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Genetic Compatibility Testing

Carrier Screening

A carrier screening provides clarity about your genetic risk before starting fertility treatment. It shows whether both partners are carriers of the same recessive gene mutation. If an elevated risk is identified, it can be specifically excluded in the next step with PGT-M.

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What is carrier screening?

On average, every person unknowingly carries two to three genetic variants for recessive hereditary diseases. If both partners carry the same variant, there is a 25% risk per pregnancy that the child will be affected. This becomes particularly relevant when hereditary diseases or cases of cancer are known in your family (for example among parents, grandparents, aunts, or uncles). With a simple blood test, we analyse 90 clinically relevant genes and more than 130 serious hereditary diseases in both partners.

Good to know: With a carrier screening, we create clarity about your genetic risk. If a relevant variant is identified, we can specifically prevent it from being passed on in combination with PGT-M. As part of an ICSI cycle, only embryos without the affected mutation are then selected for transfer.

Who should consider carrier screening?

A carrier screening helps couples identify possible genetic risks for their children at an early stage. Our doctors will advise you whether the test is recommended in your situation.

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Couples with increased security needs

Any couple can unknowingly be carriers of the same recessive genetic variant, even without any indication in their family history. A carrier screening provides clarity for the next steps.

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Couples with a genetic predisposition

If hereditary diseases such as cystic fibrosis or cancers such as breast or colorectal cancer are known in your family, a carrier screening can help to assess your individual risk more precisely.

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Couples with recurrent miscarriages

In cases of recurrent miscarriages or unexplained infertility, a carrier screening can uncover genetic causes and allow further treatment to be tailored accordingly.

Dr. med. (I) Maddalena Masciocchi

Why a carrier screening provides clarity

Many couples don't know whether they carry variants for serious hereditary diseases. A carrier screening makes these risks transparent before starting fertility treatment. If an elevated risk is identified, we can specifically exclude it through PGT-M and select only healthy embryos for transfer. Whether a carrier screening is right for your situation is something we determine together in a genetic counselling session.

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Genetic testing

When during the treatment process is a carrier screening useful?

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A carrier screening can be performed at any point in time. It is most beneficial early on, ideally as part of the fertility check or before starting fertility treatment. This way, we can incorporate the results into your treatment planning from the very beginning and specifically exclude any elevated genetic risk through PGT-M.

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How does the genetic compatibility test work?

The carrier screening is based on a simple blood sample from both partners and typically delivers results within four weeks. We discuss the results with you in person and plan the next steps together.

Step 1

Initial consultation and genetic counselling

In a detailed conversation, we discuss your medical history and family background, address any open questions and explain the carrier screening process. Together, we decide whether the test is right for your situation.

Step 2

Sample Collection

We take a simple blood sample from both partners. This can be done as part of the fertility check or at a later point in your treatment planning, and takes only a few minutes.

Step 3

Genetic analysis

The samples are sent to our partner laboratory Genetica and analysed using Whole Exome Sequencing (NGS) for 90 clinically relevant genes. Results are typically available within four weeks.

Step 4

Evaluation of results

Our doctors evaluate the results in collaboration with Genetica. This provides a clear picture of your genetic profile and any potential risks.

Step 5

Personal consultation

In a personal appointment, we discuss the results, put them into context, and define the next steps together. If an elevated risk is identified, we explain the option of PGT-M and plan the next steps.

Genetic testing

How does a carrier screening differ from PGT?

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A carrier screening examines the DNA of both partners specifically for variants linked to serious recessive hereditary diseases. PGT, in contrast, examines the embryos themselves. If a carrier screening reveals an elevated risk, PGT-M can be performed as part of an ICSI cycle to specifically select embryos without the affected mutation for transfer.

Further genetic testing

A carrier screening is one of several genetic procedures that can be used during fertility treatment. Learn more about other options here.

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PGT-A

PGT-A examines the number of chromosomes and detects random abnormalities such as Trisomy 21. This can improve the chances of a successful pregnancy and reduce the risk of miscarriage.

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PGT-M

PGT-M specifically examines embryos for a known genetic mutation in the family. This can prevent the transmission of a hereditary disease such as cystic fibrosis or a cancer predisposition like BRCA1/2 to the child.

