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Preimplantation Genetic Diagnosis
Preimplantation genetic diagnosis (PGD) is a very promising diagnostic test for detection of chromosomal (genetic) abnormalities in the embryo during in vitro fertilization (IVF) therapy. This testing however is limited because of the high-cost of the procedure, technical difficulties in performing the procedure and diagnostic limitations. PGD involves removal of one or two cells from an early 8 cell stage embryo and the use of sophisticated procedures which check the cells for any genetic abnormalities. Only those embryos which are found to be normal are then transferred into the uterus, while the abnormal ones are discarded. At this time most studies suggest that PGD is indicated in patients with genetic abnormalities, such as hemophilia, as a way to prevent transmitting the abnormal gene to their children. However, to date, this procedure has not been shown to be helpful for patients with repeated IVF failures, older patients or patients with recurrent miscarriages. Another problem with PGD is the 5 to 7% false-negative results (undetected abnormal embryos), necessitating amniocentesis later in pregnancy to make sure that the embryo is completely normal.
BocaFertility policy is to offer PGD to those patients at risk of transmitting a chromosomal abnormality, and minimize the risk or transmission of single gene defect such as cystic fibrosis.
We also offer PGD for sex selection and for patients with recurrent miscarriages.
PGD results also include information on gender. This information may be used for family balancing.
To learn more about PGD at BocaFertility give us a call at 561- 368-5500.
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