Genetic Testing

Preimplantation genetic testing (PGT) is one approach we can use to improve your chances of a healthy pregnancy and baby. By evaluating the embryos formed through the IVF process for genetic abnormalities, we can reduce the risk of transferring an embryo with a chance of unsuccessful implantation, miscarriage, or growing into a baby with a genetic condition.

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Genetic testing with Dr Kate Burston

As an experienced IVF specialist, Dr Kate is familiar with the process of PGT, as well as the emotions that can sometimes accompany the results. When undertaking IVF and PGT, you can expect to receive compassionate care from Dr Kate, with a safe space to voice your concerns and ask as many questions as you need to feel comfortable with moving forward.

Preimplantation genetic testing for aneuploidy (PGT-A)

Aneuploidy is a genetic abnormality involving too many or too few chromosomes than the normal 23 pairs. Aneuploidy is the cause of conditions including Down syndrome, Patau syndrome, and Edward syndrome.

PGT-A is particularly useful if you:

  • Have experienced repeatedly unsuccessful embryo transfers
  • Have had a previous pregnancy affected by aneuploidy
  • Are a mother-to-be older than 35 years
  • Have experienced recurrent miscarriage

Preimplantation genetic testing for monogenic conditions (PGT-M)

Some medical conditions are caused by a single abnormal gene. Examples of these include Huntington disease, thalassaemia, and cystic fibrosis. PGT-M is a genetic test that covers over 350 single-gene diseases, both common and rare.

You may be recommended PGT-M if you:

  • Have a personal or family history of a confirmed genetic condition with the potential to pass it on to your future children
  • Or your partner are healthy but are known carriers of a single-gene condition that may be expressed in your future children, such as spinal muscular atrophy

Preimplantation genetic testing for structural rearrangements (PGT-SR)

Sometimes, a cell may have the correct number of chromosomes but in a different arrangement. This is known as balanced translocation or chromosomal inversion. You may not be affected by any health issues due to this as you still have the correct number of chromosomes, but there is an increased risk of passing on an unbalanced amount of chromosome information in your eggs or sperm.

If you or your partner are known to have a chromosomal inversion, Dr Kate will recommend you consider PGT-SR.

The PGT procedure

Once a number of embryos have been formed through the IVF process, these are taken to a Genea genetics lab for testing. Genea is one of the very few centres in Australia that has both IVF and genetics facilities to perform these sophisticated tests successfully.

Testing involves taking a biopsy of a few cells from the embryo, and analysing these cells for their genetic material. Any embryos found to have genetic abnormalities that decrease your chance of a successful pregnancy and healthy baby are not considered for implantation. You can choose what you want to do with these embryos – discard them or freeze them to consider again in the future when medical treatment for genetic diseases may have advanced.

We understand that the results of a genetic test can be confusing and sometimes overwhelming, with both practical and ethical considerations. If needed, Dr Kate can refer you to Genea’s genetic counselling service for further support.

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