Locations
Fertility Partnership
St. Peter's, MO
My office hours
Thursday: 830am - 400pm
Show morePhone
Practice website
Insurances accepted
Aetna
Blue Cross Blue Shield of Missouri
Anthem BC Life & Health Insurance Company
Blue Cross Blue Shield of Illinois
CIGNA Health Care
Tricare
About
Bio
I am a physician who practices fertility medicine in the St. Louis and St. Charles area. if you would like more information about me just visit our website at www.fertilitypartnership.com . I absolutely love what I do and I'm proud to be helping people fulfill their dreams of building a family.
SpecialtiesDoctors 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.
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.
Fertility Medicine
Licenses
United States: Missouri
Doctor Q&A
137 Answers
34 Agrees
The number of answers this doctor has agreed with.
A 43-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Discharge: No, what is happening is this mucus is there to help the sperm get to the to where it can find the egg. You should not get you. For approximately 2 we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Breast tender: Breast tenderness can have several causes but it usually is related to Progesterone levels. In early pregnancy they hurt but also in the latter half o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Cyst: It depends on what type of cyst. If it is secreting hormones then probably not.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 42-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Cramping postmenopau: If i understand correctly you are a 42-year-old woman in early menopause with cramping and with known fibroid tumors. This phenomenon is easily explai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Ovulation: Generally speaking of follicle is able to rupture and emit the eighth at approximately 18 mm or greater. Nature is funny and full of variability and s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Discharge: During your ovulation you're supposed to have that clear sticky transparent mucus which is indicative of ovulation. Condoms are very effective in prev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Ovulatipn: I think anything is possible, just about. It would mean that the "looking face" is extremely short and she is making very little or no progesterone. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Pregnant?: Come on now… of course you could be and in fact by this time and over-the-counter pregnancy test would likely be positive. You don't have to buy the m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Mittleshmertz: Ovulatory pain can vary from person to person. Roughly half the population of women don't even feel it. When i hear about pressure on the anus I do ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Depo: Depo Provera (medroxyprogesterone) can really mess up your ovulation and therefore mess up your menstrual cycles. The kind of mucus. You get when you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Weight loss: I'm sorry but I do not connect those dots. I wouldn't do a glucose tolerance test at 12 weeks… not sure how to interpret it. If you think you're diabe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Diarrhea in pregnanc: Diarrhea is common at any time for many many reasons. One question is whether or not you had antibiotics during your cold and then the question of dia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Yes: It is possible for you to ovulate even if your periods are light. The fact that you periods are very light is a different issue and needs to be addres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Alcohol: What really matters is not when the pregnancy was confirmed but how far along you are. You need to have an ultrasound to confirm your gestational age.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. D Elan Simckesanswered
35 years experience
Sperm death: Well, this is got to be one of the more unusual questions here. I'm wondering in what context you want to know. Sperm, like any living tissue requires... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Bleeding : Usually not. Have you had fertility treatments? Has mid cycle spotting occurred before?
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years agoMerged
A 22-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Pcos: It is very likely. You need an ultrasound to confirm according to the criteria.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Bleeding: I guess my first question is if you're bleeding has changed? How old are you? You have any other associated symptoms such as pelvic pain in her lower ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Slimming: Well i'm not sure iftaking a pill is the best way to go about losing weight. Lifestyle change has got to be a part of the plan. In my practice i in fa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Sperm: Sperm have been known to survive in human fallopian tubes for up to 96 hours-that is four days. Implantation bleeding is when the embryo is digesting... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Painful lump: Let's face it… somebody made a big hole in your abdomen lol. The healing time for people and very but typically i tell patients that you'll know that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Prometrium (micronized progesterone): I'm a bit unsure of what you are asking. Are you taking Prometrium (micronized progesterone) every day without a break? If so, why? Are you in menopau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Ovulation: Great question. The only way to know for sure that your ovulating is that you get pregnant. Any and everything else is nothing but circumstantial evid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Pubalgia: Have a number of questions... Did you have a c-section or vaginal delivery? Was it a long hard labor? Are you an athlete and if so what do you do ques... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Fertility doctor: Guess what? You are looking at him.
