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You shouldn’t get anxious as you’re at the beginning of your efforts and often being hasty doesn’t help matters. Try then to rid yourself as much as you can of any stress from your everyday life. In any case, 85% of couples who try to get pregnant manage in the first year of their efforts. As far as prenatal screening goes, it’s a little early for you to resort to taking a whole series of diagnostic tests, which might be expensive and unnecessary in your case. On the other hand, the annual check up with your gynaecologist is very important, especially when you’ve got pregnancy in mind. I think that an ultrasound check of the uterus and ovaries together with a blood test, a mammography and a Pap test suffice for an evaluation of your health. If after a year of trying you haven’t reached your goal, then it would be advisable for you to consult a specialist at an assisted reproduction centre.