Preconception care for men

A clinician may review diabetes, high blood pressure, thyroid problems, infections and long-term medicines. Some medicines or workplace exposures can affect sperm or pregnancy planning, so do not stop prescribed treatment without advice. Sperm production takes time, meaning recent fever, heavy alcohol use, smoking, anabolic steroids, recreational drugs or overheating may matter during a fertility review. Sexual health, vaccinations and family medical history may also be discussed.

Arrange a pre-pregnancy appointment, share a complete medicine and supplement list, and mention previous fertility concerns or difficulty conceiving. Aim for regular movement, balanced meals, restorative sleep and a weight range that is healthy for you. Avoid tobacco and recreational drugs, keep alcohol low or avoid it, and use protective equipment around chemicals, radiation or high heat. Ask whether testing or a supplement such as [Folic Acid](/materials/folic-acid/) or [Vitamin D Supplement](/materials/vitamin-d-supplement/) is appropriate. [Preconception Care](/treatments/pregnancy-and-birth-care/preconception-care/) can include both partners.

Seek medical advice before trying if you have testicular pain or swelling, a history of testicular injury or surgery, erection or ejaculation problems, a previous fertility diagnosis, or take testosterone or anabolic steroids. Contact a clinician promptly for a possible sexually transmitted infection. If pregnancy has not occurred after a period of regular unprotected sex, both partners can be assessed; earlier review may be sensible when a known risk is present.

Could any medicine, supplement or exposure affect sperm or pregnancy planning? Do I need infection screening, vaccination review or a semen test? What changes should I make before we try?