Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. 1] firstly start with B 12, folic acid: at least 3 months before getting pregnant. 2] Adopt healthy diet and exercise regimen. 3] once she is pregnant , from 14 weeks she can take ASA 76, vitamin C & E. 4] keep close watch on blood pressure every 15 days. She can take appropriate anti hypertensive drug dose at the onset of hypertension. I hope my answer helps you. Thanks.