An affectionate couple at home
All TTC milestones

Trying to Conceive · Month 0 — Preconception prep

Getting Started

Where you are now

Before you start trying, a few things set you up for success. Start folic acid 400–800 mcg daily at least 1 month before conception — it dramatically reduces the risk of neural tube defects. Schedule a preconception check-up to review medications, chronic conditions, vaccinations (especially rubella and varicella), and baseline bloodwork. Understand your cycle — you can only conceive during a ~6-day fertile window each cycle. Most healthy couples conceive within 6–12 months of trying.

For both of you

Conception is a team effort. In roughly 40-50% of couples who struggle, a male factor is involved, so this is never one person's burden. From day one, your partner can help: stop smoking, tobacco and gutka, cut back on alcohol, work toward a healthy weight, avoid excess heat to the groin, eat well and manage stress. Healthy sperm take about three months to form, so starting now matters for both of you.

The practical side

Most healthy couples conceive within 6-12 months, so early months without success are normal, not a failure. As a general guide, consider seeking help after about 12 months of trying if you are under 35, or 6 months if you are 35 or older. In many Indian families the woman quietly carries all the worry and blame. Please share the load and be gentle with yourselves; this is a shared road.

What to focus on

  • Start folic acid 400–800 mcg daily (at least 1 month before conception)
  • Schedule a preconception check-up
  • Review current medications with your doctor
  • Check vaccination status (rubella, varicella, Tdap, Hepatitis B)
  • Baseline bloodwork (CBC, thyroid, vitamin D, blood group)
  • Work toward a healthy weight if possible (BMI 18.5–24.9 supports fertility)
  • Stop smoking, reduce alcohol, limit caffeine to <200 mg daily
  • Partner should also optimize health — fertility takes two
  • Track your cycle to understand your timing

What’s normal

Most couples conceive within a year, and a few months without success is completely normal — not a sign that anything is wrong. The signs below are simply when it’s worth seeking help.

When to seek help

  • Irregular cycles (varying by more than 7–9 days)
  • Cycles shorter than 21 days or longer than 35 days
  • Painful periods that disrupt daily life
  • History of PCOS, thyroid issues, endometriosis, or pelvic surgery
  • Partner has known fertility concerns

Every journey to conception is different. This is general guidance — if you have concerns about your fertility, talk to your doctor.

Frequently asked questions

What should we focus on while trying to conceive (Month 0 — Preconception prep)?

Before you start trying, a few things set you up for success. Start folic acid 400–800 mcg daily at least 1 month before conception — it dramatically reduces the risk of neural tube defects.

What can the male partner do to help with conception?

Conception is a team effort. In roughly 40-50% of couples who struggle, a male factor is involved, so this is never one person's burden. From day one, your partner can help: stop smoking, tobacco and gutka, cut back on alcohol, work toward a healthy weight, avoid excess heat to the groin, eat well and manage stress.

When should we see a fertility specialist?

Consider seeing a fertility specialist if irregular cycles (varying by more than 7–9 days); cycles shorter than 21 days or longer than 35 days; painful periods that disrupt daily life; history of PCOS, thyroid issues, endometriosis, or pelvic surgery; partner has known fertility concerns.

Last updated June 2026

References

Ovyacare’s guidance is written in-house and aligned with leading medical authorities: