Dr. Nathalie Danielle Gamache – Obstetrician and Gynecologist (OBGYN) | Burnaby, BC

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Nathalie Danielle Gamache offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at a clinic and/or hospital setting in Burnaby, BC, she provides accessible and high-quality care to the community. Her practice adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe and ethical medical care. Dr. Gamache's role encompasses comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a focus on women's reproductive health, pregnancy, and childbirth. She is dedicated to supporting women of all ages, including prenatal and postnatal care.

Dr. Gamache graduated with an MD from the University of Manitoba in 1999 and completed extensive postgraduate training in Obstetrics and Gynecology. She holds certifications including: Royal College of Physicians and Surgeons of Canada, reflecting her commitment to maintaining high standards of medical expertise and continuous professional development.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. She is dedicated to promoting women's health and well-being in Burnaby through personalized, compassionate, and comprehensive medical services. Dr. Gamache is fluent in English and French, facilitating effective communication with a diverse patient population.

Dr. Nathalie Gamache provides care for a wide spectrum of women's health issues, including:

Screening and Preventative Care

• Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.
• Contraception Counseling & Family Planning: Providing information and access to various methods of birth control to help individuals plan their families.

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.
• Female Infertility Evaluation & Initial Management: Comprehensive assessment to identify potential causes of difficulty conceiving in women and initiation of basic treatments.
• 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.

Common Benign Gynecological Conditions

• Endometriosis: A painful disorder in which tissue similar to the uterine lining (endometrium) grows outside the uterus, commonly on ovaries, fallopian tubes, or pelvic lining.
• Vulvodynia & Vulvar Pain Syndromes: Chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause, requiring careful management.
• Lichen Sclerosus / Lichen Planus (Vulvar): Chronic inflammatory skin conditions that can affect the vulvar area, causing itching, pain, and changes in skin appearance.

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. Nathalie Gamache or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• 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.
• 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.
• Surgical Management of Pelvic Organ Prolapse (e.g., Colporrhaphy, Sacrocolpopexy): Reconstructive surgical procedures to correct the descent of pelvic organs like the bladder, uterus, or rectum, often utilizing native tissue repair or mesh augmentation.
• 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).

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Gamache 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 British Columbia (CPSBC). A referral may be required for insured services.

Dr. Gamache's practice is located within a clinic or hospital setting in the vibrant Metrotown Area of Burnaby South. The office is conveniently situated near Crystal Mall, offering easy access for patients. The facility is wheelchair accessible, ensuring comfort and accessibility for all visitors. Patients can reach the clinic via TransLink, with options including SkyTrain Expo and Millennium Lines, as well as bus services. Paid parking options are available nearby, providing convenient parking for those visiting the location.

Are services from Dr. Gamache, an Obstetrician and Gynecologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Gamache are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP) or the clinic.

Do I need a referral from my family doctor to see Dr. Gamache, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Gamache 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. Gamache's office or your referring doctor.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Gamache 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. Gamache 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.

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

An Obstetrician and Gynecologist (OBGYN), like Dr. Gamache, 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.

3809 Sunset St, Affinity Women's Health
Burnaby, BC V5G 1T4

Phone: (236) 335-0458 | Fax: (778) 309-6353

The facility is wheelchair accessible.

Dr. Gamache is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/363984/Gamache%2CNathalie