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Talking to Your Doctor About Chromosomal Abnormalities
You have a unique medical history. Therefore, it is essential to talk with your doctor about your personal risk factors and/or experience with chromosomal abnormalities. By talking openly and regularly with your doctor, you can make the best decisions for you and your family.
General Tips for Gathering Information
Here are some tips that will make it easier for you to talk to your doctor:
You or your partner’s family history may lead you to meeting with a genetic counselor. Genetic counselors have specialized training and experience within the area of genetics. Additionally, they are qualified in counseling people who are dealing with highly sensitive and emotional issues.
As counselors, their job is to inform you about possible birth defects or genetic disorders that may affect your child. Training in genetics allows these specialists to help you make sense of detailed medical jargon. They will identify any risk factors you or your partner may have and the likelihood of a birth defect or genetic disorder occurring. The counselors will present you with possible outcome scenarios that can help you understand and better decide for yourself what you should do.
At your first visit, you will be asked about your medical history as well as the medical background of your family. The more information that you can provide, the better your counselor will be able to identify inheritance patterns and assess your risk factors for certain genetic problems.
Sometimes further testing may be necessary. Your genetic counselor will arrange for this. When your chances of having a child with a possible genetic disorder have been properly assessed, your counselor will provide you with the resources you need to decide what you should do next. If you have a very high risk, your options include choosing to adopt or conceiving a child through in vitro fertilization and implanting an embryo that has been determined to be free of genetic problems through preimplantation genetic diagnosis.
Don't hesitate to ask your genetic counselor any questions you might have. You will be presented with a lot of information, so be sure to ask for brochures or even a written summary of the meeting to use as a resource.
Before Your Appointment
It is important to gather as much information on your family's medical history as you can.
Chromosome abnormalities. National Human Genome Research Institute website. Available at: http://www.genome.gov/11508982 . Updated October 13, 2011. Accessed July 24, 2013.
FAQs about genetic counselors and the NSGC. The National Society of Genetic Counselors website. Available at: http://www.nsgc.or... . Accessed July 25, 2013.
Last reviewed July 2013 by Kari Kassir, MD; Michael Woods, MD
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