Preimplantation Genetic Diagnosis - Turkishdoc IVF Center

Preimplantation Genetic Diagnosis (PGD)

In the past, couples at risk of transmitting a serious genetic anomaly had no other option than amniocentesis to diagnose the health of their unborn child. Amniocentesis isn’t risk-free, and it’s done late in a pregnancy (in the second trimester), which makes it harder to decide whether to keep the pregnancy going or end it.

To avoid having to face this situation, many couples resort to a recent technique called preimplantation genetic diagnosis, or PGD.

PGD is a method in which embryos grown in a lab are tested for their genes before being put into the uterus of the mother.

Genetic testing can be used to find out if an embryo has the right number and types of chromosomes or if it has a specific genetic defect, like cystic fibrosis.

What does PGD do?

PGD is part of a process of medically assisted procreation (MAP) that requires the use of in vitro fertilization, with prior ovarian stimulation treatment. The couple must therefore meet the regulatory conditions for access to ART.

Several examinations are prescribed for the couple. The Pre-Implantation Diagnosis Center (CDPI) evaluates the genetic and gynecological feasibility, and the Multidisciplinary Prenatal Diagnosis Center (CPDPN) confirms the PGD indication.

After a technical development, the duration of which may vary depending on the indications, a multidisciplinary consultation (geneticist/genetic counsellor, gynecologist-obstetrician, biologist, psychologist, midwife, and anesthetist) is scheduled. The different stages of PGD and the results likely to be obtained are presented to the couple.

In practice, after ovarian stimulation, the collected oocytes are fertilized by intra-cytoplasmic sperm injection (IVF-ICSI). The biopsy of one to two blastomeres (embryonic cells) with a view to genetic analysis is generally carried out on the third day of culture. Only the pathology for which the couple presents a risk of transmission is sought.

PGD is a generally long process since it requires establishing a personalized procedure for each couple. The analysis techniques used are adapted to the pathologies:

fluorescence in situ hybridization (FISH) for chromosomal abnormalities or molecular biology techniques for genetic diseases. Only disease-free embryos will be stored for transfer to the mother. In some situations, embryos may be frozen for later transfer.

The success rate of a pregnancy after PGD is equivalent to that of IVF, i.e., approximately 30%.

Preimplantation Diagnostic Phase Genetic study

Before putting the embryo in the uterus after In Vitro Fertilization, the genetic material of the embryo is studied to look for changes in the genes.

Embryo biopsy

A biopsy is performed on each embryo, and those with a concrete congenital disease are excluded.

Transfer

  • One or two healthy embryos are transferred. Healthy embryos can be frozen.
  • Diagnosis can be obtained in two different ways.

Preimplantation Genetic Diagnosis with embryos

This study is conducted when the embryos are preferably at the blastocyst stage or have 6 to 8 cells, depending on the embryo’s quality and quantity.A biopsy is performed on each of them in order to study their genetic material. Embryos that have a genetic disease are thrown out, and only healthy ones are chosen to go into the uterus.

Preimplantation Genetic Diagnosis with eggs

This technique makes it possible to detect genetic or chromosomal diseases in the egg before the embryo is formed. This technique only analyzes part of the ovum, namely the polar corpuscle, and makes it possible to detect hereditary pathologies on the mother’s side. A biopsy is performed and, as soon as the polar corpuscle is extracted, the oocytes are inseminated using intracytoplasmic sperm microinjection (ICSI). After two days, the genetic result is known, and healthy oocytes are used to make healthy embryos.

How does preimplantation diagnosis (PGD) work during in vitro fertilization (IVF)?

Preimplantation genetic diagnosis (PGD) offers the possibility for a couple to have a child who will not be affected by a genetic disease that could be transmitted to them. So, PGD involves looking at the cells of embryos created through in vitro fertilization (IVF) before they even start to grow in the uterus.

