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 16-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Not much change yet: At 10 weeks the bloating and hunger can continue through the first trimester and maybe the entire pregnancy, but usually gets better after 12-14 weeks... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor: Fever indicates infection somewhere. The abdominal pain and fever may or may not be related to the vaginal discharge but all need evaluation and the ... 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
No: This should not cause any harm to the baby or to you.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor!: The cramping with spotting may indicate preterm labor contractions. You need to see your doctor to determine if the cervix is dilating prematurely. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Non hormonal: Melasma is a skin piment change caused primarily by hormone containing contraceptives and pregnancy, so you may want to choose a method that doesn't c... 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
Maybe: You need to see your doctor. Some spotting may occur after examinations or after intercourse. If not associated with either of these, you should be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: If the bleeding is excessively heavy, it may interfere with the reading but with newer pap preps this is usually not a problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Discharge , itching: The symptoms are usually the same for menopausal women as premenopausal women. These include irritaton, swelling, redness, discharge and usually inte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Anytime: There may be reasons other than pregnancy that menses can be late. You should see your doctor to determine why your cycle is late and an ultrasound m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Sometimes: Orgasm can cause the uterus to contract and therefore hurt mildly. If the pain is severe you should see your doctor to evaluate for other more seriou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Barbara Coulter-Smith
34 years experience
Call your physician.: Brown discharge is usually from old blood and often less concerning, but at 36 weeks any bleeding could be a concern and should be checked. Make sure... 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
Yes: You will not hurt anything.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Possibly: Possibly but not the likely cause of bleeding that soon after sex. Sometimes the cervix bleeds a little after sex. Whether or not you are pregnant ... 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
Probably boyfriend: Since the sperm only live about 3 days it is most likely not your ex assuming conception date was actually 5/6-5/10, however conception dates are not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Barbara Coulter-Smith
34 years experience
Some women do: Most women are more likely to suffer constipation during pregnancy. Occasionally women will have more frequent bowel movements. If you are having di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
5-7 cm or: The uterus in a woman who has never carried a pregnancy and doesn't have fibroids (benign muscular tumors of the uterus) is about the size of your fis... 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: Pcos can make it more difficult because ovulation occurs less frequently. You do not want to rely on the fact that you have pcos if you don't want to... 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
Yes: You have the right to decline any testing or treatment but your doctor also has the right to decline the prescription if he/she feels you are not doin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Contractions: They may just be "braxton hicks" or mild practice contractions if mild and less frequent. This could also be labor if strong or frequent. A rule of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Prob not pregnant: The hpt's are fairly sensitive so if negative, probably not pregnant. It is possible to have had an early miscarriage but more likely the bleeding is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Varies: It depends alot on your overall build. Most women will not show until after the first trimester or at least 12-14 weeks and some not until after 20 w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Barbara Coulter-Smith
34 years experience
Not typically : There may be some hormone changes starting to occur that may cause some bloating and discomfort but not usually hardness.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: If you switched to a pill with different hormone dosages you can get some light spotting in the first few cycles. Keep taking the pill at the same ti... 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
Probably: If the placenta is low lying and not marginal or centralmplacenta previa, i usually allow, my patients to continue having sex as long as they have not... 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
A few things.: Most importantly, don't smoke , drink alcohol or use drugs. Deep sea diving, sky diving, roller coasters or water skiing are not good ideas either. H... 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
Maybe: You need to check a pregnancy test especially if you have not had a cycle since 5/12/13. Did you have sex before the 9th and 10th? We're your cycles... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Uncertain: You will probably need paternity testing after the baby is born to determine which partner is the father.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
No: Ibuprofen may inhibit ovulation if taken midcycle and hence decrease pregnancy rates but not typically if taken during menses.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Need to be seen .: There are several things this could be. By the description it is most likely sebaceous cysts or molluscum contagiosum. The latter being small lesion... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Probably not: Normal menstrual cycles can be somewhat irregular and the flow can vary month to month. If you do not want to become pregnant, you must use contracept... 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
At least 5-6 weeks: Pregnancy symptoms can be variable. Some women have few if any symptoms and others have pronounced symptoms very early. Most commonly are missed men... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Varies: Fertility declines with age especially after 35-40. Some women are more fertile than others with advancing age and may get pregnant right away. Afte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Costochondritis?: Inflammation of the cartilege and bone between the ribs and sternum is fairly common. It is tender with palpation, movement or pressing down in the ar... 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: You should still use contraception because menstrual cycles can still be eratic and you could be ovulating late. You should also protect against std'... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Yes: To be on the safe side, i would recommend plan b. If your cycles are short and you ovulate early, you could become pregnant even when on your period.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Not much: She simply could not feel it either because it is small, it's position in the pelvis or perhaps your build makes it hard to feel. There is a rare con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Barbara Coulter-Smith
34 years experience
Possibly: No test is 100% perfect and anything can be missed on any diagnostic test especially if it is small. In general ultrasound is best for imaging the fe... 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
See doctor: More evaluation needed. Would have to know exactly what hormones/contraceptives you have been on and need an exam and possibly ultrasound to determine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
It varies: Our schedules can be very erratic. We may have office all day but get called out of office for deliveries or other emergencies. Most have a surgery d... 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: This could be ligament pain, but you are very a little early for this to start. Ligament pain is sharp pulling pain at the lower abdomen commonly fel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Not usually: A small amount of fluid in the cul de sac is normal. The abdominal/pelvic cavity is moist with peritoneal fluid and when standing or sitting gravity ... 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
Check pregnancy test: Any method can fail, although the failure rate with Nexplanon is very low. You may just have some breakthrough bleeding related to the progestin in t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Barbara Coulter-Smith
34 years experience
Usually: There can be irregular spotting (which is what the brown discharge is) for about three months when initially starting pills. If not, it doesn't mean ... 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
See your doctor: First confirm the diagnosis and sometimes steroids can help if severe enough to wartrant this. In the mean time, try aveeno oatmeal baths as this can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
See your doctor.: I am assuming your toddler has had fifth's disease. This is caused by a virus that could affect you and your unborn baby. Infection in the third tri... 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
Several things: This could be an ingrown hair, infected sebaceous cyst or inflamed lymph node. Most likely this is not serious but could develop into an abscess (col... 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
Possibly: Infertility is generally defined as 1 year of unprotected sex without achieving pregnancy. You should be evaluated by a doctor. You are young so the... 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
Yes. : You need to check a pregnancy test or see your doctor. Any contraceptive can fail and ovulation can occur early in the cycle (as early as day 8 or 9)... 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
Probably nothing: It was probably just a short period, but if there is a chance of pregnancy, you may want to do a pregnancy test.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Barbara Coulter-Smith
34 years experience
Not necessarily: Some women get prominent veins in the beast. They do tend to become more prominent during pregnancy. If you think you may be pregnant, check a pregn... 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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