About
Specializing in Obstetrics and Gynecology, Dr. Nir Melamed (an OBGYN) is committed to delivering personalized and evidence-based care to patients in Toronto, fostering a supportive healthcare environment. Practicing at Headwaters Health Care Centre in Toronto, ON, he offers accessible and high-quality care to the community. His practice adheres to the standards and guidelines 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, he is dedicated to addressing women's health needs with compassion and professionalism.
Dr. Melamed graduated with a Medical Degree from The Hebrew University-Hadassah Medical School in 2004 in Israel. He has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 10 years, since 2014, gaining extensive experience in women's reproductive health, pregnancy, and childbirth. He is certified as a CPSO Recognized Specialist, ensuring his adherence to rigorous professional standards and ongoing education.
Driven by a commitment to patient-centered care, Dr. Melamed emphasizes shared decision-making and evidence-based practices in his clinical approach. He is dedicated to supporting women’s health throughout all stages of life within Toronto’s diverse community. Fluent in English and Hebrew, he strives to create a welcoming environment where patients feel heard, informed, and empowered in their healthcare choices.
Dr. Nir Melamed provides care for a wide spectrum of women's health issues, including:
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.
Pelvic Floor and Urinary Disorders
- 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.
- 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.
- Pelvic Organ Prolapse (Cystocele, Rectocele, Uterine Prolapse, Enterocele, Vaginal Vault Prolapse): A condition where one or more pelvic organs (bladder, uterus, rectum, small bowel, vaginal apex) drop or press into or out of the vagina due to weakened pelvic floor muscles.
Menstrual and Hormonal Disorders
- 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.
- Thyroid Disorders affecting Gynecologic Health: Conditions like hypothyroidism or hyperthyroidism that can impact menstrual cycles, fertility, and pregnancy outcomes.
- 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.
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. Nir Melamed 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.
- 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).
- 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.
- 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.
- Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
- 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.
- 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.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Melamed 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. Melamed practices at Headwaters Health Care Centre, located in the Lawrence Park neighborhood of Toronto. The facility is conveniently situated near Cherry Beach and accessible via TTC (Subway, Streetcar, Bus). It is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility, providing added convenience for those arriving by car. The clinic’s central location makes it easy for women in Toronto and surrounding areas to receive comprehensive obstetric and gynecologic care in a comfortable and accessible setting.
- Are services from Dr. Melamed, 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. Melamed 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. Melamed, 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. Melamed 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. Melamed's office or your referring doctor.
- What are the treatment options for endometriosis that Dr. Melamed 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. Melamed will discuss the most appropriate approach for your situation.
- Does Dr. Melamed discuss or offer the HPV vaccine?
- The Human Papillomavirus (HPV) vaccine is highly effective in preventing infections with HPV types that cause most cervical cancers, as well as other anogenital and oropharyngeal cancers. Dr. Melamed can discuss the benefits of the HPV vaccine, current recommendations for different age groups (including catch-up vaccination for adults), and can either provide the vaccine or refer you to where it can be obtained, depending on clinic services and provincial programs.
- Does Dr. Melamed support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Melamed'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. he will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability. Dr. Melamed will evaluate your candidacy and explain options accordingly.
- What birth control options can Dr. Melamed discuss with me?
- Dr. Melamed 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. Melamed will help you make an informed choice.
Headwaters Health Care Centre
2075 Bayview Avenue
Toronto, ON M4N 3M5
Phone: (416) 480-6100
The facility is wheelchair accessible.
Dr. Melamed 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/Melamed-Nir/0279844-99280