrier-free access for all patients. Paid parking options are available nearby for those arriving by car. The clinic’s central location and amenities aim to provide a comfortable and accessible environment for women seeking obstetric and gynecological care in Alma.

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

I have uterine fibroids. What treatment options might Dr. Comeau 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. Comeau will help you decide the best course of action.

Does Dr. Comeau discuss or offer the HPV vaccine?

The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Comeau can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.

When should a teenager have her first OBGYN visit, and what does it involve?

The first visit to an OBGYN for a teenager is often recommended between ages 13-15, or sooner if there are specific concerns like very painful periods, irregular cycles, or questions about sexual health. This initial visit may not involve a pelvic exam unless there's a specific medical reason. It's primarily an opportunity to build a rapport with Dr. Comeau, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

What does an Obstetrician and Gynecologist (OBGYN) like Dr. Comeau do?

An Obstetrician and Gynecologist (OBGYN), like Dr. Comeau, is a medical doctor specializing in women's reproductive health, pregnancy, and childbirth. They provide care throughout a woman's life, including prenatal care, labor and delivery, postpartum support, diagnosis and treatment of gynecological conditions (e.g., infections, fibroids, endometriosis, menstrual disorders), family planning, contraceptive management, preventative screenings like Pap tests, and management of menopausal symptoms.

Does Dr. Comeau manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Comeau 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. Comeau 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. Comeau.

Clinique gynécologique
24 rue Mélançon E
Alma, QC G8B 6W3

Phone: (418) 662-6553 | Fax: (418) 662-3731

The facility is wheelchair accessible.

Dr. Comeau 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=17778