We're a dedicated team of gynecologists and general practitioners with women' s health focus commited to providing timely expert care for women and the conditions we best serve. Our Physicians Dr. Amandeep Takhar, MD, CCFP, MSCP GP with Women's Health Focus Read Bio Dr. Sadaf Yasin, MD, CCFP GP with Women's Health Focus Read Bio Dr. Irum Rizwan, MD, CCFP GP with Women's Health Focus (returning in October 2026) Read Bio Dr. Jeanie Yuh, MD, FACOG Founder, Gynecologist Read Bio Dr. Andrea Palmer, MD, FACOG Gynecologist Read Bio Allied Health Professionals We work with a great team of Naturopaths, Pelvic physiotherapist, and a Registered Dietician with expertise in Women's Health. to provide support with perimenopause, menopause transition as well as PCOS. Our Naturopathic Doctors. Dr. Stephanie Zelembaba, ND Naturopathic Doctor Read Bio Dr. Denise Handscomb, ND Naturopathic Doctor Read Bio Dr. Laura Pipher, ND Naturopathic Doctor Read Bio Our Pelvic Physiotherapist Gerda Hayden Pelvic Physiotherapist Read Bio Our Registered Dietitian Melissa Koch Registered Dietitian/ Nutritionist Read Bio Our Registered Psychotherapist Julie Moscato Registered Psychotherapist (Qualifying) Read Bio

Julie Moscato Registered Psychotherapist (Qualifying) Julie Moscato is a Registered Psychotherapist (Qualifying) practicing in Burlington, Ontario, and virtually across Ontario. Julie supports women on their therapeutic journeys as they navigate: Identity, relational and emotional shifts that can arise during perimenopause and menopause Anxiety Life transitions, like postpartum, parenting shifts, career changes or grief, Postpartum depression Stress and overwhelm, Women’s issues, and Work-life balance. Julie’s approach is grounded in empathy, collaboration, and a belief in each person’s capacity for growth and healing. Julie holds a Master’s degree in Counselling Psychology from Yorkville University with Distinction, a Master’s degree in Criminology from the University of Toronto, and an Honours Bachelor of Arts in Psychology from Brock University. Julie also has the following certifications/training: Narrative Therapy certification through the Windz Centre, Cognitive Behavioural Therapy Specialization in Anxiety from the Ontario Institute for Studies in Education, University of Toronto Perinatal Mental Health Certificate from Canadian Perinatal Mental Health Trainings In addition to training and clinical work, Julie brings over a decade of experience in community safety work, alongside over five years of direct mental health practice. This diverse background informs her therapeutic lens and deepens her commitment to walking alongside clients with care, respect, and understanding.

Tulip Women's Health provides timely care for women as well as quick access to IUD and Implant consultation, insertion, removal, and replacement/ We also provide the usual gynecological care such as menopause hormone therapy, colposcopy for abnormal pap test, endometrial and vulvar biopsies, pessary management along with HPV testing. WELCOME! Tulip Women's Health is a dedicated team of gynecologists and GPs with women' s health focus committed to providing timely expert care for gynecological conditions we best serve. IUD and Implant, menopause hormone therapy, colposcopy, endometrial and vulvar biopsies, pessary, HPV testing Request consultation Referral Form FAQ Patient Resources We require a referral for a patient to be seen. Learn More See full clinic details

Quick access to an expert IUD and Implant consultation, insertion, removal and replacement Getting to Tulip 5045 Mainway, Suite 214, Burlington, ON Entrance & Parking is off Lampman Ave, in the back of the building. Parking Instructions Free Parking: Available on the 2nd and 3rd floors. Please note there are only stairs leading from these floors to the ground floor, and there is no elevator in the parking lot. Paid Parking: Available on the ground floor, where the parking attendant will charge a fee. From here, you can access the clinic without stairs using the building elevator. If you have difficulty using stairs, we recommend using the ground-floor drop-off or having someone drop you off in front of the building to take the elevator to the clinic. All medical appointments with physicians require a referral from a doctor. **Please ensure your personal email is on the referral form.** 1. IUD/Nexplanon patients: All IUD/Nexplanon initial appointments will be virtual consultations unless you are ready with the device to have an insertion or need a removal without consultation. We recommend your doctor use this form: 2. All other patients: Ask a doctor to send a referral to our email or fax, below. 3. We will contact you by email with your appointment date and time. Please ensure your personal email is on the referral form. 4. Appointments with our Allied Health Professionals do not require a referral, except for Naturopathic Doctors. The Initial Appointment with Naturopathic Doctors include a Physician. A valid referral is required prior to booking. We must receive your referral before the appointment can be scheduled or confirmed. Please ensure your referral has been sent to our clinic in advance. Allied Health appointments are not covered by OHIP but may be covered by your private health insurance. To book with our Allied Health Partners - Naturopathic Doctor, Pelvic Physiotherapist, Psychotherapist or Registered Dietitian, please use this link: Book Now Cancellation Policy: Failure to notify our office of a cancellation within 2 business days will result in a no-show fee. Make an Appointment IUD/Nexplanon Referral Form

Locum Physicians On occasion, you may see a ‘locum’ physician (a physician substituting for your own doctor) to ensure access to care.

