Dr. Rajiv Robert Shah

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

Sexual Health and Dysfunction

• Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
• Dyspareunia (Painful Intercourse): Persistent or recurrent genital pain that occurs just before, during or after sexual intercourse.
• Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.

Pregnancy and Childbirth Related Conditions

• Postpartum Complications (e.g., Hemorrhage, Infection, Mood Disorders): Health problems that can occur after childbirth, such as excessive bleeding, infection, or postpartum depression/anxiety, requiring prompt attention.
• Preeclampsia & Hypertensive Disorders of Pregnancy: Pregnancy complications characterized by high blood pressure and signs of damage to other organ systems, often the liver and kidneys.
• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.

Common Benign Gynecological Conditions

• Ovarian Cysts (Functional, Dermoid, Endometriomas): Fluid-filled sacs or pockets in an ovary or on its surface, which are common and often benign but can sometimes cause pain or require intervention.
• 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.
• Vulvodynia & Vulvar Pain Syndromes: Chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause, requiring careful management.

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. Rajiv Shah or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• 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.
• 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.
• 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.
• Endometrial Ablation & Resection: Minimally invasive procedures to destroy or remove the lining of the uterus (endometrium) to treat heavy menstrual bleeding in appropriate candidates.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Shah 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. Shah practices at Roundhouse Pediatrics, located in the vibrant neighborhood of St. James Town in Toronto. The clinic is conveniently situated near Harbourfront Centre and Trillium Park, offering a scenic environment for patients. Easily accessible via TTC, including subway, streetcar, and bus routes, the location is designed for patient convenience. The facility is wheelchair accessible, ensuring comfort for all patients. Paid parking options are close by, providing additional accessibility for those driving to appointments.

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

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Shah 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. Shah 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.

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

Roundhouse Pediatrics
61 Queen Street East
Toronto, ON M5C 2T2

Phone: (416) 867-7480 | Fax: (416) 867-7478

The facility is wheelchair accessible.

Dr. Shah 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/Shah-Rajiv-Robert/0117309-69885