Check-Ups would ease your Married Life

With marriage begins an active sex life and more demands on the body and mind. If you enjoy optimum health, it will be easier for you to cope with the pressures of marriage and new relationships.Married Life It will also ensure that your path to child-bearing becomes smooth. In your list of priorities, mark an appointment with your gynecologist, who will advise certain pre-marital tests and prescribe any remedies, if necessary. Your individual case will decide what tests you need to undergo. Family history and any existing pre-marital medical condition as also a history of abnormalities in the family play a vital role. Your doctor will then examine you and assess your health quotient and compatibility with your to-be husband.

What: Thalassaemia. Thalassaemia causes low blood count and is hereditary. In case of the full blown disease, the patient will require blood transfusions for life.

Why: Thalassaemia testing prior to marriage is important as both the partners may have thalassaemia minor and may not even be aware of it, as it has no symptoms.

How to find out: The test to detect thalassaemia is a simple blood test.

How it can affect: The child born to both parents of thalassaemia minor has a 25 per cent chance of having thalassaemia major which is a serious and life threatening disorder.

What: Diabetes

Why: Those with diabetes have extra reason to be mindful of heart and blood vessel disease and also kidney problems. As many as one-third of people with diabetes will have a skin disorder caused or affected by diabetes at some time in their lives. In men with diabetes, Married Life the most common problem is impotence due to damaged nerves going to the sexual organs. In women with diabetes, damage to nerves in the pelvic organs and genitals can lead to impaired sexual arousal and painful intercourse.

How to find out: A simple blood test.

How it can affect: Diabetes carries an increased risk for heart attack, stroke, and complications related to poor circulation.

Note: Juvenile diabetes: This too is a common problem. The couple must disclose to each other, if one of them is a juvenile diabetic, as the children can be affected by this.

What: HIV - The Human Immunodeficiency Virus (HIV) basically provokes an infection, which destroys the body's immune system.

Why: The infection may show no signs and the infected person may be unaware of it. However, the risk of transmission through intercourse later on is high and not only the partner but any child born to them later may also acquire the disease. Hence testing is a good idea.

How to find out: The test to detect HIV is a simple blood test.

How it can affect: AIDS or Acquired Immune Deficiency Syndrome is the advanced stage of this disease, when the immune system becomes irreparably damaged, engendering multiple infections and cancers.

Listen to your body. It's the best barometer of your health. It keeps sending you signals indicating that it needs more looking after or a repair job or more nourishment. Pay heed to these signals as they could be an indication of a serious illness or a debilitating disease. Early detection can save your life.

1. Aches and pains

2. Exhaustion

Married Life 3. Palpitations

4. Slowing down and low energy levels

5. Sudden weight gain or weight loss

6. Massive headaches and vertigo

7. Depression and anger

8. Insomnia or difficulty in waking up in the morning

9. Excessive or very scanty bleeding during your period

10. Lumps in the breast or under arms

11. Flatulence, abdominal bloating, constipation

What: Hepatitis B. This is an infection that spreads faster than HIV but the awareness about it is very low.

Why: It is a serious infection which can be sexually transmitted and about which the infected person may not even be aware. The partner can be protected by taking hepatitis B vaccine prior to marriage in these cases.

How to find out: A simple blood test.

How it can affect: If the woman is hepatitis B positive, there is a high risk of her child getting infected during pregnancy and delivery or soon after, if due care is not taken. Therefore Hepatitis B vaccination in all hepatitis B negative patients prior to marriage is a good idea. If a patient has no protection for hepatitis B, she can consider vaccination before conception.

Do your check-ups a month beforeMarried Life marriage so that one can rule out any infection on D-day. The families must inform each other if there is any genetic disorder to avoid complications in children. The amount of money spent on each test is not exorbitant and the couple can pool in to do the same. Most problems have a simple treatment routine; so don't be discouraged even if there is an infection. Just follow the medication and routine advised by the doctor and you'll be healthy and fit for married life. If the couple is aware about infections and still plans to marry or have children, then they should take advice from the gynecologist regarding precautions for instance, using a condom. In cases of an HIV+ husband and an HIV - wife - she should try for pregnancy by IUI (insemination) or ICSI (test tube baby) where transmission risk is very low. Hepatitis B positive mothers should vaccinate their child immediately after birth and the child should receive immunoglobulin so as to reduce infection. Each individual disease has its set of specific precautions.

Other Common Problems

Rubella and Chicken Pox: Women must also test for rubella and chicken pox and, if tested negative, should take the vaccinations pre-marriage as these infections can prove dangerous if they occur during pregnancy. Married Life Sexually transmitted diseases (STDs): STDs such as herpes and syphilis are also common. These can be easily checked and diagnosed either by an examination or by blood tests and can be treated prior to marriage and conception. Blood group testing This is very relevant as if the wife is Rh negative and the husband is Rh positive, the management is very simple - one injection of Anti-D during pregnancy or after delivery is all that is required to prevent problems. Genetic issues: Also common is the subject of consanguineous marriage that is, getting married to a close relative such as a cousin or an uncle (mother or father's brother) as is a tradition in some communities. This greatly increases the risk of genetic disorders in their children. Prior to arranging such marriages, any issues of genetic problems pre-existing in the family should be closely looked into. A Karyotyping (blood test for genetic abnormalities) of both partners will pick up any genetic defects, which may be later inherited by their children in a more severe form.

Many gynecological problems such as fibroids, endometriosis, adenomyosis and ovarian cysts occur in young women. These, if diagnosed and treated early, can be completely cured. A routine gynecological examination and sonography will be able to diagnose all these problems. Also, if the woman has heavy, painful or irregular periods, she should get a check-up done. Hormone problems are common in young women. Polycystic ovarian syndrome (PCOS) is seen in 25 - 30 per cent of young women. This can cause weight gain, acne, facial hair growth, irregular periods, infertility and miscarriages. If diagnosed early, it can be successfully managed. Thyroid disorders are easy to diagnose and treat, and should be checked regularly.