Essential Pre-Marital Health Checks: Urology Concerns - Urology

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Basic knowledge questions?


I would like to ask, I am getting married soon and I haven't had any sexual activity for over three years.
I have had a few girlfriends in the past, but during these three years, I have been regularly tested every three months for hepatitis B, hepatitis C, HIV, syphilis, and other related screenings (which has been quite costly over the past three years).
Recently, after more than three years, all my tests have come back normal.
Regarding premarital screenings for HIV and syphilis, I have read that HPV may not show physical symptoms and blood tests may not be very accurate.
Since I have not had any sexual activity during these three years, I would like to know if, based on my situation, I can rule out concerns about marriage and having children.
Have there been any cases in your medical experience over three years that are similar to mine? I have been advised by the testing facility to stop wasting money on these screenings, possibly due to articles published by doctors in mainland China that have caused concern.
I am not looking for a doctor's endorsement; I just want to know if, based on professional experience, I can consider this matter resolved.

Hao, 50~59 year old female. Ask Date: 2020/05/02

Dr. Du Shixi reply Urology


Hello: The examination can be performed and can be extended to a duration of one year.
If there are any unsafe sexual behaviors, it is recommended to get tested every three months.
Wishing you good health.

Reply Date: 2020/05/02

More Info


When preparing for marriage, many individuals consider undergoing essential pre-marital health checks, particularly concerning urology and sexually transmitted infections (STIs). Your proactive approach to health screenings over the past three years is commendable, especially given the importance of ensuring both your own health and that of your future partner.

From your description, it appears that you have been diligent in monitoring your health by regularly testing for hepatitis B, hepatitis C, HIV, and syphilis. These tests are crucial as they help identify any potential infections that could be transmitted to a partner. The fact that your results have consistently returned normal is a positive indicator of your current health status.

Regarding your concerns about other sexually transmitted infections, such as human papillomavirus (HPV), it is important to note that while blood tests can effectively screen for certain STIs, HPV is primarily diagnosed through physical examinations or specific tests, such as Pap smears for women. In men, HPV often does not present visible symptoms, making it challenging to detect without specific testing. However, the absence of sexual activity for over three years significantly reduces the likelihood of acquiring new infections during that time.

In terms of fertility and reproductive health, your history of regular screenings and the absence of sexual activity suggest a low risk for STIs that could affect fertility. However, it is essential to consider other factors that can influence reproductive health, such as lifestyle, genetics, and overall health conditions. If you have no symptoms and your screenings have been negative, it is reasonable to conclude that you are in good health regarding STIs.

Moreover, if you are planning to start a family, it may be beneficial to consult with a healthcare provider about additional pre-conception health checks. These may include assessments of your overall reproductive health, including sperm analysis, which can provide insights into fertility. While your current screenings are essential, a comprehensive evaluation can give you and your partner peace of mind as you embark on this new chapter.

It is also worth mentioning that while regular health checks are crucial, the frequency can be adjusted based on individual risk factors and lifestyle changes. If healthcare professionals have advised you that continuing to test every three months may not be necessary given your circumstances, it might be wise to follow their guidance. They can provide personalized recommendations based on your health history and lifestyle.

In summary, based on your diligent health monitoring and the absence of sexual activity, it appears that you are in a good position to consider marriage and starting a family. However, it is always advisable to have an open dialogue with your healthcare provider about any lingering concerns and to ensure that you are fully informed about your reproductive health. This proactive approach will not only benefit you but also contribute to a healthy partnership as you move forward.

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