Why plan before you try
Many important things happen in the first few weeks of pregnancy, often before a test turns positive. The baby's brain and spinal cord start forming in the first month. Some infections and vitamin gaps are easiest to prevent before conception, not after. A pre-pregnancy visit gives you time to fix these quietly and calmly.
Common pre-pregnancy checks
Dr. Prachi has short videos on the thalassemia test, rubella immunity and folic acid, three checks she feels every couple should know about.
Folic acid: start early
Folic acid lowers the risk of neural tube defects such as spina bifida. The protection matters most in the first few weeks after conception, so it should be started before you begin trying, at the dose your doctor advises. Women with diabetes, epilepsy, a high BMI or a previous affected pregnancy may need a higher dose.
Habits for both partners
- Stop smoking and avoid alcohol while trying to conceive.
- Keep caffeine moderate, around two cups of tea or coffee a day.
- Aim for a healthy weight; both very high and very low weight affect fertility.
- Review any regular medicines with your doctor before trying.
- Sleep well and find simple ways to manage stress.
If you have a medical condition
Women with thyroid disease, diabetes, high blood pressure, epilepsy or autoimmune conditions benefit most from planning. Medicines may need to be changed to ones that are safer in pregnancy, and the condition should be well controlled before conception. Dr. Prachi works with your physician where needed.
Questions couples ask
How long before trying should we come in?
Around three months before is ideal. It leaves time for tests, vaccines and starting folic acid.
Does my husband need any tests?
Yes. The thalassemia screen is needed for both partners, and lifestyle changes help sperm health too.
I had the MMR vaccine as a child. Do I still need a rubella test?
It is still worth checking. Immunity can be low in some adults, and the test is simple.
Do we need a pre-pregnancy check if we are young and healthy?
It is still helpful. Thalassemia carrier status and rubella immunity cannot be known without testing, whatever your age.
This page gives general information only. Dr. Prachi will advise on what suits you after reviewing your history and reports.
Medically reviewed by Dr. Prachi Benara, MS, DNB, MRCOG (London). Last updated October 2026.