Talk to Gynecologist on Pre-Pregnancy Screening Advice (Cousin Marriage) From Gynaecologist
Asking for Self, Female, 21 years old, Sialkot
I recently got married to my cousin, and my husband has just returned from Saudi Arabia. Our Nikah has already been done, and we plan to start our married life soon. Since this is a cousin marriage, could you please tell us which tests we should do before planning pregnancy to avoid any health issues for future babies? Kindly guide us about the specific test names.
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Cousin Marriage (Rishta within family): Problems & Medical Tests
Cousin marriage (first cousin marriage) means marriage between relatives who share the same grandparents. It is common in many countries including Pakistan. Most couples have healthy children, but risk of genetic diseases becomes slightly higher.
1. Possible Problems in Cousin Marriage
1. Genetic Diseases
Because cousins share similar genes, recessive genetic diseases may appear in children, such as:
Thalassemia
Cystic Fibrosis
Metabolic disorders
Some mental or developmental disabilities
Normally risk of birth defects in general population is about 2–3%, while in cousin marriage it may increase to about 4–6%.
2. Increased Chance of Inherited Disorders
If a harmful gene exists in the family, cousin marriage increases the chance that both partners carry the same gene, which can pass to the child.
3. Pregnancy Complications (sometimes)
Some studies show slightly higher chances of:
Miscarriage
Low birth weight
Congenital abnormalities
But this does not happen in every case.
2. Important Tests Before Cousin Marriage
Doctors usually recommend premarital screening tests.
1. Thalassemia Screening
Very important in Pakistan.
Tests:
CBC (Complete Blood Count)
Hb Electrophoresis
If both partners are carriers → risk for child.
2. Genetic Counseling
A genetic specialist studies the family history and advises risk level.
3. Blood Group Test
To check Rh factor incompatibility.
4. Basic Health Screening
Hepatitis B & C
HIV test
Blood sugar
General physical exam
3. When Cousin Marriage is More Risky
Risk increases if:
Genetic disease already exists in family
Previous children had birth defects
Multiple cousin marriages in the same family
✅ Good News:
Many cousin marriages produce completely healthy children, especially if premarital tests are done.
If you want, I can also tell you:
Which 5 tests are MUST before cousin marriage in Pakistan
Signs in family history that make cousin marriage risky
Islamic view about cousin marriage.
appointment la lain baat kr lety ha
Asst. Prof. Dr. Sana Hafeez - Gynecologist
MBBS, MRCOG (UK), FCPS Gynaecology & Obstetrics | Multan
40 Positive Reviews
Go for thalassaemia screening
Assoc. Prof. Dr. Ifat Balouch - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Hyderabad
10 Positive Reviews
Test for thalassemia both partner
Dr. Fatima Tul Zohrah - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology)* | Islamabad
Start folic acid 400 mcg once daily from now ... No need for any testing now and wait for spontaneous healthy conceptions especially if you dont have any significant family history of any genetic diseases .. book only online consultation otherwise for further concerns
I can help and guide you all
Dr. Mahwish Choudhry - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Islamabad
65 Positive Reviews
I agree with dr fatima tuz zahra , just keep hope n keep the dreams alive .. enjoy your marriage n this beautiful relation of cousin marriage ..may Allah strengthen your family bonds .
Patient
Post Owner
Ameen Sum Ameeen...
Doctor I'm already taking folic acid from 60+ days
also taking omega 3 fish oil ,vitamin c,almonds (soaked overnight),pumpkin seeds,golden flax seeds,walnuts and chia seeds in my diet ...
There is no past genetic disease history,no cousin marriage before in our family..
1 day ago
how is he related to you? first cousin?
appointment la lain abhi
Start taking folic acid and get both tested for thalasemia
Mohtaram patient,
Agar aap kisi bhi health problem ka shikar hain aur homeopathic ilaj chalte hain to aap mujh se consult kar skte hain. Main AAP ko behter treatment ke hawala se guide karun.
Mehrbani kar ke detailed consultation ke liye appointment le lain.
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Patient
Post Owner
he is my popho's Son...
there is no past genetic disease history..
even there is no cousin marriage before ...
our marriage is first cousin marriage..
2 days ago
DHMS | Karachi | Book Appointment
problem smjh lain then test krain plz appointment la lain
18 hours ago