Dr. John Kirk

Obstetrics and Gynecology
St. Helena, CA
29 years experience male

Locations

St. Helena Women's Center--Hidden Valley Lake

Hidden Valley Lake, CA

Address

18890 Coyote Valley Rd., Hidden Valley Lake, CA
Directions

My office hours

Thursday: 9:00am - 5:00pm
Show more

Insurances accepted

BCBS Blue Card PPO

Aetna

Blue cross blue shield

Cigna

Humana

Medicaid

United healthcare

Wellcare

Wellpoint

CIGNA Health Care

Anthem BC Life & Health Insurance Company

Health Net Of California

Health Net

St. Helena Women's Center

St. Helena, CA

St. Helena Women's Center--Napa

Napa, CA

About

Bio

After an undergraduate business degree at UC Berkeley, I attended Yale University Medical School and then served in residency at Cedars-Sinai in Los Angeles receiving a great diversity of experience and opportunity. After seven years in Los Angeles, co-founding and operating a laborist program at two major southern California hospitals, I moved to northern California to the charming Napa Valley. In Napa, my medical partner and I began a minimally invasive center for gynecologic surgery starting in 2002-2003. Since late 2003, we have been utilizing the robotic surgical platform known as the Da Vinci system from Intuitive Surgical. In many ways it had transformed our practice. It was here that I completed the first robotic hysterectomy in California and learned of the impressive benefits of this technology for our patients. Now having helped several hundred patients, and taught multiple colleagues the technologic advances of Robotic surgery throughout the United States, the opportunity to follow my heart back home to southern California came as a blessing.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Obstetrics and Gynecology

