Dr. D Elan Simckes

A 39-year-old member asked:

How can you use ovulation calendar method?

Dr. D Elan Simckesanswered

34 years experience

Calendar: No one wants to answer this question because it's very iffy in our opinion. I think the apps on the phone are fun and make you feel like you're doing ... Read More

5.2k viewsReviewed >2 years ago

A 23-year-old female asked:

Can implantation bleeding last 6 days?

Dr. D Elan Simckesanswered

34 years experience

Bleeding: Yes, absolutely the implantation bleeding last six days. When you want to do is have an ultrasound as early as five weeks, that is to say three weeks ... Read More

5.2k viewsReviewed >2 years ago

16 thanks

A 36-year-old member asked:

Can you tell me exactly when is the best time for sex as far as menstruation and not getting pregnant?

Dr. D Elan Simckesanswered

34 years experience

Sex timing: Wow, a great question and i don't have enough room to answer. Sperm can live inside you for up to 96 hours/4 days. A woman typically ovulates 14 days ... Read More

5.2k viewsAnswered >2 years ago

A 29-year-old female asked:

My normal cycles length was 28-31 but last month it was 39days long(never happened before). what are the chances of this cycle length on clomid (clomiphene) (3-7).

Dr. D Elan Simckesanswered

34 years experience

Cycle : Very common to see lengthy cycles after clomid (clomiphene). Why? You can get cysts that are hormonally active and make enough Progesterone to prol... Read More

5.2k viewsAnswered >2 years ago

A 28-year-old female asked:

Ihave regular af with pms i had a miscarriage in june 2012 i took clomid (clomiphene) in march period due in 4 days no signs of pregnancy shuld i take clomid (clomiphene) again?

Dr. D Elan Simckesanswered

34 years experience

No: I say no… isn't that funny!? You have two doctors and you get three opinions :-). If your period is off then it is very possible that you have a comp... Read More

5.2k viewsAnswered >2 years ago

A 28-year-old female asked:

28y, hstry of ovarian torsion twice due to large cyst.left ovary fixed, right is lost.iui done on 6 april.modrte bleedng after 12 days, can i be prgnant?

Dr. D Elan Simckesanswered

34 years experience

Pregnant?: Yes it is possible you are pregnant and therefore you should have a blood test. If you are pregnant and actually miscarrying this is very important in... Read More

5.2k viewsAnswered >2 years ago

A 17-year-old female asked:

Last periods date was 24feb then i had sex on 2mar but i took ecp on 3mar but my periods r 11days late and all pregnancy test r negative. m i pregnant?

Dr. D Elan Simckesanswered

34 years experience

Abnormal periods: Pregnancy is always a possibility. Do you have regular periods? The fact that you took the morning after pill can also occasionally cause your menstru... Read More

5.2k viewsAnswered >2 years ago

A 29-year-old female asked:

Since i'm ttc my period cycle is longer from the first day of my last cycle to the first day on my next cycle it's a month or 32days gap . may i why?

Dr. D Elan Simckesanswered

34 years experience

Cycle : But we know and believe about most natural cycles is that you ovulate 14 days before your next menstruation. The first part of your cycle, that is ... Read More

4.9k viewsReviewed >2 years ago

A 25-year-old female asked:

If you have intercourse 4-5 days before ovulation& not after, do you just miss it all together for that month.or is there hope?

Dr. D Elan Simckesanswered

34 years experience

Hope: Sperm have been found to survive up to four days in the fallopian tubes. There's always hope.

4.8k viewsAnswered >2 years ago

A 26-year-old female asked:

Is cryotherapy effective for severe cervical dysplasia?

Dr. D Elan Simckesanswered

34 years experience

Cryotherapy: Cryotherapy was once used to treat severe dysplasia. It is no longer considered the standard of care. The dysplasia must be excised, or cut out, becau... Read More

4.9k viewsReviewed >2 years ago

Dr. Alan Ali and 2 doctors agree3 doctors agree

A 20-year-old female asked:

Hi i was just wondering how long after my period will i ovulate? i'm on a 32 day cycle but my period was just over a week late this month.

Dr. D Elan Simckesanswered

34 years experience

Ovulation: Usually somebody ovulates 14 days before their missiles cycle. So that would be date 18 and 30 today cycle. The only way to know for sure that you ovu... Read More

4.5k viewsAnswered >2 years ago

A 16-year-old female asked:

Sex near ovulation. been having cramps a week after in my groin area for 4 days now. it was my first encounter and his penis barely went in. preggo?

Dr. D Elan Simckesanswered

34 years experience

Always possible: Pains approximately a week or so after you ovulate is suggestive of implantation… That is to say early pregnancy. However, there are other possibiliti... Read More

4.1k viewsAnswered >2 years ago

A 24-year-old female asked:

I have stage 3 endometriosis i do not have a monthly cycle i am not supposed to have one. is it normal to feel like i am on my period but am not?

