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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

Saturday: Closed
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

503 Answers
120 Agrees
The number of answers this doctor has agreed with.
A 33-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Prolactinoma: The pituitary tumor may cause your cycles and ovulation to be irregular. Therefore, the endometrial lining isn't shed in a normal pattern. Having sex ... 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
Propecia (finasteride): Propecia (finasteride) intake can lower sperm count and function so taking it for a long time can have prolonged effects. The best way would be to get... 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
STD Treatment: This is the treatment regimen recommended by the center for disease control and is very effective if you are not reinfected (don't get it back from so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Anovulation: If you missed your menstrual cycle, and aren't pregnant, you may have pcod, a thyroid disorder, or another cause for anovulation. If you gained or los... 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
Pregnant and menses: If your cycles are regular and last 3-5 days, the chance is low but still possible because sperm can remain viable for some time afterwards. I would ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Birth Control Pill: Ortho Tri-Cyclen is one of the low dose pills and there may not be enough hormone to suppress your ovulation or support the endometrial lining. Missi... 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
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 37-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Fallopian Tubes: If your fallopian tubes were damaged in the past, that caused the hydrosalpinx. Although it isn't visible on ultrasound now, it doesn't go away withou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Hysterosalpingogram: A hysteroscopy would allow your doctor to determine whether there was something within the uterine cavity that may be a factor in keeping a pregnancy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PMS: Some of the symptoms you describe may be related to the hormonal changes that occur with the decline in hormonal levels beginning the days before your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
EDC: According to the information provided, you are ~ 23 weeks pregnant at this time and your due date is Feb 9 2015.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Birth Control Pill: The low dose birth control pills may be affected by taking antibiotics at the same time as it reduces the absorption and reduces the effect of the pil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Test requirements: Gonorrhea and chlamydia vaginal or urine cultures hiv-i and hiv-ii screening hepatitis b surface antigen and hepatitis b core antibody hepatitis c ... 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
Endometriosis: You may have endometriosis that causes the pain. Still, severe dysmenorrhea may cause the release of a lot of prostaglandins (pain causing products) ... 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
Pregnancy: You didn't say when in your cycle you had sex or how regular are your cycles. If the menstrual cycle was normal in length and flow, the chances are s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Clomid (clomiphene): Unfortunately, the sensitive nipples can be a side effect of the clomiphene. Still, you could also be pregnant. A pregnancy test now or tomorrow will... 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
Pregnancy: You didn't say when in your cycle you had sex so you could get pregnant. But it would be too early feel any pregnancy symptoms so soon after having s... 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
Yeast : Taking any antibiotics can cause an overgrowth of yeast vaginitis. This can cause the itching you are experiencing.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
PCOS and Weight: Having pcos may make it harder for you to lose weight because pcos may cause some male type hormones to be made by your body. These hormones make it e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Vasectomy: If he had a vasectomy and confirmed that there was no sperm after the procedure, then the chance of getting pregnant is very low. Still you can get ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Sac: If your doctor saw a sac and your period didn't start, you can be pregnant. It may have been very early and you couldn't see the yolk sac or the devel... 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
Clomid (clomiphene) use: Is this your first time taking the clomid (clomiphene)? Did you have any symptoms of ovulation? If yes, when? You should expect your cycle by day 35... 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
IUD and OCP: It depends on when in your cycle you removed it. The Mirena (levonorgestrel) makes the lining thin and starting the birth control pills may make it t... 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
Fallopian Tubes: If your fallopian tubes were removed or if you had a tubal ligation in the past, you cannot get pregnant naturally. You can still get pregnant with iv... 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
PCOD treatment: Unfortunately, there isn't a way to get rid of pcod/pcos. It is a syndrome that you may be able to manage the severity of the symptoms and their effe... 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
LMP: If you are pregnant and unsure of your lmp, an ultrasound can measure the size of the fetus and help to calculate your LMP and your due date.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Sex and period: It is possible you can get pregnant. Still, it is common to skip a period occasionally. I would check a pregnancy test in a couple of weeks if you ... 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
Depo and menses: The Depo-Provera shot makes the lining thin and is a hormone injection that lasts up to 3 months. In some patients, it may last a bit longer so it app... 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
Alcohol and embryo: If you have just ovulated and the egg is just fertilizing now, there isn't any formation of organs or brains at this time. The embryo has even implan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Spotting: Does this occur after physical activity or after sex? If this started recently, it may be due to a polyp on the cervix or inside your uterus. An ultr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IUI Pregnancy: If you had the IUI in march, you are currently pregnant and they may have seen an early gestational sac. The blastocyst stage occurred soon after you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Elevated TSH: If your TSH is over 2.5, you may need more levothyroxine to lower the level a bit further. This may also contribute to your fatigue. You can contact ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Estrogen: Depending on the dose of the estrogen given, it may be normal but should have started going down by now. The more important question to ask is what w... 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
Miscarriages: You haven't mentioned how many times you have been pregnant in the past. If you have miscarried many times before, you should see your doctor to find... 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
Bleeding on OCP: If you missed a couple of days of the birth control pills, especially with the lower dose pills, it will cause the irregular bleeding. The bleeding is... 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
Anovulation: If you missed your menstrual cycle, and aren't pregnant, you may have pcod, a thyroid disorder, or another cause for anovulation. If you gained or los... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Endometrial lining: The endometrial (womb) lining may be thicker in women with irregular periods or women taking medications for ovulation induction. If the lining is to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Mirilax: Since mirilax isn't absorbed, you can use it during pregnancy. However, you do need to make sure you drink enough fluids as it may cause dehydration.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovulation: Many women will report a change in cervical mucus to become clear and some lower abdominal discomfort .This may last 24 - 72 hours but goes away after... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Ovulation: Women with regular cycles, have a surge in lh hormone levels that matures and ovulates (releases) the egg 24 - 48 hours later. This is the time you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Blood clot: If there is a subchorionic hematoma there, it would be best to get the anti-d injection to reduce any risk of exposure. The chance is small since muc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
IVF : There are a # of reasons. Patients with tubal disease, endometriosis, low sperm count, older patients, patients who failed other treatment options, pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Risk: The long and short term risks associated with ivf are few. The short term are related to the stimulation and retrieval. If you have lots of eggs, yo... 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 and bleeding: The Mirena (levonorgestrel) makes the lining thin and so it may take a while until your body adjust to it being there. It may make your cycles irregul... 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
Pregnancy: The HCG diet is a popular diet now. However, it is the same hormone that your body produces when you are pregnant so it can cause a false positive pre... 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
UTI: The symptoms you describe sounds as if you may have a urinary tract or pelvic infection, either are easily treated. You should see your doctor to det... 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
Cyst : You can still have a cyst form after taking the clomid (clomiphene). The best measure to reduce the chance for having a cyst that may affect your nex... 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
Pregnancy test: If the pregnancy tests were negative, then it isn't likely that you are pregnant now. If you are on the birth control pills and are using it correctly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
Endometrium: An endometrium that is thick on both those days raise some concerns. Typically, the lining is thin after your menstrual cycle and thickens through the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Collin Smikle
Obstetrics & Gynecology 38 years experience
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.

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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