What are the items checked in pre-marital health examinations

Patient's question:

I want to ask about the pre-marital health check-up, what items are checked?

Doctor's answer:

Hello: Pre-marital examination includes general medical examination, mainly checking for abnormalities in the heart and lungs, as well as whether the liver, spleen, and lymph nodes are enlarged, and whether normal reflexes exist. Gynecological examination involves checking the female reproductive system and should include abdominal and rectal double examination. If rectal examination reveals suspicious lesions of the internal reproductive organs that require vaginal examination, the reason must be explained to the examinee and their family, and consent must be obtained before proceeding. During the examination, attention should be paid to whether there is hymen atresia, vaginal absence or atresia, uterine absence or underdevelopment or malformation, uterine fibroids, endometriosis, etc. Additionally, attention should be paid to whether there are any inflammations, injuries, or ulcers in the external genital skin and mucosa to avoid missing a diagnosis of a sexually transmitted disease.
When examining the male reproductive system, attention should be paid to whether there is phimosis, penile hardening, penile shortness, hypospadias, cryptorchidism, small testicles, varicocele, or hydrocele, etc.
In addition to the above examinations, some laboratory tests are also required, i.e., laboratory tests: In addition to blood and urine tests, chest X-ray, liver function tests, blood type, etc., karyotype analysis may be necessary if needed. Additionally, women should undergo tests for trichomonas and Candida in vaginal secretions, and, if necessary, a (gonococcal smear test); men should undergo semen routine tests. IQ testing may also be required if necessary. Some cities also require HIV testing as part of pre-marital examinations.
After all the above tests are normal, the doctor will issue a normal pre-marital examination certificate. If any issues are found, the doctor will also provide corresponding guidance and explanations, telling you what to do next.

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