Couples Preconception Readiness
Side-by-side readiness scorecards for both partners. Identifies the highest-yield improvements before conception across labs, lifestyle, substances, and supplementation.
Male Partner
Labs & Biomarkers
Hormone Panel
Total T, free T, E2, SHBG, LH, FSH within functional optimal ranges.
General Labs
Ferritin 50-150, vitamin D 50-70, B12 above 600, homocysteine below 7.2, fasting insulin 1-5, HbA1c below 5.4, thyroid panel optimal.
Semen Analysis
Recent semen analysis within WHO 2021 reference values for all parameters including DFI.
Lifestyle
Body Composition
BMI 20-27, body fat under 25%, waist circumference under 40 inches.
Sleep
7-9 hours nightly, consistent schedule, minimal disruption.
Stress Management
Manageable stress load with regular recovery practices.
Heat Exposure
Minimal scrotal heat exposure (saunas, hot tubs, prolonged sitting, laptops on lap, tight underwear).
EDC Exposure
Awareness and reduction of endocrine disrupting chemicals (plastics, BPA, phthalates, pesticides).
Substance Use
Alcohol
Less than 3 drinks per week. Ideally zero during 90-day TTC window.
Smoking / Nicotine
No tobacco, vaping, or nicotine pouches.
Cannabis / Recreational
No cannabis or recreational substances during TTC.
Supplementation
Supplement Protocol
Fertility-focused supplements: multivitamin, omega-3 (2-3g), CoQ10 (200-400mg ubiquinol), zinc (15-30mg), selenium (200mcg), vitamin D, antioxidants.
Female Partner
Labs & Biomarkers
Ovarian Reserve
AMH within age-expected range. Day 3 FSH below 10. AFC 8-15.
Cycle Hormones
Day 3 hormones balanced. Mid-luteal progesterone above 15. Prolactin under 20.
Thyroid
TSH 0.5-2.0, free T3 in upper third of range, free T4 mid-range, TPO and Tg antibodies negative or trending down.
General Labs
Ferritin 70-100 (preconception target), vit D 50-70, B12 above 600, RBC folate above 800, homocysteine below 7, fasting insulin 1-5, HbA1c below 5.4.
Other
Cycle Regularity
Regular cycles 24-35 days. Consistent length within 7 days month to month.
Immunity Status
Confirmed immunity to rubella and varicella. MMR, varicella, Tdap, hepatitis B current.
Birth Control Timing
Off hormonal birth control at least 1-3 months before TTC to allow cycle normalization.
Lifestyle
Body Composition
BMI 19-25 (broader window applicable), body fat 18-28%, regular menstrual cycles.
Sleep
7-9 hours nightly, consistent schedule.
Stress Management
Manageable stress with regular recovery work.
Substance Use
Alcohol
Less than 3 drinks per week ideally none during TTC and zero once pregnant.
Smoking / Nicotine
No tobacco, vaping, or nicotine.
Supplementation
Prenatal Protocol
Prenatal with methylfolate (800mcg+) and methylcobalamin (1000mcg+), omega-3 EPA/DHA 2-3g, vitamin D, choline 450mg, iron if indicated.