Where to start preparing for pregnancy in England

Katerina Galkina · EN · 07/10/2026

Start with your GP, especially if you have a chronic condition, regular medication, previous complications or fertility concerns. A large hormone-testing package is not required before discussion: investigations should follow your history and the clinical question.

Book a preconception review

Bring prescription and over-the-counter medicines, supplements, previous records and vaccination history. Discuss diabetes, epilepsy, mental health, operations and previous pregnancies. Some circumstances need specialist review before conception.

Do not stop prescribed treatment yourself. NHS advice is to discuss the safest option with a GP or specialist first. NHS: trying to get pregnant ↗.

Check prevention and vaccination

Establish whether MMR vaccination is complete, cervical screening is due or STI testing is appropriate. Some live vaccines require postponing attempts; agree the specific interval with the vaccinator.

If records are missing after moving, request vaccination review rather than arranging repeat doses yourself. Discuss genetic advice where inherited conditions or a previously affected pregnancy are relevant.

Begin recommended measures

The NHS recommends 400 micrograms of folic acid daily while trying, ideally starting about three months beforehand, and through the first 12 weeks of pregnancy. Certain risks require a different prescribed dose selected by a clinician. NHS: pregnancy vitamins ↗.

Discuss vitamin D, nutrition, safe activity and support to stop smoking. NHS advice is not to drink alcohol when planning pregnancy. Do not replace preparation with detoxes, drips or self-prescribed high-dose vitamins.

Establish when to seek further help

Do not automatically wait a year if a known condition could affect conception or your cycle changes substantially. NHS advice includes speaking to a GP after a year of trying; age and history can warrant earlier assessment. Obtain an individual review timeframe and a plan involving both partners where relevant.

After a positive test, self-refer to maternity services promptly without waiting for a private scan. Pain, bleeding or significant illness need separate clinical assessment. This route describes England; check local booking arrangements elsewhere in the UK.