Pre-Conceptional Counselling
What is Pre-Conceptional Counselling?
Planning to bring a new life into the world is an extraordinary milestone, and optimizing your physical health beforehand is the single most impactful step you can take. Pre-Conceptional Counsellingis a proactive clinical assessment designed to evaluate a couple's nutritional status, hormonal balance, medical history, and genetic profiles before conception occurs.
At Dr. Deepika Lalwani (Nagwani)'s Clinic in New Kalyani Nagar & Wadgaon Sheri, Pune, we provide a private, empathetic, and comprehensive pre-pregnancy evaluation. Led by Dr. Deepika Lalwani (MBBS, DGO Mumbai) with over 10+ years of clinical excellence, our goal is to identify and resolve subtle obstacles—from thyroid fluctuations and PCOS to vitamin deficiencies—ensuring your pregnancy begins with maximum vitality.
Because we run a focused private clinic rather than a high-volume hospital, your consultation is completely confidential, unhurried, and personalized to your unique medical and family history.
Unplanned vs. Planned Pregnancy: A Medical Comparison
Preparing your body 3 to 6 months before conception creates the ideal biological environment for fertilization, embryo implantation, and early organ development.
Unplanned Pregnancy
Reactive Care • Higher Potential Risk
Higher vulnerability to neural tube birth defects due to late initiation of folic acid.
Unmanaged thyroid levels, blood glucose spikes, or hypertension during critical early organogenesis.
Unchecked immunity to Rubella or Varicella, creating fetal risk if exposed during pregnancy.
Unintended exposure to embryotoxic medications before the pregnancy is confirmed.
Planned Pregnancy
Proactive Health • Mitigated Risks
Defects prevented by up to 70% through timely pre-conceptional folic acid saturation.
Thyroid levels (TSH < 2.5) and HbA1c are medically stabilized before conception attempts.
Immunizations updated beforehand, guaranteeing maternal antibodies protect the fetus.
All ongoing prescriptions switched to pregnancy-compatible drugs well in advance.
Key Elements of Our Pre-Pregnancy Diagnostic Checkup
Our clinical protocol conducts comprehensive physiological screenings to lay a robust, healthy foundation for pregnancy.
Pelvic & Ovarian Ultrasound Audit
High-resolution pelvic ultrasound to examine uterine cavity architecture, endometrium thickness, and antral follicle counts to rule out anatomical barriers before conception.
Endocrine & Metabolic Profiling
Evaluating thyroid hormones (TSH, Free T4), fasting blood glucose, HbA1c, and prolactin to ensure optimal metabolic stability prior to fertilization.
Immunity & Viral Antibody Screening
Screening maternal IgG titers for Rubella and Varicella, alongside Hepatitis B and HIV panels, allowing safe catch-up vaccination windows before pregnancy.
Genetic & Hemoglobinopathy Panels
Screening couples for Thalassemia minor and genetic carrier traits to assess transmission risks and guide informed reproductive choices.
Pre-Conceptional Preparation & Supplement Schedules
Optimizing your micronutrient levels and daily lifestyle sets the stage for a confident, joyful pregnancy.
Periconceptional Folic Acid Intake
Initiating 400 to 500 mcg of daily folic acid at least 1 to 3 months prior to conception, reducing fetal neural tube defects (spina bifida) by up to 70%.
Teratogenic Drug Review
Auditing ongoing daily prescriptions (for acne, hypertension, seizures, or migraines) to substitute embryotoxic medications with pregnancy-safe alternatives.
BMI & Lifestyle Optimization
Creating tailored low-glycemic nutrition plans and stress management strategies to normalize body mass index, supporting spontaneous ovulation.
The Pre-Conceptional Counselling Journey Step-by-Step
A structured 4-step path guiding couples calmly toward healthy conception with clinical accuracy and individualized care.
Every treatment and procedure at our clinic is performed with the highest standards of safety, compassion, and clinical expertise. Dr. Deepika Lalwani ensures each step of your journey is carefully monitored and optimized for the best possible outcomes.
Expert Guidance
From your initial consultation through recovery, our dedicated team is here to support you with personalized care, ensuring your comfort and peace of mind at every stage.
Step 1: Clinical History & Lifestyle Audit
Dr. Deepika Lalwani conducts an in-depth review of menstrual patterns, past medical histories, surgical records, lifestyle factors, and familial genetic conditions.
Step 2: Targeted Pre-Pregnancy Investigations
Coordinating essential blood tests including Complete Blood Count (CBC), blood typing (Rh factor), thyroid panel, viral markers, and pelvic baseline ultrasound.
Step 3: Micronutrient & Vaccination Setup
Starting vital pre-conception supplements (folic acid, vitamin D3, active B12) and administering catch-up vaccines (MMR, Tdap) with safe washout timelines.
Step 4: Ovulation Tracking & Fertile Window Plan
Educating the couple on basal body temperature cues, cervical mucus changes, and ovulation tracking to maximize natural conception success calmly.
Why Choose Dr. Deepika Lalwani's Clinic for Pre-Conceptional Care?
- Direct One-on-One Specialist GuidanceYou consult Dr. Deepika Lalwani (MBBS, DGO Mumbai) personally at every visit with complete privacy and empathetic clinical counsel.
- 10+ Years of Reproductive & Hormonal ExpertiseSpecialized clinical acumen in optimizing thyroid markers, managing PCOS/PCOD, and guiding natural ovulation tracking.
- Dedicated Prior-Appointment ScheduleQuiet, sterilized private clinic environment in New Kalyani Nagar with zero waiting room delays.
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Frequently Asked Questions
In Pune, a comprehensive couple pre-conceptional counselling session with Dr. Deepika Lalwani is ₹800 to ₹1,200. Essential pre-pregnancy diagnostic investigations—such as complete blood counts, blood grouping, Thalassemia carrier screening, Rubella IgG immunity, thyroid profile, and blood sugar tests—typically cost between ₹2,500 and ₹4,500. A baseline pelvic ultrasound to check uterine cavity and ovarian follicular reserve ranges from ₹1,500 to ₹2,200.
Pre-conceptional counselling is a specialized medical consultation for individuals and couples planning a pregnancy. It assesses underlying medical conditions, lifestyle habits, nutritional deficiencies, and genetic risks before conception, creating optimal biological conditions for a healthy pregnancy and baby.
The ideal time is 3 to 6 months before you actively start trying to conceive. This window allows adequate time to correct thyroid or sugar imbalances, initiate folic acid, update vaccinations, and adjust existing medications safely.
The neural tube (which forms the baby's brain and spinal cord) develops within the first 28 days after conception—often before a pregnancy test shows positive. Starting folic acid 1 to 3 months before pregnancy prevents neural tube defects like spina bifida by up to 70%.
Yes. Dr. Deepika Lalwani specializes in hormonal optimization for PCOS/PCOD, addressing insulin resistance, regulating cycles through nutritional therapy, and tracking natural follicular maturation to facilitate timely conception.
Dr. Deepika Lalwani's Clinic operates strictly by prior appointment during morning and evening OPD hours to ensure absolute privacy, zero waiting room crowds, and unhurried clinical counseling. You can reserve your appointment directly via call or WhatsApp.