Every parent-to-be has questions about their future family's health. Could my family history affect my pregnancy? Should I get tested before trying to conceive? If these thoughts have crossed your mind, you're not alone. Genetic counseling can help answer these questions and more, giving you the insights you need to move forward with confidence. Let's dive into how this valuable resource could be the key to understanding your reproductive health and planning your family's future.
What is Genetic Counseling?

Genetic counseling is a specialized healthcare service that helps people understand and adapt to the medical, psychological, and familial implications of genetic contributions to health. For those navigating fertility challenges or planning to start a family, genetic counseling becomes particularly crucial.
It can help identify potential genetic factors affecting fertility, evaluate risks for pregnancy complications, and assess the likelihood of passing inherited conditions to future children. Genetic counselors serve as knowledgeable guides who go far beyond just ordering tests - they're dedicated partners in your fertility journey who can:
- Evaluate your family health history and help you understand its impact on your reproductive health
- Assess potential genetic risks that could impact conception
- Explain available testing options and help you decide which, if any, are right for you
- Help interpret test results in the context of your specific situation and goals
- Support emotional and practical decision-making about treatment options and next steps
- Connect you with additional resources and specialists when needed
- Serve as an ongoing source of support and information throughout your family-building journey

Why Consider Genetic Counseling for Fertility?
Understanding your genetic profile before or during pregnancy can provide crucial information for your family-planning journey, no matter your history, but genetic counseling may be particularly valuable if you:
- Have experienced multiple miscarriages or failed IVF cycles
- Are over 35 and planning to start a family
- Have a family history of inherited conditions or genetic disorders
- Are concerned about passing certain health conditions to your children
- Are considering or currently undergoing fertility treatments
- Have had abnormal prenatal screening results
- Have a previous pregnancy affected by a genetic condition
What Types of Genetic Tests are Available?
Now that you understand how genetic counseling can support your fertility journey, let's explore the specific types of genetic testing available. Your genetic counselor will help determine which tests, if any, are right for you based on your personal history, family background, and reproductive goals. They'll explain each option's benefits, limitations, and timing, ensuring you feel confident in your choices. Here are the main types of genetic tests that can provide insights into your fertility and reproductive health:
Carrier Screening
This test determines if you or your partner carry genetic variations that could cause a disease if they are passed to your children. These tests often look for conditions that are recessive, meaning that they have to be passed down from both parents in order for a child to have the condition. Because of this, many people who are carriers of a genetic condition don’t have any symptoms or family history of the condition. If both parents are carriers of the same genetic condition, they might:
● Have additional testing or imaging during the pregnancy
● Use IVF or other assisted reproduction techniques
● Use the information to feel better prepared for their future child
The best time to do carrier screening is before pregnancy, and it’s recommended for anyone considering having children.
Preimplantation Genetic Testing (PGT)
For those using IVF, PGT examines embryos before transfer to:
- Screen for chromosomal abnormalities
- Test for specific inherited conditions
- Improve pregnancy success rates
- Reduce miscarriage risk
Prenatal Testing and Screenings
Once pregnancy occurs, options include:
- Non-invasive prenatal testing (NIPT)
- Chorionic villus sampling (CVS)
- Amniocentesis
- Detailed ultrasound screening

When to Consider Each Genetic Test for Fertility
The timing of genetic testing depends on your specific situation:
Before Pregnancy:
- Carrier screening is recommended before conception
- Family history evaluation can guide future testing and screening
- Understanding genetic risks helps with treatment planning
During Fertility Treatment:
- PGT during IVF cycles
- Genetic counseling to understand testing options
- Results help guide embryo selection
During Pregnancy:
- First-trimester screening tests
- Second-trimester diagnostic options
- Ongoing genetic counseling support
Looking Ahead with Genome Medical

Whether you're just starting your fertility journey or already pursuing treatment, genetic counseling can provide valuable insights and support for your unique situation. Through our partnership with Genome Medical, you can access experienced genetic counselors who will help you understand your options and make confident decisions about your reproductive health. You'll receive personalized guidance, comprehensive support, and expert information to help navigate your path to parenthood.
Ready to take the next step?
Meet with a board-certified genetic counselor in less than one week. Appointments are delivered via a 30-60 minute phone call. Book with Genome Medical today!