Dr. D Elan Simckesanswered

34 years experience

Symptoms: You're asking a complicated question… are you being treated with lupron (leuprolide)? Why wouldn't you be expecting to have a period?

4.5k viewsAnswered >2 years ago

A 21-year-old female asked:

Is severe nausea late in pregnancy (close to 37 weeks) a sign labor could be near? i heard it was but want other opinions.

Dr. D Elan Simckesanswered

34 years experience

Nausea: I have delivered several thousand babies and i must tell you that I do not like that symptom of nausea at the end of pregnancy. There are blood tests ... Read More

4.9k viewsReviewed >2 years ago

A 29-year-old female asked:

Pcos laproscopy done got periods taken clomid (clomiphene) done sonography on 11 day follicle is 14mm n on 13 also 14mm wht to do any medicine shld i take?

Dr. D Elan Simckesanswered

34 years experience

Stimulation: Under these conditions i recommend a " posted" cycle whee we add gonadotropins that is the injectable medications.

4.9k viewsAnswered >2 years ago

A 20-year-old female asked:

Signs of pregnancy with endometriosis? 26 days late, took pt a week ago, came back negative. light spotting. is this normal? stage 4 endo.

Dr. D Elan Simckesanswered

34 years experience

Abnormal periods: No this is absolutely not normal. You say you are 26 days late but do you usually have regular periods. Do you have any other symptoms, such as breast... Read More

5.2k viewsAnswered >2 years ago

A 33-year-old female asked:

My beta hcg level was 380 sunday and monday its 578 had iui done march 19th positive test april 2nd today had us anxiety not sac?

Dr. D Elan Simckesanswered

34 years experience

Concern: I know you are worried because you would expect your numbers to be higher. The fact that it went up that much in 24 hours is actually a good thing. On... Read More

5.2k viewsReviewed >2 years ago

Dr. Evan Altman and another doctor agree2 doctors agree

A 36-year-old female asked:

Had a tubal reversal and this month i started bleeding a week before my period was due and still getting a negative test but feel naseau and exhausted?

Dr. D Elan Simckesanswered

34 years experience

Pregnant?: It is very important to remember that after tubal reversal if there is any chance that you might be pregnant you must get a blood test as soon as poss... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

7 thanks

A 24-year-old female asked:

My menstrual cycle is 32days and i felt my ovulation pains on the 15th day. am i ovulating or its a different pain. is the 15th day correct?

Dr. D Elan Simckesanswered

34 years experience

Ovulation: In a 32 day cycle, i would expect to to ovulate closer to day 18. And so, day 15 seems to me a bit early. Have you tried using an ovulation predictor ... Read More

5.2k viewsAnswered >2 years ago

A 36-year-old female asked:

Is pcos dangerous if we don't do any treatment? bored with diane 35 & don't seem better

Dr. D Elan Simckesanswered

34 years experience

PC OS: Yes, we have a good enough understanding knowledge and history of patients with PC os to know that it should be actively managed at all times. If left... Read More

5.2k viewsAnswered >2 years ago

A 18-year-old female asked:

If you are on birth control for over 8 years will u have problems conceiving a child later on i have been on it sense i was 11 i am now 19 i'm worried?

Dr. D Elan Simckesanswered

34 years experience

Birth control: The answer to your question is not so simple. If your birth control pill was started at such a young age to control your periods then it is very possi... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 36-year-old female asked:

I have 10 day period and constant spotting. tests done:pap;ovary/uterus;std;endometrial;thyroid. found only 2 tiny uterine fibroids ...any thoughts?

Dr. D Elan Simckesanswered

34 years experience

Bleeding: Have you had a hysteroscopy? Even two small fibroids if positioned in the uterine cavity can give you constant bleeding.

5.1k viewsReviewed >2 years ago

Dr. Marsha Davis agrees1 doctor agrees

A 19-year-old female asked:

I am having trouble tracking ovulation because i have irregular periods. i tried bbt but, mine changed a lot daily. am i doing something wrong?

Dr. D Elan Simckesanswered

34 years experience

Ovulation: It is very difficult to track ovulation when you have irregular periods as you are finding out. I don't think that a BBT is going to help you at all. ... Read More

5.2k viewsAnswered >2 years ago

A 29-year-old female asked:

For the past 3years i've had a bad yellowish discharge with bad odor. bn to 5 different docs. no std no pain. 1 partner for 9years.told it could b gen?

