If you are scheduled to exchange the marital vows, then before a lifetime commitment it is recommended to have a pre marital screening. As we prepare for a wedding in various ways, medical screening actually plays a vital role. Due to the growing awareness about the health issues and its adverse effects on your life, it is important that couples especially opting for arranged marriages are aware about the health status of their partners. Here are a few tips that can help you guide you through the process.
Share your medical histories – Both the bride and the groom should have a candid discussion of their medical histories and also family histories of medical conditions. Discussions should include talks about all ailments from minor ailments to allergies to genetic disorders. If required genetic counseling may be done.
Be open to your doctor and to each other – The couple must together visit a gynecologist. This gives them an opportunity to discuss about their common issues and apprehensions. Sexual counseling if needed can be provided. Family planning methods can be discussed and options provided.
Opt for a thorough medical exam- A complete physical check up of both partners is a must.
Get yourself vaccinated – HPV vaccine is a must in the pre marital checklist. Most girls are vaccinated in their early teens, but for those who have not received the vaccine then, HPV vaccination is advisable.
Both the partners must get tested for Thalassemia – If anyone of them is a carrier then there are 50% chances of baby being a carrier. But if both partners are carriers then there 25% of baby being affected by Thalassemia Major. This translates into genetic counseling and need of special tests during pregnancy.
Female partner should be tested for Rubella IgG – This test tells us if the patients is immune to Rubella. Rubella or German Measles, if acquired during pregnancy can cause severe birth defects in the baby. If the woman is not immune to Rubella we can immunize her by administering Rubella Vaccine in time
Tests for sexually transmitted disease – Opt for tests for STD’s like HIV, Hepatitis B, Hepatitis C, Syphillis should be performed in both partners.
Get your hormones checked – Females may go in for hormonal blood work like a Thyroid test, Prolactin, FSH, LH etc if required
Get your semen tested – If needed, husband may go in for a Semen Analysis Baseline.
Apart from these, need based special tests may be performed in an individualized case to case basis.