As an OBGYN, I'm passionate about preconception care, yet I'm often surprised how many people don't know these visits exist or are turned away when trying to schedule one. Let's talk about why these appointments are crucial and what actually happens during them.
First, Let's Clear Something Up
If an office tells you they "don't do preconception visits," that's a red flag. Both the American College of Obstetricians and Gynecologists (ACOG) and the American Society for Reproductive Medicine (ASRM) strongly support these appointments. Why? Because preconception care helps reduce health risks for both you and your future baby by addressing modifiable risk factors before pregnancy begins.
What Actually Happens at This Appointment?
Your preconception visit should be comprehensive and thorough. We'll start by reviewing your complete medical history, including any existing conditions, medications you're taking, and previous surgeries. We'll also discuss your family history, particularly any genetic conditions that might run in your family. This is also the time to have an open conversation about lifestyle factors that could affect pregnancy.
The physical examination is another crucial component. Beyond a standard physical, we'll perform a pelvic exam, breast exam, and check your thyroid - all important baseline assessments before pregnancy.
Understanding the Testing
Laboratory testing is a key part of preconception care, though it might seem extensive. We'll check your blood count and type, screen for diabetes, and assess your vitamin D and iron levels. We'll also look at your thyroid function and verify your immunity to certain diseases. Some of these vaccines, like chickenpox, can't be given during pregnancy, so this is our chance to update them if needed.
If you're interested, we can also discuss genetic carrier screening. This testing helps identify if you carry any genetic conditions that could affect your future baby, especially if your partner carries the same genes.
Why This Matters
Think of this visit as laying the foundation for a healthy pregnancy. By identifying and addressing any potential concerns before conception, we can optimize your health for pregnancy. This isn't about finding problems - it's about ensuring you're starting your pregnancy journey with the best possible foundation for success.
A Personal Note
If you're planning for pregnancy and taking the time to schedule a preconception visit, give yourself a high five. You're taking a proactive step that many people skip, and it can make a real difference in your pregnancy journey. Don't let anyone dismiss the importance of this care - you're doing exactly what the leading medical organizations recommend.
Remember: The goal isn't to overwhelm you with tests and information, but to ensure you're starting your pregnancy journey with confidence and knowledge. These appointments are about empowering you with information and addressing your specific needs and concerns before pregnancy begins.
