Premarital Screening and Counseling for prevalent infectious diseases and common genetic disorders is becoming more and more common and widespread today. Family physicians, reproductive biologists and Gynaecologists together play an important role early in the diagnosis of genetic disorders and therefore prevention of abnormal pregnancies or recurrent early pregnancy losses
Through pre marital counseling, couples are encouraged to discuss topics such as:
For consanguineous couples risks may need to be calculated based on the degree of the relationship i.e. siblings, cousins, second cousins, uncle-niece etc. If an individual in the family is known to have an autosomal recessive disorder, Diabetes, Hypertension (high blood pressure) and/or allergies then risks for this disorder can be accurately calculated in the resulting offspring. It is sensible to offer carrier testing for autosomal recessive traits known to be common in particular ethnic groups. For example Cystic Fibrosis in Northern Europeans, Tay-Sachs disease in Ashkenazi Jews, Thalassemia in people from the Mediterranean region, the Middle East, South-East Asian and the Indian sub-continent and Sickle cell disease in people from the African continent, the Caribbean, the Eastern Mediterranean and the Middle East. Incidence of Polycystic ovarian disease in children of Diabetic parents is now alarmingly on the rise resulting in compromised reproductive health in the offspring.
Services of the pre-marital counseling program include –
Your counselor, family physician, Gynaecologist will work together to help you interpret the results of your counseling session(s) and support you in overcoming challenges as you move towards beginning a family.
Who should seek pre-marital counseling ?
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