Pre-pregnancy planning

Hello! My partner and I have been ttc for 8+ months, and I’m just feeling like something is off with me 😔 Just something hormonally feels off. I’m very interested in pre-pregnancy planning scans, blood work, etc. I’m super fearful because I haven’t hit that one year mark that I’ll be turned away and ignored.

Has anyone had any experience with pre-pregnancy planning? Any issues with getting a doctor to listen? What should I expect from a doctor? Can they do some blood work to check hormones and such?