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Fertility & trying to conceive · 6 min read

Preconception health checklist

Planning a pregnancy? Here's a practical checklist to optimise your health before you start trying, for the best possible outcome.

Dr Priya RamanUpdated July 2026
Medically reviewed by Dr Priya Raman, AHPRA-registered GP — Last reviewed July 2026
Preconception health checklist

Start with a GP check-up

Ideally, see your GP 3–6 months before you start trying. They'll review your medical history, current medications, and arrange blood tests to check your iron, thyroid, and overall health. Some medications need to be changed before pregnancy.

Your GP will also check your immunity to rubella and chickenpox. If you're not immune, you'll need vaccination before trying to conceive — and you should wait at least one month after vaccination before becoming pregnant.

Supplements and lifestyle

Start taking folic acid (at least 400mcg daily) at least one month before trying, ideally three months. Your GP may recommend a higher dose if you have specific risk factors. A preconception multivitamin containing iodine is also recommended.

Review your lifestyle: aim for a healthy weight, limit alcohol (or stop completely), quit smoking, reduce caffeine, and check that any recreational drug use has stopped. These changes improve your fertility and the health of your future pregnancy.

Don't forget your partner

Male preconception health matters too. Encourage your partner to have a GP check-up, quit smoking, reduce alcohol, maintain a healthy weight, and avoid overheating the testicles (such as in hot baths or saunas). Sperm quality improves over about 3 months, so starting early helps.

If either of you has a family history of genetic conditions, discuss this with your GP — they may recommend genetic carrier screening before you start trying.

References & sources

This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.

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