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Psychotherapy Julie Moscato is a Registered Psychotherapist (Qualifying) practicing in Burlington, Ontario, and virtually across Ontario. For those navigating anxiety, depression, trauma, burnout, life transitions, and emotional overwhelm We have partnered with Registered Psychotherapists (RP) specializing in women’s mental health, providing compassionate, evidence-based support to help patients improve emotional well-being and strengthen coping strategies. This team-based approach allows us to offer comprehensive care that addresses both mind and body—integrating mental health support with the medical and hormonal care provided by our clinical team. Psychotherapy offers a safe, confidential space to explore thoughts, emotions, and life challenges. Our psychotherapists use a variety of therapeutic modalities—including CBT, mindfulness-based approaches, and trauma-informed therapy—to help individuals build resilience, develop healthier patterns, and create meaningful change. More information Book an Appointment

Quick expert access to IUD and Implant consultation, insertion, removal and replacement Perimenopause/ Menopause Perimenopause/Menopause Menopause is the cessation of menstrual periods for 12 consecutive months due to declining ovarian function and estrogen levels, typically preceded by perimenopause. Many experience hot flashes/night sweats, mood swings, irritability, cognitive changes, and an average weight gain of 2.3 kg (5 lbs), often around the midsection. We have partnered with Allied Health Professionals, such as Naturopathic Doctors, Pelvic Physiotherapist, and Dietician to be able to deliver the most comprehensive care. To learn more, click here . (image source: Responsum Health) More information Request Consultation

Preparation for IUD/Implant What should I do to prepare for my visit? If you are having an IUD/ Implant inserted or removed, avoid unprotected intercourse 1-2 weeks before your appointment if you are not on any reliable birth control. If we cannot safely exclude pregnancy, your appointment will be rescheduled. We would also request for you to bring a negative urine pregnancy test if you are unsure. Take any NSAIDs (Advil, Motrin, etc) about 30-60min prior to the procedure. If you cannot taken NSAIDs, Tylenol will be okay, too. If you need something more, please consider Tulip Comfort Experience below. We offer Penthrox . Most importantly, don't forget to bring your device! I am scared and anxious. What can be done for my comfort? We offer an optional Tulip Comfort Experience that includes Penthrox pain management for patients who prefer additional support. Penthrox is an inhaler that contains a drug called methoxyflurane, which is poured into the device. A piece of gauze inside soaks up the liquid and you inhale the vapours. These vapours are what provide the pain relief. This service is not medically required, not covered by OHIP (although some insurance plans may cover Penthrox), and does not affect access to OHIP-insured care. Please contact info@tulipwomenshealth.com for more information. How much is the IUD/Implant? Hormonal IUDs (Kyleena and Mirena) and Implant (Nexplanon) are covered by OHIP+ (for those under 25 years old) and by most insurance plans. If you do not have drug insurance, they cost about $350-400. Copper IUDs are not covered by OHIP+ and most insurance plans also do not cover the copper IUD. They cost about $100. How and where do I buy the IUD/Implant? At the virtual consultation, your doctor will send a prescription for the device. Or you can get the prescription from your family doctor. They are available for purchase at most pharmacies. If you are unable to afford hormonal IUDs or Implant, please contact our office as we may be able to apply for a compassionate care program on your behalf. If you choose a copper IUD, we sell them at our clinic, so you do not need to buy it in advance. What should I expect after IUD insertions? Click here. Can I get a pap test while I am there? Yes, when you are here for the IUD and you need a pap/HPV test, we can do your pap/HPV test as well. What is the difference between IUDs and Implants? IUDs are placed inside the uterus and impact the uterine lining while the subdermal implant (Nexplanon ®) is placed under the skin of the upper arm and works by inhibiting ovulation (release of an egg from the ovary). You will be able to predict your menstrual bleeding pattern with IUDs i.e. with a non-hormonal Copper IUD you will have a regular cycle whereas with a hormonal IUD you are more likely to have light spotting or no bleeding at all. With Nexplanon ® for most women, your period will stop or you might have infrequent bleeding. However, for a small percentage of implant users, periods could become unpredictable , longer, and/or more frequent. Is it okay to not get a period with IUDs and Implants? Yes. With hormonal LARCs, the lining of the uterus generally does not thicken, so does not need to be shed, which is your period. In fact, the progestin released from hormonal IUDs inside the uterus, protect against abnormal cell changes in the lining that could lead to uterine cancer. In 60% of women using Mirena,  menstrual flow becomes lighter or stops altogether, making it an excellent option for women with heavy periods. How soon will my fertility return after removal of the IUD or Implant? Pretty quickly. The median time to pregnancy after IUD removal is 2-4 months. The mean 1-year pregnancy rate as are consistent with 1-year pregnancy rates in women who wish to conceive following discontinuation of barrier or no contraceptive method. W ith implant, fertility returns very quickly and pregnancies have occurred as soon as 7-14 days after removal. Ovulation resumes within 2-4 weeks for most women.

