Premarital Counseling in Relation to Common STDs, Andrological and Dermatological Disorders in Menoufia Governorate

Background: Premarital screening (PMS) is one of the most important strategies for management of medical disorders that can be transmitted between spouses, additionally preventing genetic disorders and congenital anomalies of the upcoming generations. It supports marriage stability. Objectives: This study aimed to evaluate the PMS program in Egypt in relation to common sexually transmitted diseases and dermatological disfiguring disorders in newly married couples. Subjects and method: A cross-sectional study included 73 newly married individuals who attended Dermatology, Andrology, and Sexually Transmitted Diseases (STDs) Clinics at Menoufia University Hospital and Shebin Elkom Teaching Hospital. The presenting complaints were analyzed, and their registered data from the premarital examination computerized system were also obtained. Results: Among the studied participants, 52.1% were males. The mean age was 26.27 ± 2.67 years. Medical data that were retrieved through the computerized system of the PME program showed that 12.3% were hypertensive, and 5.5% were reported as diabetic. Thalassemia and sickle cell anemia testing was positive in one case (1.4%), 16.4% of participants were hepatitis C virus reactive, and 30.1% were with STDs (genital warts (23.3%) and genital herpes (6.8%) were the most common). Chronic skin conditions affected 42.5% of participants, including psoriasis, vitiligo, eczema, alopecia, and keloid scars. Among the 38 male participants, 12 experienced infertility, while 7 reported erectile dysfunction. Conclusion: Despite the significant disorders covered by the Egyptian PMS program, it would be beneficial to expand its scope to include disfiguring dermatological conditions, sexually transmitted diseases (STDs), infertility, and andrological disorders, as these are important factors influencing marriage stability.