Counselling: Pre-marital Counseling, Pre-conceptional Counseling




Pre-marital Counseling


  • History of OB/GYN
  • The doctor needs to discuss your medical history with you and may decide to perform cervical cultures or blood tests to prove that there are no infections that would limit your ability to conceive. Information about previous pregnancies, menstrual history, contraceptive use, sexually transmitted diseases (STDs), Pap smears, vaginal infections should be taken because STDs and vaginal infections may affect a woman's ability to conceive.

  • Medical History
  • The doctor needs to discuss your medical history with you and may decide to perform cervical cultures or blood tests to prove that there are no infections that would limit your ability to conceive. Information about previous pregnancies, menstrual history, contraceptive use, sexually transmitted diseases (STDs), Pap smears, vaginal infections should be taken because STDs and vaginal infections may affect a woman's ability to conceive.

  • Family health history
  • Any surgeries, transfusions, hospitalizations, in past or pre-existing medical conditions, allergies, current medications need to be informed to the doctor.

  • Family health history
  • Any family history of hypertension, diabetes, twins, genetic factors such as mental retardation, blindness, deafness, congenital conditions, ethnic-related diseases such as Tay-Sachs, sickle trait/sickle cell should be discussed with the doctor.

  • Lifestyle
  • Stress; exercise; diet; use of caffeine, tobacco, alcohol or recreational drugs as well as your partner’s habits also need to be discussed as his lifestyle may affect fertility.

  • Home & workplace environment Any possible dangers such as exposure to cat feces, x-rays, lead or solvents should be avoided. Tests performed by health care provider:
  • A physical exam involving heart, lungs, breasts, thyroid, abdomen and pelvic exam. Weight and blood pressure should be recorded at every visit.
  • Lab tests including rubella, hepatitis, complete blood count (CBC), Pap, HIV
  • The way to chart menstrual cycles: fertility awareness or the use of a fertility kit
  • A prenatal vitamin might be prescribed with 400-800 micrograms of folic acid.
  • Based on the results, the health care provider might suggest lifestyle changes that may need to be made to help ensure a healthy pregnancy and baby. These suggestions might include weight loss, quitting smoking or drinking, contraindicated medications that could harm to the pregnancy or baby, updating your immunizations, vitamins would be recommended, and stress avoidance. During pregnancy, women could continue to exercise but she should stop exercising when fatigued and not exercise to exhaustion. A good diet consisting of healthy food is also very important. Complete nutrition during pregnancy is needed for your baby to grow and develop. She should consume about 300 more calories per day than she did before becoming pregnant.

    Premarital counseling Premarital counseling is a type of therapy that helps couples to get prepared for marriage. It can help to ensure that both the partners have a strong, healthy relationship — giving a better chance for a stable and satisfying marriage. This kind of counseling can also help to identify weaknesses that could become problems during marriage. It is frequently provided by licensed therapists referred as marriage and family therapists. Counseling may be offered through religious institutions as well. It can help couples improve their relationships before marriage. It also helps to improve their ability to communicate, set realistic expectations for marriage and develop conflict-resolution skills. In addition, it can help to establish a positive attitude about seeking help down the road. One usually bring own values, opinions and history into a relationship, which might not always match your partner's. Family systems and religious beliefs vary greatly. Mostly couples have experienced very different upbringings with different role models for relationship and marriage. Mostly people go into marriage with a believe that it will fulfill their social, financial, sexual and emotional needs — and that's not always the case. You and your partner can better understand and support each other during marriage, by discussing differences and expectations before marriage.


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