Preconception Care
Sai Speciality Center provides comprehensive preconception care for couples planning a healthy pregnancy. Our pre-pregnancy consultations focus on improving the health of both partners before conception, identifying medical conditions that may affect pregnancy, reducing potential risks, and increasing the chances of a healthy pregnancy and baby.
Whether you are planning your first pregnancy, trying to conceive after a previous miscarriage, or managing conditions such as PCOS, thyroid disorders or diabetes, our personalised preconception care helps you prepare for pregnancy with confidence
Preconception care is the medical care provided before pregnancy to help women achieve the healthiest possible pregnancy. It includes health assessment, lifestyle counselling, medical screening, vaccination review, nutritional guidance and management of existing medical conditions before conception.
Preparing your body before pregnancy can improve fertility, reduce pregnancy complications and support healthy fetal development.
Preconception care is recommended for every woman planning pregnancy, especially those with diabetes, hypertension, thyroid disorders, obesity, PCOS, previous miscarriages, or a history of high-risk pregnancy.
According to the World Health Organization (WHO), improving health before conception contributes to better maternal and newborn outcomes.
Preconception care is recommended even if there are no symptoms. However, many women seek medical advice because of health conditions that may affect pregnancy.
Planning Your First Pregnancy
Women planning their first pregnancy can benefit from a comprehensive health assessment, nutritional advice, and guidance on the optimal timing for conception.
Irregular Menstrual Cycles
Irregular periods may indicate ovulation problems, hormonal imbalance or PCOS, which can affect fertility.
Early diagnosis allows appropriate treatment before pregnancy.
PCOS and Ovulation Problems
Women with Polycystic Ovary Syndrome (PCOS) often experience irregular ovulation, making conception more difficult.
Preconception care helps optimise ovulation and improve the chances of pregnancy.
Previous Miscarriage
Women with one or more previous miscarriages may require evaluation to identify possible medical or hormonal causes before planning another pregnancy.
Thyroid Disorders
Both underactive and overactive thyroid conditions can affect fertility and pregnancy outcomes.
Thyroid function should be optimised before conception.
Diabetes and High Blood Pressure
Poorly controlled diabetes or hypertension increases pregnancy risks.
Managing these conditions before pregnancy helps reduce complications for both mother and baby.
Obesity and Weight Management
Being overweight or underweight may affect fertility and pregnancy.
Weight optimisation before conception improves pregnancy outcomes.
Fertility Planning
Couples trying to conceive for several months without success may require fertility evaluation and ovulation assessment before further treatment.
| Concern | Common Issue | Assessment | Management |
|---|---|---|---|
| Pregnancy Planning | First pregnancy | Health evaluation | Lifestyle guidance |
| PCOS | Irregular ovulation | Ultrasound, Hormone tests | Ovulation management |
| Thyroid Disorder | Hormonal imbalance | Thyroid profile | Medication adjustment |
| Diabetes | High blood sugar | HbA1c, Blood sugar | Diabetes control |
| Previous Miscarriage | Pregnancy loss | Medical evaluation | Cause-specific treatment |
| Weight Issues | Obesity/Underweight | BMI Assessment | Diet & Exercise |
| Fertility Concerns | Difficulty conceiving | Fertility evaluation | Fertility planning |
Ideally, a preconception consultation should be scheduled at least three months before trying to conceive.
Book an appointment if you:
- Are planning your first pregnancy
- Have irregular periods
- Have PCOS
- Have thyroid disease
- Have diabetes
- Have high blood pressure
- Have had one or more miscarriages
- Have difficulty conceiving
- Are above 35 years of age
- Have obesity or are underweight
- Take long-term medications
- Have a family history of genetic disorders
- Want advice on healthy pregnancy planning
Early planning helps identify health concerns before pregnancy begins.
Seek Medical Advice Immediately If You Have
- Recurrent pregnancy loss
- Uncontrolled diabetes
- Very high blood pressure
- Severe pelvic pain
- Abnormal vaginal bleeding
- Suspected ectopic pregnancy history
- Known uterine abnormalities
- Previous preterm birth
- Previous pregnancy complications
These conditions require medical optimisation before conception.
Preconception care begins with a detailed consultation about both partners' medical and reproductive health.
The doctor reviews:
- Menstrual history
- Pregnancy history
- Previous miscarriages
- Medical illnesses
- Surgical history
- Current medications
- Lifestyle habits
- Family history
- Vaccination status
Physical Examination
The doctor may perform:
- General physical examination
- Weight and BMI assessment
- Blood pressure measurement
- Pelvic examination (when clinically indicated)
Investigations That May Be Recommended
Depending on individual health needs, investigations may include:
- Complete Blood Count (CBC)
- Blood Group & Rh Typing
- Blood Sugar (HbA1c/Fasting)
- Thyroid Function Test
- Vitamin D
- Vitamin B12
- Iron Profile
- Rubella Immunity
- Hepatitis B Screening
- HIV Screening
- Urine Examination
- Pap Smear (if due)
- Pelvic Ultrasound
- Hormonal Profile
- Ovulation Assessment
Male partner evaluation may also be recommended when appropriate.
