Dr. Neva Virginia Fantham-Tremblay – Obstetrician and Gynecologist (OBGYN) | North Bay, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Neva Virginia Fantham-Tremblay offers a full spectrum of services from routine gynecological exams to managing complex obstetrical cases, prioritizing patient well-being and informed choice. Practicing at The Ottawa Hospital in North Bay, ON, 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 Ontario (CPSO), ensuring safe and ethical medical care. Dr. Fantham-Tremblay is dedicated to providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, with a compassionate approach tailored to each woman's unique needs.

She graduated with a Medical Degree from the University of Ottawa in 2010 in Canada. With over nine years of experience practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 2015, Dr. Fantham-Tremblay is well-versed in managing a wide range of women's health issues. She is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, demonstrating her commitment to maintaining the highest standards of medical excellence and ongoing professional development.

Dr. Fantham-Tremblay’s clinical philosophy centers on patient-centered care, emphasizing shared decision-making and evidence-based practices. She is committed to supporting women’s health throughout all stages of life in North Bay, fostering a respectful and empathetic environment. Fluent in English and French, she ensures effective communication and personalized care for diverse patient populations.

Dr. Neva Fantham-Tremblay provides care for a wide spectrum of women's health issues, including:

Menstrual and Hormonal Disorders

• Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
• Hirsutism (Excess Hair Growth) & Acne (Hormonal): Excessive growth of dark or coarse hair in a male-like pattern or persistent acne, often related to hormonal imbalances like those seen in PCOS.
• 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.

Common Benign Gynecological Conditions

• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.
• Vaginitis (Yeast Infections, Bacterial Vaginosis, Trichomoniasis): Inflammation of the vagina that can result in discharge, itching, and pain, commonly caused by infections or imbalances in vaginal flora.
• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.

Pelvic Floor and Urinary Disorders

• Interstitial Cystitis / Painful Bladder Syndrome (IC/PBS): A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain, ranging from mild discomfort to severe pain.
• Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.

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. Neva Fantham-Tremblay or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• 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.
• 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 Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.
• 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.
• 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.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Fantham-Tremblay 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. Fantham-Tremblay practices at The Ottawa Hospital, located in the vibrant Downtown North Bay neighborhood of North Bay, ON. The hospital is conveniently situated near Access to Highway 11/17 and Northgate Shopping Centre, making it easily accessible by car. The facility is wheelchair accessible and offers a welcoming environment for all patients. Patients can find paid parking options nearby, and the hospital is well-served by North Bay Transit, providing convenient public transportation options to and from the hospital. This prime location ensures that women in the community can access high-quality obstetric and gynecological care with ease and comfort.

Are services from Dr. Fantham-Tremblay, 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. Fantham-Tremblay 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. Fantham-Tremblay, 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. Fantham-Tremblay 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. Fantham-Tremblay's office or your referring doctor.

Does Dr. Fantham-Tremblay support VBAC (Vaginal Birth After Cesarean)?

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Fantham-Tremblay's approach to VBAC will depend on your specific medical history, the reason for your previous C-section, the type of uterine incision you had, and current pregnancy factors. She will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.

What is an IUD insertion like? Does Dr. Fantham-Tremblay perform this?

Yes, Dr. Fantham-Tremblay can perform IUD (Intrauterine Device) insertions in the office. The procedure involves placing a small, T-shaped device into your uterus for long-acting, reversible contraception. During the insertion, you might experience some cramping, similar to period pains. Dr. Fantham-Tremblay can discuss pain management options, such as taking an over-the-counter pain reliever beforehand or using local anesthetic in some cases. The actual insertion usually takes only a few minutes.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Fantham-Tremblay 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. Fantham-Tremblay 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.

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

What are the treatment options for endometriosis that Dr. Fantham-Tremblay 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. Fantham-Tremblay will discuss the most appropriate approach for your situation.

The Ottawa Hospital
C2183, 1221 Algonquin Avenue, The Ottawa Hospital Division of Neurosurgery
North Bay, ON P1B 4Y3

Phone: (705) 478-7300 | Fax: (705) 478-8884

The facility is wheelchair accessible.

Dr. Fantham-Tremblay 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/FanthamTremblay-Neva-Virginia/0266870-93548