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PGT-SR

PGT-SR specifically examines embryos for structural chromosomal changes. This helps to reduce the risk of miscarriage and the risk of disability in the child.

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Our clinic in Zurich

At the modern Cada Clinic, located directly on Lake Zurich, you'll find fertility treatments such as IVF, ICSI, and social freezing.

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Frequently Asked Questions (FAQ)

Here you will find the most important questions and answers about carrier screening. If your question cannot be answered here, please feel free to contact us directly.

Is carrier screening recommended for everyone?

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A carrier screening is useful for all couples planning to conceive, regardless of whether genetic diseases are known in the family. Statistically, every person carries on average two to three recessive gene mutations without knowing it. Our doctors will advise you whether the test is recommended in your situation.

Can the test detect all genetic diseases?

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No. Our panel analyses 90 clinically relevant genes associated with more than 130 serious recessive and X-linked diseases, including cystic fibrosis, spinal muscular atrophy, haemophilia, and cancer predispositions such as BRCA1/2. Rare or previously unknown mutations cannot be detected.

Which common hereditary diseases can a carrier screening detect?

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Many recessive hereditary diseases are more common than most people assume. A few examples from our panel: - Cystic fibrosis (CFTR): approximately 1 in 25 people of European descent is a carrier. Affected children develop chronic lung and digestive diseases. - Spinal muscular atrophy / SMA (SMN1): approximately 1 in 40 to 50 people of European descent is a carrier. SMA leads to progressive muscle weakness, often beginning in infancy. - Beta-thalassemia and sickle cell anaemia (HBB): up to 1 in 10 people with roots in the Mediterranean, the Middle East, or Africa is a carrier. Both diseases cause severe chronic anaemias. - Hereditary breast and ovarian cancer risk (BRCA1/2): approximately 1 in 400 people in general, and about 1 in 40 in people of Ashkenazi Jewish descent. Carriers have a significantly elevated lifetime cancer risk. - Fragile X syndrome (FMR1): approximately 1 in 200 women is a carrier. It is the most common inherited cause of intellectual disability in boys.

Can hereditary cancer predispositions also be detected?

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Yes. Our panel includes key genes for familial cancer predispositions, including BRCA1 and BRCA2 (increased risk of breast, ovarian and pancreatic cancer), MLH1, MSH2, MSH6 and PMS2 (Lynch syndrome with elevated colorectal cancer risk), as well as further genes such as PALB2, MUTYH or VHL. This allows us to identify hereditary cancer risks early and incorporate them into your family planning.

What method does Cada use for the carrier screening?

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At Cada, we use Whole Exome Sequencing, a modern method from the Next Generation Sequencing (NGS) family of technologies. 90 clinically relevant genes are analysed with high precision. The evaluation is carried out in close collaboration with our partner laboratory Genetica.

Do both partners need to be tested?

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Yes. Only the combination of both partners' genetic variants shows whether there is a risk for the child. We therefore analyse blood samples from both partners.

Is the test painful?

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No. The carrier screening is based on a simple blood draw, comparable to a standard blood test.

What happens if we are genetically incompatible?

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If both partners are carriers of the same recessive mutation, there is a 25% risk that the child will develop the condition. In this case, there are several options: as part of an IVF or ICSI cycle, PGT-M can be performed to specifically select embryos without the affected mutation for transfer. Our doctors will discuss all options with you.

How long does it take until the results are available?

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Results are typically available four weeks after the blood sample is taken. As soon as they are available, we will schedule an appointment to discuss them with you.

How is our genetic data protected at Cada?

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Your blood samples and genetic data are used exclusively for the agreed analysis. The evaluation is carried out in certified laboratories in compliance with Swiss data protection regulations. Your data will not be passed on to third parties or used for research purposes unless you explicitly consent to it.

Does a carrier screening guarantee a healthy baby?

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No. A carrier screening significantly reduces the risk of certain recessive hereditary diseases but cannot exclude all genetic conditions. Even with an unremarkable result, the standard prenatal examinations are still recommended during pregnancy.

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