Pre-conception counseling for couples- By Dr Anupama Santosh

If you are planning to conceive in 2024- how to go about it?
Pre- conception counselling
Pre conception counselling is a visit to your doctor for a basic assessment of the couple who are planning to conceive. This evaluation is to make sure your in your best health for a healthy pregnancy and a healthy baby.
• Review of Medical History: personal and family medical history, including any chronic conditions, past surgeries etc
• Current Medications: Discuss any medications or supplements you are currently taking. Any medication not suitable to be taken during conception efforts to be replaced or discontinued
• General health parameters are checked including the BMI to check if the current weight is conducive to conception
Lifestyle and Habits
Prakriti analysis is done to help customise the diet and lifestyle advice
Complete daily routine is discussed and corrections suggested- correct meal timings and sleep hygiene are advised
Nutrition is discussed and supplements or remedies for deficiencies are prescribed.
Exercise advice given based on their body type, time available and BMI
Reproductive Health
• Baseline Menstrual Cycle history- regularity, quality and quantity of bleeding are assessed
• Based on the MC- fertility window and timed intercourse advised based on the menstrual history
• Reproductive Health History: Any previous issues with fertility or gynecological health, previous abortions or miscarriages if any
Chronic Conditions
• If you have pre-existing conditions such as diabetes, hypertension, or thyroid disorders, details will be discussed to how to manage them better during conception and pregnancy.
Mental Health
• Mental Health assessment- Work schedules and stress levels are discussed and stress management and coping techniques are advised
After the complete pre conception assessment, your Ayurvedic doctor will suggest Pre conception panchakarma for Beeja Shuddhi- purification and rejuvenation of reproductive material to make of a healthy conception. After all the central idea is not just to have a baby, but to have a healthy baby and that is hugely dependent on your health at the time of conception.
The last part of the Pre-conception counselling is Questions. Try and list your questions and ask all of them to your doctor to start your fertility journey with clarity and confidence.