Dr. Rajeev Agarwal – Leading IVF Specialist & Laparoscopic Surgeon
The
Zero Trimester
starts here.
The three months before pregnancy are as important as the nine months during it. Dr. Rajeev Agarwal's preconception programme prepares both partners — biologically, medically, and genetically — before conception begins.
- PPlanning & Preconception GoalsAge, timelines, ovarian reserve, supplements
- RReview of Medical HistoryMedical, surgical, obstetric, genetic — both partners
- EEvaluate with TestsFertility hormones, semen analysis, genetic screening
- PPrevent & ProtectVaccination — rubella, varicella, hepatitis B
- AAssess Chronic ConditionsPCOS, thyroid, diabetes, endometriosis
- RReinforce — Education & SupportOvulation, fertility myths, emotional wellbeing
- EEnhance — Lifestyle OptimisationDiet, exercise, sleep, weight, stress, EDC exposure
Most fertility problems are identifiable
before you start trying.
Genetic risks you don't know you carry
Thalassaemia, SMA, and other inherited conditions can pass silently from carrier parents to children. Carrier screening before conception allows couples to make informed decisions — not emergency ones.
Undiagnosed conditions that worsen with time
PCOS, endometriosis, thyroid disease, and subclinical diabetes are frequently present at marriage but undetected. Each year of delay allows these conditions to progress and reduce fertility further.
Medications that cannot continue into pregnancy
Valproate, isotretinoin, methotrexate, and several other common medications are contraindicated in pregnancy. A preconception visit ensures safe substitution well before conception — not in a panic at a positive test.
Pregnancy planning & age
Ovarian reserve, age-related risks, oocyte preservation counselling
Full medical history review
Both partners — chronic conditions, medications, surgical history
Fertility investigations
AMH, AFC, TSH, semen analysis, DFI, carrier screening
Vaccination & immunity
Rubella and varicella cannot be given in pregnancy — must be confirmed before
Chronic condition management
PCOS, thyroid, diabetes, endometriosis, hypertension — treatment-optimised for conception
Genetic & family history
Three-generation family history, consanguinity, carrier risk profiling
Male fertility assessment
Sperm parameters, DFI, hormonal profile, lifestyle impact, occupational exposure
Lifestyle & environment
Weight, diet, sleep, alcohol, smoking, endocrine disruptors, stress
This is not a routine
gynaecology visit.
Most preconception appointments end with a folic acid prescription. Dr. Agarwal's consultation is structured across eight clinical domains — both partners, both biologies, with evidence-based investigation and a personalised 90-day action plan.
The question most specialists don't ask: Are you doing more than prescribing folic acid? The literature is clear — folic acid alone, without assessing immunity, genetics, chronic disease, and male health, leaves most of the risk unaddressed.
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You don't need to be struggling to benefit.
The ideal time for preconception counselling is before you start trying — not after six months of disappointment.
Recently married or engaged
Planning a family in the next 1–2 years? The Zero Trimester begins now — not when you decide to start trying.
Actively trying to conceive
If you've been trying for 3–6 months without success, a structured preconception evaluation will identify what's been missed.
Known medical conditions
PCOS, thyroid disease, endometriosis, diabetes, or hypertension — these require preconception optimisation before pregnancy is safe.
Family history of genetic conditions
Thalassaemia, hearing loss, SMA, or other inherited conditions in your family warrant carrier screening before conception.
Planning to delay parenthood
Want children in 3–5 years but concerned about fertility? Ovarian reserve assessment and fertility preservation counselling is available now.
Planning a second pregnancy
Secondary infertility is more common than most couples expect. A structured review after your first pregnancy identifies new and changed risk factors.
Six lifestyle factors that directly
affect your fertility and your child's health.
The research is unambiguous. What both partners eat, weigh, sleep, drink, and inhale in the three months before conception shapes not just whether pregnancy occurs — but the health trajectory of the child born.
Weight & BMI
Every unit of BMI above 30 reduces conception rate by 10%. For men, obesity reduces sperm concentration by 15–20% and increases DNA fragmentation by 30–40%.
Smoking & Tobacco
Smoking accelerates egg depletion, increases miscarriage risk, and reduces sperm count, motility, and morphology. Hookah and sheesha carry greater risk than cigarettes.
Alcohol
Consumption above 2 drinks/day is associated with infertility in both partners. For the zero trimester specifically, abstinence is the evidence-based recommendation.
Sleep
7–9 hours is the target. Women sleeping past midnight show increased infertility risk. Sleep disruption alters LH rhythms, melatonin levels, and insulin sensitivity — all critical for ovulation.
Exercise
Mild to moderate exercise increases fertility by ~15%. For women with PCOS, vigorous aerobic and resistance training outperforms moderate exercise. Results require consistency over 50+ hours of training.
Endocrine Disruptors
Plastics, synthetic fragrances, pesticides, and cosmetics containing BPA and phthalates disrupt hormonal signalling. EDC exposure is linked to PCOS, endometriosis, and early menopause.
Watch before your consultation.
Endocrine Disruptors and Your Fertility — What They Are, Where They Hide, and What to Do
A clinical deep-dive into the everyday chemicals — in your plastics, cosmetics, air fresheners, and food — that interfere with reproductive hormones in both partners.
25 Fertility Questions & Myths Around Trying Naturally — Answered by a Fertility Specialist
Everything couples are embarrassed to ask: timing of intercourse, frequency, positions, LH kits, ovulation apps, lubricants, and the evidence behind each. Clinically accurate, myth-free.
📅 Coming soon — new videos releasing monthly
Your consultation, step by step.
Before you arrive
You and your partner complete a detailed preconception health profile — 12 domains covering your full medical, genetic, and lifestyle history. Bring any previous test results.
The consultation
Dr. Agarwal conducts a structured clinical assessment across all 8 domains — both partners. Every relevant risk factor is identified and documented.
Investigations ordered
A targeted investigation panel is ordered based on your history — not a generic screen. Results are interpreted in the context of your specific situation.
Your 90-day roadmap
You leave with a written personalised plan: your supplement programme, investigations, vaccinations, lifestyle changes, and follow-up schedule. Not generic advice — yours specifically.
Frequently asked questions
about preconception care.
Questions patients ask before booking — answered clinically and clearly.
What couples say after
their Zero Trimester consultation.
Real feedback from couples who came for preconception counselling at Renew Healthcare, Kolkata.
We had been trying for eight months before our consultation with Dr. Agarwal. Within the first visit, he identified my husband's borderline sperm DNA fragmentation and my subclinical thyroid — neither of which had been picked up before. Three months later we were pregnant.
We came before we even started trying — just to make sure everything was in order. Dr. Agarwal found I was a thalassaemia carrier and my husband was tested immediately. That one conversation changed the entire course of our planning. We are deeply grateful.
I have PCOS and was told by multiple doctors to "just try for a year first." Dr. Agarwal's approach was completely different — structured, evidence-based, and respectful. He optimised my condition before we started, and I conceived naturally within four months.
Download your Preconception Health Guide
A free, evidence-based guide for couples planning a pregnancy — covering what to do, what to check, and what not to miss in the three months before conception.