Preconception Check-ups: The Screenings You Shouldn’t Skip

If you’re planning to start or grow your family, the journey to pregnancy begins with more than just healthy habits — it starts with knowing your health inside out.
A preconception check-up is your opportunity to address potential risks before you conceive, helping you and your baby get the healthiest possible start.

Here’s a guide to the essential screenings and tests you should have before trying for a baby.

1️⃣ Blood Pressure and Heart Health Check

High blood pressure can increase the risk of complications like pre-eclampsia during pregnancy.

Get your blood pressure checked at your GP surgery or pharmacy.
Discuss any history of heart disease, especially if it runs in your family.

2️⃣ Blood Tests for Key Health Markers

Your GP may order blood tests to check for:

Anaemia — Low iron can affect ovulation and cause fatigue.
Thyroid function — Imbalances can affect fertility.
Blood sugar — Important if you have risk factors for diabetes.

💡 Tip: If you have irregular cycles, hormone tests may also be recommended.

3️⃣ Immunity and Vaccination Review

Certain infections can harm pregnancy if caught for the first time while you’re expecting.

Rubella (German measles) immunity is essential.
Whooping cough and flu vaccines may be advised before or during pregnancy.

4️⃣ Sexual Health Screening

Some sexually transmitted infections (STIs) can affect fertility or harm your baby during pregnancy.

Screening is quick and can often be done with a urine test or swab.
Early treatment can prevent complications.

5️⃣ Cervical Screening (Smear Test)

If you’re due for your smear test, get it done before pregnancy.

Cervical screening helps detect changes early, reducing the risk of cervical cancer.
It’s not usually carried out during pregnancy, so timing matters.

6️⃣ Genetic and Family Health History Review

If you or your partner have a family history of genetic conditions, your GP may refer you for genetic counselling.

This can help you understand potential risks and options.

7️⃣ Medication and Supplement Review

Some medicines aren’t safe in pregnancy.

Review all prescriptions, over-the-counter medicines, and supplements with your GP or pharmacist.

🌟 Key Takeaway

A preconception check-up isn’t just a formality — it’s an investment in your health and your baby’s future. By addressing potential issues now, you can step into pregnancy with confidence and peace of mind.

💬 What’s Your Take?

Have you had your preconception check yet? Which screening surprised you the most? Share your experience below — it could help someone else prepare.

📚 Sources