Premarital health check-up to improve population quality

Before entering married life, checking and evaluating your overall health is necessary to prevent, detect and treat dangerous diseases early, contributing to improving the race and improving population quality.

Premarital health check-up to improve population quality A talk on adolescent reproductive health care for grade 9 students at Xuan Truong Secondary School (Tho Xuan).

After more than 3 years of dating, Ms. NTM, 26 years old, in Xuan Truong commune (Tho Xuan) planned to get married. After being advised and instructed by acquaintances to have a premarital health check-up many times, Ms. M., convinced her lover to go to the hospital for a health check-up. At the hospital, after examination and testing, Ms. M., discovered that she had an ovarian cyst. This could affect her ability to conceive naturally, but because it was detected early, Ms. M. was treated promptly. She and her lover are now married and are preparing to welcome their first child.

In just over 2 months, Ms. L.Th.Ng. and Mr. Ng.VH, in Tam Van commune (Lang Chanh) will hold their wedding. At this time, they are quite busy preparing for the important work of their lives.

Ms. Ng. shared: “Before the wedding, we arranged to have a general health check-up as well as see a doctor for reproductive health consultation. For me, this is a very important thing, it will greatly determine the happiness of the family. The health check-up results help my husband and I feel secure and confident to enter family life in the future.”

A specialist at Thanh Hoa Obstetrics and Gynecology Hospital said that the hospital often receives many cases of ovarian cysts. However, not all cases are as lucky as Ms. M., many couples come to the clinic after many years of marriage without having children. As we get older, treatment for diseases related to reproductive function becomes more difficult.

According to specialist doctor II Nguyen Thi Tham, Deputy Director of Thanh Hoa Obstetrics and Gynecology Hospital, premarital health check-ups for women often include diseases related to the ovaries such as ovarian failure, ovarian cysts, blocked fallopian tubes, etc.; while for men, weak sperm is common. Notably, this rate is increasing. Therefore, premarital health check-ups help couples before marriage to protect their health, screen, prevent, and detect early sexually transmitted diseases; hepatitis B, C; syphilis; genetic diseases; weak sperm, ovarian cysts, etc. for timely treatment, ensuring that after marriage, the pregnancy is safe to give birth to healthy children.

It can be affirmed that premarital health examination and counseling activities not only bring benefits to couples in their married life but also have important significance for improving the quality of the population. In Thanh Hoa, this activity is integrated into the Project "Expanding screening, diagnosis and treatment of some prenatal and neonatal diseases and disabilities".

Ms. Tran Thi Lam, Director of Tho Xuan District Medical Center, said that in 2022, the project was deployed in 17 communes and towns in the district, organizing 20 consultations to provide knowledge on pre-marital reproductive health, safe contraception, prevention and treatment of gynecological diseases, prevention and treatment of infertility, safe motherhood, parental responsibility, raising healthy children, teaching good children... for 1,000 young men and women who were preparing to get married and newly married. Along with that, health check-ups and consultations on the risks of giving birth to children with disabilities were organized for 440 cases of men and women preparing to get married (Supporting hepatitis B testing)... Thereby, helping couples preparing to get married detect diseases related to reproductive issues.

In Lang Chanh district, the project was implemented in 5 communes of Lam Phu, Tam Van, Tri Nang, Giao Thien, Dong Luong. In the communes, 5 pre-marital health club activities were organized, with 250 participants; 5 pre-marital health consultation sessions were organized, 110 hepatitis B tests were performed, of which 17 cases were found positive.

Premarital is the period from when a person begins to have the ability to reproduce until before marriage. During this period, couples do not have much experience in married life nor knowledge about reproductive health. Therefore, premarital health check-ups have many benefits for couples, first of all, it will help limit the rate of congenital malformations inherited from parents, typically congenital hemolytic disease. In addition, premarital health check-ups will detect and treat sexually transmitted diseases (if any); help doctors assess fertility and support timely treatment of reproductive diseases. However, currently, the implementation of premarital health check regulations is mainly due to advocacy. There are no mandatory regulations for premarital health check-ups, so a number of people do not see the importance of this issue, often ignore or do not care, so the number of people who go to medical facilities for premarital health check-ups is still very small.

Pre-marital health check-ups are tests performed to detect adverse health signs for timely consultation and treatment. Pre-marital health check-ups not only reduce the worry of illness but also create a comfortable mentality for married life after the wedding and clearly know your health to have a reasonable plan to have children. According to medical experts, couples should have a pre-marital health check-up plan about 3-6 months before the wedding. Especially for those who plan to have children right after marriage, pre-marital health check-ups are very important to ensure the health of their children in the future.

Article and photos: To Ha

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