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What are the risks of marrying first cousins?

Published in Genetics and Marriage 3 mins read

The primary risks of marrying first cousins revolve around an increased chance of having children with genetic disorders. While not a guarantee, the probability is statistically higher compared to marriages between unrelated individuals.

Understanding the Risks

  • Increased Risk of Genetic Disorders: First cousins share approximately 12.5% of their genes. This means there's a higher chance they both carry the same recessive gene for a particular genetic disorder. If both parents carry the same recessive gene, there's a 25% chance their child will inherit both copies and express the disorder.

  • Fertility & Pregnancy Complications: While some studies suggest a slightly higher fertility rate in first cousin marriages, others indicate potential complications. The reference suggests no difference in abortion rates. However, it also mentions a slight increase in stillbirths and infant mortality rates.

  • Birth Defects: The frequency of birth defects is estimated to be higher in children born to first-cousin marriages, approximately 2-3% higher than in the general population. This could include heart defects, neural tube defects, and other congenital anomalies.

Comparing Risk Levels

To put the risks into perspective:

Risk Category First Cousin Marriage Unrelated Parents
Genetic Disorder Risk Higher Lower
Stillbirths Slightly Higher Lower
Infant Mortality Slightly Higher Lower

It's crucial to remember that even in marriages between unrelated individuals, there's still a risk of genetic disorders. Genetic screening and counseling can help couples assess their individual risk levels.

Mitigation Strategies

  • Genetic Counseling: Couples considering a first-cousin marriage should seek genetic counseling. A genetic counselor can review family history, assess individual risk factors, and discuss available screening options.

  • Genetic Screening: Preconception genetic screening can identify whether both partners carry the same recessive genes for specific disorders. If so, they can discuss options like in-vitro fertilization (IVF) with preimplantation genetic diagnosis (PGD) or adoption.

  • Awareness and Education: Understanding the potential risks is the first step in making informed decisions. Couples should have open and honest conversations about their concerns and options.

Conclusion

While marrying a first cousin presents a slightly elevated risk of certain genetic disorders and pregnancy complications, these risks are not absolute. With appropriate genetic counseling and screening, couples can make informed decisions and take steps to mitigate potential risks. The decision to marry a first cousin is ultimately a personal one, influenced by cultural, religious, and familial factors.

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