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Dr. Barbara Coulter-Smith

Obstetrics and Gynecology
Grapevine, TX
34 years experience female

Locations

Office

Grapevine, TX

Address

1625 Lancaster Dr., Grapevine, TX
Directions

Women's Integrated Healthcare

Grapevine, TX

About

Bio

I have been married to my husband, Joe for 27 years. We have two children Hannah and Max. I love practicing obstetrics and gynecology because it affords me the opportunity to really get to know my patients and contribute in a very significant and personal way to their families.

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

Doctor Q&A

156 Answers
12 Agrees
The number of answers this doctor has agreed with.
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: There is no harm in the act of having sex between two consentual adults. Obviously you need to protect yourself from std's and unintended pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Barbara Coulter-Smith
34 years experience
Antiviral medication: See your physician or if available go to an urgent care clinic to get started on an antiviral medication such as Acyclovir or valicyclovir. These med... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: This is a line of pigmentation that gets darker with pregnancy and is more prominent in some women than others.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
It is variable.: Bleeding can last 6-8 weeks after delivery then periods may return within a few weeks of that. However, breastfeeding delays return of menstrual cycl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Wait two weeks: Most recommend waiting to have sex for two weeks after medical termination to help prevent infection. If not at least use condems, then discuss contr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Confusing-ask doctor: Conception does not necessarily occur on the same day you have sex, so the most accurate date is a known last period. A woman's cycles can be 21-35 da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: If based off of your last menstrual period it may not be very high yet and too early to see on sono until the bhcg is at 1500-2000. Then you may only... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: A laceration could cause labial adhesions but this can also occur spontaneously in young girls and not be associated with trauma. It is usually treat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: Excess fluid causes distension or additional "stretching " of uterine muscle and may make it more irritable and contract more. 22 cm is not terribly ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: A "clear" hpv test may mean the virus is only 'suppressed' to sub clinical levels where it is not detectable and won't cause disease; but may replicat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
No: It is common to have some cramping like menstrual cramps in the low pelvis and midline during the first trimester. Any bleeding or more severe pain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Depends on symptoms.: Yeast infection may cause swelling and pressure in the vagina but doesn't usually cause other symptoms of pregnancy like nausea, breast tenderness and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Barbara Coulter-Smith
34 years experience
Depends: It is not unusual for temperature to run slightly higher in pregnancy and there can be fluctuations throughout the day anyway. If it is running 100.5... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Not certain: Threatened miscarriage usually indicates bleeding in early pregnancy. The bhcg hormone is still present and many women can continue to feel nausea. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
2-6 weeks: Most women feel pretty good after a c-section. The recovery is typically about 6 weeks but is progressively better after the first week or two. Most ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See a doctor: Pain of this nature needs to be evaluated. You could have an ectopic pregnancy, ruptured hemorrhagic cyst, torsed ovary, appendicitis or other gastro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Borderline cancer: It is considered cancer, but is exactly borderline meaning it has some cellular features of overtly or typical ovarian cancer, but not all. It theref... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Probably side effect: Depo Provera (medroxyprogesterone) use can lead to this side effect. Over time the uterine lining becomes so atrophic (thinned). That it results in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: It sounds as if you need to see your doctor for chronic problems with either the GI tract, liver / gallbladder or pancreas.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor: This could be dysfunctional bleeding related to perimenopause but you need to be seen to have tests to rule out pathologic and potentially serious cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Pregnagncy belt: This pain is common, caused by the joints being more lax in pregnancy and not easy to relieve. Some patients find wearing a pregnancy belt helps bec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Approx 400 cal/d: A normal singleton pregnancy requires about 300 extra cal/d with twins requiring slightly more. The usda has a great website www.Choosemyplate.Gov wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See doctor: You may have vaginitis again and can be treated and tested for other std's if indicated.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Wait: If you are otherwise feeling alright, wait a few more days to recheck your pregnancy test as it may be too early to turn positive yet. If it is still ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Late period: It may just be a late period, but check a pregnancy test to see if it is positive. It could be spotting from implantation. If negative, you may want... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor: It could be endometriosis or ovarian cyst. It could also be colitis. Without an exam and some diagnostic tests it is hard to tell.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
