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Dr. Barbara Coulter-Smith

Obstetrics and Gynecology
Grapevine, TX
33 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 female asked:
Dr. Barbara Coulter-Smith
33 years experience
By appearance: There are certain characteristics that make us more or less suspicious. These are: age (the older the more worrisome), size (greater than 6-8 cm), a... Read More
A 48-year-old member asked:
Dr. Barbara Coulter-Smith
33 years experience
51: This has a wide normal range but in the us the average age of menopause is 51. Abnormally young is before age 40 and rarely is a women still menstrua... Read More
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Amoxicillin is safe for use in pregnancy and it is importnat to finish all antibiotics to adequately and completely treat the infection.
A member asked:
Dr. Barbara Coulter-Smith
33 years experience
No: A cyst of this size is not common in an adolescent woman. I assume you have seen a gynecologist as this most likely needs to be removed. It will be t... Read More
A 23-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Cervical mucous: Cervical mucous secretion is the most common cause of clear odorless discharge. This tends to increase midcycle and is an indicator of ovulation. So... Read More
A 31-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
No: If you have been taking contraceptive pills for six years without any problems, it is unlikely you will have any problems at all. There is no risk to... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
See a gynecologist. : There can be multiple reasons but in a young woman this is usually easy to treat. Need to be sure there is no pregnancy, bleeding disorder or uterine... Read More
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Mild cramping intermittently or infrequently in pregnancy is common. Drink plenty of water to reduce dehydration that may increase cramping. If cra... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
See a Dr.: There are many reasons this could be occuring, and most at your age are not serious and relatively easy to remedy. You need an exam and probably a pa... Read More
A 26-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Maybe: At three weeks the test is usually obvious and the hormone rises quickly. However if it is still low the hydration could make it negative. See your ... Read More
A 32-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
It depends: This could be a blighted ovum (not viable and will ultimately miscarry) or perhaps you ovulated late (cycles can vary) and you are not as far along as... Read More
A 30-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Sometimes: It depends on what was done. If this was repair of episiotomy or tear after delivery, no treatment may be necessary and with time things will heal. ... Read More
A 26-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Possibly pregnant: The bleeding you had at the time of your expected menses may have been implantation bleeding. It may also be abnormal bleeding fro an early pregnancy... Read More
A 29-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
They should: But... Er's get busy with rotating schedules so there isn't always continuity of patients's care and things more easily slip through the cracks. I al... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Several things: This could be an ovarian cyst which is common and often occurs in the last half of the cycle before the onset of bleeding and sometimes ruptures causi... Read More
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Possibly infection: See your doctor or go to a clinic for evaluation and testing. Your symptoms indicate you may have an infection.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Several things: Problems with ovulation such as pcos or problems with ovarian hormone production can cause this. Thyroid disease can cause cycles to be erratic. Abn... Read More
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Ovarian hormones: The light cycle coming off loestrin was probably just withdrawal bleeding from coming off the pill. The subsequent bleeding is from the ovaries recru... Read More
A 24-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Appears so: 'normal' cycles are about 23-35 days apart from first day of bleeding to the next first day. Some women have very regular cycles, others vary within ... Read More
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Missing pills and even taking them late may cause spotting or bleeding. Missing pills can also cause ovulation and pregnancy so you need to use a bac... Read More
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
No: Milky white discharge is common in pregnancy and especially in the last few weeks as the cervix softens and begins to dilate. If you have more clear ... Read More
A 30-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
May be normal: Spotting or light bleeding with sex for a day or two after may occur during pregnancy. If persistent, heavy or associated with pain, you need to be ... Read More
A 26-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Many possibilities: There are many possibilities with pain and pain associated with sex. It could be a cyst, urinary tract infection, endometriosis, uterine fibroids and... Read More
A 23-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
See your doctor: Some women have regular menstrual cycles on Mirena (levonorgestrel) while most have much less or no bleeding at all. If you are having more frequent b... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Not to worry: There are many ducts and glands around the areola and these occasionally get blocked and fill with this white material that is made of oil and skin ce... Read More
