20 18 Huaihua premarital examination project regulations and procedures, Huaihua city to get a marriage certificate must be premarital examination?

You don't have to have a premarital examination, you can do it or not. I just didn't get a certificate for the premarital examination.

Check items:

Premarital examination and consultation is a comprehensive and systematic health examination, and at the same time, it is also the focus. According to the different medical conditions of hospitals and the technical level of doctors, it generally includes four aspects.

1. Comprehensive physical examination

The purpose is to check the development and health status of reproductive organs and important organs. If you have acute or chronic infectious diseases or serious diseases such as heart, liver and kidney that are not suitable for marriage, you can only get married after being cured, so as not to bring pain to both sides and future generations. Used for male and female genital malformations, such as male hypospadias, phimosis, female vaginal septum, imperforate hymen, congenital absence of vagina, etc. Before marriage, you should be treated, and if you don't treat it, you should explain it clearly to the other party to avoid finding factors that increase family and social instability after marriage; If there are incurable leprosy, schizophrenia and diseases that are medically considered unsuitable for marriage, they should be advised not to get married. Including the detailed examination of heart, liver, kidney, lung and other important organs, through X-ray, ultrasound, blood test, urine test, to understand the health status of these organs.

Asking about health status

The purpose is to understand the past physical health status of both parties, and have no serious diseases such as medical history and mental history; The family history survey of both parties, including the health status of direct and collateral blood relatives, generally dates back to less than three generations, focusing on genetic diseases, genetic defects, deformities and whether there are close relatives between spouses. Whether close relatives get married or not, whether parents' families have genetic diseases or birth defects, determines whether the two parties can get married or have children after marriage. For example, the two sides are close relatives and marriage is prohibited by law; One or both of them are dementia or mental illness, unable to take care of themselves and highly heritable, so they should be advised to stop getting married; Some patients can take care of themselves, and children are deaf and dumb. If they must get married, they should be mobilized to be sterilized before marriage.

3. Publicize the knowledge of sexual life and health after marriage, introduce and choose contraceptive methods, and explain the significance and policies of family planning.

Premarital examination and consultation is a serious and scientific health care work. The examinee should cooperate with the doctor, be loyal and frank, be responsible for the future family, children and each other, and be responsible for the society, especially the health inquiry and family history investigation, and not cheat the doctor for the purpose of getting married.

4. In gynecology, the premarital examination will mainly do some cancer screening such as cervical cancer, and then check whether there are other tumors, and then rule out reproductive tract malformations.

If the subject has not had sex before marriage, there is no cervical screening program. Among them, reproductive tract is a compulsory item, which can be completed by anal examination, and diseases such as hymen atresia can be found through this examination.

If a woman suffers from ovarian cyst, endometriosis, type I diabetes, acute and chronic glomerulonephritis, vulvovaginitis, polycystic ovary syndrome and other diseases, it will not only affect her married life, but also lead to infertility.

A. Ovarian cyst: It will cause torsion in sexual life and add great pain to women. If not treated in time, it is likely to affect fertility and even endanger life.

B. Endometriosis: This is a gynecological disease caused by the growth of endometrium in any part outside the uterine cavity, which can cause dysmenorrhea and gradually worsen. Endometriosis is one of the main causes of infertility, but it can be completely relieved by pregnancy in the early stage. Therefore, if early lesions are found during premarital examination, as long as you get pregnant as soon as possible, the related symptoms will disappear. Women who have no children and suffer from endometriosis should not easily choose abortion after treatment, such as pregnancy.

