7 Types of Medical Examinations that Need to be Done Before Marriage

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Health check or what is known by the term check-up is a set of examinations to determine a person's health condition. Premarital check-up or premarital health checks performed by a pair of prospective husband and wife before marriage or when planning a wedding. This aims to identify health conditions, risks, and a history of health problems that are owned by each partner, so that efforts can be made to prevent and handle health problems as early as possible effectively before marriage.

Why do you need to know your partner's health before marriage?

A person's health condition can affect the pregnancy process and the quality of life of your offspring later. So, knowing the health condition of a partner will make planning to build a household more mature. Even though a health check can also be done before pregnancy, it's a good idea to have a health check up a few months before marriage. That way, you can make better decisions after knowing the health risks that may be experienced by you and your family, if you continue to pursue marriage.

Examinations obtained at premarital examination services

Prenatal health checks have not been done so much in Indonesia, but if you want to do it, this examination is found in several clinics, hospitals, and private health examination laboratories. Usually checks focus on infectious diseases and diseases that affect reproductive health, as well as congenital diseases that may be inherited. The following are some of the common types of medical examinations before marriage:

1. Various blood tests

In the form of erythrocyte sedimentation rate or also known as routine hematology (complete blood count) to know the health of individuals in general by examining blood components to detect anemia conditions, leukemia, inflammatory reactions and infections, peripheral blood cell markers, levels of hydration and dehydration, polycythemia in individuals. In addition, routine hematological examination also aims to determine the risk of giving birth to offspring with thalassemia and hemophilia, but also needs to be strengthened by examining hemoglobin HPLC, ferritin, and HbH inclusion bodies and hematological physiology of hemostasis.

2. Examination of blood type and rhesus

This needs to be done to determine the compatibility of rhesus and its effects on the mother and baby. If the prospective partner has different rhesus, chances are the mother will have a child with different rhesus. This can be harmful to the health of children in the womb because it can damage blood cells and cause anemia and organs in the baby.

3. Examination of blood sugar levels

This examination is based on fasting glucose levels to determine the condition of a person's hyperglycemia. It is necessary to prevent and treat early complications caused by diabetes during pregnancy.

4. Urine examination

Also known as urinalisa examination, to detect metabolic or systemic diseases and detect kidney disorders based on chemical characteristics (specific gravity, pH, leukocyte esterase, nitrite, albumin, glucose, ketone, urobilinogen, biliubin, blood), microscopic sediments (erythrocytes, leukocytes, cylinders, cell epithelium, bacteria, crystals), and macroscopic (color and clarity).

5. Detection of sexually transmitted infections

Performed by VDRL or RPR test using blood samples. Both function to detect antibodies that react to syphilis bacteria, Treponema pallidum. VDRL can produce false positive results for syphilis if a person also suffers from several infectious diseases such as HIV, malaria, and pneumonia during examination.

6. Detection of hepatitis B infection

This is done by detecting the initial marker of hepatitis B infection. If HBsAg persists in the blood for more than 6 months, it means that chronic infection has occurred. HBsAg examination aims to prevent transmission of hepatitis B to partners through sexual intercourse, and its adverse effects on the fetus such as disability and death due to congenital transmission during pregnancy.

7. Detection of diseases causing abnormalities during pregnancy

These include diseases caused by Toxoplasma, Rubella, Cytomegalovirus, and Herpes Simplex (TORCH) bacteria based on humoral IgG immunity activity as a marker of infection. Acute TORCH infection during pregnancy or above 4 months before pregnancy will be at risk in pregnancy in the form of miscarriage, premature babies born, and can also cause fetal abnormalities.

Other premarital medical tests are also important

In addition to the above health checks, there are additional checks on several infectious diseases such as chlamydia, HIV, and thyroid hormone disorders. This is recommended if you want to get pregnant right away. Detection of HIV can be a preferred pre-marital check, whether you want to get pregnant immediately or postpone pregnancy.

HIV is a disease that has a long (chronic) disease course and attacks the body's immunity. HIV is very easily transmitted to married couples and even affects pregnancy and the birth of children who have been infected with HIV. HIV testing can be done by a standard method for detecting HIV antibodies through body fluids or by rapid methods to detect HIV antibodies by examining blood samples.

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7 Types of Medical Examinations that Need to be Done Before Marriage
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