Dr. Nicolette Camilla Caccia – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

Dr. Nicolette Camilla Caccia is a dedicated Obstetrician and Gynecologist (OBGYN) providing comprehensive care for women's reproductive health, pregnancy, and childbirth. She offers a patient-focused approach to manage a wide spectrum of conditions. Practicing at Casselman Medical Center in Toronto, ON, she offers accessible and high-quality care to the community. Her practice adheres to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Caccia's role encompasses providing comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions. She serves women of all ages, including prenatal and postnatal care, ensuring personalized attention and evidence-based management.

Dr. Caccia graduated with a Medical Degree from the University of Toronto in 1992. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 27 years, since 1997. She is certified as a RCPSC Specialist, demonstrating her commitment to maintaining high professional standards and ongoing education in her field.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. Dr. Caccia is dedicated to addressing each woman's unique health needs with compassion and professionalism. She speaks English fluently and is committed to providing accessible, respectful, and comprehensive care to women throughout Toronto.

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

Screening and Preventative Care

• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
• 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.

Common Benign Gynecological Conditions

• Lichen Sclerosus / Lichen Planus (Vulvar): Chronic inflammatory skin conditions that can affect the vulvar area, causing itching, pain, and changes in skin appearance.
• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.
• 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.

Gynecologic Cancers and Precancerous Conditions

• 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.
• 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.
• Cervical Dysplasia (CIN) & Cervical Cancer: Precancerous changes (Cervical Intraepithelial Neoplasia) or malignant tumors of the cervix, the lowermost part of the uterus, often linked to HPV infection.

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. Nicolette Caccia or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• 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.
• 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.
• 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.
• 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.
• Diagnosis & Treatment of Vaginal Infections & Sexually Transmitted Infections (STIs): Management of conditions such as yeast infections, bacterial vaginosis, trichomoniasis, and screening/treatment for STIs like chlamydia, gonorrhea, syphilis, and HIV counseling.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Caccia 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. Caccia practices at Casselman Medical Center, located in the Downsview East (CFB Toronto) neighborhood of Toronto. The facility is conveniently situated near the Distillery District and Cabbagetown, easily accessible via TTC (Subway, Streetcar, Bus). The clinic is wheelchair accessible, ensuring ease of access for all patients. Metered street parking is available nearby for those arriving by car. The location offers a comfortable and welcoming environment dedicated to women's health, with ample parking and public transit options for convenient visits.

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

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

What is an IUD insertion like? Does Dr. Caccia perform this?

Yes, Dr. Caccia 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. Caccia 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.

Casselman Medical Center
1017 Wilson Ave. Suite 202
Toronto, ON M3K 1Z1

Phone: (416) 438-2727 | Fax: (416) 438-2713

The facility is wheelchair accessible.

Dr. Caccia 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/Caccia-Nicolette-Camilla/0051344-65323