C. Type I diabetes: It is common in teenagers and people of marriage and childbearing age, and diabetic ketosis coma often occurs. Because of malnutrition, it is easy to be complicated with tuberculosis, diabetes and kidney disease. Therefore, the choice of marriage should be cautious. If a woman is married, she shouldn't have children. There are four reasons: first, the physiological hypertrophy and hyperfunction of pituitary during pregnancy, as well as the increase of prolactin and estrogen secretion by placenta, can aggravate the condition of diabetes; Second, pregnancy can cause diabetic retinopathy, renal and other vascular diseases, causing irreversible development, leading to blindness or renal failure; Third, it is easy to be complicated with polyhydramnios, pregnancy-induced hypertension syndrome, ketoacidosis, infection, postpartum hemorrhage and birth injury. Fourthly, the incidence of fetal congenital malformation is 2 ~ 3 times higher than that of non-diabetic patients, and the incidence of fetal intrauterine death is 10 times higher than that of normal people. Therefore, female diabetic patients had better not get pregnant.

D. Chronic glomerulonephritis: If a female patient has glomerulonephritis before pregnancy, her condition will often get worse after pregnancy. Because of the limited intravascular coagulation in pregnancy itself, the ischemic lesions and renal dysfunction of glomerulonephritis are aggravated, which makes the condition worse. Patients can choose to get married, but serious female patients are not suitable for childbirth.

E. acute glomerulonephritis: it is not suitable for marriage or childbirth in the acute stage.

F. Vulvovaginitis: Gynecological inflammation such as trichomonal vulvovaginitis, fungal vaginitis, condyloma acuminatum, etc., which can be cured by short-term treatment. Among them, trichomonal vaginitis and fungal vaginitis should be forbidden from sexual life during treatment, so that husband and wife can jointly treat them. If you only treat the woman's vaginitis and ignore the man's treatment, then in sexual life, the woman will be infected again.

G. Polycystic ovary syndrome: It is more common in women with different degrees of obesity and hirsutism. Although it does not affect sexual life, if you don't ovulate, the disease will also lead to infertility.

Experts remind: what preparations should I make before accepting a premarital examination? If you have had sex before marriage, it is best to stop for a few days before receiving premarital examination in order to check semen routine, sperm vitality, body secretions and so on. Women need to hold their urine to do B-ultrasound. In addition, women should not be examined during menstruation.

Some civil affairs bureaus have a project 1 inspection downstairs or next to it, which seems to be free.

How to get a free premarital check-up form

How to get the free premarital examination form? Actually, this is very simple. As long as the couple go to the civil affairs bureau to get a checklist, and then take the checklist to the hospital for examination, they can get the report on the same day. Of course, if you don't have time, you can also have a check-up after marriage. Just fill in a form to show that you voluntarily give up the premarital examination when you get the certificate, and then ask them for a free premarital examination form and go to the designated hospital for premarital examination within one month after registration.

(1) free object

If the parties meet the relevant conditions, they can bring the relevant documents to the marriage registration agency in the place where one party's household registration is located or in the street for a free marriage check-up, and then go to the designated hospital for a marriage check-up.

(2) Time limit for enjoying free premarital examination

3 months before registration or 1 month after registration.

(3) Free premarital check-up procedure

If you want to take part in the free premarital examination, you can bring your ID card and household registration book to the local hospital for free premarital examination, and you have to pay for it yourself first. At the time of registration, the reimbursement form presented by the premarital examination institution shall be used to reimburse the premarital examination expenses.

(4) Free premarital examination

1. Check personal and family medical history, and then have a basic physical examination.

2. Auxiliary contents include: blood routine, urine routine, chest X-ray, Neisseria gonorrhoeae screening, ABO blood group, RH blood group detection and gynecological B-ultrasound examination (uterus and accessories) and so on.

Free premarital medical examination program

1. Consult personal and family medical history and have a basic physical examination.

2. Physical items include: blood pressure, secondary sexual characteristics, life and death devices.

3, blood routine.

4. Urine routine.

5, chest X-ray.

6, hepatitis B surface antigen examination and transaminase.

7. Syphilis screening.

8. Neisseria gonorrhoeae screening.

9. HIV (AIDS) screening.

10, ABO blood group and RH blood group detection.

1 1, gynecological examination and trichomoniasis examination of vaginal secretions.