Male premarital examination usually includes 19 basic items, including blood routine examination, urine routine examination, liver function, kidney function, infectious disease screening, semen analysis, genetic disease screening, reproductive system examination, electrocardiogram, chest X-ray, blood pressure measurement, blood sugar detection, blood lipid detection, five items of hepatitis B B, syphilis serum test, AIDS detection, chromosome examination, thalassemia screening, ABO blood group identification, etc. These examinations help assess health status, eliminate the risk of genetic diseases, and provide scientific basis for post marital fertility planning.
1. Blood routine
Blood routine examination can detect anemia, infection, or abnormalities in the blood system by analyzing indicators such as red blood cells, white blood cells, and platelets. Abnormal levels of hemoglobin in males may indicate malnutrition or chronic diseases, changes in white blood cell count can reflect inflammatory reactions, and abnormal platelet values should alert to coagulation dysfunction. This examination does not require fasting, but vigorous exercise should be avoided before blood collection.
2. Routine urine
Routine urine examination can screen urinary system infection, kidney disease or diabetes by detecting pH, protein, sugar, occult blood and other indicators. An increase in white blood cells in urine may indicate urethritis or prostatitis, and positive urine protein should rule out the possibility of nephritis. Before the examination, the perineum should be cleaned and midstream urine should be collected to improve accuracy. Women should avoid this examination during their menstrual period.
3. Liver function
Liver function examination evaluates liver metabolic capacity by detecting indicators such as transaminase, bilirubin, and protein. Elevated alanine aminotransferase may indicate hepatitis or fatty liver, and abnormal total bilirubin should be investigated for biliary obstruction. Long term alcohol consumption, medication or obese individuals should pay close attention to this issue. They should abstain from alcohol and avoid high-fat diets for three days before the examination. Fasting for more than 8 hours will yield more accurate results.
4. Renal function
Renal function tests reflect renal filtration function through indicators such as creatinine, urea nitrogen, and uric acid. Elevated blood creatinine may indicate renal dysfunction, while high uric acid is associated with the risk of gout. Patients with hypertension or diabetes should be monitored regularly. Before examination, strenuous exercise and high protein diet should be avoided. Some items should be accompanied by 24-hour urine volume testing.
5. Infectious disease screening
Infectious disease screening includes detection of blood borne diseases such as hepatitis B, hepatitis C and syphilis. If hepatitis B surface antigen is positive, further evaluation of virus replication is required, and detection of treponema pallidum antibody can detect latent infection. This type of disease may be transmitted through sexual contact or mother to child transmission. Early detection can intervene in a timely manner to block transmission, and there is no need for special preparation before examination. Pre marital examination is an important part of ensuring marital health, and it is recommended to undergo the examination 1-3 months in advance to have sufficient time to deal with abnormal results. Three days before the examination, one should maintain a regular daily routine, avoid staying up late and drinking alcohol, and some items require fasting for 8-12 hours. After completing the examination, you can consult with your partner to develop intervention plans for abnormal indicators. If a genetic disease risk is found, professional genetic counseling should be conducted. Maintaining regular annual physical examinations after marriage and establishing health records can help with long-term health management.
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