Make a list of prescriptions, non-prescription medicines and supplements. Arrange a pre-pregnancy review for long-term conditions or previous pregnancy complications. Ask about vaccinations, screening and suitable folic acid. Do not stop prescribed treatment yourself. Support with smoking, alcohol, nutrition and mental wellbeing belongs in preparation too.

If pregnancy through intercourse is your plan, sex every two to three days is one practical approach described by NHS guidance. A calendar cannot confirm ovulation. If intercourse is painful or difficult, seek help rather than forcing it. Fertility concerns can affect relationships and wellbeing; either partner may need support.

Request assessment after a year of trying without pregnancy, or earlier when age, irregular cycles, a known condition or previous treatment may affect fertility. Do not assume the cause lies with one partner. Local eligibility, funding and referral arrangements differ; ask the service what applies to your situation.

These are discussion points, not a prescription. Suitability and availability vary.

Assessment may include a cycle and pregnancy history, ovulation-related blood tests, ultrasound, tests of the fallopian tubes and semen analysis. Not everyone needs every test. Ask what each result changes. Treatment depends on the cause and preferences; an assessment does not automatically mean IVF. Ask about alternatives, costs and realistic expectations before committing.

Bring previous results so tests are not repeated unnecessarily. Write down what you want to understand: whether further testing is needed, which choices are available, or when to reassess. Keep copies of the plan and ask how to get results. You may request time to consider choices and emotional support.