Hellow guys, Welcome to my website, and you are watching IVF and Genetic Testing: Does PGT-A Have a Higher Live Birth Rate?. and this vIdeo is uploaded by Natalie Crawford, MD at 2021-12-09T07:00:17-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | IVF and Genetic Testing: Does PGT-A Have a Higher Live Birth Rate? |
| Video Uploader | Video From Natalie Crawford, MD |
| Upload Date | This Video Uploaded At 09-12-2021 15:00:17 |
| Video Discription | **Learn more about my new fertility course to enhance your natural fertility and optimize your lifestyle** https://www.nataliecrawfordmd.com/enhance-natural-fertility Should you genetically test your embryos if you are doing IVF? (also - welcome to my office at Fora Fertility XO) Fertility doctor Natalie Crawford, MD, double board certified in OBGYN and REI, discusses preimplantation genetic testing (PGT) in review of the latest NEJM article: “Live birth With Or Without PGT-A” In this video she describes: What is PGT? Is PGT the same as PGS and PGD? (Preimplantation genetic screening or diagnosis)? What was this study looking at - what is the difference in cumulative live birth or live birth per transfer? Is the miscarriage rate different after genetic testing? What are mosaic embryos? IVF (in vitro fertilization) is a complex decision. If you are undergoing IVF, you should understand the options and be able to play a role in making complex decisions such as should you do genetic testing or not. Quick summary: In this article, young women (under age 37) had up to 3 blastocysts either 1) tested for aneuploidy or 2) not tested. Cumulative live birth after transfer of these embryos was then compared. The genetic testing group had a higher live birth per transfer and a lower miscarriage rate. The non-genetic testing group had a higher cumulative live birth rate. Mosaic embryos were not transferred. All embryos available were not tested (only 3, average of 7). This study shows not doing PGT-A in young women is not inferior for their primary outcome (cumulative live birth) - however this is not the most important clinical outcome to many, as PGT-A has a significantly higher live birth per transfer and a lower miscarriage rate. This study does show that PGT-A is not essential in younger women (as prior studies have shown as well), but it supports offering and discussing with those under age 37 to understand a higher live birth rate per transfer and a decrease in miscarriage. There is also concerning language about clinics pushing PGT-A to increase profit - this is actually false, the cost of PGT-A goes to the genetic company. AND - patients have fewer transfers with PGT-A (higher live birth per transfer), so a clinic actually will bring in less revenue with PGT-A cycles than if all patients declined PGT-A and underwent more transfers with untested embryos. Article reviewed: https://www.nejm.org/doi/full/10.1056/NEJMoa2103613 Yan J, Qin Y, Zhao H, Sun Y, Gong F, Li R, Sun X, Ling X, Li H, Hao C, Tan J, Yang J, Zhu Y, Liu F, Chen D, Wei D, Lu J, Ni T, Zhou W, Wu K, Gao Y, Shi Y, Lu Y, Zhang T, Wu W, Ma X, Ma H, Fu J, Zhang J, Meng Q, Zhang H, Legro RS, Chen ZJ. Live Birth with or without Preimplantation Genetic Testing for Aneuploidy. N Engl J Med. 2021 Nov 25;385(22):2047-2058. doi: 10.1056/NEJMoa2103613. PMID: 34818479. Other resources: IVF videos: What is IVF? https://youtu.be/hYtr6UfRFCk Top 5 things to know before IVF: https://youtu.be/Fl-KtOjDkxM Dr. Eric Foreman on Instagram: @ericforemanmd https://www.instagram.com/ericformanmd/?hl=en *This is medical education and not medical advice. Please discuss your medical situation and questions with your doctor - medical advice will not be given online. #fertility #ivf #nataliecrawfordmd ----------------------------- Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas. COME SAY HI!!! Blog: nataliecrawfordmd.com Instagram: https://www.instagram.com/nataliecrawfordmd/?hl=en TikTok: https://www.tiktok.com/@nataliecrawfordmd Twitter: https://twitter.com/ncrawfordmd?lang=en Facebook: https://www.facebook.com/nataliecrawfordmd/ Email: [email protected] FORA FERTILITY: forafertilityaustin.com 715 W 34th Street, Austin, TX 78705 To become a patient: email [email protected] or call 512-956-5006 Listen to the AS A WOMAN PODCAST here: ITUNES: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339 SPOTIFY:https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk GOOGLE PLAY: http://asawoman.libsyn.com/gpm ---------- #fertility #fertilitydoctor #nataliecrawfordmd #doctor #asawoman Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more. |
| Category | Education |
| Tags | fertility | infertility | natalie crawford md | dr natalie crawford | as a woman podcast |
