Preimplantation Genetic Testing (PGT)

PGT screens embryos for genetic or chromosomal abnormalities before transfer, improving pregnancy success and reducing miscarriage risk.

Types of PGT

  • PGT-A (Aneuploidy): Detects abnormal chromosome numbers (e.g., Down syndrome), ideal for older patients or those with recurrent pregnancy loss.

  • PGT-M (Monogenic Disorders): Screens for specific inherited conditions (e.g., cystic fibrosis, muscular dystrophy) if parents are carriers.

  • PGT-SR (Structural Rearrangements): Identifies chromosomal rearrangements in parents with translocations.

Process

  • Embryos are cultured to the blastocyst stage.

  • A few cells are biopsied from each embryo and sent for genetic analysis.

  • Embryos are frozen while results are processed (1–2 weeks).

  • Healthy embryos are selected for frozen embryo transfer (FET).

Benefits

  • Increases live birth rates by selecting euploid embryos.

  • Reduces miscarriage risk (e.g., from 50% to 20% in older patients).

  • Prevents passing serious genetic disorders to offspring.

Risks

  • Embryo biopsy carries a small risk of damage (<1%).

  • Not all embryos are viable for testing or transfer.

  • Additional cost and time for frozen embryo cycles.

Leave a comment