+852-2666-6300
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1903A 19/F The Centrium, 60 Wyndham St, Central

Women's Preconception Medical

Our preconception medical ensures that you are in optimal health prior to conceiving for the best outcome for you and the baby

We will discuss your menstrual cycle and fertility history and look for signs of anything that could affect ability to conceive such as Polycystic Ovary Syndrome or previous pelvic infection. We will discuss nutrition and current health issues that could impact maternal and fetal health. Testing is included for diseases such as diabetes, hypothyroidism and high blood pressure

We test for all the common infectious diseases that could affect your baby and ensure your levels of important vitamins and thyroid hormones are adequate for maternal and fetal health. Due to the frequency for MTHFR defects we ensure you are taking a parental supplement with methylated B12 and folate that we believe is superior to ones with folic acid

We will advise you on avoidance of smoking, alcohol and certain prescription drugs that could harm the baby in early pregnancy and may need to be stopped months before conception

We can arrange genetic testing where indicated for a family history of genetic defects


 

Consultation 1:

Includes the following:

Discussion of current physical and psychological health 

  • Medical history 
  • Family history 
  • Lifestyle discussion 
  • Full body check
  • Full body mole check 
  • Physical parameters as BP, height, weight 
  • BMI and body fat percentage

 

Consultation 2:

Includes the following:

  • Discussion of results
  • Treatment of any deficiencies or medical conditions
  • Referral for further testing if indicated
  • Advice on follow up, for example, lifestyle factors such as diet and exercise
  • Future recalls for abnormalities
  •  

 

Laboratory Testing

Complete Blood Count

Glucose fasting

Insulin fasting


Thyroid Function Tests

Free T3, Free T4, TSH

Thyroglobulin Ab (ATA),
Thyroid Peroxidase Ab (APO)

Vitamin D Total


ABO & Rh (D)

HIV 1 and 2

Syphilis RPR

Chlamydia Trachomatis DNA

Hepatitis B Ag and Ab

Rubella IgG Antibody

Toxoplasma IgG Antibody

Varicella IgG Antibody


Homocysteine

Ferritin

Purpose of Test

This screens for infection, anaemia, iron and vitamin B deficiency and bone marrow disorder. 

This excludes diabetes which can cause large babies and neonatal problems. 

This detects insulin resistance where the muscle, fat and liver cells do not respond properly to insulin. If left unchecked this leads to a rise in blood glucose. 

Low thyroid problems can cause infertility. The fetus depends on maternal thyroid hormones for the first 12 weeks of pregnancy. 

This tests for antibodies against the thyroid and can also detect borderline thyroid dysfunction. 

 

Naturally present in very few foods. It comes mainly from sun exposure. It is Important for the immune system, cancer prevention and bone health. 

Identifying blood group and rhesus status. 

This infection can be transmitted from mother to baby. 

A sexually transmitted infection that can cause miscarriage, stillbirth and infant infection. 

A sexually transmitted infection that can cause infertility. 

Checks for carrier and current vaccination status. Hepatitis B can be transmitted to the baby during childbirth. 

Rubella can cause serious malformations if caught during pregnancy. There is a vaccine available if not immune. 

Toxoplasmosis is an infection caused by a parasite that can cause stillbirth and serious infection in the baby. 

Chickenpox can cause serious malformations if caught during pregnancy. There is a vaccine available if not immune. 

A screening test for methylation issues. 

Screening test for iron levels in the body.