What medical tests are required before pregnancy?

Jul 23, 2025 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Pre-pregnancy checkups help prevent infertility, miscarriage, fetal defects, and other issues. Common pre-pregnancy examinations typically include routine blood tests, infectious disease screening, endocrine system evaluations, gynecological exams, and male fertility assessments. The specific items included in pre-pregnancy checkups may vary slightly between different hospitals. It is recommended to choose a reputable hospital for these examinations and follow the doctor's advice regarding necessary tests.

Generally, pre-pregnancy examinations help prevent problems such as infertility, miscarriage, and fetal defects. Common pre-pregnancy examination items usually include routine blood tests, infectious disease screenings, endocrine system evaluations, gynecological exams, and pre-pregnancy examinations for males. Detailed explanations are as follows:

1. Routine Blood Test

A routine blood test measures indicators such as red blood cell count, white blood cell count, and platelet count, which help diagnose conditions like anemia and infections. Blood typing is also part of the routine blood test, helping determine the blood types of both partners, thus aiding in the prevention of hemolytic reactions caused by blood type incompatibility between mother and baby.

2. Infectious Disease Screening

Infectious disease screening includes testing for diseases such as hepatitis B, HIV, and syphilis. These diseases can be transmitted from mother to fetus, so screening before pregnancy is important to allow timely treatment or management measures to be taken.

3. Endocrine Examination

The endocrine examination includes assessments of thyroid function and sex hormone levels, helping to determine whether hormone levels are normal. Hormonal imbalances may lead to various pregnancy complications, such as hypothyroidism and polycystic ovary syndrome (PCOS).

4. Gynecological Examination

Gynecological examinations include routine vaginal discharge tests, cervical smear tests, routine urine tests, and ultrasound examinations. These tests help assess vaginal cleanliness, rule out gynecological inflammations such as vaginitis, screen for cervical precancerous lesions or cervical cancer, evaluate the status of the urinary system, and detect urinary tract infections.

5. Male Pre-pregnancy Examination

Male pre-pregnancy examinations mainly include routine semen analysis, reproductive system color Doppler ultrasound, urogenital system examination, and six-item hormone testing. These tests help assess male reproductive health and identify potential issues such as infertility.

The specific pre-pregnancy examination items may vary slightly between hospitals. It is recommended to choose a reputable hospital for the examinations and follow the doctor's recommendations regarding necessary tests. If abnormal results are found, it is important to cooperate actively with the doctor for further treatment.

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