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The field of genetic testing is expanding to include new genetic technologies, including chromosomal microarray analysis (CMA) and whole-genome sequencing, and these technologies are increasingly being used on fetuses and embryos. Expanded prenatal genetic testing poses two main ethical challenges. When such testing is being done on fetuses, clinicians must counsel patients, who are deciding whether to continue pregnancies, in the absence of clear information about the significance of findings. When such testing is done on embryos for use in assisted reproduction, on what basis should embryos be chosen for implantation?

Expanded Genetic Testing in Assisted Reproduction: Lessons Learned from Prenatal Testing