A healthy pregnancy with lupus is possible — but it starts long before a positive test. Research shows that disease activity at the time of conception can affect outcomes, making the preconception window one of the most important stretches in a lupus pregnancy. This guide walks through the five key questions to bring to your rheumatologist 3 to 6 months before you start trying — from medication safety and antibody testing to building the right care team. Whether you're just beginning to think about pregnancy or actively planning, here's how to walk into that appointment feeling prepared, not overwhelmed.