This is done to rule out embryos that might have a disease that is caused by their genes or chromosomes. So, PGD involves looking at the cells of embryos created through in vitro fertilization (IVF) before they even start to grow in the uterus. This is done to rule out embryos that have a certain genetic or chromosomal disease.

As with conventional IV, we start with ovarian stimulation (by daily injections of hormones), which allows you to obtain more oocytes. They are then punctured and placed in contact with the spouse’s sperm in a test tube.

It is only three days later that the pre-implantation diagnosis really takes place. The biologists take one or two cells from the embryos (with at least six cells), in search of the gene related to the disease sought. Then, IVF is continued: if one or two embryos are unharmed, they are transferred to the woman’s uterus.

What distinguishes in vitro fertilization (IVF) from preimplantation diagnosis (PGD)?

Preimplantation diagnosis is carried out during in vitro fertilization, which makes it possible to ensure that the embryo, which is then implanted in the uterus, has not received the disease sought. If in vitro fertilization allows for a preimplantation genetic diagnosis (PGD) if necessary, then using IVF without a PGD is perfectly acceptable.This is especially true if you are having difficulty conceiving but do not have a hereditary, serious, or incurable pathology.

Preimplantation genetic diagnosis: what diseases are we looking for?

The appreciation is left to the doctors as to the diseases that are sought during the PGD. Moreover, there is still no diagnostic test on embryonic cells for all serious and incurable genetic diseases . It is therefore possible that a preimplantation diagnosis is not relevant even if you risk transmitting a pathology to your baby.

Genetic testing can be used to find out if an embryo has the right number and types of chromosomes or if it has a specific genetic defect, like cystic fibrosis. However, no exhaustive list has been defined.

Are there any examinations prior to the preimplantation diagnosis technique?

In general, the couple received genetic counseling before proceeding with PGD. He was then referred to the DPI centre. After a long interview and an in-depth clinical examination, the man and the woman must submit to a battery of tests , which are also long and restrictive. This is the same process that all people who want to use a method of medically assisted reproduction must go through, because PGD is not possible without in vitro fertilization.

What is preimplantation Aneuploidy Screening (PGD-A)?

Preimplantation screening for aneuploidies, also called PGD-A, PGD-A, or PGS, looks at the number of chromosomes in the embryo to see if there are any problems. This increases the chance of getting pregnant after a transfer and lowers the risk of miscarriage. 

Aneuploidy (abnormal number of chromosomes, e.g. trisomy 21) is a common cause of embryo implantation failures in utero. PGD-A is performed in addition to IVF in some infertile couples.

How does PGD or PGD-A take place?

This technique is performed at the blastocyst stage of the embryo, that is to say, between the 5th and 6th day of development, the main stages of which are as follows:

  • Ovarian stimulation
  • In vitro fertilization by ICSI
  • Extraction of a few cells from each embryo
  • Genetic analysis
  • In utero transfer of an embryo

Who is the PGD for?

PGD is mainly intended for couples with a known serious chromosomal (translocation, deletion, inversion) or genetic abnormality. Most of the time, the affection is shown when someone in the family has the disease or when the couple has already had a child with the disease.

  • Affections linked to the X chromosome
  • Autosomal dominant monogenic diseases
  • Recessive monogenic diseases
  • Structural chromosomal anomalies

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Ahmed Johar
Ahmed Johar
2023-07-24
আমার বন্ধুর সাম্প্রতিক স্বাস্থ্য পর্যটন অভিজ্ঞতার সময় আপনি যে ব্যতিক্রমী পরিষেবা এবং যত্ন প্রদান করেছেন তার জন্য আপনাকে ধন্যবাদ। আপনার দক্ষতা এবং পেশাদারিত্ব অসামান্য ছিল, এবং আমরা আমাদের যাত্রা জুড়ে স্বাগত এবং ভাল যত্ন অনুভব করেছি। আপনার পরিষেবার ফলে আমরা যে ফলাফল অর্জন করেছি তার জন্য আমরা কৃতজ্ঞ, এবং আমি অন্যদের কাছে আপনার পরিষেবাগুলি সুপারিশ করার জন্য উন্মুখ।
Güzide Kürkçü
Güzide Kürkçü
2023-05-22
Kökhücre tedavisi için hizmet aldık. İlk baştan itibaren sorunsuz hizmet ve destek için çok teşekkür ederiz 🙏💫
Ceren Özgüven
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2023-05-22
I am very satisfied with everything, thank you especially for the help of Yasmine
OnuR Uysal
OnuR Uysal
2023-05-18
grateful for your services.
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2023-05-18
My aunt did IVF treatment through Turkishdoc, and we were really happy with the services they provided. We would like to thank all of the team for their great help.
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Discover comprehensive answers to all your inquiries regarding IVF in Turkey.

