Before conception begins, the most important work happens in preparation.
At Cheval Wellness, we help women (and couples) understand their hormones, metabolism, and nutrient status long before pursuing complex fertility procedures — creating a foundation where natural conception can occur more easily, or where medical fertility treatments have a higher chance of success.
Our Pre-Conception Optimization & Diagnostics Program — often called The Prep Phase — combines advanced fertility testing with nutrition, hormone balancing, and lifestyle support to prepare your body for pregnancy from the inside out.
Fertility is more than egg count or timing — it’s a reflection of total health.
The prep phase focuses on uncovering hidden hormonal or metabolic factors that could affect conception and pregnancy success.
We assess:
This approach allows us to correct imbalances before they interfere with ovulation, implantation, or early pregnancy — helping you conceive faster, sustain pregnancy more easily, and feel stronger throughout the process.
Laboratory testing is the cornerstone of our pre-conception program.
Rather than guessing, we run a detailed fertility and hormone workup to understand how your endocrine and reproductive systems are functioning together.
| Panel | What It Measures | Why It’s Important |
|---|---|---|
|
AMH (Anti-Müllerian Hormone) |
Ovarian reserve
|
Indicates remaining egg supply and fertility timeline
|
|
FSH (Follicle-Stimulating Hormone) |
Egg recruitment |
High levels can signal reduced ovarian reserve |
|
Estradiol (E2) |
Estrogen production |
Helps determine follicular health and ovulatory readiness |
|
Prolactin |
Pituitary hormone |
Elevated levels can disrupt ovulation |
|
Comprehensive Thyroid Panel
|
TSH, Free T3, Free T4, TPO & Tg antibodies |
Detects hypothyroidism or autoimmune thyroiditis, both common fertility barriersSupports fat metabolism and energy |
|
Insulin & HbA1C |
Blood sugar regulation |
Identifies insulin resistance often linked to PCOS
|
|
Vitamin D & Folate (B9) |
Nutrient sufficiency |
Crucial for implantation and fetal neural development |
We interpret these results in context — looking not only for what’s “normal,” but for what’s optimal for fertility.
This transparency helps patients understand the “why” behind each test and builds lasting confidence in their care plan.
A healthy gut microbiome supports hormone metabolism and immune tolerance during pregnancy. We evaluate digestive function and may recommend probiotics, elimination diets, or anti-inflammatory meal plans.
Even minor deficiencies can impact egg and sperm quality. We assess and correct key nutrients including:
We review possible exposures to endocrine-disrupting chemicals (EDCs) found in plastics, cosmetics, and cleaning products, and help you transition to cleaner, fertility-friendly options.
High cortisol can interfere with ovulation and thyroid hormone conversion. Mind-body techniques, adaptogenic support, and personalized sleep strategies help rebalance your nervous system — a key but often overlooked part of fertility.
Hormones can only function as well as the body they’re in.
That’s why Cheval Wellness includes targeted nutritional and lifestyle preparation in every pre-conception plan.
Ideally, start three to six months before trying to conceive.
This window allows enough time to correct hormone, thyroid, and nutrient imbalances while improving egg quality and uterine health.
Even if you’ve been trying without success, beginning with this foundational testing can identify what’s been missing — and pave the way for more efficient fertility treatment if needed later.
You don’t need to wait for infertility to start understanding your hormones.
By investing in the Pre-Conception Optimization & Diagnostics program at Cheval Wellness, you give yourself the best chance at a healthy, balanced pregnancy.
