The Preconception Checkup

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checklistMany women wanting to get pregnant start by seeing if nature will take its course. Others, however, chose to maximize their chances of a healthy pregnancy by visiting a doctor to get advice before trying to conceive. This is especially important for anyone with medical problems. While it will not necessarily prevent infertility, it may give you an edge by removing some potential problems.

First of all, a doctor seeing you for a preconception checkup will ask you about your medical history. Do you have any medical problems, and are you taking any medication? One of the most important conditions is diabetes. Women with diabetes can have trouble getting pregnant as well as have a complicated pregnancy, labor, and delivery. Your diabetes needs to be under good control before you get pregnant.

Closely related to this is weight. If you are very overweight, it may make getting pregnant more difficult. You cannot diet during pregnancy. You have to eat enough for the baby. Your doctor might suggest that you try to lose weight first. You can also have problems if you are underweight, either because of an eating disorder or if you are an athlete who engages in large amounts of calorie-burning exercise. In these cases, you may not be ovulating.

The doctor will ask you about your periods. Are they regular? If they are regular and every 28 to 32 days (sometimes longer), you are probably ovulating. You may have already checked this with a urine fertility test. Or the doctor might want to check a progesterone level during the second half of your cycle. If you are ovulating regularly, you do not have one of the main causes of infertility.

Do you have any symptoms of a sexually transmitted disease, or have you had one in the past? Doctors are especially encouraged to screen women for infection with Chlamydia, which is very common. Both detection of any infection and treatment are extremely important.

If your periods are not regular and you have any medical problems that might be the cause, the doctor will want to try and improve your health and hopefully help your body ovulate regularly. This could include trying to get you to your ideal weight, treating diabetes, and evaluating you for any other disorder that can be treated, for example, abnormal thyroid hormone levels or polycystic ovary disease. Thyroid disease can be treated and thyroid levels maintained at a normal level. There are a number of medical treatments for polycystic ovary disease, some of which facilitate normal ovulation.

If you are taking medications, are they absolutely necessary? This is the time you should be asking this question. If they are necessary, are you taking the safest medication of its type, or would you be better off changing medication? Are your other medical problems under control? An example would be asthma. You must continue a medical regimen if you have bad asthma. You should not stop prescription inhalers or any other asthma medicine without discussing it with a doctor. While you may need your asthma medicine, there might be hay fever medication you want to stop using during this time.

If you are taking birth control pills, you obviously must stop them. Some say that you need to wait a number of months before trying to get pregnant, using an alternative form of birth control,
like a diaphragm or condoms. That may not be necessary.

This checkup would also be a good time for your doctor to make sure you are having intercourse in the best way to maximize your chances of getting pregnant. He or she will also tell you to stop drinking coffee and caffeinated drinks. Caffeine has been shown to lower fertility in both men and women, so you should also have your partner give up the caffeine. Cigarette smoke may decrease your fertility as well, so you should stop smoking. You should try not to drink alcohol, which also is dangerous to a fetus, and you should not use street drugs.

You do want to start folic acid immediately, 400 mg a day. This protects against something called neural tube defects in fetuses. These are potentially catastrophic problems with a baby’s spinal cord and/or brain. You need to have sufficient folic acid in your system from day one of your pregnancy, which you can only achieve by taking it as soon as you start trying to get pregnant.

If you need any vaccines, from the Tdap shot (tetanus, pertussis, and diphtheria) and MMR (measles, mumps, and German measles) to seasonal influenza protection, you should get them as soon as possible. They will help protect you and the baby. German measles can cause serious problems for a fetus. Influenza can be dangerous for you when you are pregnant, as well as to an infant. Getting vaccinated will help avoid those problems.

Your doctor might also suggest you stay away from areas where you might catch illnesses that can be passed through the placenta should you become pregnant. This would include your cat’s litter box, if you have a cat. Cats carry toxoplasmosis, which you can get. It isn’t a serious illness, but can cause serious problems for the fetus if you are pregnant.

Visiting the doctor, getting advice, and then following it may help you get pregnant more quickly, as well as help ensure a healthy pregnancy and baby. You might want to ask your partner to see his doctor too. There are a few things he can do as well, like giving up caffeine.

What do you think? The Preconception Checkup

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68 comments

  1. Avatar of heelsandsass heelsandsass says:

    I did not see a doctor until i a almost 9 weeks along and I didnt see one before pregnancy

  2. Avatar of Jessica Jessica says:

    i havent seen a doctor until i wasw 27 weeks

  3. Avatar of Kelly Kelly says:

    I did not see a dr before I became pregnant, I didnt see a dr untl I was almost 10 weeks along

  4. Avatar of lauren lauren says:

    I did not really start going to the doctor until after I became pregnant. It has been very comforting though to have such medical support.

  5. Avatar of demetrues demetrues says:

    i always hated going to my dr. she had no personality at all but i enjoy every bit of being pregnate

  6. Avatar of demetrues demetrues says:

    It took me a long time to get pregnant but i enjoy every bit of it

  7. Avatar of Cassie Cassie says:

    I hated going to the doctors I always had a bubble I didnt want people touching me my mother was always like Howd you even get pregnant

  8. Avatar of mommy nhoj mommy nhoj says:

    I started on taking folic acid a month before we got married. I got pregnant 2 months after. I didn’t see an OB until my period got delayed for 4 days. Moving forward (and very timing since we recently migrated), WE will have a preconception check up since I had high-risk pregnancy then.

  9. No I have not been to a doctor before getting pregnant but, I stay healthy and have not had any issues.

  10. I talked to my doctor because I was having problems getting pregnant. After the appointment I took all the advise and got pregnant the next month!

  11. Avatar of Marilyn Marilyn says:

    It took me a long time to get pregnant. Once I cleaned up and got healthy, I got preggers quick.

  12. I have never had trouble getting pregnant though I did have a premature my second child

  13. Avatar of jessica jessica says:

    I was always told that i couldn’t have any children because I had cancer and the medication that they gave me, mast up my insides. Now i have a beautiful 2 1/2 month old baby girl.

  14. mm I might have to ask for him to leave caffeine

  15. Avatar of leena leena says:

    very informative

  16. Avatar of kimberly2014 kimberly2014 says:

    I never knew you was supposed to have that much folic acid.

  17. Avatar of EbyMom EbyMom says:

    I enjoyed this article but my concern is about the husband giving up caffeine. is it the one from coffee.

  18. Avatar of NEHA NEHA says:

    This article focuses especially on mother’s inner environment to bring a healthy baby.A good article

  19. This article sheds light on seeing the doctor before you actually try to have a new addition, because it would be wise choose since some medical problems run in families, and everyone needs the possibilities addressed.This article gives good advice about doing what you can for your self.

  20. Before Getting pregnant, the article tells of many situations that are not associated with healthy baby development. See a doctor before you begin the to attempt pregnancy, so he can rule out problems and run some tests.

  21. Avatar of Liz Liz says:

    this was a good article

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