40w LaterGuide

Whether you hope to become pregnant soon or sometime in the future, preparing in advance can help you make informed decisions about your health and pregnancy plans.

Before trying to conceive, consider discussing the following with your healthcare provider:

• Your reproductive plans, including when you hope to become pregnant and how many children you may want
• Any medical conditions you or your partner have
• Prescription medicines, over-the-counter medicines, or supplements you take
• Your personal and family history of genetic or inherited conditions
• Vaccinations and immunity that may be important before pregnancy
• Lifestyle factors such as smoking, alcohol use, nutrition, and physical activity
• Recent or planned travel that could involve infections relevant to pregnancy

Does age matter when planning pregnancy?

Fertility generally declines with age, particularly because both the number and quality of eggs decrease over time. The risk of chromosomal abnormalities and some pregnancy complications also increases with maternal age.

There is no single age at which these risks suddenly begin. If you plan to delay pregnancy or hope to have more than one child, discussing your reproductive timeline with a healthcare professional may help you make informed decisions.

Partner age and health can also affect fertility and some reproductive outcomes, although the effects are different from those associated with egg age.

Do you have a medical condition or take medication regularly?

Conditions such as diabetes, high blood pressure, thyroid disorders, epilepsy, autoimmune diseases, and other chronic conditions may require special planning before pregnancy.

If you take regular medication, do not stop it on your own. Some medicines can be continued during pregnancy, while others may need to be changed or adjusted before conception. Discuss your medications with a healthcare professional.

What about family history and genetic conditions?

If you or your partner has a genetic condition, or if there is a significant family history of an inherited disorder, genetic counseling may be helpful before pregnancy.

Depending on your history and local recommendations, carrier screening or other genetic testing may be offered before pregnancy. Tests performed during pregnancy are different and should be discussed separately with your healthcare provider.

Check your health before trying to conceive

Preconception care may also include reviewing vaccinations, managing existing health conditions, and taking folic acid before pregnancy. The recommended dose may vary depending on your medical history and local guidelines.

If you have recently traveled or plan to travel, check current health guidance for infections that may affect pregnancy. Recommendations for infections such as Zika can change over time and by region.

Preparing for pregnancy does not mean that every test is necessary for everyone. A preconception consultation can help you decide what is appropriate for your health and reproductive plans.