Dr. Nirmala Chandrasekaran – Obstetrician and Gynecologist (OBGYN) | Toronto, ON

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Nirmala Chandrasekaran 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 Toronto, ON, she provides accessible and high-quality care to the community. Her practice adheres to the standards and guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Chandrasekaran’s role encompasses providing 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 serves women of all ages, including prenatal and postnatal care, ensuring personalized and compassionate treatment.

Dr. Chandrasekaran graduated with a Medical Degree from Tamil Nadu Dr. M.G.R. Medical University in 2001, practicing as a specialist in Obstetrician and Gynecologist (OBGYN) for over 8 years since 2016. She is certified as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist, demonstrating her commitment to maintaining high standards of medical excellence and continuous professional development.

Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. Dedicated to advancing women's health in Toronto, she strives to offer thorough, respectful, and accessible care. Dr. Chandrasekaran speaks English and Tamil, facilitating effective communication with diverse patient populations and ensuring their health concerns are understood and addressed comprehensively.

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

Sexual Health and Dysfunction

• Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.
• 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.

Infertility and Reproductive Health

• 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.
• 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.

Common Benign Gynecological Conditions

• 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.
• Uterine Fibroids (Leiomyomas): Noncancerous growths of the uterus that often appear during childbearing years, which can cause heavy bleeding, pain, pressure, or infertility.
• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.

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. Nirmala Chandrasekaran or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• Contraceptive Counseling & Full Range Management: Comprehensive discussion and provision of various birth control methods, including oral contraceptives, patches, rings, injectables, IUD insertion/removal (hormonal and copper), and contraceptive implant insertion/removal.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• 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.
• 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.
• Menopause & Perimenopause Symptom Management: Personalized guidance and treatment options for symptoms associated with menopause, including hot flashes, vaginal dryness, sleep issues, and discussion of hormone replacement therapy (HRT) and non-hormonal alternatives.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Chandrasekaran 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. Nirmala Chandrasekaran practices in Toronto, ON, at a dedicated clinic within a hospital or medical facility in the Garden District area of the city. The location is conveniently situated near Hospital Row, where several hospitals are accessible for specialized care, and is close to the US Consulate. The practice is easily reachable via the Toronto Transit Commission (TTC), with options including subway, streetcar, and bus routes. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available on-site, providing convenient and secure parking options for patients attending appointments.

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

What birth control options can Dr. Chandrasekaran discuss with me?

Dr. Chandrasekaran 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. Chandrasekaran will help you make an informed choice.

What are some common gynecological surgeries Dr. Chandrasekaran might perform?

Common gynecological surgeries include procedures like hysterectomy (removal of the uterus), oophorectomy (removal of ovaries), tubal ligation (female sterilization), D&C (dilation and curettage), endometrial ablation, and surgeries to treat conditions such as fibroids (myomectomy), endometriosis, ovarian cysts, or pelvic organ prolapse. Many of these can be performed using minimally invasive techniques like laparoscopy or hysteroscopy. Dr. Chandrasekaran will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Chandrasekaran 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. Chandrasekaran 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.

30 Bond Street, P.O. Box 897
Toronto, ON M5B 1W8

Phone: (416) 864-6060 | Fax: (416) 864-6073

The facility is wheelchair accessible.

Dr. Chandrasekaran 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/Chandrasekaran-Nirmala/0294325-104707