What Is Preconception Counselling?
Preconception counselling is a consultation that takes place before you fall pregnant. Dr Makanda reviews your medical history, anything you’re currently taking, previous pregnancies and your family history, then looks at what could be adjusted to support a healthy pregnancy.
Long-term conditions, such as diabetes or high blood pressure, are far easier to manage when they are stable before conception.
The visit covers practical steps too. Starting a folic acid supplement at least a month before you try to conceive is one of the most common recommendations. It is also a good moment to check that your vaccinations are up to date and that a recent cervical screening is on record.
When Should You Consider A Fertility Assessment?
Most couples conceive within a year of regular, unprotected intercourse. It may be worth booking an assessment if:
- You are under 35 and have been trying for 12 months
- You are 35 or older and have been trying for six months
- Your periods are irregular or absent
- You have had two or more miscarriages
- You have been diagnosed with endometriosis or fibroids
Partners are welcome at the consultation, and a semen analysis is often part of the picture.
What Happens During The Assessment?
The first appointment focuses on your history: your cycle, how long you have been trying, previous pregnancies and your general health. A pelvic examination and ultrasound follow, checking the uterus and ovaries for problems such as fibroids or cysts.
Blood tests are usually timed to specific days of your cycle to measure hormone levels and estimate your egg reserve. Depending on these results, a test to check whether the fallopian tubes are open may be arranged.
What Happens Once Your Results Are In?
Results are discussed at a follow-up visit. Sometimes the answer is reassurance and a little more time. In other cases, the next step is treating an underlying condition or a referral to a fertility clinic. No assessment can promise a pregnancy, but it can replace guesswork with useful information.
If you are planning or unsure how long is too long, contact the practice. Once you are pregnant, the next stage is antenatal care.