Monday, April 25, 2011

facebook discussion: Medical Tests Before Marriage

A suggestion in facebook by a member:
"...... on medical check-up of the boy and girl before their marriage, specially in context of possibility of transfer of genes. If medical check-up be done before marriage, the possibility of Thalassemia, Haemophilia, Celiac or Hemoglobinopathy will be known to us. Henceforth, the prevention can be done.Aids and other hereditary diseases can be prevented by just a simple blood test of the couple before their marriage. After a certain period of time it becomes impossible to cure hereditary diseases. So its better to avoid marriage of a couple who have presence of a same gene. Many problems can be avoided by just checking the RH factor of the couple. The children of the couple where girl is RH negative and boy is RH positive, are found with big ailments.
The only solution to prevent /stop diseases like Thalassemia is medical check-up of the couple before their marriage. Actually, there are 23 pairs or 46 chromosomes in one body. If one gene is defected/abnormal, then the other genes of the couple cover this problem. This gene is called as regressive and the patient is called as silent carrier. If both the husband and wife are silent cariers, there is a 25% possibility of Thalassemia in their child.
We can avoid such problems/diseases by medical check-up of the couple before marriage. Hereditary problems are leading to a long list of diabetic and cancer patients today. Doctors believe, if the couple have any gene of such hereditary diseases, there is a great possibility of their children being born patients."


A thought provoking issue. Generally one can see that though we all agree on the importance of such a test the point of contention is -how to go about it. Some of our brothers & sisters have raised some very reasonable issues from ethics to social values....... I just discussed the issue with a Medical Officer and he has informed that this genetic disorder is permanent. Like a blood group it also remains the same throughout one's life.... And here lies the solution. One can get his or her children tested at any stage, even when they are in school years before any talk of their marriage. And subsequently at later stage we can match this report just like we match the gotra at initial stage itself before further talks between two families. I think it will address all embarrassments and other ethical issues. Regards....
24 April 2011

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