Dr. Roberta Clare Fleur MacKenzie, 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 St Joseph's Health Care in Toronto, ON, she offers accessible and high-quality care to the community. Her practice is committed to adhering to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO). Providing comprehensive care across the full scope of Obstetrics and Gynecology, Dr. MacKenzie addresses both routine and complex conditions, ensuring each patient receives personalized, compassionate attention. She serves women of all ages, including prenatal and postnatal care, with a focus on supporting their health and well-being throughout life's seasons.
Dr. MacKenzie graduated with a Medical Degree from Queen's University in 2001 in Canada. She has been practicing as a specialist in Obstetrician and Gynecologist (OBGYN) since 2006, accumulating over 18 years of dedicated experience. She is certified as a RCPSC Specialist, demonstrating her commitment to maintaining the highest standards of medical excellence and ongoing professional development.
Her clinical philosophy centers on patient-centered care, emphasizing shared decision-making, evidence-based practice, and compassionate communication. Dr. MacKenzie is dedicated to advancing women's health in Toronto by providing comprehensive, respectful, and individualized care. She is fluent in English and French, ensuring effective communication with diverse patient populations and fostering an environment of trust and understanding.
Dr. Roberta MacKenzie provides care for a wide spectrum of women's health issues, including:
Sexual Health and Dysfunction
- 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.
- Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
Screening and Preventative Care
- Cervical Cancer Screening (Pap Tests & HPV Testing): Regular screening to detect precancerous changes or cancer of the cervix, primarily through Pap tests and HPV DNA testing.
- Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
- Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.
Menstrual and Hormonal Disorders
- Hyperprolactinemia: Elevated levels of prolactin in the blood, which can interfere with menstruation and fertility.
- Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD): A collection of emotional and physical symptoms that occur in the one to two weeks before a woman's period, with PMDD being a more severe, debilitating form.
- Dysmenorrhea (Painful Periods): Cramping and pelvic pain associated with menstruation, which can range from mild to severe and impact daily activities.
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. Roberta MacKenzie or your primary care physician for a comprehensive evaluation and appropriate referral if needed.
- 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.
- Tubal Ligation / Salpingectomy for Sterilization: Surgical methods for permanent female contraception, including removal of fallopian tubes (salpingectomy) which may also reduce ovarian cancer risk.
- 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.
- 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.
- 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.
- 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. MacKenzie 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. MacKenzie's practice is located at St Joseph's Health Care in Toronto, ON, situated in the vibrant neighborhood of The Danforth West, Riverdale. The clinic is conveniently near Old City Hall and is easily accessible via TTC (Subway, Streetcar, Bus). The facility is wheelchair accessible and offers parking facilities for patients. This central location ensures that women from across Toronto and surrounding areas can access comprehensive women's health services in a welcoming and accessible environment.
- Are services from Dr. MacKenzie, 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. MacKenzie 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. MacKenzie, 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. MacKenzie 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. MacKenzie's office or your referring doctor.
- How can Dr. MacKenzie help with menopause symptoms?
- Dr. MacKenzie can help manage bothersome menopause symptoms such as hot flashes, night sweats, vaginal dryness, mood changes, sleep disturbances, and bone density concerns. Treatment options may include lifestyle modifications (diet, exercise, stress reduction), non-hormonal medications, vaginal estrogen for localized symptoms, or systemic hormone replacement therapy (HRT) after a thorough discussion of the benefits and risks based on your individual health profile and preferences.
- What are some common gynecological surgeries Dr. MacKenzie 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. MacKenzie will discuss if surgery is appropriate for your condition and explain the specific procedure, risks, and benefits.
- Does Dr. MacKenzie 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. MacKenzie 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. MacKenzie support VBAC (Vaginal Birth After Cesarean)?
- VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. MacKenzie'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.
St Joseph's Health Care
855 Broadview Avenue, Department of Radiology
Toronto, ON M4K 3Z1
Phone: (416) 901-5496 | Fax: (416) 901-5491
The facility is wheelchair accessible.
Dr. MacKenzie 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/MacKenzie-Roberta-Clare-Fleur/0181769-76332