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Genetic Testing (PGT) in Turkey

Genetic testing in IVF, commonly referred to as Preimplantation Genetic Testing (PGT), is a laboratory technique used to evaluate embryos for specific genetic or chromosomal conditions before embryo transfer. For patients considering fertility treatment in Turkey, PGT may be discussed in certain medical situations to support informed clinical decision-making.
PGT is not a routine part of IVF for every patient. Its use is based on medical indications, patient history, and ethical considerations. While genetic testing can provide valuable information about embryos, it does not guarantee pregnancy or eliminate all genetic risks.
This page explains what PGT involves, when it may be recommended, how it is performed in Turkey, and what patients—especially international patients—should understand before choosing genetic testing as part of IVF treatment.

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What Is PGT?

Preimplantation Genetic Testing (PGT) is a laboratory procedure performed during an IVF cycle. It involves analyzing a small number of cells taken from an embryo to assess genetic or chromosomal characteristics.
PGT is performed after fertilization but before embryo transfer. The purpose is to provide information that may help guide embryo selection, not to ensure pregnancy or guarantee genetic normality.
PGT requires advanced laboratory expertise, strict protocols, and careful ethical oversight.

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Types of Genetic Testing in IVF

PGT is an umbrella term that includes different types of genetic evaluation. The specific type of testing recommended depends on the patient’s medical history and diagnostic findings.

PGT-A: Chromosomal Screening

PGT-A (Preimplantation Genetic Testing for Aneuploidy) evaluates embryos for abnormal numbers of chromosomes. Chromosomal abnormalities can affect embryo development and pregnancy outcomes.

PGT-A may be discussed in cases such as:

PGT-A does not guarantee implantation or pregnancy and does not test for all genetic conditions.

PGT-M: Monogenic Disorders

PGT-M is used when one or both partners are known carriers of a specific inherited genetic condition. This type of testing focuses on identifying embryos that do not carry the targeted condition.

PGT-M requires:

Because of its complexity, PGT-M is recommended only when there is a clear medical indication.

PGT-SR: Structural Rearrangements

PGT-SR is used in cases where one partner carries chromosomal structural rearrangements, such as translocations. These rearrangements may increase the risk of miscarriage or implantation failure.

This form of testing helps identify embryos with balanced chromosomal structures but does not eliminate all reproductive risks.

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When Is PGT Recommended?

PGT is not necessary for all IVF patients. Its use is based on specific medical indications identified during fertility evaluation.
PGT may be discussed when patients have:
The decision to use PGT is made collaboratively between the physician, genetic specialists (when involved), and the patient.

How PGT Is Performed During IVF

PGT is integrated into the IVF process and involves several coordinated steps within the laboratory.

PGT begins with a standard IVF cycle. Eggs are retrieved, fertilized in the laboratory, and embryos are allowed to develop over several days.

Embryo development is monitored closely by embryologists to determine suitability for biopsy.

At a specific stage of embryo development, a small number of cells are carefully removed for genetic analysis. The biopsy is performed using precise laboratory techniques designed to minimize impact on the embryo.

After biopsy, embryos are typically cryopreserved (frozen) while genetic testing is completed.

Biopsied cells are analyzed using specialized genetic testing methods. The analysis focuses on the specific genetic or chromosomal factors relevant to the patient’s situation.

Testing results are reviewed and discussed with the patient as part of treatment planning.

Based on genetic findings and overall embryo development, a plan is made for embryo transfer. Decisions are guided by medical evaluation and patient-specific factors rather than genetic results alone.

Not all embryos may be suitable for transfer, and outcomes cannot be guaranteed.

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Benefits and Limitations of PGT

PGT can provide valuable information, but it is important to understand both its potential benefits and its limitations.

Potential Benefits

Limitations and Considerations

Understanding these limitations is essential before proceeding.

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Risks and Safety Considerations

PGT is generally considered safe when performed by experienced laboratory teams. However, as with any medical procedure, potential risks and uncertainties exist.
Considerations may include:
Patients receive counseling to understand risks, uncertainties, and alternatives.

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PGT Cost Considerations in Turkey

The cost of genetic testing varies depending on the type of PGT performed, laboratory complexity, and number of embryos tested.

Patients should understand:
Transparent discussion of cost is part of ethical fertility care.

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PGT for International Patients in Turkey

International patients considering PGT in Turkey often require additional planning related to travel, timing, and follow-up.
Support may include:
Medical suitability and informed consent remain the priority regardless of patient location.

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Ethical Considerations in Genetic Testing

Genetic testing in IVF involves sensitive ethical considerations. Responsible use of PGT requires clear medical justification and patient understanding.
Ethical principles include:

Respect for patient autonomy

Avoidance of non-medically indicated testing

Clear explanation of risks and limitations

Informed consent at every stage

PGT is approached as a medical tool, not a guarantee or selection method beyond medical scope.

Role of the Treating Physician

PGT decisions are guided by medical evaluation and physician oversight. The treating physician integrates genetic information with clinical findings to support safe and appropriate treatment planning.
At drgonenc.com, treatment planning and genetic testing discussions are guided by specialist evaluation under the care of Dr. Ali İhsan Gönenç, with emphasis on transparency and patient understanding.

Frequently Asked Questions About PGT in Turkey

No. PGT is recommended only when medically indicated.
No. PGT does not guarantee pregnancy or eliminate all genetic risks.
When performed under proper laboratory conditions, risks are considered low but not zero.
Yes, with appropriate medical and genetic evaluation.
PGT may support decision-making in certain cases but does not guarantee improved outcomes.

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Planning Genetic Testing in Turkey

Genetic testing in IVF is a complex decision that requires careful medical evaluation, ethical consideration, and informed consent. Understanding what PGT can and cannot offer helps patients approach treatment with clarity and realistic expectations.
If you are considering genetic testing as part of IVF treatment in Turkey, a medical consultation is the first step to determine suitability and discuss individualized options.