What does a premarital checkup check?

The state stipulates that every couple who are about to get married must undergo various types of physical examinations. In addition to routine genital examinations, they also need to undergo detailed examinations to see if the couple has any family medical history or some congenital genetic diseases. This can greatly reduce the incidence of disease in newborns. It can be seen that pre-marital examination is very important. So what exactly does a pre-marital check-up check?

In fact, the more detailed the premarital examination is, the more beneficial it will be, especially for our offspring. There are many pre-marital examination items. In addition to some necessary examinations, you can also add some optional items to clearly understand the physical condition of both husband and wife. Below I will give you a detailed introduction to what the premarital examination checks.

What does a pre-marital check-up check?

1. Ask about medical history

1. To find out whether the two parties are related by blood, both parties present the "Marital Status Certificate" issued by their work units. 2. Understand the current and past medical history of both parties. Such as whether there are sexually transmitted diseases, leprosy, mental illness, various infectious diseases, genetic diseases, important organs, urinary and reproductive system diseases and intellectual development, etc.; 3. Understand the personal history of both parties, and ask about work and living environment, smoking and drinking habits that may affect reproductive function. 4. The woman’s menstrual history and the man’s nocturnal emission. 5. Family history of both parties, with an emphasis on medical history related to genetics. 6. For those who are remarrying, their previous marriage and childbearing history should be asked.

2. Physical examination, including internal examination, genital examination and laboratory examination.

1. Internal medicine examination is a full body physical examination. 2. Genital examination is to detect genital diseases that may affect marriage and fertility. For women, a bimanual abdominal and anal examination is performed to note the presence of hymen occlusion, vaginal absence or occlusion, uterine absence or hypoplasia, uterine fibroids, endometriosis, etc. When examining the male genitals, attention should be paid to the presence of phimosis, penile induration, short penis, hypospadias, cryptorchidism, small testicles, varicocele, and hydrocele, etc. 3. Laboratory examinations: In addition to routine blood tests, routine urine tests, chest X-rays, liver function tests and blood type, women will undergo vaginal secretion tests to check for Trichomonas and fungi, and a gonococcal smear test if necessary; men will undergo routine semen tests.

If necessary, an IQ test should also be conducted.

Inspection items

Mandatory items to be checked: 1. Legally prescribed infectious diseases. These diseases include AIDS, gonorrhea, syphilis, hepatitis B, etc. These diseases can be screened through blood draws or smears. 2. More serious mental illness. Such as severe mania, schizophrenia, etc., these diseases may endanger the life safety and physical health of others, and the patients' psychological problems can also cause many serious consequences. Such disorders require diagnosis by a psychiatrist. 3. Reproductive system malformations. These diseases directly affect fertility. Some of them can be diagnosed by andrologists and gynecologists with the naked eye, while some require B-ultrasound examination. 4. Congenital genetic diseases. Such as albinism, primary epilepsy, chondrodysplasia, myotonic dystrophy, hereditary retinitis pigmentosa, etc. Screening for genetic diseases requires chromosome testing. 5. Routine blood and urine tests

Optional items: 1. Pulmonary function. Generally a chest X-ray is sufficient. 2. Heart function. Common heart diseases can be screened with an electrocardiogram, and congenital heart diseases can be screened with cardiac color ultrasound. 3. Blood sugar. Blood test to check for diabetes. 4. Blood pressure. Blood tests to check if your blood pressure is too high or too low. 5. Internal organs. B-ultrasound can check whether there are abnormalities in the liver, gallbladder, pancreas, spleen, and kidneys. 6. Blood. Have a blood test to check whether liver and kidney function are normal.

As for what is included in the premarital examination, in fact, in addition to the examination for some infectious diseases, a systemic examination is also required. In addition, the genitals of both husband and wife must be examined in detail, such as: whether there is any abnormality of the uterus, whether the penis is short, whether the testicles are too small, etc. In short, premarital examination is indeed one of the important steps before a couple gets married.