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Preconception Evaluation: 5 Essential Steps Before Pregnancy

By Nicole Arencibia, A.P.R.N.


W hen planning for pregnancy, preparation is key. A preconception evaluation is like a wellness check before embarking on one of life’s most exciting journeys—parenthood. It helps assess your fertility, identify potential health concerns, and ensure your body is in the best shape for conception.

By taking proactive steps before trying to conceive, you can increase your chances of a healthy pregnancy and improve overall reproductive health. Here are five essential things you should do before attempting to get pregnant.

1. Hormone Testing: Understanding Your Fertility

Hormones play a crucial role in ovulation and reproductive health. Checking specific hormone levels can provide insight into your ovarian reserve and overall fertility.

Some key hormones to test include:

  • AMH (Anti-Müllerian Hormone): Indicates ovarian reserve and egg supply.
  • FSH (Follicle-Stimulating Hormone): Helps regulate the menstrual cycle and egg production.
  • TSH (Thyroid-Stimulating Hormone): Essential for metabolism and hormone balance.
  • Prolactin: High levels can interfere with ovulation and fertility.

By assessing these hormone levels, your fertility specialist can identify any imbalances that may need to be addressed before conception.

2. Checking Nutrient & Vitamin Levels

Proper nutrition plays a vital role in fertility and pregnancy health. Deficiencies in key vitamins and minerals can impact ovulation and fetal development. Some important nutrients to check include:

  • Folate (Folic Acid): Reduces the risk of neural tube defects in babies.
  • Vitamin D: Supports immune function and reproductive health.
  • Iron: Prevents anemia, which can affect energy levels and pregnancy outcomes.

A blood test can determine if you have any deficiencies, allowing you to adjust your diet or take supplements as needed.

3. Reproductive Health Screening

A pelvic ultrasound is a valuable tool to assess reproductive health before pregnancy. This non-invasive imaging test can detect potential issues such as:

  • Uterine fibroids – Noncancerous growths that can affect implantation.
  • Ovarian cysts – Fluid-filled sacs that may impact ovulation.
  • Endometrial health – Ensures the uterine lining is ready for implantation.

Early detection of reproductive conditions allows for treatment options that can improve fertility outcomes.

4. Genetic Carrier Screening

Genetic screening is a simple blood test for both partners that helps identify if you carry genes for inherited conditions such as:

  • Cystic fibrosis
  • Sickle cell anemia
  • Tay-Sachs disease
  • Thalassemia

If both partners are carriers of the same genetic condition, you may have a higher risk of passing it on to your child. Genetic counseling can help explore options such as IVF with genetic screening to ensure a healthy pregnancy.

5. General Health & Lifestyle Optimization

Your overall health plays a significant role in fertility. Before conceiving, consider the following lifestyle factors:

  • Blood pressure & weight: Maintaining a healthy BMI can improve fertility.
  • Stress levels: High stress can affect hormone balance and ovulation.
  • Sleep quality: Poor sleep impacts reproductive hormones.
  • Toxin exposure: Reducing alcohol, smoking, and processed foods enhances fertility.

Making small but impactful lifestyle changes before pregnancy can improve both conception chances and pregnancy health.

Start Your Fertility Journey with Expert Guidance

Success in conception starts with preparation. By addressing these five key areas—hormones, nutrition, reproductive health, genetics, and lifestyle—you can optimize your body for a healthy pregnancy.

At Fertility Center of Miami, we are here to guide you every step of the way. Whether you need a fertility assessment, genetic screening, or lifestyle recommendations, our team of experts is ready to help.

Schedule a consultation today and take the first step toward parenthood with confidence! Make an Appointment

To watch more informative videos on reproductive health visit our Instagram page or click here.

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