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A ‘Medical Kundli’ is not a superstition; it is a health blueprint, a complete picture of each partner’s physical, emotional, hormonal, and reproductive well-being
A Medical Kundli is not a modern trend, it is the foundation of an emotionally and physically healthy marriage. (Getty file for representation)
In this article we will explain what a “Medical Kundli” is, why every modern couple needs it, and which 10 tests can prevent misunderstandings, sexual issues, and pregnancy struggles later in marriage
In India, the idea of matching kundlis before marriage is centuries old. It’s done to check whether two people will be happy together, whether their energies align, and whether their future looks smooth. But as society evolves, couples are focusing less on planetary alignment and more on something deeply practical health alignment. A Medical Kundli is not a superstition. It is a health blueprint, a complete picture of each partner’s physical, emotional, hormonal, and reproductive well-being.
And here’s the truth, most marital problems that show up years later like low sexual desire, erectile issues, PCOS-related difficulties, mental health imbalance and infertility have early markers that can be detected before marriage. A Medical Kundli helps couples enter marriage with clarity, trust, and honesty. It is not about doubt. It is about informed companionship. Here is the list of 10 most important Premarital Tests which reveal everything from disease risks to reproductive potential.
1. Complete Blood Count & General Health Panel: This is the health baseline, the equivalent of reading the first chapter of your body’s story.
A CBC checks for:
- Hemoglobin levels (are you anemic?)
- Infection indicators
- Blood oxygen capacity
- Immune strength
- White and red blood cell health
Deficiencies like anemia can cause:
Chronic fatigue
Dizziness
Low stamina
Low libido
Poor sexual satisfaction
Most men and women don’t know they have anaemia until symptoms escalate. Getting this done helps both partners understand each other’s daily energy and long-term vitality. A general panel also includes liver and kidney function tests, which help identify hidden issues that may affect future medication, pregnancy safety, and stamina.
2. Blood Sugar (Fasting, PP & HbA1c): Many young men and women unknowingly enter marriage with prediabetes or early-stage diabetes.
This really matters because high blood sugar silently damages:
Blood vessels
Hormone regulation
Nerves related to sexual function
In men, this can lead to:
Erectile dysfunction
Low stamina
Premature ejaculation
In women, it can affect:
Fertility
Menstrual cycles
Vaginal dryness
Risk of complications during pregnancy
HbA1c shows how well sugar has been controlled for 3 months, giving a realistic picture of long-term metabolic health. This test alone can prevent future shock, stress, and treatment struggles.
3. Thyroid Profile (TSH, T3, T4): Thyroid imbalance is extremely common in India — especially among young women — but men often suffer silently too.
A disturbed thyroid affects almost everything in marriage:
Mood and emotional stability
Libido and sexual desire
Weight gain or loss
Sleep quality
Fertility and menstrual health
Women with undiagnosed thyroid issues may face difficulties conceiving or maintaining pregnancy.
Men may experience fatigue, low testosterone, and decreased desire. A simple thyroid test can detect these issues early and prevent future health crises.
4. STI & STD Screening (HIV, Syphilis, Hepatitis B & C, Chlamydia, Gonorrhea): This is about responsibility, not suspicion.
Many sexually transmitted infections show no symptoms for years, yet affect:
Fertility
Immunity
Pregnancy safety
Sexual comfort
Long-term health
Early detection and treatment of STIs can save couples from:
Miscarriages
Pelvic infections
Erectile issues
Painful intercourse
Emotional tension
It also builds trust — a foundation crucial for intimacy.
5. Semen Analysis for Men: This test is often avoided because men see it as an “attack on masculinity,” but it is one of the most important tests in a Medical Kundli. Because 40 per cent of fertility issues originate from the male side, yet most men never get tested until years later.
A semen analysis gives details about:
Sperm count
Motility (movement)
Morphology (shape)
Semen volume
Infection indicators
This isn’t about judging manhood, it’s about checking biology. If issues exist, early correction saves the couple from emotional distress and expensive treatments later.
6. AMH & Pelvic Ultrasound for Women: Women need only two tests to understand their reproductive roadmap:
AMH (Anti-Müllerian Hormone): Shows ovarian reserve — how many eggs are left.
