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Clinical applications of fetal sex determination in maternal blood in a preimplantation genetic diagnosis centre
Author(s) -
Gérard Tachdjian
Publication year - 2002
Publication title -
human reproduction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.446
H-Index - 226
eISSN - 1460-2350
pISSN - 0268-1161
DOI - 10.1093/humrep/17.8.2183
Subject(s) - sexing , testis determining factor , fetus , obstetrics , concordance , chorionic villus sampling , pregnancy , preimplantation genetic diagnosis , gynecology , medicine , prenatal diagnosis , biology , y chromosome , genetics , gene
Couples with a risk of transmitting X-linked diseases who are included in a preimplantation genetic diagnosis (PGD) programme need early and rapid fetal sex determination in two situations. The first situation is for the control of embryo sexing after PGD and the second situation is for those couples having a spontaneous pregnancy before the start of their PGD cycle. Among invasive techniques, chorionic villus sampling is the earliest procedure for fetal sex determination and molecular analysis of X-linked genetic disorders during the first trimester but it is associated with a risk of fetal loss. Non-invasive procedures such as ultrasound examination allow reliable fetal sex determination only during the second trimester. Reliable fetal sex determination can now be realised by using SRY gene amplification in maternal blood.

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