About
Dr. Patricia Fisch, a respected Obstetrician and Gynecologist (OBGYN), focuses on empowering women through all stages of life with expert medical and surgical care, from adolescence through menopause and beyond. Practicing at Maison L'Issue in Chicoutimi, QC, she offers accessible and high-quality care to the community. Her practice is committed to adhering to the standards and ethical guidelines set forth by the Collège des médecins du Québec (CMQ). Dr. Fisch provides comprehensive care across the full scope of Obstetrics and Gynecology, including routine and complex conditions, ensuring each patient receives personalized and compassionate attention. She serves women of all ages, including those seeking prenatal, postnatal, and general gynecological care, with a focus on supporting their health and well-being at every life stage.
Dr. Fisch graduated with a Medical Degree in 1984 and has been practicing as a specialist in Obstetrics and Gynecology for over 40 years. She completed extensive post-graduate medical training and certification in Obstetrics and Gynecology, which equips her with a deep expertise in managing a wide array of women's health issues. Her experience reflects a lifelong dedication to advancing her skills and knowledge to serve her patients better.
Her clinical philosophy centers on patient-centered care, shared decision-making, and evidence-based practice. Dr. Fisch is dedicated to promoting women's health in Chicoutimi through respectful, empathetic, and thorough medical care. She speaks French fluently, ensuring clear communication and a comfortable environment for her patients. Her commitment is to empower women to make informed choices about their health, providing support and guidance tailored to their individual needs and circumstances.
Dr. Patricia Fisch 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.
- Uterine Factors Affecting Fertility (e.g., Septum, Asherman's Syndrome): Structural abnormalities or conditions of the uterus that can interfere with implantation or pregnancy maintenance.
Pelvic Floor and Urinary Disorders
- Fecal Incontinence (Accidental Bowel Leakage): The inability to control bowel movements, leading to unexpected leakage of stool from the rectum.
- Recurrent Urinary Tract Infections (UTIs): Frequent infections of the urinary system, requiring investigation for underlying causes and preventative strategies.
- 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.
Menstrual and Hormonal Disorders
- Abnormal Uterine Bleeding (Heavy, Irregular, Prolonged Periods): Menstrual bleeding that is different in frequency, duration, or amount than what is typical for an individual, requiring investigation.
- Amenorrhea (Absence of Menstruation): The absence of menstrual periods, either primary (menarche never occurred) or secondary (periods ceased after previously being regular).
- 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.
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. Patricia Fisch or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
- External Cephalic Version (ECV) for Breech Presentation: Procedure to attempt to turn a breech baby to a head-down position before labor, if appropriate.
- Pelvic Pain Evaluation & Chronic Pelvic Pain Management: Comprehensive assessment and multidisciplinary treatment strategies for acute and chronic pelvic pain, identifying potential causes such as endometriosis, fibroids, or PID.
- Labor and Delivery Management (Vaginal & Cesarean): Professional medical care and support during labor and childbirth, including management of vaginal deliveries, assisted vaginal deliveries (forceps/vacuum if needed), and planned or emergency Cesarean sections (C-sections).
- 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.
- 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.
- Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Fisch 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 Collège des médecins du Québec (CMQ). A referral may be required for insured services.
Dr. Fisch practices at Maison L'Issue, located in the vibrant areas near central Chicoutimi. The facility is conveniently situated close to several local points of interest and is easily accessible via local public transit routes. The clinic is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are available nearby, providing convenient parking for those arriving by car. The practice is committed to providing a welcoming environment where women can receive comprehensive reproductive health care in comfort and privacy.
- Are services from Dr. Fisch, an Obstetrician and Gynecologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?
- Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Fisch are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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 Régie de l'assurance maladie du Québec (RAMQ) or the clinic.
- Do I need a referral from my family doctor to see Dr. Fisch, an Obstetrician and Gynecologist?
- Yes, for services to be covered by your provincial health plan (Régie de l'assurance maladie du Québec (RAMQ)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Fisch 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. Fisch's office or your referring doctor.
- I have uterine fibroids. What treatment options might Dr. Fisch 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. Fisch will help you decide the best course of action.
- What are the treatment options for endometriosis that Dr. Fisch 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. Fisch will discuss the most appropriate approach for your situation.
- When should a teenager have her first OBGYN visit, and what does it involve?
- The first visit to an OBGYN for a teenager is often recommended between ages 13-15, or sooner if there are specific concerns like very painful periods, irregular cycles, or questions about sexual health. This initial visit may not involve a pelvic exam unless there's a specific medical reason. It's primarily an opportunity to build a rapport with Dr. Fisch, discuss normal development, menstrual health, contraception, STI prevention, and answer any questions in a confidential setting.
- Does Dr. Fisch support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Fisch'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.
Maison L'Issue
366 Rue Sainte-Anne
Chicoutimi, QC G7J 2M6
Phone: (418) 820-3559
The facility is wheelchair accessible.
Dr. Fisch is a licensed Obstetrician and Gynecologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.
Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=84041