http://www.thedailybeast.com/newsweek/2010/07/20/should-ivf-be-affordable-for-all.html
that's an article the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Labia: The color of the labia menorah are typically think but the edges can have brownish discoloration. More concerning is swelling. Is there any irritation... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Irregular bleeding: Well, if you are trying to conceive it is possible that the spotting is implantation bleeding. In a few more days you will be able to do a pregnancy t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Depot: The best answer i can give you to your question about depot Provera (medroxyprogesterone) is that no it will not be affected by antibiotics. Taking bi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Breast tender: For breast tenderness could easily be a result of your birth control pills. It usually will go away on its own after some time. Always ask yourself if... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Sperm: That is a bit low but not terrible. If the other qualities are normal meaning concentration and morphology i would not worry. And i would check it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Spread: I have not heard this nor if i read it. I think if it helps you and make you feel better then you should continue doing it. If it makes it worse than ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old female asked:
Lower abdominal cramps wit backache n around my hips (mild pain) am i ovulating period was 10/26/13?
Dr. D Elan Simckesanswered
35 years experience
Pain: You've asked an interesting question. There a few ways to try to figure out if you're ovulating. Of course pregnancies the only way to know for sure. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. D Elan Simckesanswered
35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. D Elan Simckesanswered
35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Odor: Time to go by the doctor and get a bacterial culture done of the vaginal discharge.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Implantation bleeding…: Four days is a bit early for implantation bleeding but not impossible. We see it sometimes when we put in advanced embryos. Normally implantation blee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. D Elan Simckesanswered
35 years experience
Sperm: Human sperm need ideal conditions to survive. Sperm have been documented to survive in the fallopian tube up to 96 hours or four days. Outside the bod... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Yes: The answer is yes. Endometriosis does not typically interfere with ovulation. There is a question about a quality or perhaps the ability of the sperm ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Smell: Lol, i know that i couldn't but you probably kencench you know your own body. A woman's menstrual flow can have a particular order and it would theref... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Ovulation on CC: Now this is a pet peeve of mine. Doctors give Clomid (clomiphene) and do not follow the patients. In order to use this drug correctly one must be foll... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
And timing: If the ity was timed correctly then you should get your menstrual cycle roughly 14 days afterwards. If you are not pregnant that is to say.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. D Elan Simckesanswered
35 years experience
Conception: Under naturals conditions implantation takes place proximally seven or eight days after conception. From that point on implantation bleeding can occur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old male asked:
Dr. D Elan Simckesanswered
35 years experience
Normal sperm: 4% of this world is normal based on what criteria? If you are using the World Health Organization criteria than 4% is indeed abnormal since you were r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Hcgs trigger: No fears, Hcg is only very rarely used during frozen embryo transfer cycles.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Pregnant?: Of course. You could always be pregnant. Perhaps have a blood level drawn.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Ovulation: That is a very good question. As you know, many people begin ovulating while they are lactating. That is what people infected pregnant while breast-fe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
What hormone?: I'm sorry… i wish i could answer your question. What hormone are you referring to when you say it has 114? Is it estradiol? Is it hcg? Something else?
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Libido: That this is very common complaint. There can be any number of easy to fix factors. Typically, i find it a complicated situation with many factors. Ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Clomid (clomiphene): This question is very difficult to answer. Personally I do not like using more than 100 mg of Clomid (clomiphene) almost under any circumstance. How d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. D Elan Simckesanswered
35 years experience
Hcgs : I know this seems confusing to you. First let me say that it is unlikely that were going to have a successful ongoing pregnancy but never say never. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
227
Thank you notes
May 19, 2013
Dr Simckes is providing a valuable service to the public on Healthtap. I recommend Dr. Simckes.
HealthTap member
Mar 30, 2015
Dr. Simckes is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Simckes is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! If a hysteroscopy is different from a endometrial biopsy then no I've never had one. I will most definitely ask about it. THANK YOU :-)
HealthTap member
Thanks for your quick reply! I had a doc appt on may 8th for a blood draw it was negative, I have another appointment June 11. Yes they were regular before mirena
HealthTap member
Thank you, your answer or tip was very helpful! Will definitely get a test for pregnancy and make a doctors appointment. Thank you very much.
Education & Training
Medical/Graduate school
The Hebrew University, Hadassah Medical School, Israel
Graduated 1988MD
Residency
State University of New York
Completed 1993
Awards
Excellence in Teaching
Best teacher award SUNY
Top Reproductive Endocrinologist, First Place, Missouri - Winter
2013
Affiliations
ASRM, ACOG,AAGL
Society of Reproductive Surgeons
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
