Preimplantation genetic testing

3 important questions on Preimplantation genetic testing

Why, when and where PDT?

Why?
  • Decrease risks for couples with high risk of: - having a baby with a severe genetic disorder (PGT-M) - having a miscarriage (chromosomal abnormality) (PGT-SR)

When?
  • Before pregnancy (alternative to PND = during pregnancy) Post fertilization, preimplantation -> Requires ICSI-procedure

Where?
  • MUMC: license to perform diagnostic test on embryo’s UMC Utrecht, UMC Groningen, Amsterdam UMC: Transport-ICSI-PGT

Risks for the woman and child (4)?

  • Ovarian hyperstimulation syndrome (OHSS)
  • Haemorrhage
  • Infection
  • Torsion of ovary

Biopsy has no effect on development of embryo and there is no increase in babies with congenital disorders

What are the reproductive options for this couple (7)?

  • Accept the risk
  • Prenatal diagnosis (PND) -> termination of pregnancy
  • PGT
  • Oocyte donation
  • Adoption
  • Foster care
  • No offspring

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