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The Medical Checklist
- Schedule a preconception visit. Not a regular annual exam — specifically tell them you’re planning to TTC. They’ll check different things: thyroid, rubella immunity, blood type, medication review.
- Get bloodwork. Request: TSH (thyroid), vitamin D, ferritin (iron stores), fasting glucose, and a CBC. Low vitamin D and low iron are the two most common correctable issues in TTC women.
- Check your vaccinations. Rubella, varicella (chickenpox), and Tdap all need to be current before pregnancy. If you need a live vaccine (MMR, varicella), you’ll need to wait 4 weeks before conceiving.
- Review medications with your provider. Some common medications are not safe during pregnancy: isotretinoin (Accutane), certain antidepressants, some blood pressure meds, and NSAIDs during the luteal phase. Your doctor may need to switch you.
- Get a dental cleaning. Not glamorous, but gum disease is associated with preterm birth and low birth weight. Get ahead of it.
- STI screening. Chlamydia and gonorrhea can silently cause tubal damage. Even if you’ve been monogamous, it’s worth a baseline screen.
The Supplement Checklist
- Start a prenatal vitamin NOW. Not when you get pregnant — now. Folate takes 4–12 weeks to build to protective levels for neural tube development. Our pick: FullWell Prenatal. See the LifeFertile prenatal showdown.
- Add CoQ10 (200–400mg daily). Supports egg quality by enhancing mitochondrial function. Takes 2–3 months to reach therapeutic levels. Start early. Ubiquinol CoQ10 on Amazon →
- Check your vitamin D. If under 40 ng/mL, supplement 2,000–4,000 IU daily. Vitamin D3 →
- For him: start zinc + CoQ10. Sperm takes 74 days to develop. The earlier he starts, the better. See LifeFertile’s male fertility diet plan.
The Tracking Checklist
- Choose a cycle tracking method. At minimum: OPK (ovulation predictor kit) strips. Easy@Home 50-pack → See our OPK Brand Showdown.
- Download a tracking app. Premom (syncs with Easy@Home strips), Fertility Friend (most data-driven), or Flo (most user-friendly).
- Start tracking now, even before TTC. Two months of data gives you a pattern. You’ll know your approximate fertile window before you even start trying.
- Consider BBT tracking. Basal body temperature confirms ovulation after the fact. Pair with OPKs for the most complete picture. See our BBT thermometer guide.
The Lifestyle Checklist
- Cut caffeine to under 200mg/day. One 12oz coffee is fine. Two large lattes is too much. Start reducing now so it’s not a shock.
- Reduce or eliminate alcohol. No safe level has been established for conception. During the TWW (two-week wait), abstaining is the conservative play.
- Switch to mineral sunscreen. Chemical sunscreens (oxybenzone, octinoxate) are endocrine disruptors. See LifeFertile’s sunscreen guide.
- Ditch plastic food storage. Switch to glass containers. Microwave nothing in plastic. Glass containers →
- Exercise 150+ minutes per week. Walking counts. Swimming counts. Yoga counts. Just move consistently.
- Prioritize sleep: 7–9 hours nightly. Melatonin (the sleep hormone) is a powerful antioxidant in the ovaries.
The Emotional Checklist
- Talk to your partner about expectations. How long will you try before seeking help? How will you handle the TWW anxiety? Are you on the same page about timing?
- Decide who to tell. Some people share immediately; others keep it private. There’s no wrong answer, but decide together before the questions start.
- Build your support system. Identify one trusted person (friend, family member, therapist) you can be honest with about the process.
- Set boundaries around baby showers and announcements. If these are emotionally difficult, give yourself permission to skip or limit them.
“The best time to prepare is 3 months before you start trying. The second best time is today. This checklist works either way.”
Track Your Fertile Window
Our OPK brand comparison helps you choose the right ovulation test — and our BBT guide adds the confirmation layer.
OPK Brand Showdown →
Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult your healthcare provider before making changes to your health routine, especially when trying to conceive.