With the announcement of the national policy of “full implementation of two children for one couple”, more and more families are putting their second child plans on the agenda, so have you started to make your own plan for optimal pregnancy? For those who are preparing for pregnancy, especially for senior women over 35 years old and families who want to have another child, our senior fertility experts have discussed and developed a comprehensive pre-conception medical examination plan for couples, which will provide scientific assessment of the fertility of both partners and give personalized health guidance to help you make a reasonable fertility plan. Especially for couples with a previous history of spontaneous abortion, bad pregnancy and childbirth or a family history of genetic predisposition, arranging necessary professional genetic counseling can reduce the occurrence of birth defects and bad pregnancy and childbirth. Scientific and comprehensive preconception examinations can help you conceive a healthy baby. Pre-conception checkups should not be taken lightly Many people have the idea that they have annual medical checkups in their units and their bodies are normal, so they don’t need pre-conception checkups anymore. In fact, it is not, the items of physical examination, such as: liver, kidney function, blood routine, urine routine, electrocardiogram, etc., are the most basic physical examination, but the main object of pre-conception examination is to test the reproductive system and the immune system associated with it, genetic history, etc., especially in today’s abolition of marriage test, pre-conception examination can help you to conceive a healthy baby. The main force of the comprehensive second child is undoubtedly the post-70s who are catching the last train of childbirth, and preconception tests are especially important for those who are preparing for pregnancy at an advanced age. The best time for preconception checkups Whether from the nutritional aspect, vaccination aspect and folic acid supplementation consideration, it is recommended to have preconception checkups at least 3 months in advance, so that once the preconception checkups reveal problems, there is still time for intervention and treatment, and both spouses should do it at the same time. Pre-pregnancy check-up items According to the personal condition of the check-up person, the purpose and requirements of the check-up, we recommend the following check-up items: I. Basic pregnancy check-up According to the requirements of the national pre-pregnancy eugenics pregnancy check-up items, the basic pre-pregnancy check-up includes: physical examination, female vaginal discharge examination, blood routine, urine routine, blood type, liver function, kidney function, five items of A function, blood sugar, five items of hepatitis B, syphilis antibody, HIV, TORCH (eugenics), and other antibodies, HIV, TORCH (eugenics four) and gynecological ultrasound examination, etc. Fertility assessment A basic assessment of the fertility reserve of women and men provides an important basis for the development of fertility plans. Especially for women over 35 years old, the assessment of ovarian reserve is especially critical. 1 Assessment of ovarian reserve function and ovulation testing in women: including basal sinus follicle count under vaginal ultrasound, basal endocrine examination, and anti-mullerian hormone water measurement.2 Routine semen analysis in men: three tests. Genetic and eugenic tests Couples with a history of spontaneous miscarriage, adverse pregnancy and childbirth or a family history of genetic predisposition may consider having relevant tests before preparing for pregnancy or having another child, including: chromosome examination of the couple, screening for genes responsible for relevant genetic diseases (e.g. congenital deafness) and genetic counseling with a professional genetic counselor. In addition to regular and reasonable preconception tests, you should also make some adjustments to your lifestyle and diet. Try to do regular work and rest, not to stay up late, to exercise properly, jogging and swimming are better, to have regular sex, not too little or too often, and to keep your mind calm. Diet, to reasonably supplement the food rich in high-quality protein, eat more fish and shrimp, lean meat, eggs, soy products, etc., to ensure the intake of trace elements, especially zinc and selenium.