Women's Health · 7 min read
Published · Updated
Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.
Prepare before conception where possible
A preconception review can address long-term conditions, mental health, genetic or pregnancy history, vaccinations, weight, tobacco, alcohol and workplace exposures. Start folic acid at the recommended dose before pregnancy; some health conditions or medicines require a clinician to advise a higher dose.
Review medicines safely
Bring all prescriptions, non-prescription products and supplements for review. Some medicines need changing before pregnancy, but abruptly stopping essential treatment can also be harmful. Check immunity and vaccination timing with a healthcare professional because some vaccines are not given during pregnancy.
Frequent intercourse around the fertile window may support conception, but tracking should not become a source of distress. Fertility is influenced by both partners, and assessment may involve both.
Know when to ask for help
The timing of fertility assessment depends on age, how long pregnancy has been attempted, menstrual pattern, previous treatment and known health factors. Seek earlier advice for very irregular or absent periods, prior pelvic treatment, recurrent pregnancy loss or a known fertility concern.
At a glance
Key takeaways
- Begin preconception planning and folic acid before pregnancy when possible.
- Never stop an essential medicine without professional advice.
- Fertility assessment may involve both partners.
When to seek care
- Seek urgent assessment for severe one-sided pelvic pain, shoulder-tip pain, fainting or bleeding after a positive pregnancy test.
- Arrange preconception or fertility advice based on age, duration of trying and known risk factors.
General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.
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