It is possible to analyse biopsied cells from an embryo before implantation to determine whether or not there are any chromosomal abnormalities. This is done in order to prevent implanting embryos that will either not result in a healthy pregnancy or will result in a miscarriage or a diagnosis later in the pregnancy as a consequence of the pregnancy. As a woman ages, the kinds of chromosomal errors she is susceptible to become more complicated and frequent. This explains why elderly women have lower pregnancy rates and suffer more losses than their younger counterparts.
With
the knowledge that all women and men have some chromosomally faulty sperm and
eggs in their bodies, the chance of chromosomal errors rises with age and the
health history of the parents, especially the age of the mother.
This
method is often used to identify the underlying reason of "unexplained
infertility" in younger women, particularly those under the age of 35.
When does it come into play, specifically?
A
thorough chromosomal screening procedure is used to treat infertility caused by
advanced maternal age (more than 35 years), recurrent miscarriage, poor ovarian
capacity in younger women, embryo preservation in gender selection, family
building, or other unsuccessful reproductive treatments. Having CCS may be beneficial for a variety of
reasons, including reducing the possibility of terminating a pregnancy later in
pregnancy owing to a chromosomal abnormality in a child. The last reason is
that a small number of patients choose for CCS in order to preserve high
pregnancy rates while reducing the risk of multiple growth pregnancies by
transferring just one embryo at a time.
So, when is it really put to use?
A
PGD procedure may be recommended instead of comprehensive chromosome
screening for couples who have or are carriers of a known genetic
condition that has the potential to cause disability or disease in their
children, such as muscular dystrophy or cystic fibrosis; and also for couples
who have previously corrected translocations.
Is
it feasible for this treatment to distinguish between unaffected and potential
carrier embryos? It may be possible for a family to prevent passing on a
particular mutation to future generations if they can identify unaffected
non-carrier embryos during the screening process.
Conclusion:
The full chromosomal screening approach described here eliminates many of the
problems that have hitherto hindered aneuploidy screening techniques, and it
may finally enable preimplantation genetic screening to realize the theoretical
advantages that have been promised.
This
high percentage of embryo implantation obtained is very promising, and if it is
verified in future studies, it will be of tremendous importance for IVF clinics
trying to decrease the number of embryos transplanted or implementing single
embryo transfer procedures.
No comments:
Post a Comment