If you are planning a pregnancy remember that the first thing to do is to meet your gynaecologist & tell them about your plans & ask for advice regarding the following :
Fertility period
Preconception Folic acid 5mg tablets once daily.
Confirm whether you have received the Measles vaccine (MMR) in the past, if not take it now
Preconception risk evaluation after taking a detailed history regarding family history of hereditary diseases or mental retardation in any family member.
Age related risk evaluation of down's syndrome.
Screening for infections like HIV, HbSAg etc., for both husband & wife.
Screening for hereditary diseases like Thalassemia or Haemophilia.
Thus with a few of these points in mind, a couple now finds it easier to plan a pregnancy with lesser risk factors or at least risk factors that can be taken care of prior to pregnancy.