‘What did Kanchan chachi die of’: When Twinkle Khanna said she investigated Akshay Kumar’s genes before wedding; role of partner’s medical history in marriage decisions

Appearing on Koffee With Karan in 2016, Twinkle revealed that she had investigated her soon-to-be husband’s family health history before making her decision. She explained, “The reason you get married is primarily to have children. So, you are introducing this genetic strain into your family line. I wanted to know what diseases run in his family. At what age did his uncles lose their hair? What did Kanchan chachi die of?” 

While the revelation left Karan Johar and Akshay Kumar laughing, the Kesari actor admitted that he only found out about it after their wedding. Initially annoyed, he later realised that Twinkle had a valid point. But did Akshay’s family pass her test? Twinkle answered in her signature style, “They did pass my litmus test. Most of them are still alive because they have healthy genes!”

This brings up an interesting question — should people really be factoring genetics into their decision to get married? We asked an expert to weigh in.

Role of partner’s family medical history in marriage decision

According to Bhakti Joshi, counselling psychologist, Samarpan Health (Consultant), “The concept of verifying a potential partner’s background — whether medical, behavioural, or character-wise — has long been a part of Indian society, especially in arranged marriages. Traditionally, these background checks were done through astrology, auspicious timings (muhurats), marriage mediators, and informal inquiries. Over time, this evolved into more structured approaches, such as agencies and direct background verifications.”

In recent years, she states that there has been an increasing focus on a partner’s family medical history, particularly hereditary or genetic conditions, due to their potential impact on future offspring. While this approach reflects a growing awareness of health-related concerns, it is important to navigate such inquiries with sensitivity and mutual consent.

Could this level of scrutiny over a partner’s health background indicate underlying fears or anxieties?

“As a psychologist working with couples and families, I have observed a general lack of awareness about genetics and biology. This lack of psychoeducation can sometimes amplify pre-existing anxieties in the search for an ‘ideal’ partner,” reveals Joshi. 

Interestingly, she says that societal expectations often “place the responsibility of having a healthy child primarily on women, leading to a shift in ideology post-marriage and pregnancy.” Educating individuals and families about genetic factors — such as recessive disorders, family history, and carrier status — can help alleviate anxiety. However, it is crucial that such discussions take place with mutual consent and without reinforcing fears or unrealistic expectations.

Viewing marriage as a genetic investment

The term “genetic investment” is open to individual interpretation. “What matters most is ensuring that both partners have the right to information — with consent — and that discussions about medical history happen through open, non-judgmental communication,” notes Joshi.

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