While making embryos in
the IVF lab at Malpani Fertility Clinic, we aim at transferring a single embryo of
a good quality to the recipient’s uterus which may then implant and develop
into a healthy baby. However, our expertise at pinpointing which embryo will
develop into a baby is limited. We evaluate embryo quality based on their
microscopic appearance. Features such as any fragments of the embryo, the
equality of the cells, the cell division rate etc. are examined. Malpani
Fertility Clinic then singles out the embryo that appears best and performs
the transfer with this top quality embryo. But even this embryo is likely to be
genetically abnormal as its appearance cannot guarantee a normal chromosomal
make up.
To solve this problem, Malpani Fertilty Clinic carries out
Preimplantation Genetic Diagnosis (PGD). The embryo is biopsied and a few cells
removed. We check the chromosome copy number of these cells using Comprehensive
Chromosome Screening (CCS) . This technique has great potential as it allows us
to select genetically normal embryos. It can improve IVF success rates as they have better odds for
implantation than genetically abnormal embryos. Learn more about PGD at http://blog.drmalpani.com/2012/09/should-we-be-doing-pgd-for-everyone.html
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