Your Pre-Marital Health Checkup Results: Key Insights

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Hello, doctor.
Last week, my boyfriend and I went for a premarital health check-up.
Today, I went to pick up the report, but it was only handwritten, and I couldn't understand some of the indices (previously, at another hospital, I received values to compare and see if they were within normal ranges, but your hospital didn't provide that, which is a bit inconvenient).
So, I would appreciate your help in clarifying a few things.
For me (female):
- Urine: Glucose - Negative, Protein - Negative, Red Blood Cells 5-8 / HPF, White Blood Cells 25-30
- Blood: Red Blood Cells 4.3, White Blood Cells 5780, Hemoglobin 13.2, Mean Corpuscular Volume 89.15
- Serum: Syphilis test - Negative, Human Immunodeficiency Virus Antibody (Anti-HIV) - Negative, Hepatitis B: Surface Antigen (HBsAg) - Negative, Surface Antibody (Anti-HBs) - Positive, Diphtheria Antibody - Positive
For him (male):
- Urine: Glucose - Negative, Protein - Negative, Red Blood Cells 0-2 / HPF, White Blood Cells 0-1
- Blood: Red Blood Cells 5.22, White Blood Cells 6510, Hemoglobin 15.1, Mean Corpuscular Volume 89.61
- Hepatitis B: Surface Antigen (HBsAg) - Negative, Surface Antibody (Anti-HBs) - Positive
Are the above values normal? Is there anything we should be aware of? What is the Human Immunodeficiency Virus Antibody? Why were the GOT and GPT indices not checked during the premarital health examination? Sorry for the many questions!

ruby, 20~29 year old female. Ask Date: 2007/09/19

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello Ruby,
1.
Your test results (female) show abnormal levels of red blood cells and white blood cells in the urine, with a normal range being 0-5/HPF, which may indicate a urinary tract infection that requires follow-up.
In your blood tests, the levels of red blood cells, white blood cells, and hemoglobin, as well as the mean corpuscular volume, are normal.
For patients with human immunodeficiency virus (HIV), reactions for AIDS and syphilis, as well as Anti-HZV, are negative, which is normal.
The presence of antibodies for hepatitis B and the presence of antibodies for dengue fever are good.
2.
For the male patient: Urine tests are normal, blood tests are positive, and the hepatitis B surface antigen is positive while the antibodies are negative, indicating a carrier of hepatitis B.
Regular monitoring of liver function and ultrasound is necessary.
3.
The primary purpose of a premarital health check is to identify any diseases that could be transmitted or exacerbated through marital relations, such as thalassemia, sexually transmitted infections, and hepatitis B (the partner without antibodies may receive vaccination).
General tests for GOT and GPT can be conducted at outpatient clinics, and if there are still issues, you may consult a family medicine or internal medicine specialist.
Wishing you both good health.
Sincerely,
Lin Ming-Hui
Taoyuan Hospital, Department of Health

Reply Date: 2007/09/19

More Info

Understanding your pre-marital health checkup results is crucial for ensuring both you and your partner are in good health before entering into marriage. Let’s break down the results you provided and clarify their implications.

Urinalysis Results:
1. Red Blood Cells (RBC) in Urine: Your result shows 5-8 RBCs per high power field (HPF), which is higher than the normal range (0-5/HPF). This could indicate a possible urinary tract infection (UTI) or other underlying issues such as kidney stones or glomerular disease. It is advisable to follow up with a healthcare provider for further evaluation.

2. White Blood Cells (WBC) in Urine: Your result shows 25-30 WBCs/HPF, which is also elevated. Normal levels are typically 0-5/HPF. This suggests inflammation or infection in the urinary tract. Again, consulting a healthcare professional is recommended.

3. Male Urinalysis: The male partner's results show normal levels of RBCs and WBCs, which is a good sign.

Blood Test Results:
1. Red Blood Cell Count: Your RBC count is 4.3 million cells/mcL, which is within the normal range for females (approximately 4.2 to 5.4 million cells/mcL). This indicates that you are not anemic.

2. White Blood Cell Count: Your WBC count is 5780 cells/mcL, which is also within the normal range (approximately 4,500 to 11,000 cells/mcL). This suggests that your immune system is functioning well.

3. Hemoglobin: Your hemoglobin level is 13.2 g/dL, which is normal for females (12.0 to 15.5 g/dL). This is a positive indicator of your oxygen-carrying capacity.

4. Mean Corpuscular Volume (MCV): Your MCV is 89.159 fL, which is within the normal range (80-100 fL). This indicates that your red blood cells are of normal size.

Infectious Disease Screening:
1. Syphilis and HIV Tests: Both tests returned negative results, which is reassuring as it indicates that you are not infected with these sexually transmitted infections.

2. Hepatitis B: The results show that the surface antigen (HBsAg) is negative, which means you are not currently infected with Hepatitis B. However, the presence of Anti-HBs indicates that you have immunity, likely from vaccination or past infection.

3. Rubella (German Measles) Antibody: The presence of antibodies indicates immunity, which is important for pregnancy.

Questions Addressed:
- What is Human Immunodeficiency Virus (HIV) Antibody?: The HIV antibody test checks for antibodies to the virus that causes AIDS. A negative result means that you are not infected with HIV, which is crucial for your health and your partner's health.

- Why were GOT and GPT not tested?: GOT (AST) and GPT (ALT) are liver enzymes that are typically measured to assess liver function. They may not have been included in your specific pre-marital health checkup panel. If you have concerns about liver health, you can request these tests separately.

Recommendations:
1. Follow-Up: Given the elevated RBCs and WBCs in your urinalysis, it is essential to follow up with a healthcare provider for further evaluation and possible treatment for a UTI or other conditions.

2. Maintain Healthy Practices: Continue to engage in healthy lifestyle practices, including a balanced diet, regular exercise, and routine health checkups.

3. Discuss with Your Partner: It’s important to discuss these results with your partner, especially if there are any health concerns that may affect both of you.

In conclusion, while many of your results are within normal ranges, the urinary findings warrant further investigation. It’s always best to consult with a healthcare professional for personalized advice and to ensure both partners are in optimal health before marriage.

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