Medical Services IUD Insertion and Removal Read More Implant Insertion and Removal Read More Perimenopause/Menopause Read More Colposcopy Read More Pessary Care Read More Abnormal Uterine Bleeding Read More Cosmetic Removals of Vulva Lesions Read More Vulva Disorders Read More

Dr. Irum Rizwan, MD, CCFP Dr. Irum Rizwan is a family physician who holds a special designation in Women's Health. Dr. Rizwan completed her medical training at the University of Alberta and currently has a family practice in Oakville. She has a passion for contraceptive care and gynecological medicine. She also practices low risk obstetrics and newborn care at Oakville Trafalgar Memorial Hospital. Outside of medicine, she loves the outdoors and hiking with her dog.

Dr. Sadaf Yasin is a compassionate family physician with a special interest in Women's Health. Dr. Sadaf Yasin, MD, CCFP Dr. Sadaf Yasin is a compassionate family physician with a special interest in Women's Health. She completed her Family Medicine residency at the University of Toronto, where she cultivated a passion for providing comprehensive, evidence-based care to support women at all stages of life. Her areas of expertise include family planning and contraception counselling. She also offers a range of specialized services such as IUD insertions and removals, Nexplanon implant procedures, endometrial biopsies, Pap smears, and STI testing. She has advanced training in Ultrasound which she integrates seamlessly into her clinical practice. Dr. Yasin takes a patient-centered approach, emphasizing education, prevention, and empowerment to help women make informed decisions about their health.

Post IUD Insertion Care Congratulations! You had an intrauterine device (IUD) inserted! There are 2 types of IUDs: one that releases a hormone (hormonal IUD) and one that does not (copper IUD). When does my IUD start working? The copper IUD begins working now. Hormonal IUDs (Mirena/ Kyleena) start working in 7 days, unless you started your period. If you started your period less than 7 days ago, it will start working now. If you were taking oral contraceptives, continue it for 7 days after your hormonal IUD insertion. What should I do today? When can I have sex? Today, you may go back to school or work if you feel well. Please abstain from vaginal intercourse, baths, swimming, tampon use, and menstrual cup use for at least 24 hours after IUD insertion. Mirena/Kyleena users will need back-up contraception (i.e. condoms) to prevent pregnancy in the first 7 days after placement, unless you are on your period now. If you have sex without a condom before 7 days, you should take emergency contraception to prevent pregnancy. What should I expect? You can expect to have some cramps and bleeding and or spotting (on and off bleeding or brown discharge) in the first few months but may be worse in the first 1 - 2 weeks. The cramping and bleeding can last for 3-6 months with the hormonal IUDs. After 6 months, the cramping and bleeding should get better. Many hormonal IUD users will stop having periods after 1 or 2 years, which is safe. If you have a copper IUD, you may have more cramping and bleeding with your periods as long as you have the IUD inside you, but worse in the first 3-6 months. How should I take care of myself? Ibuprofen/Motrin/Aleeve (NSAIDs) helps decrease the bleeding and cramping. You can buy them at any drug store without a prescription. You can take as many as 3 pills (600 mg) every 6 hours with food (each pill contains 200 mg). To prevent cramping, start taking it as soon as your period starts and keep taking it every 6 hours for the first 2-3 days of your period. You can also put a warm water bottle on your belly if you have bad cramps. Will my IUD come out? What should I do if it comes out? Your IUD may come out by itself in the first three months. If you can feel the strings, the IUD is most likely in the right place. If you feel the string is longer than usual, the IUD may be moving down. If your IUD comes out, you can become pregnant immediately. Use condoms if you think your IUD may have come out and please contact your family doctor or our office. How do I check for my IUD strings? If you want, you may check for the strings by inserting one finger into the vagina and feeling for the cervix. The cervix feels similar to the tip of your nose. You should feel strings similar in texture to fishing lines coming out of the cervix. Sometimes the strings are tucked high up and can be difficult to feel and that is usually not a concern. We will send you for an US to make sure it is still in place. Does the IUD protect against sexually transmitted infections (STIs)? The IUD does NOT protect you against STIs (HIV, syphilis, gonorrhea, chlamydia, herpes, HPV, etc.) You should ALWAYS use protection against sexually transmitted infections with condoms if you are at risk. Contact your doctor if: • You have persistent, worsening abdominal pain, unrelieved with medications • You have a fever at or above 38.5°C or 101.3°F • You have foul-smelling or unusual vaginal discharge • Your menstrual periods have stopped with the copper IUD • You or your partner can feel the lower post (hard plastic feel, not the string) of the IUD • You think you are pregnant