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Blood Tests Every Woman Should Have Before Pregnancy

Pregnancy is a huge stress on the body and depletes our body of key vitamins and minerals. Our babies literally suck us dry. If you're not consuming enough of the right nutrients your baby will take it from anywhere it can. Not consuming enough calcium in your diet? Your baby will take that calcium from your bones instead, it's no wonder Osteoporosis is common among women after childbirth.

With that in mind, when any of my female patients are considering starting a family, I ensure full blood work is done prior. This really helps me to see where their health is at and the areas we need to focus on. It also gives me a baseline allowing me to monitor progress.

Below is a list of the blood I usually request:

  • full blood count

  • e/LFTs

  • thyroid tests: TSH, free T4, free T3, reverse T3 and thyroid antibodies

  • iron studies plasma zinc CRP & ESR serum copper

  • vitamin D

  • spot urinary iodine test

  • AMH: this test assesses egg reserve or presence of poly cystic ovarian syndrome

  • DHEA

  • prolactin (only if there is a history of breast pain when menstruating or poly cystic ovarian syndrome)

  • hormone tests: FSH, LH, Oestrogen and Progesterone. NOTE! VERY IMPORTANT with the hormone tests these must be done on day 21 of your cycle if you have a 28 cycle otherwise if your cycle is shorter or longer do it 7 days before your expected period.

Other tests to consider if mental health is of concern is Whole Blood Histamine & Homocysteine.

If your doctor doesn't feel comfortable ordering all the requested tests then you can pay for some of the tests out of pocket if you wish. What most of my patients do is see their doctor for test requests and the tests their doctor doesn't want to request I'll request for them at their cost.

Getting your health right before pregnancy is crucial for a healthy pregnancy, baby and mother.

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