Consultation and history
You begin with a consultation with a consultant gynaecologist, who takes a full medical, gynaecological and family history and talks through your plans and any concerns.
The pre-pregnancy check-up in London is designed to screen for important indicators to help you to embark on a healthy pregnancy journey.
Led by a consultant gynaecologist, it brings together an ultrasound scan, a pelvic examination, a comprehensive blood screen and a cervical smear, giving you a clear picture of your health before you conceive.
Available atLPC City (E1)
A pre-pregnancy check-up — sometimes called a preconception check-up or preconception care — is a health review carried out before you start trying for a baby. The aim is simple: to build a clear picture of your health so that anything worth addressing can be looked at while you still have time to plan, rather than after you have conceived.
At the London Pregnancy Clinic, the check-up is led by a consultant gynaecologist and combines a gynaecology ultrasound scan, an abdominal and pelvic examination, a comprehensive blood screen and a cervical smear with HPV test. It sits alongside our wider gynaecology services and can be a reassuring first step on the path to a healthy pregnancy.
Preparing ahead genuinely matters. The NHS recommends a daily 400 microgram folic acid supplement when you are planning a pregnancy — one of the things your consultant will confirm at your check-up, along with any other supplements or medicines worth reviewing before you conceive.
It is also an opportunity to check that you are protected against infections that can affect a pregnancy. The blood screen looks at your immunity to rubella and other infections, and can be complemented by our sexual health check-up where relevant. Because the MMR vaccine is not usually given during pregnancy, knowing your rubella status in advance means any recommended top-up can be arranged with your GP before you conceive.
A few evidence-based figures that shape what a pre-pregnancy check-up looks at.
If you are planning a pregnancy, this package and consultation will provide an invaluable insight into your health issues and medical history leading up to this transformative experience to your body and life.
This package includes
For more detail on CMV screening, see our CMV blood test.
You begin with a consultation with a consultant gynaecologist, who takes a full medical, gynaecological and family history and talks through your plans and any concerns.
The consultant carries out an abdominal and pelvic examination and a gynaecology ultrasound scan to assess your reproductive health, including the womb and ovaries.
A comprehensive blood sample is taken for the screening panel, and a cervical smear with HPV test is carried out as part of the package, all within the same visit.
You receive tailored pre-pregnancy advice, covering areas such as folic acid, vaccinations, lifestyle and anything worth acting on before you conceive.
You will receive your ultrasound report shortly after your appointment via our secure cloud system. The bloods are processed by our partner laboratory TDL here in London and can take 10-15 days to be processed.
Following the receipt of the results, we will arrange a 10 minute Zoom/phone consultation to interpret the results and discuss the following results.
We are also happy to send the results to your GP and arrange any further referrals as appropriate.
Alongside your check-up, there are simple, evidence-based steps the NHS suggests for anyone planning a pregnancy. Your consultant can talk through which of these apply to you.
Take a daily 400 microgram folic acid supplement while trying to conceive
Check you are up to date with vaccinations, including MMR for rubella protection, before pregnancy
Aim for a healthy weight, as being under- or overweight can make conceiving harder
Stop smoking and avoid alcohol while trying for a baby, with support from your GP if you need it
Review any prescribed medicines with your GP or specialist before stopping or changing them
Consider a sexual health check so that any infection can be identified and treated before pregnancy
If the check-up results in any concerns regarding your health, we will arrange a referral letter explaining our finding and diagnosis to your GP. We are also able to refer you to a private hospital or specialist of your choice or recommend a trusted expert from our wide network of colleagues in the field.
Our pre-pregnancy check-ups for couples are a good idea for those with previous health problems and medical conditions, to reduce the risk of issues during your pregnancy journey. Whether you’ve experienced high blood pressure, losing weight, or you’ve been exposed to a sexually transmitted infection, our team can offer their advice and expertise. Get in touch today to book your consultation.
This information is intended for general educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for guidance specific to your individual circumstances. If you become pregnant and have concerns about your pregnancy or baby's wellbeing, contact your midwife, GP or maternity unit promptly.
