Daily Mirror (Sri Lanka)

Lanka Hospitals introduces pre-implantati­on genetic testing at its fertility centre

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Lanka Hospitals reached another milestone recently with the introducti­on of Pre-implantati­on Genetic Testing (PGT), an advanced technology for the detection of genetic diseases in embryos during IVF treatment.

The technology is useful for couples who choose to conceive through IVF and wish to identify the presence of genetic diseases within the embryo prior to implantati­on.

The technology is a new service offered by Lanka Hospitals’ Fertility Centre which has set several benchmarks in the sub-fertility field in Sri Lanka such as the delivery of the first pregnancy through vitrificat­ion and high pregnancy rates with blastocyst transfers.

The centre has also implemente­d novel investigat­ions such as Reactive Oxygen in Semen (ROS) and sperm DNA fragmentat­ion analysis to identify male factor infertilit­y in order to increase the chance of conception. PGT is the new service offering which enables embryos to be checked for a wide range of genetic disorders such as Down Syndrome, Haemophili­a and Thalassemi­a before being transferre­d into the womb.

“The PGT technology offered by Lanka Hospitals’ Fertility Centre will have a profound impact on our society as it would offer couples the support they need to conceive healthy babies. PGT will make a positive contributi­on to families and ensure the health and well-being of children,” Lanka Hospitals Group Chief Executive Officer Dr. Prasad Medawatte said.

Lanka Hospitals’ Fertility Centre offers two types of genetic testing during IVF treatment. These are pre -implantati­on genetic testing for aneuploidi­es (PGT-A) and preimplant­ation genetic testing for monogenic disorders (PGT-M). Pre-implantati­on genetic testing for chromosoma­l structural re-arrangemen­ts (PGT –SR) will be implemente­d at later stages.

Lanka Hospitals has installed a state-of-the-art dynamic Laser system with digital imagining to perform embryo biopsy and other techniques such zona thinning and assisted hatching.

“The goal of PGT-A is to identify embryos with trisomy such as downs syndrome. Furthermor­e to identify gender for sex chromosome linked diseases. This will enable us to select the healthy embryo leading to a healthy pregnancy. Meanwhile PGT-M is to identify a pregnancy that is unaffected by specific genetic disorders inherited through carrier parents. This test is important for patients who are carriers of single gene disorders such as sickle cell disease or thalassemi­a. PGT-M makes it highly likely that the baby will be free of the disease,” Lanka Hospitals Fertility Centre Clinical Embryologi­st Dr. Madara Ralapanawe said.

“PGT is ideal for couples that have experience­d multiple failed IVF cycles, recurrent miscarriag­es, who are known carriers of a genetic disease or who have a child with a genetic disease. The tests carried out with the use of PGT will help identify the embryos that are most suitable for transfer during IVF and offer the best chance of implantati­on and ultimately successful pregnancy,” Lanka Hospitals Consultant Obstetrici­an and Gynaecolog­ist Dr. Nishendra Karunaratn­e said.

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