Preconception Counseling Appointment Step-by-Step


Seeking preconception genetic counseling from the experts at Insight Medical Genetics is the best way to get informed about your and your partner/donor’s genetic backgrounds so that you can make fully informed decisions about your future reproduction. 

Most of our patients are referred to Insight by their primary care physician or OB/GYN specialist. Patients can also contact Insight directly to begin the preconception counseling process.

What to Expect

As part of our wider suite of preconception services, the preconception counseling process begins with an in-office session with a genetic counselor which usually lasts from 30 to 60 minutes. Here’s how the process works:

  1. When you first arrive, you will fill out a questionnaire which contains questions about your personal and family history.
  2. Your genetic counselor will carefully review your answers to the questionnaire to determine your specific risk factors.
  3. You will then meet with your genetic counselor in a private office, where you and your partner will complete your family trees with your counselor. As part of this process, you should be prepared to candidly discuss any mental or physical conditions of anyone in your family.
  4. Your genetic counselor then performs an assessment to determine if there are factors in your personal or family histories that could pose a potential problem to a pregnancy. 
  5. If the preconception genetic assessment reveals factors that could negatively impact a pregnancy, your genetic counselor will discuss and explain the testing options (link to preconception genetic testing) available to you and your partner. At this point, you may choose if you prefer to proceed with any testing.

After this initial visit, most follow-up can be done over the phone. Most preconception counseling patients do not need to come into our office more than one or two times.

Empowering Our Patients With Knowledge

The job of our genetic counselors is to provide our patients with knowledge and the full range of options as they are considering pregnancy. Some patients go through the full genetic counseling process, and then decide that they are not interested in undergoing any of the tests. This is perfectly fine. Our job is to give information and support, making sure people have what they need to go forward and be confident in their pregnancy.