Most worries before a wedding are ordinary, common and answerable. This section explains what a premarital consultation covers, which checks are sensible, and what genuinely needs no fixing at all.
Premarital counselling has an unfortunate reputation in India, partly because it is usually sold as a bundle of tests and partly because nobody explains what it is actually for. In practice it is a conversation. What do the two of you already know, what are you worried about, is there anything in either family's medical history worth checking, and is there a specific sexual or fertility concern that would be far easier to sort out now than in the middle of a new marriage.
The concerns men bring are remarkably consistent. Anxiety about the first night. Uncertainty about whether a past habit has done any harm. Worry about size, shape or performance. Questions about contraception and about how soon to try for a child. Occasionally a genuine medical issue that has been quietly ignored for years. Almost all of these are ordinary, and most of them need explanation rather than treatment.
Sessions can be taken alone or as a couple, whichever feels easier, and there is no obligation to bring anyone. Nothing is shared without consent, including with a partner or a family. The purpose is simply that both of you begin married life informed rather than guessing, and that anything genuinely medical is picked up early, before it becomes a source of blame.
Nothing on this list is unusual to hear. Every one of these topics comes up regularly, and raising it early is the difference between a small question and a long silence.
Straightforward explanation of anatomy, arousal and what is normal
Anxiety about the first night and about performance
Concerns about size, shape or appearance
Questions about masturbation, pornography and whether either causes harm
Contraception choices and how quickly each can be reversed
Fertility questions where a couple wants a child soon
Family history of inherited conditions worth checking on both sides
Sexual pain, difficulty or earlier experiences that need a careful conversation
The shape of the visit is deliberately unhurried, because the useful information tends to arrive late in a conversation rather than early.
This section explains what premarital counselling involves and which checks are commonly considered. It is not a statement that every test or service named here is carried out at this clinic. Some assessments are arranged through a laboratory and some are better handled by another specialty, and you will be told clearly which applies to you.
Whichever page you start from, the consultation itself is the same calm conversation. These simply set out what each part of it involves.
Which health, infection and fertility checks are genuinely worth doing before marriage, why each is suggested, and how results are explained.
View detailsHow a joint session works when something is not going well, including unconsummated marriage, pain, rapid ejaculation and mismatched expectations.
View detailsFirst night nerves, fatigue, contraception and the small number of concerns that genuinely deserve a doctor's attention beforehand.
View detailsIf you would rather ask something first, send a message. Questions are answered privately and there is no obligation to make an appointment afterwards.
Ask a questionThe questions couples ask most often before booking a premarital consultation.
Ask a QuestionIt begins as a conversation about health, expectations and any specific worry either of you has. A general history is taken, an examination is offered only if a concern makes it useful, and tests are suggested where the result would change something. Most sessions end with explanation and reassurance rather than a prescription.
Either works. Many people prefer a private session first, so they can raise something they would rather not say in front of a partner, then a joint session afterwards. Nothing discussed alone is passed on without permission. Coming as a couple helps but is never a requirement.
Two to three months ahead is comfortable. That leaves time for any test result to return, for treatment to be started if something needs it, and for a follow up visit. Coming a week before still helps, though it limits what can realistically be done in time.
No. They are voluntary, and a sensible clinic selects them rather than running everything available. Which tests are worth doing depends on your history, your family background and your plans for a family. You are entitled to ask why any particular test is being suggested before agreeing to it.
No. Consultations are confidential and results belong to the person tested. Families are not informed, and nothing reaches a partner without explicit permission. That confidentiality is the reason many people feel able to raise a concern here that they have never raised anywhere else.
Very. It is probably the single commonest worry raised before marriage, in people of every background. Anxiety itself causes most of the difficulties people fear, which is why a calm explanation of what to expect solves the problem far more often than any medicine does.
Speak with Dr. Ashutosh Shah at Elegance Clinic, Surat.
