What are the main items checked during the pre-marital health examination?

Patient's question:

I am getting married, and before that, I would like to have a pre-marital examination. Could you please tell me which main items are checked?

Doctor's answer:

Medical Analysis:
Hello, the general procedure for the premarital health check-up includes three steps:
1. Bring your unmarried certificate from your unit, ID card, and an introduction letter from the Civil Affairs Bureau to the hospital for the check-up.
2. Medical history inquiry, physical examination, laboratory tests, etc.
3. Watch a video on premarital health care. If everything is normal, you can proceed to get the certificate.
Guidelines:
The specific examinations include the following:
1. Medical history inquiry
A. Clarify the medical history of both parties, such as whether there are acute or chronic infectious diseases, heart disease, nephritis, mental illness, diseases of major organs, and urinary and reproductive system disorders.
B. Clarify the family history of both parties, especially whether there are hereditary diseases in direct relatives, such as mental illness, dementia, congenital deformities, and other genetic diseases.
C. Also inquire whether both parties are direct blood relatives or collateral relatives within three generations.
D. Menstrual history of women and seminal emission of men, which is very helpful for early detection of diseases affecting marriage and fertility. (F. If it is a second marriage, the doctor will also inquire about the past marital and fertility history.)
2. Physical examination
A. General check-up: Measure height, weight, blood pressure, and examine the development of the whole body and nervous system.
B. Examination of major organs, such as the heart, liver, kidneys, and lungs.
C. Examination of secondary sexual characteristics, such as hair distribution, fat distribution, Adam's apple development, and breast development.
D. Examination of the reproductive system, including the development of internal and external genitalia and whether there are congenital deformities or other conditions.
3. Laboratory tests
Blood and urine routine tests, including liver and kidney function tests. When necessary, semen tests, karyotype analysis, and syphilis treponemal tests may be conducted.
Hope this information is helpful to you.

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