Does premarital examination include hepatitis B testing?

May 24, 2022 Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Pre-marital health examinations include testing for hepatitis B, primarily assessing the “five hepatitis B markers.” If any abnormalities are detected, patients will be notified by phone to visit a hospital for further evaluation or diagnosis. If you are diagnosed with hepatitis B infection, appropriate attention is required, as hepatitis B can be transmitted through sexual contact. Therefore, individuals with hepatitis B should seek medical care at a hospital, where treatment plans will be determined based on test results. If you are a hepatitis B carrier, regular follow-up examinations are necessary.

With improvements in people’s economic conditions and daily living standards, premarital examinations have become an indispensable step in preventing the birth of infants with congenital abnormalities. So, does a premarital examination include testing for hepatitis B?

Does a premarital examination test for hepatitis B?

Yes, hepatitis B testing is included in premarital examinations—specifically, the “hepatitis B five-item panel” (HBsAg, anti-HBs, HBeAg, anti-HBe, and anti-HBc). If any abnormalities are detected, individuals will be contacted by phone and advised to visit a hospital for further evaluation or diagnosis. If hepatitis B infection is confirmed, appropriate attention is warranted, as the virus can be transmitted via sexual contact. Affected individuals should seek medical care to determine an appropriate treatment plan based on their test results. Hepatitis B carriers should undergo regular follow-up examinations. In fact, individuals who carry the hepatitis B virus can marry, conceive, work, and give birth normally without restriction. However, until protective antibodies are confirmed, barrier protection—such as consistent condom use—is recommended during sexual intercourse.

Premarital examinations are voluntary for both partners and may include hepatitis B screening. Such examinations serve two primary purposes: first, to screen for infectious diseases—including HIV/AIDS, gonorrhea, syphilis, and hepatitis B; and second, to assess for serious psychiatric conditions—such as mania, schizophrenia—as well as other psychological issues requiring evaluation by a mental health professional.

Additionally, hepatitis B can be transmitted from mother to child (vertical transmission). For pregnant women with hepatitis B, effective interventions exist to prevent transmission to the newborn. We hope this information has been helpful. Wishing you good health and happiness!