A marriage represents a potential life-long partnership and years of togetherness, which is why it should be a decision taken with utmost sincerity, dedication, and transparency. Therefore, before you get hitched and decide to spend the rest of your life with your partner, share your medical history and status with each other. You can also take a few tests done, the results of which shouldn’t influence your decision, but should prepare you in advance for any emergencies. We spoke to two experts who list the medical tests couples should get before saying “I do.”
Blood Tests And Compatibility
Blood tests are extremely useful in detecting any underlying health condition or nutritional deficiencies in the body. Dr Nikhil Kulkarni, Consultant-Internal Medicine, S.L Raheja Hospital, Mahim - A Fortis Associate, says a Complete Blood Count (CBC) can help identify various blood disorders or infections, whereas blood typing and Rh factor testing can help determine the risk of certain blood-related conditions, which in turn can benefit couples planning to have children in the future.
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In addition, with the help of a blood test, you can also find out all about your blood type and compatibility with your partner. “Knowing your blood types and compatibility is crucial, particularly if you plan to start a family,” says Dr Meenakshi Mohan, Consultant Pathologist, Neuberg Pulse Diagnostics, Kolkata, adding, “Understanding blood type compatibility can help anticipate and manage any potential complications during pregnancy and childbirth, ensuring a safe and healthy outcome.”
Genetic Carrier Screening
A genetic carrier test helps assess the risk of passing on inheritable genetic disorders to future children, says Dr Kulkarni. According to him, it can be particularly relevant for people with a family history of genetic conditions or if both partners belong to certain ethnic groups associated with higher prevalence rates of specific disorders. He urges to get screening for thalassemia, haemophilia and sickle cell anaemia.
Comprehensive Sexually Transmitted Infection (STI) Testing
Dr Mohan encourages couples to be open and honest about their sexual health. Therefore, she says, “Both partners should undergo a comprehensive screening for STIs to ensure a clean slate and prevent potential transmission within the relationship,” adding that it does not only safeguard one’s health but also promotes trust and transparency.”
Shockingly, more than ten lakh STIs are acquired every day worldwide, the majority of which are asymptomatic, says the World Health Organization (WHO), adding, "Each year there are an estimated 37.4 crore new infections with one of four curable STIs namely chlamydia, gonorrhoea, syphilis and trichomoniasis.
Fertility Evaluation
Another important factor in a couple's life is fertility and the chance to conceive in the future. Dr Mohan says, "Couples may choose to assess their fertility to plan for their future with confidence. This evaluation can include assessments of reproductive health, sperm count, ovarian reserve, and hormone levels."
As per the doctor, these tests and evaluations empower couples with information to make informed decisions about family planning and fertility treatments, if necessary.
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Mental Health Check-Up
While mental health discussions have gained much momentum in recent times, it is still one of the most overlooked health problems. As couples who are planning to take the next step in the relationship, it is important to understand each others’ mental space.
According to Dr Mohan, mental health is an integral part of overall well-being, which is why couples should consider seeking a mental health evaluation or counselling to address any underlying emotional issues, stressors, or relationship dynamics before they escalate. These proactive steps and measures can pave the way for a strong and resilient partnership, she notes.
Vaccination Status
Apart from getting necessary tests, it is also important to know your partner’s vaccination status. Ensure that both of your immunisation status is up to date. This includes tetanus, diphtheria, pertussis (Tdap), measles, mumps, rubella (MMR), and hepatitis B vaccines. In case you have missed getting a vaccine or a vaccine dose, you can get it under your doctor’s supervision.