Can a premarital medical examination detect a history of miscarriage?
Feb 24, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
Pre-marital medical examinations cannot detect a history of miscarriages. The primary purpose of pre-marital checkups is to screen for diseases that may affect marriage and childbearing, including genetic disorders, infectious diseases, and abnormalities of the reproductive system. To protect individual health and future family planning, couples are advised to maintain open and honest communication during the examination. If necessary, individuals may privately inform the physician of relevant medical history.
Generally speaking, premarital medical examinations cannot detect a history of miscarriage. The specific analysis is as follows:
The primary purpose of premarital medical checkups is to screen for diseases that may affect marriage and fertility, including genetic disorders, infectious diseases, and abnormalities of the reproductive system. After a miscarriage, there are usually no obvious physical changes in the external genitalia, vagina, cervix, uterus, or bilateral adnexa, especially if the miscarriage occurred early in the pregnancy. Therefore, through routine premarital examination procedures such as gynecological exams or ultrasound imaging, it is difficult for medical professionals to accurately determine whether a woman has experienced a miscarriage.
Even in cases of induced labor at later stages of pregnancy, which may cause certain physical changes to the cervix or other areas, doctors typically respect patients' privacy and will not disclose related information arbitrarily. Furthermore, a history of miscarriage is generally considered personal and private. Unless the patient voluntarily discloses such information, doctors usually do not proactively inquire about or investigate it.
To protect personal health and future fertility plans, it is recommended that both partners maintain open and honest communication during premarital medical examinations. If necessary, individuals may privately inform the doctor of any relevant medical history.
