The Aim of pre conception care is

1. Optimizing general health. (Anaemia, Hypertension, diabetes, thyroid)
2. Infection screening (HIV, HCV, HbsAG, VDRL,COVID 19)
3. Obesity-weight reduction (5-10%)
4. Optimizing reproductive health (for both partners)
5. Safe pregnancy and delivery
6. Cost effective treatment without affecting outcome

Formal Counseling

After complete evaluation of the medical reports of the partners, first counseling is taken up by the fertility expert doctor where scope of treatment line is discussed.

Assessment of Male

• Standard semen analysis
• Semen culture
• Hormone tests (if required)
• Clinical examination
• Colour doppler
• Karyotype, Y deletion
• Sperm DNA fragmentation test

Assessment of female

• Clinical examination
• Blood tests- for general health and hormones.
  AMH (Anti Mullerian Hormone) done for assessing the capacity of the ovaries to produce eggs.
• Ultrasound (Trans vaginal) to assess uterus (Fibroids, Polyps, cysts, endometriosis, Septate uterus etc.) and ovaries for antral follicle count (number of eggs)
• HSG (hysterosalpingography) – to check the patency of fallopian tubes.
• Hysteroscopy and Laparoscopy

Holistic therapy

At BabySoon we believe in treating each couple as individual and address their needs during their journey against infertility. By using these therapies, we help them achieving balance between mind, body and soul.

Pre Conception Medication

The body needs the following medications in preparing for pregancy.

FOR ALL COUPLES	PCOS (HYPER RESPONDERS)	POOR RESPONDERS (DECREASED CAPACITY OF OVARIES TO PRODUCE EGGS)
Folic Acid	Oral contraceptive pill	DHEAS (Dehydroepiandrosterone sulfate)
Vitamin B12	Metformin	Wheat Grass
Vitamin D3	D-Chironositol	Vitamin D3
Co enzyme Q		L-Arginine
Antioxidants		DHEAS (Dehydroepiandrosterone sulfate)
Oral Iron and Calcium		Wheat grass
Oral Lacto bacilius		Vitamin D3
Anti-Microbials		L-Arginine

Lifestyle modification

It benefits in resuming ovulation in women, better response to ovulation drugs and restores hormonal imbalance.

1 Exercise-

• helpful for non-obese also.
• Regular aerobic exercise is beneficial.
• 2 hours of exercise in a week is sufficient
• Aim should be weight loss of 5-10%, Reduce BMI to 27.

2 Diet –

• Simple dietary changes can make a difference. The nutrients you need to incorporate in your diet are: – Vitamin B12, folate, Zinc, Selenium, lycopene, Vitamin D and Vitamin C etc

Pelvic Pathologies

If on ultrasound these conditions are found will require treatment before starting infertility treatment (Hysterolaproscopy)
• Polyps
• Fibroids
• Endometriosis/Adenomyosis
• Tubal pathology (Hydrosalpinx)
• Mullerian Anomaly