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Premarital Screening

 

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The Importance of Premarital Screening

It is recommended to include premarital screening in every couple’s wedding plans. A lot of people think that this type of test is only a fertility check up. However, it is more than just that. We at Go Health Screening strongly suggest getting one to learn more about your health, as well as your special someone before both of you say I do.

What is Premarital Screening

Premarital screening is composed of tests that are also part of the routine health screening with the addition of tests to detect fertility, hereditary defects, and other health complications. Not a lot of people are aware of health complications or genetic disorders that they might have. With the premarital test, you can prepare for future implications and provide you enough time to discuss or find a solution for the issues before the day of the wedding.

According to statistics, the total fertility rate was at an all-time low of 1.16 in 2013. The TFR is the average number of children that a woman can give birth in her lifetime. While there are other factors behind the drop in the birthrate, fertility problems is one of them. And a preconception health screening can help rule it out.

Studies have shown that 10 to 15 percent of couples suffer from infertility problems. Couples who want to conceive within a couple of years after saying I do should consider getting a premarital test for fertility and other health conditions that can affect their life together.

Aside from a fertility check up, the premarital test can also look for genetic disorders such as Thalassemia, Group B Streptococcus infection, and health issues such as Hepatitis B and diabetes.

PREMARITAL SCREEN MALE
premarital screen male

 

PREMARITAL SCREEN MALE

  1. Full Blood Count
  2. Peripheral Blood Film (PBF)
  3. Blood Group
  4. Hb Electrophoresis
  5. Hepatitis Bs Antigen
  6. Hepatitis Bs Antibody
  7. Syphilis Antibody
  8. VDRL (and titre if Syphilis Ab is reactive)

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PREMARITAL SCREEN FEMALE
premarital screen female

PREMARITAL SCREEN FEMALE

  1. Full Blood Count
  2. Peripheral Blood Film (PBF)
  3. Blood Group
  4. Hb Electrophoresis
  5. Hepatitis Bs Antigen
  6. Hepatitis Bs Antibody
  7. Rubella IgG Antibody
  8. Syphilis Antibody
  9. VDRL (and titre if Syphilis Ab is reactive)

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FERTILITY SCREEN MALE
fertility screen male

Fertility Screen Male

  1. Follicle Stimulating Hormone (FSH)
  2. Prolactin
  3. Testosterone
  4. Interstitial Cell Stimulating Hormone (ICSH)

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FERTILITY SCREEN FEMALE

fertility screen female

Fertility Screen Female

  1. Follicle Stimulating Hormone (FSH)
  2. Luteinising Hormone (LH)
  3. Estradiol (E2)
  4. Prolactin
  5. Testosterone
  6. Dehydroepiandrosterone Sulfate (DHEAS-S04)
  7. FREE T4
  8. Thyroid Stimulating Hormone (TSH)

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It is important to screen for Thalassemia, which is a genetic blood disorder that causes the abnormal formation of hemoglobin. It is vital that both parties are screened for the genetic disorder to find out if both parties have the gene. If both parties have the gene, then there is a 25 percent chance that their future offspring will have Thalassemia major, which is a severe type of anemia.

Ladies will undergo a pap smear to check for cervical cancer. Then a pelvic ultrasound is taken to check for any structural problem of one’s reproductive organs. It can also detect development of fibroids and cysts.

Premarital screening includes the Group B Streptococcus culture test. This will check whether either of the couple is a carrier of the infection, which can be passed on to one’s partner through sexual intercourse. While the infection is harmless to the adult carriers, it can cause serious health issues to a newborn.

These are the things that you need to know about premarital screening. It is important that you and your significant other have one before saying I do.

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Basic Packages

Add-on Markers

Homocystein $77

This test is used to gauge whether someone is suffering from folate or Vitamin B12 deficiency.

For people with a history of heart disease in the family in the absence of other risk factors such as being overweight or obese, high blood pressure or smoking; the test can be used in screening patients for stroke or heart attack.

CA 19.9 $67

Serum CA 19.9 levels are usually increased to about 80% among patients who are dealing with pancreatic cancer. They are also evident in 54-89% of patients with stomach cancer, while 65% for those who have colorectal cancer. From time to time, the serum level may also increase in benign conditions, such as acute and chronic pancreatitis, inflammatory bowel disease, cystic fibrosis, as well as hepatobillary tract disease. In benign disease, however, CA 19.9 generally does not go over 100U/ml.

HbA1C $37

HaemoglobinA1c, or HbAIc, is a diabetes marker, which may be used in long-term care monitoring for people who are suffering from diabetes. The level of HbA1c is directly proportional to the glucose level within the blood. It has been accepted widely as a determining factor that indicates the mean daily concentration of blood glucose throughout the preceding couple of months. According to recent studies, regular measurement and assessment of HbA1c results to the change in diabetes treatment, as well as the improvement of the metabolic control which is indicated with the lowering of the HbA1c valves.

CA 125 $67

This glycol protein is produced in several ovarian cancers. The levels of CA 125 that are above 335ng/ml have been detected in about 20-40% of patients who have State I and II ovarian cancers, as well as 96% of patients who have State III and IV of this disease. In less common situations, the levels can increase in patients who have cancers of the breast, gastrointestinal tract, endometrium, cervix, as well as the fallopian tube. The increase in levels may also be present in some benign conditions such as peritoneal inflammation and endometriosis. CA 125 is also helpful when it comes to monitoring individuals for treatment response and recurrence of tumour.

C-Reactive Protein $37

C-Reactive Protein (CRP) is a particular substance which is produced within the liver as a result of inflammation. CRP is also known as high-sensitivity C-reactive protein (hs-CRP), as well as ultra-sensitive C-reactive protein (us-CRP). With a high CRP level in the blood, there is a possibility of having a condition which can cause inflammation, ranging from the possibility of an upper respiratory infection to more serious conditions such as cancer. Higher levels of CRP can also be an indication of an inflammation in the heart arteries, swelling of the tissues that line the joints and infection of a bone. This, in turn, may pose a higher risk for heart attack. However, it is important to keep in mind, that CRP is a nonspecific test which may be elevated with any type of inflammatory condition.

CA 15.3 $67

The test for CA 15.3 is considered as a marker of tumour. It is often used in checking how treatment for breast cancer works, looking for cancer that has recurred post treatment. If you are being diagnosed with cancer of the breast, you may go through this test. It is not used for measuring early stage of breast cancer since the levels of this type of protein are only rarely higher than the normal levels within this stage.

PSA $67

PSA is a substance produced within the prostate gland. It is also highly useful when it comes to the diagnosis of prostate cancer, including the monitoring for spreading and recurrence of tumour in patients. Generally, a little amount of PSA can be found in the blood. Increase in the levels of PSA may be caused by benign prostatic or even prostate cancer.

HIV Antibody $27

The antibody screening test is considered as the most common HIV test, looking into the antibodies that is produced by the body against HIV. It may be done on oral or blood fluid, but not saliva. Since the antibody levels in the oral fluid is relatively lower as in the blood, majority of blood-based tests discover the infection sooner right after being exposed compared to rapid HIV tests.

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