Prenuptial examinations are important even with active sex life
Nowadays most couples already have an active sex life before marriage, but even so, the premarital exams have gone out of style, because marriage is a life project and with it comes the dream of children and of a long life together. So it is important to know if you and your partner are in good health so this does not become a problem in the future.
The evaluation includes not only blood, urine and imaging tests, but also guidelines for clarifying doubts that the couple can Tue.
But it is important to point out that all this evaluation must be individualized and often the exams will vary from person to person, from couple to couple, according to with the personal and family history of each one.
Visit to the gynecologist
Examinations for the couple
Both the man and the woman should take blood tests to evaluate infectious sexually transmitted diseases such as hepatitis B and C, syphilis, AIDS, and other diseases such as toxoplasmosis, rubella, cytomegalovirus that can be harmful if contracted during pregnancy for the baby.
Blood typing, blood sugar testing for the detection of diabetes, a complete blood count to see a possible anemia, cholesterol and hormonal dosages to evaluate ovarian function and ovulation in some cases may be indicated.
Couples who do not intend to become pregnant should immediately discuss the use of condoms for prevention of sexually transmitted diseases. This issue deals with aspects related to the trust and mutual respect of the couple and should be discussed by each couple. The so-called genetic counseling, which is a follow-up by the geneticist with a multidisciplinary team is very important for couples especially if the woman is over 35 and / or if in the family there is a history of relatives who were born with Down syndrome, neural tube defects among others. If the marriage is between cousins, if there are relatives with intellectual disabilities, congenital defects, among other situations, genetic counseling may be indicated.
The couple should collect blood tests to evaluate infectious sexually transmitted diseases such as hepatitis B and C , syphilis, AIDS, and other diseases such as toxoplasmosis, rubella, cytomegalovirus
The prenuptial evaluation includes a consultation with your gynecologist and, who knows, future obstetricians. She will make an assessment through the bride's medical history, looking for probable risk factors for a pregnancy such as hypertension, diabetes, thyroid problems. In addition, a gynecologist can find other health problems and, if necessary, refer them to another specialist.
Also at this time, we take time to discuss when and if the couple intends to become pregnant. This aspect is important to provide guidance on contraceptive methods or prenatal guidelines, such as the use of folic acid to prevent malformation of the baby's neural tube and clarification of risk factors in pregnancy (smoking and history of thrombosis).
In the case of mostly virgin women, it is important to ask questions about the sexual relationship itself, so that it can make the most of the wedding night.
In addition, guidelines on sexually transmitted diseases must be given. Explanation of what each of them can cause, how prevention is done, and what symptoms may be a warning sign are important for those who have not had sex yet.Prevention of cervical cancer through Pap smear should be performed in non-virgin patients, in addition to transvaginal ultrasonography. Abdominal pelvic ultrasonography can be performed for the virgins. This test is able to evaluate the uterus and ovaries, showing information on possible cysts in the ovaries or fibroids that may disrupt a future pregnancy. Viral patients should, after having started their sex life, return to the gynecologist for a Pap smear.
Fertility tests can be performed on women over the age of 35, because with age a woman's fertility decreases. It should also be done in those who already know that they have diseases that can cause infertility like endometriosis, for example.
In the case of man, the blood tests are the same as the woman, plus a spermogram. This examination is very important because it is through it that it is possible to know if the man is fertile or not.
This evaluation is fundamental to take care early of problems that can disrupt the relationship of the couple and the chances of getting pregnant in a quiet, healthy and planned way.
In summary, when planning the wedding, a visit to the doctor should be part of the schedule. And I also advise my patients, future wives, to also seek a dentist for a prenuptial evaluation.
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