Dr Varshali Mali: 5 health checks before pregnancy at 35. While becoming a parent is a personal journey, women aged 35 and older fall into the advanced maternal age category, according to Dr. Varshali Mali, senior consultant in Obstetrics and Gynaecology at Surya Mother & Child Super Speciality Hospital, Pune. She explains that fertility declines after 35, with a conception chance of 15-20% per cycle and a miscarriage risk of about 20%. However, early medical guidance and preconception checks can help manage risks, such as genetic disorders, diabetes, and hypertension.
Dr. Mali recommends an ovarian reserve assessment, including AMH and FSH tests, to gauge egg supply and guide family planning timelines. A thyroid profile (TSH, T3, T4) is crucial, as imbalances can disrupt ovulation and increase miscarriage risks, especially for women over 30. Blood sugar and blood pressure screenings, such as HbA1c and fasting glucose, are essential to catch prediabetes or hypertension before pregnancy, reducing the chance of gestational diabetes or preeclampsia.
Nutritional deficiencies in ferritin, vitamin D, and B12 can cause fatigue or fetal issues; Dr. Mali advises daily 400 mcg folic acid to prevent neural tube defects. A reproductive health review, including a pelvic exam and ultrasound, can detect fibroids or endometriosis, while immunity checks for rubella and varicella, plus STI screening, are important.
Planning pregnancy after 35 should begin with a frank conversation with a gynaecologist, says Dr. Mali. These checks help identify risks early, allowing better timing and care. Always consult a doctor for personalized advice.