U.S. doctors online nowAsk doctors free

Dr. D Elan Simckes

Fertility Medicine
St. Peter's, MO
34 years experience male

Locations

Fertility Partnership

St. Peter's, MO

Address

5401 Veterans Memorial Pkwy., St. Peter's, MO, US
Directions

My office hours

Wednesday: 800am - 400pm
Show more

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.

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.

Fertility Medicine

Licenses

United States: Missouri

Doctor Q&A

137 Answers
34 Agrees
The number of answers this doctor has agreed with.
A 28-year-old female asked:
Dr. D Elan Simckes
34 years experience
Surgery and wt: Generally speaking there should be no connection between weight loss and surgery. Most people put on three or 4 pounds in the first 23 days after surg... Read More
A 39-year-old member asked:
Dr. D Elan Simckes
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
A 23-year-old female asked:
Dr. D Elan Simckes
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
A 36-year-old member asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
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
A 28-year-old female asked:
Dr. D Elan Simckes
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
A 28-year-old female asked:
Dr. D Elan Simckes
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
A 17-year-old female asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
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
A 25-year-old female asked:
Dr. D Elan Simckes
34 years experience
Hope: Sperm have been found to survive up to four days in the fallopian tubes. There's always hope.
A 26-year-old female asked:
Dr. D Elan Simckes
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
A 20-year-old female asked:
Dr. D Elan Simckes
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
A 16-year-old female asked:
Dr. D Elan Simckes
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
A 24-year-old female asked:
Dr. D Elan Simckes
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?
A 21-year-old female asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
34 years experience
Stimulation: Under these conditions i recommend a " posted" cycle whee we add gonadotropins that is the injectable medications.
A 20-year-old female asked:
Dr. D Elan Simckes
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
A 33-year-old female asked:
Dr. D Elan Simckes
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
A 36-year-old female asked:
Dr. D Elan Simckes
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
A 24-year-old female asked:
Dr. D Elan Simckes
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
A 36-year-old female asked:
Dr. D Elan Simckes
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
A 18-year-old female asked:
Dr. D Elan Simckes
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
A 36-year-old female asked:
Dr. D Elan Simckes
34 years experience
Bleeding: Have you had a hysteroscopy? Even two small fibroids if positioned in the uterine cavity can give you constant bleeding.
A 19-year-old female asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
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
A 18-year-old male asked:
Dr. D Elan Simckes
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
A 34-year-old female asked:
Dr. D Elan Simckes
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
A 25-year-old female asked:
Dr. D Elan Simckes
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
A 23-year-old female asked:
Dr. D Elan Simckes
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.
A 41-year-old member asked:
Dr. D Elan Simckes
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
A female asked:
Dr. D Elan Simckes
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
A 34-year-old member asked:
Dr. D Elan Simckes
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
A 25-year-old male asked:
Dr. D Elan Simckes
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
A 28-year-old female asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
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
A member asked:
Dr. D Elan Simckes
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
A 36-year-old female asked:
Dr. D Elan Simckes
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
A 20-year-old female asked:
Dr. D Elan Simckes
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
A 29-year-old female asked:
Dr. D Elan Simckes
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
A female asked:
Dr. D Elan Simckes
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
A female asked:
Dr. D Elan Simckes
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
A 22-year-old female asked:
Dr. D Elan Simckes
34 years experience
Spotting: Yes of course. You could probably find out with just a home pregnancy test.
A 22-year-old female asked:
Dr. D Elan Simckes
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
A 32-year-old female asked:
Dr. D Elan Simckes
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
A 25-year-old female asked:
Dr. D Elan Simckes
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
A 20-year-old female asked:
Dr. D Elan Simckes
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
A 21-year-old female asked:
Dr. D Elan Simckes
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.
A 28-year-old female asked:
Dr. D Elan Simckes
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
A 22-year-old female asked:
Dr. D Elan Simckes
34 years experience
Odor: Time to go by the doctor and get a bacterial culture done of the vaginal discharge.
A 22-year-old female asked:
Dr. D Elan Simckes
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

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
226
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