The pre-pregnancy check-up and scan at the London Pregnancy Clinic costs £750. This includes a consultation with a consultant gynaecologist, pre-pregnancy advice, a gynaecology ultrasound scan, an abdominal and pelvic examination, a comprehensive blood test panel, and a cervical smear with HPV test. You can book online or call the clinic to arrange your appointment.
The pre-pregnancy check-up is for anyone planning a pregnancy who wants insight into their health before conceiving. It is also well suited to couples with previous health problems or medical conditions, as it aims to reduce the risk of issues during the pregnancy journey. If you have experienced concerns such as high blood pressure or exposure to a sexually transmitted infection, the team can offer their advice and expertise.
The package includes a consultation with a consultant gynaecologist with pre-pregnancy advice, a gynaecology ultrasound scan, and an abdominal and pelvic examination. It also covers a comprehensive blood test panel, including full blood count, blood group and rhesus type, an infection screen, glucose, vitamin D and thyroid function, plus a cervical smear and HPV test.
No, you do not need a referral to book a pre-pregnancy check-up at the London Pregnancy Clinic. You can arrange your appointment directly online or by phone. If the check-up raises any concerns about your health, the clinic can prepare a referral letter for your GP and, where appropriate, refer you to a private hospital or specialist of your choice.
Your blood test results are processed by the clinic's partner laboratory, TDL in London, and can take 10 to 15 days. You will receive your ultrasound report shortly after your appointment via the secure cloud system. Once the blood results are ready, the clinic arranges a 10-minute Zoom or phone consultation to interpret them and discuss the findings with you.
The gynaecology ultrasound scan uses the same sound waves as standard 2D scanning and is performed by a consultant gynaecologist as part of your check-up. It is used to assess your gynaecological health before pregnancy. If you have any questions about the scan or your individual circumstances, the clinic's team will be happy to talk them through with you at your appointment.
Yes, the clinic is happy to send your results to your GP and arrange any further referrals as appropriate. If the check-up identifies any concerns, they will prepare a referral letter explaining the findings and diagnosis for your GP. They can also refer you to a private hospital, a specialist of your choice, or a trusted expert from their network of colleagues.
A preconception check-up is simply another name for a pre-pregnancy check-up: a health review carried out before you start trying for a baby. At the London Pregnancy Clinic the whole assessment is led by one consultant gynaecologist and completed in a single visit, so you leave with a clear view of your health and time to act on anything worth addressing before you conceive.
There is no single right time, but a sensible point is around three months before you start trying to conceive. This mirrors NHS advice on when to begin taking folic acid, and it leaves time to arrange any vaccinations, such as MMR for rubella, with your GP, since these are best given before you are pregnant. You are welcome to arrange a check-up sooner or later depending on your own plans — and if you have already been trying for a while, our fertility health check-up may be the more appropriate starting point.
The NHS recommends taking 400 micrograms of folic acid every day while you are trying to conceive, ideally for around three months beforehand, and continuing until you are 12 weeks pregnant. Taking folic acid at this stage reduces the chance of your baby having a neural tube defect, such as spina bifida. Some people are advised a higher dose, so it is worth discussing your individual circumstances with a healthcare professional at your check-up or with your GP.
It helps to come with a few things in mind: a note of any medical or gynaecological conditions, the medicines and supplements you take, your family history, and the dates of your last period and last cervical smear. If you are unsure whether any preparation is needed for your blood tests, such as fasting for the glucose test, contact the clinic before your appointment. You are also welcome to bring a list of questions to talk through with your consultant.
Before conceiving, it is worth checking you are up to date with routine vaccines such as MMR, because some vaccines cannot be given during pregnancy itself. Once you are pregnant, the NHS offers three vaccines free of charge: whooping cough from 16 weeks, RSV from 28 weeks, and the flu jab at any stage during flu season.
Our flu, whooping cough and RSV vaccine guides explain what each protects against and when to have it.
A consultation with a consultant gynaecologist with pre-pregnancy advice, including gynaecology ultrasound scanning, an abdominal and pelvic examination, a comprehensive blood test screening, and a cervical smear & HPV test.
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The figures and clinical statements on this page are drawn from the sources below. Guidance evolves — always discuss your individual circumstances with a clinician.
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