Genea Fertility Specialist Dr Simon Nothman was recently featured in Mamamia, offering his expert perspective on the viral 'Trimester Zero' trend and what evidence-based preconception care actually looks like.
The concept of 'Trimester Zero' has taken off on social media, particularly among TTC (trying to conceive) communities, encouraging women to dedicate months to intensive lifestyle overhauls before attempting to fall pregnant. From wearing glucose monitors to discarding everyday household products, the movement has taken preconception preparation to new extremes.
Dr Nothman clarifies that while some preconception habits are genuinely backed by science, including folate supplementation, quitting smoking, reducing alcohol intake, and addressing any underlying health condition, the broader trend has moved well beyond what the evidence supports. He points out that 'Trimester Zero' holds no formal clinical recognition, and that it has largely been shaped by a combination of wellness culture, commercial interests, and social media influence.
A key concern Dr Nothman raises is the disproportionate pressure being placed on women. When preparation is framed as something that can be passed or failed, it creates unnecessary anxiety and guilt, particularly when outcomes are far more significantly shaped by factors like age, genetics, and placental development than by any 90-day wellness regimen.
He also calls out the lack of conversation around male fertility, noting that sperm health is equally affected by lifestyle choices and that preconception responsibility should be shared between both partners.
Ultimately, Dr Nothman's message is one of reassurance — that meaningful preconception care is straightforward, proportionate, and empowering rather than overwhelming.
Dr Simon Nothman
Dr Simon Nothman is a Fertility Specialist and Women's Health Specialist practicing in Sydney. Holding an Honours Degree in Medicine and Surgery from the University of Sydney, Dr Nothman completed specialty training in Obstetrics, Gynaecology, and Fertility Medicine, along with a sub-specialty Fellowship in Reproductive Medicine. He has particular expertise in polycystic ovarian syndrome (PCOS), fertility preservation, and male infertility, and brings a holistic, patient-centred approach that considers the full biopsychosocial needs of each individual.
