About
Specializing in Obstetrics and Gynecology, Dr. Nancy Thomas (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Québec, fostering a supportive healthcare environment. Practicing at CHU de Québec - Centre Mère-Enfant Soleil in Québec, QC, she offers accessible and high-quality care to the community. Her practice is aligned with the standards and ethical guidelines set forth by the Collège des médecins du Québec (CMQ). With a special interest in areas such as Maternal-Fetal Medicine, she brings focused expertise to her practice in Obstetrics and Gynecology, ensuring comprehensive care for women throughout their reproductive years, including pregnancy and postpartum support.
Dr. Nancy Thomas earned her Medical Degree in 1997 and has been practicing as a specialist in Obstetrics and Gynecology (OBGYN) for over 27 years. She completed extensive post-graduate training and certification in her field, ensuring her expertise in both medical and surgical aspects of women’s health. Her dedication to continued learning and professional development reflects her commitment to providing the highest standard of care.
Guided by a philosophy of patient-centered care, Dr. Thomas emphasizes shared decision-making and evidence-based practice. She is dedicated to addressing women’s health concerns with compassion, respect, and confidentiality, ensuring her patients feel supported throughout their healthcare journey. Fluent in French, she communicates effectively with her diverse patient population, offering culturally sensitive and personalized consultations.
Dr. Nancy Thomas provides care for a wide spectrum of women's health issues, including:
Menstrual and Hormonal Disorders
- 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.
- Polycystic Ovary Syndrome (PCOS): A common hormonal disorder among women of reproductive age, characterized by irregular periods, excess androgen levels, and/or polycystic ovaries on ultrasound.
- Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.
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.
Gynecologic Cancers and Precancerous Conditions
- Ovarian Cancer (Epithelial, Germ Cell, Stromal Tumors): Cancer that begins in the ovaries, which can be difficult to detect early and often requires specialized surgical and medical treatment.
- 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.
- Vulvar Intraepithelial Neoplasia (VIN) & Vulvar Cancer: Precancerous changes (VIN) or malignant tumors affecting the external female genitalia (vulva).
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. Nancy Thomas or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- 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.
- 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).
- Laparoscopic Surgery for Endometriosis & Ovarian Cysts (Excision/Ablation): Minimally invasive surgical techniques for diagnosing and treating endometriosis implants (excision or ablation) and removing benign ovarian cysts.
- 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.
- Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
- Preconception Counseling & Health Optimization: Guidance and health optimization for individuals or couples planning a pregnancy, including discussion of folic acid supplementation, chronic medical conditions, genetic carrier screening, and lifestyle factors.
- 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.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Thomas 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. Nancy Thomas practices at the CHU de Québec - Centre Mère-Enfant Soleil, located in the vibrant areas near central Québec. The facility is conveniently situated close to several local points of interest and is easily accessible via local public transit. The practice is wheelchair accessible, ensuring comfortable access for all patients. Metered street parking is available nearby for those arriving by car. The location offers a welcoming environment dedicated to women's health and well-being, with modern facilities designed to support comprehensive obstetric and gynecological care.
- Are services from Dr. Thomas, 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. Thomas 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. Thomas, 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. Thomas 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. Thomas's office or your referring doctor.
- What birth control options can Dr. Thomas discuss with me?
- Dr. Thomas can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Thomas will help you make an informed choice.
- What are the treatment options for endometriosis that Dr. Thomas might recommend?
- Treatment for endometriosis aims to manage pain and improve fertility if desired. Options vary based on symptom severity and patient goals and can include pain medications (NSAIDs), hormonal therapies (like birth control pills, progestins, GnRH agonists) to suppress endometrial tissue growth, and surgical treatments (laparoscopy) to remove endometrial implants and scar tissue. Dr. Thomas will discuss the most appropriate approach for your situation.
- What are my options for pain management during labor discussed by Dr. Thomas?
- Dr. Thomas 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. Thomas during your prenatal visits.
CHU de Québec - Centre Mère-Enfant Soleil
2705 Boul Laurier
Québec, QC G1V 4G2
Phone: (418) 525-4444
The facility is wheelchair accessible.
Dr. Thomas 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=97412