Dr. Collin Smikle

Obstetrics & Gynecology
San Francisco, CA
38 years experience male

Locations

Laurel Fertility Care

Fresno, CA

Address

1995 E Warner Avenue, Suite 101, Fresno, CA, US
Directions

My office hours

Thursday: 8:00am - 5:00pm
Show more

Insurances accepted

Aetna

CIGNA Health Care

Tricare

UnitedHealthcare

Laurel Fertility Care

San Francisco, CA

About

Bio

The goal of all the staff at Laurel Fertility Care is to provide a comprehensive Reproductive Endocrinology Infertility practice. You are entrusting us with your deepest dreams, and our mission is to use the most effective techniques of modern fertility science to help you fulfill them.

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 & Gynecology

Obstetrics and Gynecology

Licenses

United States: California

Languages spoken

English

Doctor Q&A

504 Answers
120 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IVF/PGD: As you get older, you have fewer normal eggs and the success with ivf may be lower. Still, there is a fair chance for success if you can retrieve and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Hereditary infertilt: Some women may have a genetic predisposition to infertility. These include women with some types of pcos, chromosomal problems, turner's syndrome, or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS Treatment: It depends on your goal.Treating the symptoms with will lessen the problems you may have now such as the excess hair growth, acne, or weight gain that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IVF and pregnancy: If he has hepatitis, you can still undergo treatment and conceive. Your chance of success with your own eggs are very low but you have an excellent c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Endometriosis: You may have some pain from endometriosis, especially at or near the time of your menstrual cycle. This results as the fluid from the endometriosis m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IVF/ Tubal reversal: It depends on several factors. A tubal reversal allows you to get pregnant on your own and as often as you choose afterwards. Still, it is a surgica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Metformin: Metformin by itself isn't as successful as when used with some other treatment for ovulation induction. Since you have regular cycles, it may be some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Tests: Before undergoing ivf, the most common tests look at ovarian function- day 2/3 fsh and estradiol, antimullerian hormone level, and antral follicle cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Rogaine (minoxidil): In men, it may cause a lower sperm count and function. In women, it may have an effect on egg development and can't be used when pregnant.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Menstrual cycles: It is common for some women to skip a period or have irregular cycles. It is also more likely to happen if you are very athletic, gain or lose weight... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Sexual Identity: During a physical examination, your doctor should be able to identify if male or female body parts. In rare circumstances, you may have anatomic part... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Late menses: If you had light bleeding with your menstrual cycle, and aren't pregnant, you may not have ovulated this month. Have you gained or lost weight over a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IUD and pregnancy: Patients can get pregnant while using the iud so you do need to pay attention to the symptoms you may be having. I would recommend seeing your doctor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS treatment: The best pill to take is based on your symptoms and other factors. Since patients with pcos may have a variety of symptoms, it is best to talk to you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Nuvaring: It depends on when you inserted it. The NuvaRing is similar to birth control pills. Therefore, if you start it before your period begins, it won't pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Birth Control Pill: If you are taking a very low dose of the pill and there may not be enough hormone to suppress your ovulation or support the endometrial lining. There... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Discharge: If you have regular cycles and this is the first time this symptom occurred, you may not have ovulated this month. What you describe does seem hormon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Missed periods: One thing that becomes more common as you get older is that you may start to skip some cycles. It may start gradually and then become more consistent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Pregnancy: If you have regular cycles, a pregnancy test will be positive soon after your missed period. Still, as you get older, you may have more irregular cyc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Fibroids: If you are on warfarin, you may have heavier bleeding with your menstrual cycles. You may also have spotting and light bleeding between your menstrua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS: Pcos or polycystic ovary syndrome is a situation where patients may not ovulate regularly. This may also cause some other changes in hormone levels th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Cysts: What you describe sounds as if you may have an infection or other condition that recurs with sex. You didn't mention whether the cyst is painful, app... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Pregnancy: She should have asked you when was your last menstrual period, and she would have done an examination. Both can give a sense of how far along you are.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Infertility: Age is the most natural cause of infertility as your chance for getting pregnant and delivering is much harder after age 40. You are also at much hig... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Iron supplements: Taking iron more frequently won't cause any problem other than complication. The body will only absorb a certain amount and the remainder will pass t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Cervical bleeding: If you checked the position of your cervix, you may be bleeding from some irritation from the cervix. It will stop after some time but if there was ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IUI pregnancy: Implantation takes place within 3-5 days after fertilization occurs.But you won't detect any pregnancy hormones until 10- 14 days after the iui. Tak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovarian cyst: A cyst (follicle) ruptures each month as you ovulate. Sometimes, especially when you are young or as you get older, the follicle (cyst) that contains... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS and PID: If you had pid, you may have damaged your fallopian tubes and getting pregnant naturally may be a problem. Therefore, you need to get them checked ou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS and pregnancy: Yes she can. There are a lot she can do to preserve her options for the future. Still, if she is sexually active now and believes that, because of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Pregnancy: You didn't say when in your cycle you had sex so you could still be pregnant but it was too early to detect it. If your cycles are regular, you can wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Pregnancy and sleep: The position you sleep while pregnant isn't problematic unless you sleep on your back. Then, the uterus can rest on the blood vessels and cause probl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovulation: If you have regular cycles, he has a normal sperm count, then you do have a higher chance of getting pregnant then.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Missed menses: If you are a week late and you took the pregnancy test a week ago, i would recommend repeating the test. If you ovulated later than you thought, you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Birth Control Pills: Some birth control pills will cause pregnancy symptoms, especially when starting them for the first time. After a while your body adapts to the pills... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Menstrual cycles: Is the 21-24 day cycle length from the beginning of one cycle to the beginning of the other or from the end to the beginning. If it is the former, the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovulation: Progesterone levels confirm that you have ovulated. In women with irregular cycles or > 35 days, a day 21 Progesterone test isn't helpful. It would b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS and pregnancy: It depends on what symptoms you have. If you have slightly irregular periods, you may still be able to get pregnant without much help. However, if yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Depo and pregnant: If you use depo-provera as a birth control method, it works by making the endometrial lining very thin and less likely to support a pregnancy. Therefo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovarian cyst: A cyst (follicle) ruptures each month as you ovulate. Sometimes, the follicle (cyst) that contains the egg that you should ovulate grows bigger and t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IUD: If you did not have an infection while the iud was in, it's not likely that it will cause many complications. Although the efficacy of some iud's may... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
DDX of PCOS: Patients with diabetes or with congenital adrenal hyperplasia may have signs and symptoms of pcos. Others with eating disorders or other causes of hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Pregnancy sac: If your LMP was on 2/36 and the ultrasound on 4/12, you should be approximately 6 weeks pregnant. It may be you ovulated later and the timing is corre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Prolatin: Typically, an easy regimen to remember is on monday and thursday of each week. This could be: tuesday - friday wednesday - saturday thursday- sund... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Missed Period?: Some of these symptoms are common with early pregnancy or with a miscarriage. You didn't say if this was possible. I would advise monitoring to see ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Spotting on OCP: Loestrin is a lower dose birth control pill so it may cause spotting for the first several months. This occurs more often if she is physically active,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Sex and period: It is possible you are pregnant. You didn't say how long was your period when it did happen. Still, it is common for teenagers to skip a period and h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ectopic pregnancy: That would be an abnormal position for the egg to implant and would mean you have some damage to your fallopian tubes. Still, if it did happen, the pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Infertility treatmen: If you have been trying for a while, you should get some testing done to see why you may be having difficulty. If all the tests are normal, you may us... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Bleeding: If you had surgery for endometriosis, that could cause your bleeding postoperatively. If you got any medications to reduce future endometriosis gro... 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
437
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Smikle is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Smikle is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! but other dr says it means hormonal problem or u have irregular period but my period comes every month just sometimes 2 or 3 days late. Want
HealthTap member
I'm referring to if i had an infection (orchitis) which hurt my leydigs. Is it possible hcg will increase those for hormone production?
HealthTap member
ultrasound showed uniform myometrial texture no ovarian cyst no pelvic fluid.no fibroid.normal sized uterus and ovaries.only thickness

Education & Training

Medical/Graduate school

Yale University School of Medicine, CT
Graduated 1985MD

Residency

BRIGHAM AND WOMEN'S HOSPITAL

Awards

Top Obstetrician and Gynecologist, First Place, San Francisco, CA - Winter
2013
Top Doctor, Third Place, San Francisco Region, CA - Summer
2013
Top Obstetrician and Gynecologist, Second Place, California - Summer
2013
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