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Related Experiment Videos

The premarital exam: a patient perspective.

E P Schmitt1

  • 1Department of Psychiatry, Henry Ford Hospital, Detroit, MI 48202.

Family Practice Research Journal
|January 1, 1990
PubMed
Summary

Most patients want physicians to discuss reproductive health, history, and sexual relations during premarital exams. However, many couples

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Area of Science:

  • Sociology
  • Public Health
  • Family Medicine

Background:

  • Premarital exams are a crucial opportunity for healthcare providers to address patient concerns.
  • Patient expectations regarding premarital counseling topics vary.
  • Understanding these expectations is vital for optimizing the premarital examination experience.

Purpose of the Study:

  • To survey recently married patients on their experiences with premarital exams.
  • To identify desired and undesired topics for inclusion/exclusion in premarital counseling.
  • To assess whether patient expectations align with the content of their premarital exams.

Main Methods:

  • A survey was administered to 45 recently married patients.
  • Participants were asked about the content of their premarital exam and their opinions on what should be included or excluded.
  • Data were analyzed to identify common themes and discrepancies between patient desires and exam content.

Main Results:

  • Most respondents desired discussions on reproductive biology (62%), health history (62%), and sexual relations (53%).
  • One-third of subjects also sought counseling on interpersonal relations and childrearing, which often went unaddressed.
  • Female patients were more likely than male patients to have their concerns addressed, suggesting a potential gender bias.

Conclusions:

  • Physicians should proactively address a wider range of topics during premarital exams, including interpersonal and childrearing issues.
  • Offering counsel on sensitive subjects without explicit patient requests can improve satisfaction and address unmet needs.
  • Addressing potential gender bias in patient-physician communication during premarital consultations is essential.

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