Why are they not checked for diseases before pregnancy? After all, there may be a risk of ankology?

Preconception health screenings can be critical for identifying potential health issues that may affect pregnancy, including genetic conditions, infectious diseases, and other health concerns. However, the extent of preconception screening can vary based on individual circumstances, healthcare systems, and personal choices. Here are several reasons why not all individuals or couples may undergo comprehensive disease screenings before pregnancy:

**Accessibility of Healthcare**: Not everyone has equal access to healthcare resources or information about preconception care. Financial, geographical, or systemic barriers can limit access to screenings.

**Awareness and Education**: Some people may not be aware of the importance of preconception screening or the potential risks associated with pregnancy. Health education varies widely, and many individuals may not seek pre-pregnancy counseling or testing.

**Personal Health History**: In some cases, individuals or couples may have no significant health issues that would warrant extensive screening. Decisions about testing may depend on family history, personal medical history, and risk factors.

**Guidelines and Recommendations**: Healthcare guidelines recommend certain screenings based on population and individual risk factors. Not everyone may fall into categories that necessitate extensive preconception testing.

**Genetic Counseling**: For some conditions, such as certain cancers with hereditary components, genetic counseling can be crucial. Individuals with a family history of genetic disorders may be guided toward specific screenings, but this is often initiated based on personal or family medical history.

**Focus on Current Health**: Some healthcare providers may prioritize managing existing health concerns over preconception screenings, especially if there are no overt signs of issues.

**Psychosocial Factors**: Emotional and psychological readiness for pregnancy can also play a role, and some individuals may not be focused on potential health checks when considering pregnancy.

While screening for diseases before pregnancy can help mitigate risks—both for the individual and the potential pregnancy—it’s important to recognize that each person or couple may have unique circumstances and decision-making processes. Healthcare providers often encourage discussions about reproductive health, and individuals are urged to consult with professionals to determine the best preconception care for their specific needs.