Dr. D Elan Simckesanswered

34 years experience

Yellow: I'm assuming that the doctors have done various cultures. Another possibility is what you're seeing is bleeding from the uterus. Have you had an ultra... Read More

4.9k viewsReviewed >2 years ago

A 18-year-old male asked:

Been have unprotected sex all week while fertile 4 days out the 5. i have sharp pain in chest and at times feel nauseus & stomach hurts. am i prego?

Dr. D Elan Simckesanswered

34 years experience

Pregnant?: No that's always a possibility… You symptoms are necessary specific for that. And so, once you are close to the day you expect your menstrual cycle go... Read More

4.1k viewsAnswered >2 years ago

A 34-year-old female asked:

During sonohyterogram dr found cervix to high to put catheter in, had to be pulled back down (ouch) could this be cause of infertility?

Dr. D Elan Simckesanswered

34 years experience

High cervix : Having your cervix very high in of itself is probably not an issue but it might be a clue. Have you had prior surgery. Had an ultrasound with some oth... Read More

5.2k viewsReviewed >2 years ago

A 25-year-old female asked:

My ovary size is 5.9cm* 2.4 cm on the 13th day of my cycle.is it normal?

Dr. D Elan Simckesanswered

34 years experience

Ovarian size: Asking about the size of her ovary is a little bit different and odd. The real issue is is there a follicle in that ovary. Since you are cycle day 13,... Read More

5.2k viewsAnswered >2 years ago

A 23-year-old female asked:

I had unprotected sex during ovulation and then a week after i started with my period which was not due until 10 more days. can i be pregnant?

Dr. D Elan Simckesanswered

34 years experience

Yes: There's no doubt that you could be pregnant. Please take proper precautions. If you'd like to contest early with a blood test. Call your doctor.

5.2k viewsAnswered >2 years ago

A 41-year-old member asked:

Which treatment do you recommend for fibroid tumors?

Dr. D Elan Simckesanswered

34 years experience

Fibroids: I really need to know what your ultimate goal is and whether or not they are bothering you. If you're finished having children and causing you signifi... Read More

5.2k viewsAnswered >2 years ago

A female asked:

Can changing birth control from tri-sprintec to tri-linyah throw my period off a few days?

Dr. D Elan Simckesanswered

34 years experience

Changing periods: Birth control pills although on paper may be very similar because of production differences can in fact have different biological responses. Anytime y... Read More

5.2k viewsAnswered >2 years ago

A 34-year-old member asked:

When after you ovulate do you have to wait to take a pregnancy test?

Dr. D Elan Simckesanswered

34 years experience

Pregnancy test: Great question. If you spend a couple extra dollars and by the higher and home pregnancy kits it actually have a positive pregnancy test detected two ... Read More

5.2k viewsReviewed >2 years ago

Dr. Donald Alves agrees1 doctor agrees

A 25-year-old male asked:

Am i become a father if my semen report is 32mil sperm count and motility is 20% ?

Dr. D Elan Simckesanswered

34 years experience

Yes: Yes you most definitely can become father with that kind of semen analysis. I say this because your sperm count is normal, and your motility is low. T... Read More

5.2k viewsReviewed >2 years ago

A 28-year-old female asked:

Im 28yrs of age with bmi of 22.clomid (clomiphene) didn't work for 3 cycles. is there hope for me to. conceive .we are trying to conceive for 10 months now..

Dr. D Elan Simckesanswered

34 years experience

Conception: Come on now… you cannot reach any conclusions based on feeling Clomid (clomiphene) for a few months. In order to get pregnant you must have sperm, hav... Read More

4.5k viewsAnswered >2 years ago

A 29-year-old female asked:

Since i'm ttc my periods have started to have a longer cycle is that normal coz i'm not stressed . wht could be the reason?

Dr. D Elan Simckesanswered

34 years experience

Menstrual cycles: Please explain what you mean by longer cycles. Is it longer from the first day of you. To the next first day of your period? Or are you having longer ... Read More

4.9k viewsAnswered >2 years ago

A member asked:

I've been having pain or discomfort in my left ovary since ovulation im now 5 to 6 dpo and sore nipple is there something wrong?

Dr. D Elan Simckesanswered

34 years experience

Symptoms: Very often after ovulation you can have pain in the ovary. Often it is caused by bleeding into the ovary. You can read about hemorrhagic corpus luteum... Read More

4.9k viewsAnswered >2 years ago

A 36-year-old female asked:

Is having a clear discharge a sign of early pregnacy? if so how soon after conception, is dicharge likely to occur?

Dr. D Elan Simckesanswered

34 years experience

Dischsrge: Actually the discharge of pregnancy is typically a very thin white discharge. It is called leukorrhea... Which literally means white discharge. I usua... Read More

5k viewsAnswered >2 years ago

A 20-year-old female asked:

I have pcos, and had a period 1 and half weeks ago and now i'm bleeding again where as before they were three months apart is this normal?

