Women's Health Texas – San Antonio

10 Things You Should Know About Preconception Checkups

10 Things You Should Know About Preconception Checkups

Thinking about having a baby? It is an exciting time, and while you might be mentally ready to get pregnant, it is important to make sure your body is ready for pregnancy. An essential first step in your journey to having a baby is taking care of your future pregnancy with a preconception checkup. According to The American College of Obstetricians and Gynecologists (ACOG), the goal of a preconception checkup is to find things that could affect your pregnancy. Identifying these factors before pregnancy allows you to take steps that can increase the chances of having a healthy pregnancy and a healthy baby.

To make your pre-conception checkup as smooth as possible Women’s Health Texas wants you to know what to expect when going into your first preconception checkup. Here are 10 topics you and your doctor will discuss during your appointment.

  • Review your gynecologic history. If you are on birth control, your doctor will guide you through getting off your birth control, and how long the effects will last. Your provider will also ask about your menstrual cycle and how to determine the best time to conceive.


  • If you experienced problems in earlier pregnancies, it is important to disclose that to your practitioner. If you have experienced preterm birth, high blood pressure, preeclampsia, or gestational diabetes, you may have an increased risk of the same complications in subsequent pregnancies.


  • Review prescription and over-the-counter medications, supplements, and herbal remedies. Give your doctor the full list of supplements, multivitamins, or herbal remedies you use. This way you can be advised how those medications might affect you while trying to get pregnant.


  • Review family history. Your doctor will want to go over all aspects of your family’s health history, so dig deep into your family tree. Genetic conditions could complicate a pregnancy, therefore your obstetrician may refer you to a genetic counselor for consultation.


  • Your doctor will also ask you to take a few tests. You’ll need a blood test to check your hemoglobin count, vitamin D level, and to test for a variety of other factors. A urine test will be needed to check for any kidney problems or urinary tract infections.


  • Screen for mental health issues. Depression and anxiety, for example, can be affected by the hormonal changes that occur during pregnancy. As with any medication, those used to treat these conditions may affect your fetus, so a treatment plan should be established in coordination with your mental health care provider.


  • Your travel history is also important to note. If you have lived in or traveled to an area where possible diseases could be introduced to your body, like Zika, your doctor will counsel you about the best conception plan, including whether you should wait before trying to conceive.


  • Evaluate vaccine history. Some immunizations are unsafe to receive during pregnancy. Your doctor will review your vaccine history to confirm you are protected against tetanus-diphtheria toxoid/diphtheria-tetanus-pertussis; measles, mumps, and rubella; and varicella.


  • Screen for infectious diseases, especially sexually transmitted infections. Some infections, like chlamydia and gonorrhea, can hinder your ability to conceive and may harm both you and your fetus during pregnancy.


  • Be prepared to be asked about your lifestyle, such as what you eat and whether you drink or smoke. You and your doctor will discuss ways to boost your fertility through possible diet and lifestyle changes. If you are over or underweight, now is the time to ensure you are eating a well-balanced diet and drinking plenty of water. Your doctor will educate you on foods to avoid, such as fish that may contain mercury, as well as nutrient-rich foods, like vegetables, you may need to add to your diet.

This is an exciting time for you and your growing family. A preconception visit is the best time to talk to your doctor. Our devoted providers at Women’s Health Texas are here to discuss any problems or concerns you may have on your pregnancy journey. If you are looking for an ObGyn, check out our providers page to learn about all our doctors, and who might be the perfect match for you.