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Your Preconception Journey

A Guide to Preparing for Assisted Reproductive Technology

What You'll Learn Today

We'll walk through everything you need to know before starting your fertility journey. This guide focuses on steps you can take now to optimize your health and increase your chances of success.

Remember: You're not alone in this journey. We're here as your partners every step of the way.

Understanding Your Fertility Timeline

What is this? Fertility naturally changes with age. Understanding your timeline helps you make informed choices.

Why This Matters

Knowing your fertility window helps you plan ahead. It's not about rushing—it's about having all the information you need.

  • Women are born with all their eggs. The number and quality change over time.
  • After age 35, pregnancy may take longer and require more support.
  • Assisted reproductive technology (ART) can help overcome these natural changes.
  • Many women over 35 have healthy pregnancies with proper care.
What Happens Next: We'll create a personalized timeline based on your health history and goals.

The Power of Good Sleep

What is this? Sleep hygiene means creating habits that help you sleep well every night.

Sleep hygiene illustration

Why Sleep Matters for Pregnancy

Quality sleep improves hormone balance, egg quality, and your overall health. Good sleep also helps reduce stress during your fertility journey.

What You Can Do

  • Aim for 7-9 hours of sleep each night
  • Go to bed and wake up at the same time every day
  • Keep your bedroom cool, dark, and quiet
  • Avoid screens for 1 hour before bedtime
  • Limit caffeine after 2 PM

Tracking Your Sleep

Using Technology

  • Smartwatches can track your sleep stages
  • Look for patterns in your sleep quality
  • Set goals and monitor your progress
  • Share data with your care team if helpful
Smartwatch sleep tracking

What This Tells Us

Sleep data helps us understand if stress or other factors are affecting your rest. Better sleep can improve your chances of conception.

What Happens Next: We'll review your sleep patterns at your next visit and adjust your plan if needed.

Reaching Your Healthy Weight

What is this? Your pre-pregnancy weight affects fertility and pregnancy health. We'll work together to find what's healthy for you.

Healthy lifestyle

Why This Matters

A healthy weight improves egg quality, hormone balance, and pregnancy outcomes. Both underweight and overweight can affect fertility—the goal is balance.

What You Can Do

  • Focus on nourishing your body, not strict dieting
  • Add gentle movement you enjoy—walking, swimming, yoga
  • Eat regular, balanced meals throughout the day
  • Work with a nutritionist if you need extra support
We'll create a weight plan that's realistic and sustainable for you—no extreme changes needed.

Nourishing Your Body

What is this? Pre-pregnancy nutrition builds the foundation for a healthy pregnancy.

Real Food for Pregnancy book
What to Eat When You're Pregnant book

Key Nutrients Before Pregnancy

  • Folic acid: Take 400-800 mcg daily to prevent birth defects
  • Protein: Builds tissues—eggs, fish, beans, lean meat
  • Healthy fats: Support hormones—avocados, nuts, olive oil
  • Iron: Prevents anemia—leafy greens, red meat, beans
  • Calcium: Strengthens bones—dairy, fortified foods

What Happens Next

We'll review your current diet and recommend any needed supplements. The books shown above are excellent resources we recommend.

Thyroid Health: Low Thyroid

What is this? Your thyroid is a small gland in your neck that controls metabolism. Low thyroid (hypothyroidism) means it's not making enough hormone.

Thyroid illustration

Why We Check Your Thyroid

Thyroid problems can affect fertility and pregnancy. The good news: they're easy to test and treat.

Signs of Low Thyroid

  • Feeling tired all the time
  • Weight gain that's hard to explain
  • Feeling cold easily
  • Irregular periods

What Happens Next

We'll test your thyroid levels. If they're low, we'll prescribe medication that's safe before and during pregnancy. Treatment is simple—usually one pill daily.

Thyroid Health: High Thyroid

What is this? High thyroid (hyperthyroidism) means your thyroid is making too much hormone.

Thyroid health

Why This Matters

Untreated high thyroid can affect pregnancy. With proper treatment, you can have a healthy pregnancy.

Signs of High Thyroid

  • Heart racing or pounding
  • Weight loss despite eating normally
  • Feeling anxious or jittery
  • Sweating more than usual
What You Can Do: We'll work with your endocrinologist (hormone doctor) to get your levels stable before trying to conceive. This protects both you and your future baby.

Medications & Supplements

What is this? A review of everything you're currently taking to ensure it's safe before and during pregnancy.

Medications

What You Can Do Now

  • Make a list of all medications, vitamins, and supplements
  • Include over-the-counter medicines and herbal products
  • Don't stop any prescribed medications without asking us first
  • Start prenatal vitamins with folic acid now

Why This Matters

Some medications need to be changed before pregnancy. Others are perfectly safe. We'll review everything together and make a safe plan.

What Happens Next

Bring your medication list to your next visit. We'll go through each one and make any necessary changes well before you start trying to conceive.

Understanding Genetic Screening

What is this? Genetic screening checks if you or your partner carry genes for certain inherited conditions.

Genetic screening

Why We Offer This

Knowing if you're a carrier helps us plan ahead. Most carriers are healthy—they just have one copy of a gene that could affect their children.

Common Conditions We Screen For

  • Cystic fibrosis: Affects breathing and digestion
  • Sickle cell disease: Affects red blood cells
  • Tay-Sachs disease: Affects the nervous system
  • Other conditions based on your background

What Happens Next

We'll discuss your family history and offer screening if appropriate. This is a simple blood test. Results help us plan the safest path forward.

Your Personalized Timeline

What is this? A step-by-step plan for the next few months before starting ART.

Timeline

Typical Preconception Steps

  • Month 1-2: Complete all health screenings and lab tests
  • Month 2-3: Optimize weight, sleep, and nutrition
  • Month 3: Start prenatal vitamins, stabilize any health conditions
  • Month 3-4: Meet with fertility team, create treatment plan
  • Month 4+: Begin ART when your body is ready

Why This Timeline Matters

Preparing your body takes time, but it's worth it. Each step improves your chances of success and a healthy pregnancy.

Your timeline may be different based on your unique needs. We'll adjust as we go—this journey is personal to you.

Your Next Steps

What is this? Your action plan for the next few weeks.

Before Your Next Visit

  • Start or continue taking prenatal vitamins with folic acid
  • Schedule any recommended blood tests or screenings
  • Begin tracking your sleep and establishing good sleep habits
  • Review your medications and bring a list to your appointment
  • Write down any questions you have

Remember

This is a partnership. We're here to support you every step of the way. No question is too small, and your concerns matter to us.

Many women successfully conceive through ART and have healthy pregnancies. With preparation and the right support, you're setting yourself up for the best possible outcome.

You've got this. We're honored to be part of your journey to parenthood.

Questions? Call our office anytime. We're here for you.