Not every patient requires every test. Investigations are selected based on medical history and individual risk factors.
Every couple receives an individualised care plan based on their health, age and pregnancy goals.
Lifestyle Optimisation
Healthy lifestyle changes before pregnancy improve fertility and reduce pregnancy complications.
Recommendations may include:
- Healthy diet
- Regular exercise
- Weight management
- Good sleep habits
- Stress management
- Smoking cessation
- Avoiding alcohol and recreational drugs
Nutritional Counselling
Proper nutrition before conception supports healthy fetal development.
The doctor may recommend:
- Folic Acid
- Iron Supplements
- Vitamin D
- Calcium
- Vitamin B12 (when required)
- Healthy protein intake
Women are generally advised to start folic acid supplementation at least one month before conception to reduce the risk of neural tube defects.
Managing Medical Conditions
Medical conditions should be well controlled before pregnancy.
This includes management of:
- Diabetes
- Thyroid disorders
- High blood pressure
- PCOS
- Epilepsy
- Autoimmune disorders
- Anaemia
Some long-term medicines may need adjustment before conception.
Vaccination Review
Vaccination status may be reviewed before pregnancy.
Recommended vaccines may include:
- Rubella
- Hepatitis B
- Varicella (if not immune)
- Influenza
- COVID-19 (based on current recommendations)
Vaccination planning should be completed before pregnancy whenever possible.
Fertility Planning
If pregnancy does not occur despite regular unprotected intercourse:
- After 12 months for women under 35 years
- After 6 months for women aged 35 years or older
A fertility evaluation is usually recommended.
This may include:
- Ovulation assessment
- Hormonal evaluation
- Semen analysis
- Tubal assessment
- Ultrasound
- Fertility counselling
Dr. Kavitha Lakshmi Easwaran, Senior Consultant Obstetrician and Gynaecologist lead preconception consultations at Sai Speciality Center.
Her expertise includes:
- Pre-pregnancy Counselling
- Fertility Assessment
- PCOS Management
- Ovulation Disorders
- High-Risk Pregnancy Planning
- Recurrent Pregnancy Loss Evaluation
- Thyroid & Diabetes Management in Pregnancy
- Antenatal Care
- Infertility Management (up to IUI)
With over 26 years of clinical experience, she provides personalised pregnancy planning and women's healthcare.
Sai Speciality Center offers comprehensive preconception care with access to:
- Gynaecology Consultation
- Fertility Assessment
- Pregnancy Planning
- Laboratory Services
- Ultrasound
- Pharmacy Support
- Nutritional Counselling
- Ovulation Monitoring
- High-risk Pregnancy Planning
- Follow-up Consultations
The care plan is designed to prepare couples for a healthier pregnancy.
Sai Speciality Center is located in Kasturi Nagar, Bangalore, and provides preconception care for couples from:
- KR Puram
- Tin Factory
- Banaswadi
- Horamavu
- Ramamurthy Nagar
Couples from these nearby areas visit the clinic for pregnancy planning, fertility evaluation, PCOS management, ovulation assessment and pre-pregnancy health optimisation.
Sai Speciality Center provides personalised preconception care for couples travelling from KR Puram, Tin Factory, Banaswadi, Horamavu and Ramamurthy Nagar, helping them prepare for a healthy pregnancy close to home.
What is preconception care?
Preconception care is medical care provided before pregnancy to improve the health of both partners and prepare for a healthy pregnancy.
When should I start preconception care?
It is recommended to schedule a preconception consultation at least three months before trying to conceive.
Do I need preconception care if I am healthy?
Yes. Even healthy women benefit from nutritional advice, vaccination review and screening for conditions that may affect pregnancy.
Should my partner attend the consultation?
Yes. Male health can also influence fertility. Your doctor may recommend evaluation or lifestyle advice for your partner.
Why is folic acid important before pregnancy?
Folic acid helps reduce the risk of neural tube defects in the developing baby and is recommended before conception and during early pregnancy.
Can preconception care improve fertility?
Yes. Identifying and treating conditions such as PCOS, thyroid disorders, diabetes or nutritional deficiencies may improve fertility and pregnancy outcomes.
What tests are done before pregnancy?
Tests may include blood investigations, thyroid function, blood sugar, urine tests, pelvic ultrasound, cervical screening and other investigations based on your medical history.
Can I plan pregnancy if I have diabetes or thyroid disease?
Yes. However, these conditions should be well controlled before conception to reduce pregnancy-related complications.
Planning your pregnancy before conception allows you to improve your health, identify medical conditions early, and reduce pregnancy risks. A personalised preconception consultation can help you prepare for a healthy pregnancy and a healthy baby.