Urogynecology

Licenses

United States: California

Doctor Q&A

270 Answers
136 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Possibly: The more advanced the dysplasia (abnormal cells) the greater the possibility of finding cancer in your cervix. The next stage of your evaluation is t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
NOT normal: When you have gone a year without a period and are over the age of 40 (average age is 51), we call the date of your last period, "the menopause." ble... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
It depends: Not all hysterctomies successfully remove all bleeding. When the cervix is left in place, called a supracervical or subtotal hysterectomy from 2-18% ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
We do not know: While medical experts have not determined the cause of uterine cancer (endometrial cancer), it seems clear that an association with duration of estrog... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Pap Smear: Obtaining a routine pap smear is the starting point to determine if you have dysplasia. Dysplasia is a pre-cancerous condition of the cervix commonly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes: Pelvic rest means nothing in the vagina and that includes fingers and penises. If you are having a cerclage it is probably sensible that you don't pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes: A hysterectomy and even tubal ligation appear to reduce the risk of ovarian cancer significantly. It does not eliminate the risk. Even when taking o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Hard to say: Bleeding in between periods is very common. If your are taking birth control pills and have missed one or more pills, it is common to have a slight bi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Sure: Missing even 2 pills can lead to a pregnancy. Generally if you miss pills bleeding will start as it has for you. This can be associated with cramps.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Depends : You are very young (on average for women who have their uterus removed). Probably your ovaries were not removed. If I am correct then you should not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
The negative: It is common to have an initial "chemical pregnancy" where the sperm and egg meet and begin the implantation process only to quickly fail. The resul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
It : It is very unusual for a woman to have infertility because of a cone or leep biopsy of the cervix. Certainly less than one percent of the time is thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Generally yes: Generally most mucous relief medicines have been considered safe in pregnancy. Guaifenesin--mucinex or Mucinex (guaifenesin) d are considered safe. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Pain, burnIng, blist: Pain, irritation, like burning, and blisters in various stages of oozing crusting and healing. The first infection is often the worst and can be acco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Sometimes: It is not always painful when the uterus falls down or out. In fact, it is not usually painful. It can be though when it is accompanied by the bowel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old male asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
At times: Most women with fibroids are able to get pregnant despite the fibroids sharing the womb. It depends on where the fibroids are located in the uterus as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Many choices: First, check with your doctor so he or she will be informed as to what is happening with you. Generally, Robitussin dm, tylenol (acetaminophen) cold ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Not usually: Most studies have shown that women do not gain weight by taking birth control pills. There is a definite belief this is not true among patients but r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Irritation: The bladder can be irritated by a foreign body like a uric acid or calcium-based stone. It can be affeced by interstitial cystitis where there is a d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Sure: Some version of vaginal discharge with blood tinging or spotting is common around ovulation because of the rapid increase then return to normal lower ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Very unlikely: The iud has been known to move to hide the strings, perforate and move into the belly, and even fall out at times but it is very uncommon. Specificall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes: There have been several studies documenting that babies can hear from inside the womb. The aural (hearing) function develops roughly between 20 and 2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Not exactly but yes!: Fibroids are clonal tumors of the smooth muscle of the uterus. When they grow large they can cause various symptoms such as pressure, bleeding irregu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Discharge-Y, pain-N: Discharge is very normal. If symptoms like itching or burning accompany the discharge it is not normal. Pain, while common in pregnancy, should be ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Can be the same. : For some spotting is just a part of the normal period that includes heavy days as well. Clotting, while common, is generally a reflection of excess bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Need to Check it out: Many reasons why this can occur. First and worst (but not most likely) is cancer. For this reason you should be evaluated by your doctor who will li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Never: The NuvaRing works upon placement in the vagina. The refrigeration extends the "usable life" of the ring. It is not required to keep if you are using ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Depends: Adenomyosis is the growing of menses in the uterine muscle and like fibroids pictured here, can cause painful prolonged bleeding and sometimes inferti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes, generally. : Very common. Also at the time of the cycle. Breast tenderness is very responsive to hormonal changes. These occur at he time of ovulation with a spik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Depend who you ask. : There are many possible answers. From masters and johnson and other experts the time or duration of intercourse is fairly short averaging around 5 mi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Need more evaluation: Depending on the time from your last normal period you probably are not pregnant. The tests are usually quite reliable. Many other problems will caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes and I feel for U: Many infectious problems can cause such symptoms. Most common would be a urinary tract infection or kidney stone. Often this will come with burning d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Just try. Don't wait: While getting pregnant at 35 is more difficult that at 25, the process is the same. Be in the same place and time with your partner during your most f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
The usual dosing: The typical dose for the indication you describe is 400mg vitamin b2 or riboflavin and 500mg of magnesium. This is unlikely despite the high dose of v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes but not normal: Bleeding is common in pregnancy withas many as 40% of pregnancies affected. It is not considered normal and should always be evaluated by your provid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Probably early preg: The scenario you speak of is common. Most commonly the pregnancy test is positive, but early such that it is not seen by an abdominal ultrasound. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Depends on who asked: There have been several studies which show that the costs of robotic surgery are not significantly more, and in fact, can be less than a similar lapar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Standard laparoscopi: Standard laparoscopic instruments plus a uterine manipulator of choice and an energy source--bipolar, harmonic, combined platforms, robotics, sils etc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Many things: No matter what it is it makes sense to get a medical evaluation. Infectious (chlamydia or gonorrhea) risk is a common reason. Others are abnormal ce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Very common: You probably have bacterial vaginosis. This is an overgrowth of one or more types of anaerobic bacteria (non oxygen using bacteria). These tend to be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Not sure of the ?: I think you are asking if a woman who is pregnant must have symptoms of the pregnancy. These include headaches, fatigue, breast tenderness, food and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
When : When to seek help is relative primarily to your age. If you are under 35 probably continuing to try for up to year or even two is reasonable in genera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
2-4 days in hospital: If possible consider a second opinion. If in fact a hysterectomy is needed at this time, look to a minimally invasive procedure such as laparoscopic o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Depends: It kind of depends. The picture shows a classic cold sore. A pimple may be significantly different in its appearance, however, it is sometimes very di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Yes : As long as you are not allergic! Augmentin (amoxicillin and clavulanate) is safe in pregnancy as much as is possible to know.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Not likely except...: Generally only a severe urinary tract infection leading to a kidney infection could cause a pregnancy loss or miscarriage. And unless that happens (ag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Generally no: Generally amoxacillin is not a choice for chlamydia. We are still using as a priority drug azythromycin singe dose of 1 g for both partners. Alternati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Many possibilities: A bold picture perhaps. It shows the relationship of the clitoris urethra and vagina very well. One can imagine during sex that stimulation of the cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Sure: Yes it should be perfectly safe! just don't hit her with it ;-) seriously though, there should be no risk from that tool or massage on general. In f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Kirk
Obstetrics and Gynecology 29 years experience
Possibly: Many reasons for bleeding after sex exist. It always makes sense to check with your doctor to assess and find a treatment as needed. If pregnant or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

11
Recommendations
536
Thank you notes
Mar 18, 2013
Dr Kirk provides an exceptional public service on Health Tap. He clearly has a vast knowledge of obstetrics and gynecology. His responses are thorough, understandable and very helpful. I recommend Dr...Read More
Dec 2, 2012
I endorse Dr Kirk. The medical information he provides as a service to the public on AVVO.Com is accurate, sensible and very helpful. I look forward to reading his entries.
Mar 16, 2013
Dr Kirk's responses on Healthtap have impressed me. Excellent information combined with common sense and sensitivity. Job well done.
HealthTap member
Thank you, your answer was very helpful! I had a LEEP done in november of 2012 my fiance and I have been trying to concieve since February of 2013 & it hasn't happened yet.
HealthTap member
How would I know if it has reached my kidney? Also, I have the white toilet ppr discharge ,why? And I'm currently taking Meds 5days.For Uti
HealthTap member
Thanks for the reply, im also having lowerback pains, lower stomach pains and side pains. Ive taken 2pregnancy test both neg. Could i though

Education & Training

Medical/Graduate school

Yale University School of Medicine, CT
Graduated 1994MD

Residency

CEDARS-SINAI MEDICAL CENTER

Awards

Community Service Award
Top Docs
2010 Most Compassionate Doctor Award,

Affiliations

Saint Helena Hospital
Queen of the Valley Medical Center
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