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Preconception is always a better choice and particularly for those on their first baby, or with any running health problem or concerns with the previous pregnancy. So it is always a good option to consult at least two to three months before one plan to start looking for the option. It leaves one with the enough time for the needed vaccine.
The can many reasons counted that would compel you to consider preconception counseling a mandatory measure before a pregnancy:
Your doctor may advice to go through some tests, to rule out some below mentioned issues.
These questions should make you proactive in your approach: