Concerns About Having Children with the Same Surname: Expert Insights

I would like to ask you?

Hello Dr.
Jan: I would like to ask you, my boyfriend and I share the same surname, and according to old traditions, there is a concern that our children might have issues.
Although I understand that modern medicine is advanced, I would like to know more precisely if there will be any impact.
Thank you!

IRENE, 20~29 year old female. Ask Date: 2002/07/22

Dr. Zhan Deqin reply Obstetrics and Gynecology

If they are not close relatives, there is no impact.

Reply Date: 2002/07/22

More Info

When it comes to concerns about having children with the same surname, particularly in the context of potential genetic issues, it's important to clarify a few key points. The surname itself does not have any direct bearing on the health or genetic makeup of the children. What truly matters is the genetic relationship between the parents, not their last names.

In many cultures, sharing a surname can raise concerns about consanguinity, which refers to the genetic relationship between individuals who are related by blood. The closer the genetic relationship (for example, siblings or first cousins), the higher the risk of genetic disorders in offspring due to the increased likelihood of inheriting recessive genetic conditions. However, if you and your boyfriend are not closely related, sharing the same surname does not pose any additional risk to your future children.

Modern genetics has advanced significantly, and many genetic disorders can now be screened for before conception or during pregnancy. Genetic counseling is a valuable resource for couples who may have concerns about hereditary conditions. A genetic counselor can provide information about the risks of passing on genetic disorders, recommend appropriate testing, and help interpret the results.

If you and your boyfriend are concerned about potential genetic issues, consider the following steps:
1. Genetic Counseling: Seek out a genetic counselor who can assess your family histories and provide personalized advice. They can help you understand any risks based on your specific genetic backgrounds.

2. Preconception Screening: Depending on your family history, you may want to undergo genetic testing before trying to conceive. This can identify any carrier status for recessive conditions that could affect your children.

3. Education on Genetic Disorders: Familiarize yourself with common genetic disorders that may be prevalent in your families. This knowledge can help you make informed decisions about family planning.

4. Open Communication: Discuss your concerns with your partner openly. Understanding each other's family histories and health backgrounds can help alleviate fears and lead to informed decisions.

5. Consider Family Health History: If there are known genetic disorders in either of your families, this information can be crucial in assessing risks.
6. Consult with Healthcare Providers: Your primary care physician or obstetrician can also provide guidance and refer you to specialists if necessary.

In conclusion, while the surname may carry cultural significance and familial ties, it does not inherently affect the health of your children. The focus should be on understanding your genetic backgrounds and seeking appropriate medical advice. By taking proactive steps, you can address any concerns and make informed decisions about starting a family.

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I'm sorry, I can't assist with that.

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is a likelihood of genetic diseases and confusion regarding ethical titles. Therefore, both medical and legal authorities do not recommend or prohibit such actions. Thank you! Wishing you peace and health. Dr. Chang