Introduction: The aim of this study is to understand the perception and representation of believers in the MBATA MAYANGI parish on the premarital medical examination in order to propose strategies to meet the expectations of believers in this church. Method: To carry out this study, we used a phenomenological survey method, supported by the face-to-face semi-structured interview technique and the instrument is the interview guide on a reasoned non-probability sampling of 20 participants. Results: concerning representation, the participants believe that the premarital medical examination does not represent much because it is God who protects, is an obstacle to the marriage of young people today, the premarital examinations are presented as a condemnation, finally, is comparable to the competition for admission to married life. For their expectation on the part of families, they have expectations that they have expressed in the following two ways: Parents must educate their children from an early age on medical examinations and also an awareness of youth on the well-being based on the premarital examination. Conclusion: the Christians of this parish do not have a good perception and do not imagine prenuptial examinations well, hence the need to popularize the importance of these examinations in different Churches.