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The pre-implantation genetic diagnosis (PGD) was developed in order to
identify a genetic disease before making the transfer of embryos to the
uterus. That is, before the pregnancy occurs. It is indicated for
couples who have a disease that can be passed on to children or that
impede the development of pregnancy, leading to loss of repeat
pregnancy. Another indication for the technique is the repeated failure
of implantation after IVF. The main advantage of PGD is to identify the
disease before there is a pregnancy, thus avoiding the birth of
offspring affected by genetic diseases and chromosomal abnormalities.
It also avoids the need for donation of gametes or adoption, of the
risk of having a child with a disability consistent with the life and
the interruption of pregnancy.
To do PGD, there is a treatment of ICSI and conventional, prior to
performing the transfer, the embryos are biopsied using the
micropipettes and Laser to open the zona pellucida under microscopic
vision and one or two cells are removed for to complete the genetic
study. This is done by the techniques of FISH or PCR, depending on each
case. The unaffected embryos are then transferred.
Important to note that due to possible differences between cells
within the embryo (mosaicism) and reduced number of cells used for the
diagnosis (1 or 2 only) there is a margin of error of about 5%
diagnosis.
Rate of pregnancy - from 10 to 55% |
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