Essential Pre-Marital Health Check: Timing, Focus Areas, and Coverage

Pre-marital health checkup

Hello, doctor.
I would like to ask when would be the most appropriate time to undergo a premarital health check-up as my wedding date approaches.
Additionally, what key areas should be focused on during the examination? Also, is the premarital health check-up covered by health insurance, or are there any public hospitals that provide subsidies for it? Thank you.

Da Tou, 20~29 year old female. Ask Date: 2007/05/23

Dr. Shi Guimei reply Nutrition

Hello! Pre-marital health check-ups are self-paid services, and many hospitals offer this type of examination.
The hospital I work at also provides this self-paid check-up.
The examination includes tests for German measles, syphilis, hepatitis B antigens and antibodies, HIV, complete blood count (such as red blood cells, white blood cells, etc.), and biochemical tests (such as liver function tests, kidney function tests, etc.).
There may be slight variations in the services offered by different hospitals, so it is best to directly inquire with the hospital you wish to visit for more clarity.
Generally, it is recommended to have the check-up 3 to 6 months before getting married and having children, as you may need to receive the German measles vaccine.
If time is pressing, having the check-up before marriage and childbirth is certainly better than not having one at all.
Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2007/05/23

More Info

When it comes to pre-marital health checks, timing, focus areas, and coverage are crucial considerations for couples preparing for marriage. Ideally, the best time to undergo a pre-marital health check is approximately 3 to 6 months before the wedding date. This timeframe allows for any necessary vaccinations, such as the rubella vaccine, which may be required if the test results indicate susceptibility. If the wedding date is approaching and there is insufficient time for vaccinations or follow-up tests, it is still advisable to undergo the health check, as it is better than not having any assessment at all.

The focus areas of a pre-marital health check typically include screening for infectious diseases, blood tests, and general health assessments. Common tests may include:
1. Infectious Disease Screening: This includes tests for rubella, syphilis, hepatitis B, and HIV. These screenings are essential to ensure that both partners are aware of their health status and can take necessary precautions to protect each other and any future children.

2. Blood Tests: A complete blood count (CBC) is often performed to check for anemia or other blood disorders. Additionally, biochemical tests to assess liver and kidney function may be included.

3. General Health Assessments: This may involve measuring height, weight, blood pressure, and other vital signs. A urinalysis may also be conducted to check for any underlying health issues.

4. Genetic Counseling: Depending on family history and ethnic background, couples may also consider genetic screening for hereditary conditions.

Regarding health insurance coverage, pre-marital health checks are generally considered out-of-pocket expenses and are not typically covered by national health insurance plans. However, some public hospitals may offer subsidized packages or specific health check programs that could include pre-marital health assessments. It is advisable to contact local hospitals or clinics directly to inquire about available packages and any potential subsidies they may offer.

In summary, planning for a pre-marital health check should be done well in advance of the wedding date, focusing on essential screenings for infectious diseases and overall health assessments. While these checks are usually self-funded, exploring options at public hospitals may provide some financial relief. Couples should prioritize their health and well-being as they prepare for their future together.

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