Dr. Rebecca Lee Cash

Dr. Rebecca Cash 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.
• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.
• Hyperemesis Gravidarum (Severe Morning Sickness): A severe form of nausea and vomiting during pregnancy that can lead to dehydration and weight loss, requiring medical management.

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.
• 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.
• 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.

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. Rebecca Cash or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Annual Gynecological Exams & Well-Woman Care: Routine check-ups including pelvic exams, clinical breast exams, preventative health screenings, and discussion of overall gynecological health.
• 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.
• 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.
• 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.
• 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.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Cash 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. Rebecca Lee Cash practices at LHSC University Hospital, located in the areas near central Woodbridge. The hospital is conveniently situated close to several local points of interest and is easily accessible via local public transit options. The facility is wheelchair accessible to accommodate all patients. Metered street parking is available nearby, providing easy access for patients driving to appointments. The hospital's central location ensures that women in the Woodbridge community and surrounding areas can receive high-quality obstetric and gynecological care in a comfortable and accessible environment.

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

At which hospital(s) does Dr. Cash deliver babies or perform surgeries?

Dr. Cash is affiliated with Toronto. You can confirm the specific hospital(s) where she performs deliveries and gynecological surgeries by contacting Dr. Cash's office directly. This information is important for planning your care and delivery.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Cash 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. Cash 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.

I have uterine fibroids. What treatment options might Dr. Cash 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. Cash will help you decide the best course of action.

How often do I need a Pap test, and what is it for?

A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Cash will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

What are my options for pain management during labor discussed by Dr. Cash?

Dr. Cash will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Cash during your prenatal visits.

LHSC University Hospital
Room C4 211, 8077 Islington Avenue
Woodbridge, ON L4L 7X7

Phone: (905) 850-0004 | Fax: (905) 850-0006

The facility is wheelchair accessible.

Dr. Cash 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/Cash-Rebecca-Lee/0210017-80666