Dr. Trevor Cohen – Obstetrician and Gynecologist (OBGYN) | Victoria, BC

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Trevor Cohen 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 Victoria, BC, he provides accessible and high-quality care to the community. The practice adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). With a special interest in areas such as Specialty practice - gynecologic oncology, he brings focused expertise to Dr. Cohen's practice in Obstetrics and Gynecology.

Dr. Cohen graduated with a Medical Degree from the University of Western Ontario in 1996 and completed extensive post-graduate training in Obstetrics and Gynecology. He holds certifications including the Royal College of Physicians and Surgeons of Canada, reflecting his commitment to maintaining high standards of medical expertise and professionalism.

Dedicated to women’s health in Victoria, Dr. Cohen emphasizes patient-centered care, shared decision-making, and evidence-based practice. He speaks English fluently and strives to create a supportive environment where women feel empowered to participate actively in their healthcare decisions.

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

Common Benign Gynecological Conditions

• Endometriosis: A painful disorder in which tissue similar to the uterine lining (endometrium) grows outside the uterus, commonly on ovaries, fallopian tubes, or pelvic lining.
• Adenomyosis: A condition where endometrial tissue exists within and grows into the muscular wall of the uterus, often causing heavy, painful periods.
• Bartholin's Gland Cysts/Abscesses: Blockage and subsequent swelling or infection of the Bartholin's glands, located near the vaginal opening.

Pelvic Floor and Urinary Disorders

• Urinary Incontinence (Stress, Urge, Mixed, Overflow): The involuntary loss of urine, which can occur with physical exertion (stress), a sudden, strong urge (urge), a combination, or due to bladder overfilling.
• 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.

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.
• 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.
• Routine & High-Risk Prenatal Care: Comprehensive monitoring and management throughout all stages of pregnancy, including those with increased maternal or fetal risks.

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. Trevor Cohen or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• 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.
• Oophorectomy / Salpingo-oophorectomy (Laparoscopic or Open): Surgical removal of one or both ovaries, and potentially fallopian tubes, often for cysts, tumors, endometriosis, or cancer risk reduction.
• Cytoreductive (Debulking) Surgery for Ovarian Cancer: Surgical procedure aimed at removing as much visible tumor as possible in advanced ovarian cancer cases.
• 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.
• Sentinel Lymph Node Biopsy for Gynecologic Cancers: Procedure to identify and remove the first lymph node(s) to which cancer cells are likely to spread from a primary tumor.
• 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.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Cohen 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 British Columbia (CPSBC). A referral may be required for insured services.

Dr. Cohen practices at a well-equipped clinic in the Fairfield East neighborhood of Victoria, BC. The facility is conveniently located in a hospital or clinic setting, easily accessible to residents of the region. It is situated near the Coho/Clipper Ferry Terminals, making it ideal for patients coming from different parts of Vancouver Island. The clinic is accessible via the Victoria Regional Transit System (BC Transit), ensuring easy public transportation options. The facility is wheelchair accessible, accommodating patients with mobility challenges. Metered street parking is available nearby, providing convenient options for those arriving by car.

Are services from Dr. Cohen, an Obstetrician and Gynecologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Cohen are generally covered by Medical Services Plan (MSP) in BC 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 Medical Services Plan (MSP) or the clinic.

Do I need a referral from my family doctor to see Dr. Cohen, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Cohen 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. Cohen's office or your referring doctor.

What can I expect during my first prenatal visit?

Your first prenatal visit with Dr. Cohen 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. Cohen 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.

Does Dr. Cohen support VBAC (Vaginal Birth After Cesarean)?

VBAC can be a safe option for many women who have had a previous Cesarean section. Dr. Cohen'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. He will assess your individual suitability for VBAC and discuss the benefits and risks with you. Hospital policies also play a role in VBAC availability.

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

Does Dr. Cohen manage high-risk pregnancies?

Many OBGYNs manage a range of pregnancies, including some with moderate risk factors. Dr. Cohen has a particular focus on/experience with managing high-risk pregnancies, which may include conditions like gestational diabetes, preeclampsia, multiple gestations (twins/triplets), or pre-existing maternal health issues. If your pregnancy is considered high-risk due to specific maternal or fetal conditions, Dr. Cohen will provide comprehensive care and may work closely with, or refer you to, a Maternal-Fetal Medicine (MFM) specialist if needed for highly specialized management. It's best to discuss your specific situation with Dr. Cohen.

Bc Cancer Agency, 2410 Lee Avenue, Gynecologic Oncologist, BC Cancer Agency & VIHA
Victoria, BC V8R 6V5

Phone: (250) 519-5578 | Fax: (250) 519-2025

The facility is wheelchair accessible.

Dr. Cohen is a licensed Obstetrician and Gynecologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/327956/Cohen%2CTrevor