Book contents
- Manual of Embryo Selection in Human Assisted Reproduction
- Manual of Embryo Selection in Human Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Introduction
- Chapter 2 Embryo Developmental Programming
- Chapter 3 Embryo–Maternal Interactions
- Chapter 4 The Sperm’s Role in Embryo Development
- Chapter 5 The Oocyte’s Role in Embryo Development
- Chapter 6 The Laboratory’s Role in Embryo Development
- Chapter 7 Handling of Gametes and Embryos
- Chapter 8 Noninvasive Morphological Selection of Oocytes
- Chapter 9 Prospects for Bioenergetics for Embryo Selection
- Chapter 10 Static Morphological Assessment for Embryo Selection
- Chapter 11 Dynamic Morphological Assessment for Embryo Selection
- Chapter 12 Noninvasive Analysis of Embryo Nutrient Utilization for Embryo Selection
- Chapter 13 Genomics for Embryo Selection
- Chapter 14 Biopsy Techniques from Polar Body to Blastocyst
- Chapter 15 Cell-Free DNA Analysis for PGT-A
- Chapter 16 What Science May Come for Embryo Selection?
- Epilogue
- Index
- References
Chapter 13 - Genomics for Embryo Selection
Published online by Cambridge University Press: 26 April 2023
- Manual of Embryo Selection in Human Assisted Reproduction
- Manual of Embryo Selection in Human Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Introduction
- Chapter 2 Embryo Developmental Programming
- Chapter 3 Embryo–Maternal Interactions
- Chapter 4 The Sperm’s Role in Embryo Development
- Chapter 5 The Oocyte’s Role in Embryo Development
- Chapter 6 The Laboratory’s Role in Embryo Development
- Chapter 7 Handling of Gametes and Embryos
- Chapter 8 Noninvasive Morphological Selection of Oocytes
- Chapter 9 Prospects for Bioenergetics for Embryo Selection
- Chapter 10 Static Morphological Assessment for Embryo Selection
- Chapter 11 Dynamic Morphological Assessment for Embryo Selection
- Chapter 12 Noninvasive Analysis of Embryo Nutrient Utilization for Embryo Selection
- Chapter 13 Genomics for Embryo Selection
- Chapter 14 Biopsy Techniques from Polar Body to Blastocyst
- Chapter 15 Cell-Free DNA Analysis for PGT-A
- Chapter 16 What Science May Come for Embryo Selection?
- Epilogue
- Index
- References
Summary
During the last thirty years preimplantation genetic testing has found diverse clinical application, expanding beyond the relatively small population of patients at high-risk of inherited disease transmission for whom it was initially intended. While the use of PGT has been highly successful in helping couples carrying gene mutations to reduce the incidence of affected pregnancies, it is now more commonly used for assessing chromosomal status of embryos generated during the course of routine IVF treatment. Chromosome abnormalities are extremely common in human IVF embryos and, in theory, the identification and preferential transfer to the uterus of euploid embryos should improve IVF treatment outcomes. Today, it is estimated that more than a third of all IVF cycles carried out in the United States utilise this type of testing to assist the selection of embryos, dwarfing the utilisation of PGT for other purposes. Recent technical developments suggest that PGT will provide patients with increasingly valuable reproductive strategies, while its growing capabilities may also pose ethical questions.
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- Manual of Embryo Selection in Human Assisted Reproduction , pp. 135 - 148Publisher: Cambridge University PressPrint publication year: 2023