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Our Care

Preconception Counseling

Review your health and make a practical plan for a future pregnancy.

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Before you start trying

You do not have to be pregnant to start thinking about pregnancy care. A preconception visit looks at your health now and the questions that could affect a future pregnancy.

It is also a chance to talk about your timeline, past experiences and anything that makes planning feel complicated.

Reviewing your health

Discuss ongoing conditions, previous pregnancies, mental health and medications, including vitamins and herbal products. Your provider may review vaccinations and recommend steps to address health concerns before conception.

Share relevant family history and any known inherited conditions. Ask whether genetic counseling or carrier screening would be useful.

Everyday preparation

Topics may include nutrition, folic acid, physical activity, alcohol, tobacco and exposures at home or work. Ask which changes are most relevant to you and what support would make them manageable. Folic acid is important before and early in pregnancy; your provider can advise on a suitable supplement for your circumstances.

Your reproductive history and goals

Mention irregular periods, prior pregnancy losses or complications, and any difficulty conceiving. If you use contraception, ask how and when to stop it. You can also discuss when a fertility consultation would be appropriate.

What to bring

Bring medication names and doses, vaccination information if available, and records from previous pregnancies or specialist care. A short list of questions can help focus the visit:

  • Is there anything to address before trying?
  • Do any medicines need a planned change?
  • Which supplements are appropriate for me?
  • When should I contact the office after a positive test?

Leaving with a plan

Leave with a clear order of next steps, including any follow-up needed before trying. The plan should reflect your health, priorities and timeline.

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Common questions

When should I arrange a preconception visit?

Before you start trying, if possible. This leaves time to discuss health conditions, medications and any recommended preparation. You can still ask for advice if you have already started trying.

Should I stop my medication before pregnancy?

Do not stop prescribed medication on your own. Review all medicines and supplements with your provider so any changes can be planned while keeping your health condition managed.

Is preconception counseling the same as fertility testing?

No. Preconception counseling focuses on preparing for pregnancy. A fertility evaluation investigates difficulty becoming pregnant; your history may suggest discussing both.