Frequently Asked Questions

What is IVF?

IVF treatment (in vitro fertilization) was first successfully applied in England in 1978.

Factors that cause infertility (infertility) in women;

  • Ticking of the egg ducts (fallopian tubes)
  • Uterine (uterine) and congenital abnormalities
  • Benign uterine urlar (fibroids)
  • Intrauterine adhesions (uterine sineuses)

Factors that cause infertility (infertility) in men;

  • Low sperm count
  • Slowness in sperm movement
  • Disfigurement or inability to see sperm cells

According to statistics, more than 4 million children were born by IVF method all over the world.

IVF treatment has been a great gateway to hope for couples who cannot have children by natural means thanks to technology, improved laboratory facilities and research that have advanced in the last 30 years.

What are the factors affecting the success rate of IVF?

In vitro fertilization is one of the factors affecting the rate of success, especially:

  • The age of the patient
  • Type of infertility diagnosis
  • Duration of infertility
  • Hospital / doctor experience / expertise
  • Number of embryos transferred
  • Type of IVF performed: stimulated or natural cycle IVF

For women younger than 34, most will achieve pregnancy within 1 to 3 treatment cycles; indeed, many are successful on their first attempt.

Success rates for women over 35 tend to decrease as aging affects the quality of these women’s eggs.

For a detailed discussion about IVF success rates, couples should visit the website for the clinic where they are considering treatment. They should also discuss specific fertility possibilities with reproductive endocrinologists.

IVF pregnancy rates vary by clinic, so patients should carefully examine their chances of success in the treatment of specific clinical practice.

How is IVF performed?

At the beginning of the IVF process, the ovaries are stimulated with special drugs so that a large number of egg cells can be obtained from the woman.

This process varies from patient to patient.

Drugs are used for 15-20 days. After the ovaries become suitable with ultrasound and hormones with a blood test, egg collection is performed. Eggs are collected through the vaginal route with the help of ultrasound.

On the same day, sperm is taken from the man and a normal IVF or microinjection process is performed in the laboratory for the process of fertilization.

The fertilized egg, which becomes an Embryo, is transferred to the woman after two to five days.

What is infertility?

Infertility refers to the inability to conceive after having regular unprotected sex. Infertility refers to an individual’s biological incapacity to contribute to conception, or to a woman who is unable to carry her pregnancy to full maturity.

Infertility in many countries means a couple who cannot conceive after 12 months of regular sexual intercourse without using contraception.

Research shows that most cases of infertility are caused by more than half of women, with the rest due to sperm disorders or unidentified factors caused by men.

Most cases of apparent infertility are treatable. Infertility can have a single cause in one of the partners, or it can be the result of a combination of factors.

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We provide pre-operative consultation to offer you the best treatment according to your needs. Fill out the form, and we’ll contact you to schedule a consultation appointment.

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English, Turkish, Chinese, and Arabic are spoken by our staff. If another language is needed, we will arrange for a professional translation service.

For more information and support on IVF and infertility, consider reaching out to Turkishdoc and support organizations to access the guidance and resources you need on your journey.

For more information and support on IVF and infertility, consider reaching out to Turkishdoc and support organizations to access
the guidance and resources you need on your journey.

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