One cycle: Once you get your normal spontaneous period you may start to try again for pregnancy, however your cycle may be a little irregular the first couple of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Any: At 8 weeks you can sleep in any position that is comfortable. Later in pregnancy it may make you feel nauseated and light headed to sleep on your bac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Not to worry: This won't hurt the baby but you need to be evaluated for possible urinary tract infection. These are more common in pregnancy and can lead to other ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Blood streak mucous: You need to check a pregnancy test. If not pregnant, your period may just be a few days late. The brown blob is probably just some blood streaked muco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: The inflammation caused by the yeast can cause the tissue to bleed easily if even gently scraped by the applicator. Hopefully with the medication, the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Many things: Just being pregnant can cause all of these symptoms. There are a lot of hormonal and metabolic changes occurring. If excessive though, you need to b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
This is normal: Many women have light cycles. If you are trying to achieve pregnancy and have not been successful, see your doctor to be sure you are ovulating and t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See the gynecologist: Infertility is defined as one year of unprotected intercourse without achieving pregnancy. We usually begin work up for women at this point and soone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Multiple things: An enlarged uterus can be caused by pregnancy, fibroids (benign muscular tumors of the uterus) or by adenomyosis which is where tissue from the lining... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Possibly : It is too early to tell if you are pregnant. That is not likely the cause of the cramping. You will have to wait 10-16 days to check a pregnancy tes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Possible depression: Each pregnancy can be different and it is normal to be emotional. It is not normal to cry "all the time". You may need to be evaluated for possible ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Possibly pregnant??: These are some signs of early pregnancy especially with period being eight days late. You could also have urinary tract infection and coincidence of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Seek medical help: If you are bleeding that heavily you need to be seen right away! a good rule of thumb-a pad or more per hour for 2-3 hours, go in. You could become s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Cannot be sure.: Most likely the 11-17, but the exact day is impossible to tell because both the sperm and the egg will survive a few days in the female genital tract,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor: Sometimes it takes a couple of months for cycles to regulate when coming off the pill. If it has been a couple of months already, then see your docto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See doctor: If late with period and unprotected sex, check pregnancy test. Still need to see doctor as green discharge can be sign of infection whether pregnant ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Both: It is more a matter of preference. Toxic shock syndrome more common with tampons but still very rare especially if tampon is changed regularly...Ever... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: Swelling in pregnancy is very common. Watch your salt intake and drink a little lemon in your water as this may help. It is most important to keep a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
It is different.: First trimester screens and the harmony test are for chromosomal abnormalities. The AFP tests for neural tube defects (spina bifida).
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Effective for 3 mos: Depoprovera is only reliable for preventing pregnancy for three months , but it can suppress the ovaries for longer periods of time. See your doctor t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes : There is hope but also concern. If the pregnancy measures less than 7 weeks, a low heart rate may be normal. If over 7 weeks a slow heart rate is con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Barbara Coulter-Smith
34 years experience
11/22/12: This assumes you have the "average"28 day cycle, but we use the last menstrual period for dating because the sperm and egg can both can live a few day... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
No: Dehydration from not drinking enough water should not cause vaginal bleeding. The vagina becomes dry and thinned postmenopausally and in low estrogen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Preterm labor: That feeling is usually caused by cramping or contractions but can also be normal. It needs to be checked. This is especially true if you feel the u... 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.

2
Recommendations
251
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Coulter-Smith is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Coulter-Smith is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you I have talked to my doctor but I'm scared to go I dont know why .my boyfriend just tells me that God decides when I am ready.
HealthTap member
I'm not pregnat that I know of along with the things I said I have been having really bad pain in my right lower side today it was sudden
HealthTap member
Thanks for your quick reply!..... But i go to my first prenatal appointment on the 11th.....what will happen then

Education & Training

Medical/Graduate school

Des Moines University of Osteopathic Medicine
Graduated 1989MD

Residency

TRUMAN MEDICAL CENTER HOSPITAL HILL

Awards

Top Obstetrician and Gynecologist, Third Place, Dallas, TX - Winter
2013
HealthTap Doctor Mom

Affiliations

Baylor medical center at grapevine
Forest Park Hospital
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