Dr. D Elan Simckesanswered

34 years experience

Bleeding: No, this is not normal. I believe that what you're experiencing is known as dysfunctional uterine bleeding. I like to perform an ultrasound on all pat... Read More

4.7k viewsAnswered >2 years ago

A 29-year-old female asked:

How many days can a conception date be off with a early 6 week transvaginal ultrasound?

Dr. D Elan Simckesanswered

34 years experience

Conception: If the quality of the imaging is good I do not believe that conception can be calculated and will be off by no more than three or four days at the ver... Read More

5k viewsAnswered >2 years ago

A female asked:

I took the next day pill and 9 days later i had a 3 day bloody discharge, is that my period?

Dr. D Elan Simckesanswered

34 years experience

period: I could be but may not be your period. The " morning after" pill will often cause irregular bleeding. Be sure to check for pregnancy a couple of weeks... Read More

3.8k viewsAnswered >2 years ago

A female asked:

Hello, i ha two early miscarriages. both happened in 5 weeks. my hcg levels were each time very low 6.5. please help me. why do i miscarry so early?

Dr. D Elan Simckesanswered

34 years experience

Miscarriage: I'm sorry to hear about your two losses. Even though most doctors will tell you you need to have three losses before you can start thinking that there... Read More

3.7k viewsAnswered >2 years ago

A 22-year-old female asked:

Ttc had spotting the day my period was due but period never start. could it been implantation? could i be pregnant?

Dr. D Elan Simckesanswered

34 years experience

Spotting: Yes of course. You could probably find out with just a home pregnancy test.

3.7k viewsAnswered >2 years ago

A 22-year-old female asked:

Been trying a few weeks to conceive, my breast are really tender &sore, a milky substance when we are intimate, are we pregnant? too soon to test?

Dr. D Elan Simckesanswered

34 years experience

Pregnant?: Well, if in fact you get your menstrual cycle And you're not pregnant then it is in fact time for you to see you doctor. There's some blood tests that... Read More

4k viewsAnswered >2 years ago

A 32-year-old female asked:

Hello i have done fet 4 days ago.i feel liitle twirling in my ovaries.have transfer 2 embryos.no other symptoms what does it means?

Dr. D Elan Simckesanswered

34 years experience

FET Feelings : Hello and good morning. I truly believe that this may be a very good sign. When embryos implant they begin to secrete hCG. HCG has a purpose other th... Read More

4k viewsAnswered >2 years ago

A 25-year-old female asked:

Is it possible that one may get pregnant if she did not notice sticky egg white discharge from cervix?and she has pcos also?

Dr. D Elan Simckesanswered

34 years experience

Absolutely… : Yes, absolutely it can happen. Women with PC OS, who may only ovulate three or four times a year if that… Can get pregnant with no signs of ovulation ... Read More

3.8k viewsAnswered >2 years ago

A 20-year-old female asked:

Can an ovarian cyst cause lower back pain(current) ? can a ovarian cyst cause a miscarriage (3yrs ago) ? diagnosed a week ago with ovarian cyst .

Dr. D Elan Simckesanswered

34 years experience

Ovarian cyst: Pain from the very insist would normally be filled in front and to one side or the other. However it is possible to have pain in the back from the cys... Read More

4k viewsAnswered >2 years ago

7 thanks

A 21-year-old female asked:

I've had a miscarriage how long will my bleeding last?

Dr. D Elan Simckesanswered

34 years experience

Sorry: I'm sorry, bleeding should not last more than 7 days. I always like to perform ultrasound a few weeks later to be sure all has passed.

4.5k viewsAnswered >2 years ago

A 28-year-old female asked:

Hi clomid (clomiphene) didn't work for me for two cycles. doc advises hmg injectables with next. whats the sucess rate and typical regimen for taking them. thanks?

Dr. D Elan Simckesanswered

34 years experience

What next?: Failure to conceive after two rounds of Clomid (clomiphene) is not necessarily a reason to move on to hmg. Were ultrasounds used during the Clomid (c... Read More

4.5k viewsAnswered >2 years ago

A 22-year-old female asked:

Hello i have a implant in my left hand. (protect from pregnancy) but implantation bleeding smell is really bad is it normal or no?

Dr. D Elan Simckesanswered

34 years experience

Odor: Time to go by the doctor and get a bacterial culture done of the vaginal discharge.

4.5k viewsAnswered >2 years ago

A 22-year-old female asked:

No period for 2 months almost 3 and 6 dark positive ovulation tests negative epts?

Dr. D Elan Simckesanswered

34 years experience

False positive ovulation prediction test: What you're describing cannot be explained by ovulatory dysfunction. In many cases of this, polycystic ovarian syndrome, the luteinizing hormone-lh is... Read More

4.5k viewsAnswered >2 years ago