Low AMH means:
Reduced fertility
Need for quicker pregnancy planning
Possible early menopause
Pelvic Ultrasound: Detects:
PCOS
Fibroids
Cysts
Uterine abnormalities
PCOS affects almost 1 in 4 Indian women, often causing irregular cycles, weight issues, acne, and difficulty conceiving. These tests empower women to plan their reproductive life confidently and without panic.
7. Hormonal Profile for Men & Women: Hormones play a central role in shaping sexual desire, energy levels, mood, and even emotional bonding, which makes hormonal profiling an essential part of a Medical Kundli for both men and women.
In men, key hormones like testosterone, prolactin, and reproductive hormones such as LH and FSH determine sexual function and vitality. Low testosterone often leads to low libido, erectile difficulties, persistent fatigue, and noticeable mood swings, while high prolactin levels can drastically reduce sex drive and overall sexual confidence.
For women, hormones like estrogen, progesterone, and their own LH and FSH levels regulate menstrual health, fertility, and sexual comfort. Any imbalance may lead to irregular periods, painful intercourse, severe PMS, emotional instability, or difficulty conceiving. These are not merely “sexual hormones”—they are relationship hormones. These are not just sexual hormones, they are relationship hormones, influencing how partners connect daily.
8. Genetic & Family History Screening: Your genes silently shape your future health.
This screening identifies predisposition to:
- Diabetes
- Hypertension
- Heart disease
- Breast cancer
- Mental health conditions
- Autoimmune diseases
- Thyroid disorders
Knowing genetic risks helps couples:
Modify lifestyle
Plan pregnancies
Take preventive steps
Support each other better
9. Mental Health Screening: Most couples ignore mental health, but emotional stability is a pillar of marital success.
Premarital screening helps identify:
- Anxiety
- Depression
- ADHD tendencies
- Anger issues
- Trauma history
- Stress sensitivity
These conditions affect intimacy, communication, and relationship harmony. Early awareness allows partners to support each other with patience instead of confusion or judgement.
10. Vitamin D, B12 & Deficiency Profile: Over 70 per cent of Indians suffer from major deficiencies — often without knowing it.
Low Vitamin D or B12 can cause:
Fatigue
Anxiety
Poor sleep
Low libido
Mood swings
Weak immunity
Simple supplements can change a person’s daily energy, mental clarity, and even sexual desire. Ignoring these deficiencies often leads to misunderstandings like:
“He’s lazy.”
“She’s always tired.”
“He’s disinterested.”
“She’s moody.”
How Medical Kundli Strengthens a Relationship
A Medical Kundli isn’t a test of trust, it’s an act of love. Here’s how it transforms a relationship:
Removes Fear and Hidden Surprises: Partners know what to expect, and nothing becomes a “shock” later.
Improves Sexual Compatibility: Understanding hormones and reproductive health prevents performance anxiety and intimacy gaps.
Makes Pregnancy Planning Easier: Couples avoid years of stress by knowing their fertility status early.
Creates Emotional Transparency: Medical honesty deepens trust.
Reduces Future Conflicts: Most post-marriage arguments start with unspoken health frustrations — this avoids them.
Protects Future Children: Genetic screening ensures better awareness and preparation.
Final Thoughts
Before matching stars, match health. Before checking horoscopes, check hormones. Before predicting destiny, understand biology. A Medical Kundli is not a modern trend, it is the foundation of an emotionally and physically healthy marriage. It prepares you for life, for intimacy, for parenthood, and for companionship without fear.
Prof (Dr) Saransh Jain is the winner of the Swasth Bharat Rattan Award and is a Certified and Licensed Sexologist by the American Board of Sexology. He is currently a Senior Consultant at Dr SK Jain’s Burlingto…Read More
Prof (Dr) Saransh Jain is the winner of the Swasth Bharat Rattan Award and is a Certified and Licensed Sexologist by the American Board of Sexology. He is currently a Senior Consultant at Dr SK Jain’s Burlingto… Read More
November 16, 2025, 14:56 IST