3 to 12 months before the weddingStrong researchWith your doctor
Genetic counselling, if it applies
If you are related by blood, or a condition runs in the family.
Why It Matters (Clinical Guidance)
- Cousin marriage roughly doubles the risk of some birth conditions, from about 2–3% to 4–6%.
- A counsellor explains your real risk and your options.
- Skip this card if neither applies to you.
Primary Citation: ICMR genetics guidance
Last checked: October 2026 • Medical review panel forming