Thinking About Starting a Family? What a Gynaecologist Wants You to Know First

Whether you are actively trying to conceive or simply thinking about it for the future, there are a number of things that a pre-conception consultation can help with. Many women only see a gynaecologist once they are already experiencing difficulty, but a proactive approach can make a real difference.

What is a pre-conception assessment?

A pre-conception appointment is an opportunity to review your general health, gynaecological history, and any factors that might affect your ability to conceive or your pregnancy outcomes. It typically includes:

• A review of your menstrual cycle regularity and any history of gynaecological conditions
• A cervical screening check (if you are due)
• Discussion of any medications you are taking and their safety in pregnancy
• Advice on folic acid supplementation and lifestyle optimisation
• Baseline blood tests if indicated (thyroid function, rubella immunity, vitamin D)
• Pelvic ultrasound to check the uterus and ovaries

When should you seek help?

The general guidance is to seek investigation if you have been trying to conceive for 12 months without success (or 6 months if you are over 35). However, you should seek earlier assessment if:

• Your periods are irregular or absent
• You have a known gynaecological condition (endometriosis, PCOS, fibroids)
• You have a history of pelvic inflammatory disease or sexually transmitted infections
• You or your partner have any known medical conditions that may affect fertility

Early pregnancy care

If you do conceive, the early weeks of pregnancy can be an anxious time. An early pregnancy scan (typically from 7 weeks) can confirm the pregnancy location, viability, and dates. For women with a history of miscarriage or ectopic pregnancy, early monitoring can provide essential reassurance.