Preconceptional Counselling
At Eva IVF & Women’s Centre, we believe that a healthy pregnancy starts long before conception. Preconceptional Counselling is a crucial step for couples planning to conceive, ensuring both partners are in the best possible health before pregnancy.
This guide is specifically for couples and individuals considering preconceptional counselling. We’ll walk you through the process, recommended tests, lifestyle modifications, and post-counselling steps to help you achieve a smooth and healthy pregnancy.
What is Preconceptional Counselling and Who Needs It?
Preconceptional Counselling is a comprehensive health assessment and guidance session that helps identify and manage any medical, genetic, or lifestyle factors that could affect pregnancy.
Who Should Consider Preconceptional Counselling?
✔ Couples trying to conceive naturally or through fertility treatments
✔ Women with existing medical conditions (diabetes, hypertension, thyroid disorders, PCOS, obesity, etc.)
✔ Couples with a history of infertility or recurrent miscarriages
✔ Women over 35 planning pregnancy (higher risk of complications)
✔ Couples with genetic disorders or family history of inherited conditions
✔ Women who have experienced previous high-risk pregnancies
💡 Preconceptional counselling helps prevent complications, ensuring a smooth and healthy pregnancy.
Step-by-Step Preconceptional Counselling Process
1. Initial Consultation & Medical History Review
✔ Evaluation of existing health conditions and medications that may affect pregnancy.
2. Preconception Health Screening & Tests
✔ Hormonal Blood Tests (Day 2-3 of Menstrual Cycle)
• Anti-Müllerian Hormone (AMH) – Assesses ovarian reserve
• Follicle-Stimulating Hormone (FSH) – Ovarian function
• Luteinizing Hormone (LH) – Regulates ovulation
• Thyroid-Stimulating Hormone (TSH) – Ensures proper thyroid function
• Prolactin – High levels may affect ovulation
✔ Complete Blood Count (CBC) – Detects anemia or infections
✔ Blood Sugar & HbA1c – Screens for diabetes risks
✔ TORCH Screening – Checks for infections (Toxoplasmosis, Rubella, Cytomegalovirus, Herpes)
✔ Vitamin D & Folic Acid Levels – Ensures adequate nutrients for pregnancy
📌 For Men:
✔ Semen Analysis – Evaluates sperm count, motility, and morphology
✔ Hormone Tests (If Needed) – Checks testosterone, FSH, LH levels
✔ Genetic Screening (If Needed) – Assesses risk of inherited conditions
💡 Identifying and treating any abnormalities before conception improves pregnancy outcomes.
3. Lifestyle & Nutrition Guidance
✔ Exercise Recommendations – Moderate physical activity to maintain a healthy BMI
✔ Managing Weight Issues – Addressing obesity or underweight conditions
✔ Eliminating Harmful Habits – Stopping smoking, alcohol, and excessive caffeine
✔ Managing Stress & Mental Health – Yoga, meditation, and counseling if needed
💡 Women should start taking folic acid supplements at least 3 months before conception to prevent birth defects.
4. Preconception Vaccination & Medication Review
✔ Flu & COVID-19 Vaccination – Reduces pregnancy risks from viral infections
✔ Review of Current Medications – Some drugs may need to be adjusted before conception
✔ Supplements for Better Reproductive Health – Folic acid, vitamin D, iron, and omega-3
💡 Some vaccines should be taken at least one month before pregnancy for effectiveness.
Post-Counselling Recommendations – What’s Next?
✔ If tests are normal: Couples can proceed with conception naturally.
✔ If minor issues are detected: Dietary changes, supplements, and lifestyle modifications are advised.
✔ If fertility concerns arise: Ovulation tracking, IUI, or IVF may be recommended.
✔ Follow-up visits: Regular check-ups ensure the best pregnancy outcome.
💡 A well-planned preconception period leads to a lower risk of complications and a healthier pregnancy.
Benefits of Preconceptional Counselling
🌟 Identifies & Treats Health Conditions Before Pregnancy
🌟 Reduces Risks of Birth Defects & Pregnancy Complications
🌟 Optimizes Fertility for a Faster & Healthier Conception
🌟 Provides a Clear Plan for a Smooth Pregnancy Journey