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Areas of care

Preconception consultation

The reasons most women come to see me, and how I approach them.

Frequently asked questions

Preparing your body before trying for a pregnancy.

We review your general and gynaecological health, make sure you take folic acid before conception, check your thyroid and vaccinations, and talk about diet, how to avoid toxoplasmosis and how to reduce exposure to toxins and endocrine disruptors.

I also look for anything that may make pregnancy harder: genital tract infections, fibroids, polyps, endometriosis or uterine malformations.

Frequently asked questions

When should I book this appointment?

Before you start trying. Folic acid is taken from before conception, and there are things worth having checked beforehand: your thyroid, your vaccinations, your diet and your exposure to toxins and endocrine disruptors.

We have been trying for a while. Is this a fertility work-up?

It is not a full infertility work-up. I do look for what may be making pregnancy harder — genital tract infections, fibroids, polyps, endometriosis or uterine malformations — and if your case needs a different level of investigation, I will tell you clearly.

What are endocrine disruptors and why do you bring them up?

They are substances present in everyday life — in pesticides, plastics and other products — that can interfere with the hormonal system. In the consultation we look at how to reduce your exposure with realistic changes, the kind that can be kept up.

Other areas of care

Whether a test or treatment is right for you is decided together, in consultation, after assessing your case. This page is for information only and does not replace a medical assessment.

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