Considerations in genetic testing and IVF. In this conversation, Natalie Richeimer discusses the intricacies of pre-implantation genetic testing (PGT) as part of in vitro fertilization (IVF). She explains the different types of PGT, its accuracy, limitations, and the ethical considerations surrounding genetic testing. The financial burden of IVF and PGT is also addressed, highlighting the lack of insurance coverage and the high costs involved. Richeimer emphasizes the importance of genetic counseling in navigating these complex decisions and shares her personal experiences with IVF, underscoring the emotional impact on patients. The conversation concludes with a call to action for patients to seek genetic counseling and resources available through organizations like JScreen.

Key Takeaways:

• PGT is part of the IVF process
• PGT is a screening test, not a diagnostic test
• The accuracy of PGT results can vary
• Genetic counseling is available for patients undergoing IVF
• Ethical considerations are complex
• Patients often face emotional and financial challenges during IVF and PGT

Natalie Richeimer, MS, CGC, is a board certified genetic counselor at jscreen with clinical experience in adult, pediatric, and reproductive genetic counseling. She holds a master's degree in human genetics and genetic counseling from the Keck Graduate Institute. Natalie is a native Torontonian, who lives in Los Angeles with her husband and two boys. She has published research in the Journal of Genetic Counseling on the impact of orthodox Jewish clergy’s role in prenatal genetic counseling. Prior to her work as a genetic counselor, Natalie worked as a high school STEM teacher for 7 years in Los Angeles. She is passionate about reproductive health education and community engagement. Natalie has a special interest in outreach, with the goal of increasing awareness of and access to genetic counseling. Natalie has partnered with local organizations and high schools to provide community education.

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Here are more resources related to today’s topic:

• Find a Genetic Counselor
• American Society for Reproductive Medicine or ASRM
• American College of Obstetricians and Gynecologists (ACOG) Committee Opinion on Pre-implantation Genetic Testing
• Episode 20- How does music tell the story of genetic hearing loss? With Matt Hay
• Episode 5- Do I need prenatal genetic screening? With Blair Stevens

Any questions, episode ideas, guest pitches, or comments can be sent to [email protected]

The All Access DNA team includes: host, producer and editor Kate Wilson. The logo is designed by Designs by NKJ.

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