Dr. Naiema M Fiel – Obstetrician and Gynecologist (OBGYN) | Georgetown, ON

Specializing in Obstetrics and Gynecology, Dr. Naiema M Fiel (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Georgetown, fostering a supportive healthcare environment. Practicing at Toronto Western Hospital in Georgetown, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, Dr. Fiel is dedicated to supporting women's health at every stage of life. She serves women of all ages, including prenatal and postnatal care, ensuring each patient receives compassionate and attentive treatment.

Dr. Fiel graduated with a Medical Degree from the University of Tripoli Faculty of Medicine in 1991 (Libya). She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 17 years, since 2007. She is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, demonstrating her commitment to maintaining high standards of medical excellence and ongoing professional development.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. Dr. Fiel is dedicated to improving women's health outcomes in Georgetown through compassionate, personalized care. She speaks Arabic and English fluently, ensuring clear communication and understanding with her diverse patient population. Her goal is to create a supportive environment where women feel empowered to discuss their health concerns openly and confidently.

Dr. Naiema Fiel 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.
• HPV Vaccination Counseling: Discussing the benefits and recommendations for the Human Papillomavirus (HPV) vaccine to prevent HPV-related cancers.
• Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.

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.
• Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.
• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.

Pregnancy and Childbirth Related Conditions

• Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.
• Recurrent Pregnancy Loss (Miscarriage): The occurrence of two or more consecutive pregnancy losses before 20 weeks of gestation, prompting investigation for underlying causes.
• 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.

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. Naiema Fiel or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Oophorectomy / Salpingo-oophorectomy (Laparoscopic or Open): Surgical removal of one or both ovaries, and potentially fallopian tubes, often for cysts, tumors, endometriosis, or cancer risk reduction.
• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• Endometrial Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.
• 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.
• 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).

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Fiel 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. Fiel practices at Toronto Western Hospital, located in the areas near central Georgetown. The hospital is easily accessible via local public transit, making it convenient for patients from the surrounding neighborhoods. The facility is wheelchair accessible and offers a welcoming environment for all patients. Paid parking options are close by, providing additional convenience for those driving to appointments. The hospital's central location near local points of interest ensures patients can access comprehensive obstetric and gynecological care with ease and comfort.

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

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Fiel 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. Fiel 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.

Does Dr. Fiel manage high-risk pregnancies?

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

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. Fiel, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.

Toronto Western Hospital
Fell Pavillion 1 503, 1 A - 1 A Princess Ann Dr.
Georgetown, ON L7G 4W4

Phone: (905) 873-0111

The facility is wheelchair accessible.

Dr. Fiel 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/Fiel-Naiema-M/0151591-72963