Pre-Marital Health Checkups: Costs, Duration, and Tests - Family Medicine

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Health Checkup Fees and Items


What items are included in a premarital health check-up? How much does it cost? How much time does it take? Can it detect if someone has thalassemia? Thank you.

terisa, 30~39 year old female. Ask Date: 2004/06/16

Dr. Huang Jianxun reply Family Medicine


I.
The pre-marital health check-up items for males and females are as follows:
(a) For males:
1.
Blood test
- Hepatitis B surface antigen
- Hepatitis B e antigen
- Hepatitis B surface antibody
- HIV test
- Complete blood count
- Blood type
- Syphilis serology
2.
Urinalysis
- Occult blood
- Protein
- Glucose (qualitative)
3.
X-ray examination (approximately NT$1575, requires one morning)
(b) For females:
1.
Blood test
- Hepatitis B surface antigen
- Hepatitis B e antigen
- Hepatitis B surface antibody
- HIV test
- Complete blood count
- Blood type
- Syphilis serology
- German measles (Rubella) test
2.
Urinalysis: Routine urinalysis
3.
X-ray examination (approximately NT$1845, requires one morning)
II.
The pre-marital health check-up can determine if you have anemia (hemoglobin level).
It is recommended that if your hemoglobin level is found to be low, you should further confirm the underlying cause of anemia through an outpatient consultation.

Reply Date: 2004/06/16

More Info


Pre-marital health checkups are essential for couples planning to marry, as they help identify potential health issues that could affect future family planning and overall well-being. These checkups typically include a variety of tests and assessments to ensure both partners are in good health before entering into marriage.


What Does a Pre-Marital Health Checkup Include?
The specific tests included in a pre-marital health checkup can vary by facility, but generally, they encompass the following:
1. Physical Examination: A thorough physical assessment, including checks for vital signs such as blood pressure, heart rate, and respiratory rate.

2. Blood Tests:
- Complete Blood Count (CBC): This test evaluates overall health and detects a variety of disorders, such as anemia and infection.

- Blood Type and Rh Factor: Important for understanding compatibility and potential pregnancy complications.

- HIV Screening: Testing for HIV is crucial for both partners.

- Syphilis Testing: A test for syphilis, a sexually transmitted infection (STI).

- Hepatitis B and C Testing: Screening for these viral infections is also common.

- Rubella Immunity: Checking for immunity to rubella, which can affect pregnancy.

3. Urinalysis: A routine urine test to check for signs of diabetes, kidney disease, or urinary tract infections.

4. Thalassemia Screening: This is particularly relevant for individuals from regions where thalassemia is common, as it can help identify carriers of the gene for Mediterranean anemia.

5. Genetic Counseling: Depending on family history and ethnic background, genetic counseling may be recommended to assess risks for certain inherited conditions.

6. Chest X-ray: This may be included to check for any underlying lung issues.


Costs of Pre-Marital Health Checkups
The cost of pre-marital health checkups can range from approximately $100 to $300, depending on the facility and the specific tests included. It's advisable to contact the healthcare provider directly for a detailed breakdown of costs, as prices can vary significantly based on location and the extent of the tests performed.


Duration of the Checkup
The duration of a pre-marital health checkup can vary, but typically, the appointment may take anywhere from one to two hours. This includes time for the physical examination, blood draws, and any necessary consultations. Results for most blood tests are usually available within a few days, while some tests, like genetic screenings, may take longer.


Can It Detect Mediterranean Anemia?
Yes, a pre-marital health checkup can include tests to detect Mediterranean anemia, also known as thalassemia. This is particularly important for individuals from ethnic backgrounds where thalassemia is prevalent. A simple blood test can determine if one or both partners are carriers of the thalassemia gene, which is crucial for family planning, as it can affect the health of future children.


Conclusion
In summary, pre-marital health checkups are a proactive step for couples intending to marry. They not only help identify potential health issues but also provide peace of mind regarding reproductive health. The tests included, costs, and duration can vary, so it is essential to consult with a healthcare provider for personalized information. Couples should consider these checkups as an investment in their future health and family planning.

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