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Do a pregnancy test: First check for pregnancy and if positive make an appointment with an obstetrician. If the test is negative seek evaluation with an obgyn or family p... Read More
A 21-year-old male asked:
Dr. Barbara Coulter-Smith
33 years experience
See a doctor: There could be several things going on including, low grade infection, retained tissue or just hormone imbalance. A physician can determine what is ha... Read More
A 30-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Depends: If OPK indicates ovulation, then the "standard" is to try for about 1 year then if not pregnant see your doctor. However , if it appears ovulation i... Read More
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: This can occur and even has a name, pseudo thesis. This may be caused by changes in the endocrine system that cause the symptoms. This phenomenon al... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Pregnant?: First check a pregnancy test. If pregnant see your doctor. If not see your doctor to determine why you are skipping your period. There are many cau... Read More
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Possibly: Nausea is a common symptom for many illnesses. There can be pregnancies even while taking birth control pills, so you should check a pregnancy test.... Read More
A 36-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Hcg levels give us an approximate but are not reliable for definitely determining gestational age or multiples. An exam and ultrasound are best for d... Read More
A 29-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Cycles can change : Cycles can change with hormone changes, or due to pathology of the reproductive system. An evaluation by your gynecologist can help determine the caus... Read More
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Your body is responding to the effects of the hormones and may take a few months to adjust. Light bleeding may also occur. Try wearing a sports bra, t... Read More
A member asked:
Dr. Barbara Coulter-Smith
33 years experience
It is positive.: Faint just means the HCG or pregnancy hormone is low but detectable. It typically indicates early pregnancy and would be normal if you have just miss... Read More
A 30-year-old member asked:
Dr. Barbara Coulter-Smith
33 years experience
The one that works.: There are many options and you need to make an appointment with your doctor to determine which is best for you. There are barrier methods, hormonal c... Read More
A 39-year-old male asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: An ultrasound date of 9weeks and 4 days is 'dating' from the last menstrual period forward and conception is about two weeks later (a little more for ... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Varies: It depends some on the type of hysterectomy. In general, it is not recommended to lift over 10lbs for the first couple of weeks. You may hold the ch... Read More
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
You could be.: If you have been trying for pregnancy or having unprotected sex you could be pregnant. Have you done a pregnancy test? These are available at the ph... Read More
A 39-year-old member asked:
Dr. Barbara Coulter-Smith
33 years experience
Irritation: Most women will have discharge, redness, swelling , irritation and intense itching. Some of these symptoms may be less intense if the yeast is limite... Read More
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Possibly: Bleeding in pregnancy is not "normal" but may not always indicate something is wrong. You need to see your doctor. This can be a sign of an abnormal ... Read More
A 32-year-old member asked:
Dr. Barbara Coulter-Smith
33 years experience
Maybe normal.: Many young women have very irregular cycles when they first start having them. It may take 1-2 years before they become regular. You may only have a... Read More
A 24-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: Hair color will not hurt the pregnancy. Straightners are also fine. A woman's hair may change during or after the pregnancy due to the hormones and c... Read More
A 19-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Probably not: Pregnancy tests are very accurate and will be positive within 7-10 days from ovulation. However, you risk pregnancy with any unprotected sex and depo... Read More
A 29-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: You can get pregnant but your risk of another tubal pregnancy is high. If you have a positive pregnancy test you need to see your physician early to ... Read More
A 66-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Possibly several wee: A deep bruise where there has been bleeding deep into the tissue can hurt and feel somewhat hard for several weeks. Firmness in a deep bruise can tak... Read More
A 43-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Not the ablation: The ablation should not cause breast tenderness. It only stops the lining of the uterus from responding to hormones produced by the ovaries, but the ... Read More
A 31-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Yes: There are many illnesses and disorders that can mimick early pregnacy. These could reange from gastrointestinal(stomach) problems to different endocr... Read More
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Tylenol (acetaminophen): You may use tylenol (acetaminophen) throughout pregnancy for mild headaches. If they persist or are severe you need to see your doctor to rule out ot... Read More
A 22-year-old female asked:
Dr. Barbara Coulter-Smith
33 years experience
Breakthrough: This may be breakthrough bleeding related to the hormones in the pill. This is most common in the first few months of pill use. Need to be sure you ar... Read More

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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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less