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Updated: May 30, 2026

Semiconductor Sequencing for Preimplantation Genetic Testing for Aneuploidy
Published on: August 25, 2019
Knowledge and perceived risks in couples undergoing genetic testing after recurrent miscarriage or for poor semen
F Vansenne1, M Goddijn, B Redeker
1Department of Clinical Epidemiology, Biostatistics and Bioinformatics, University of Amsterdam, The Netherlands. f.vansenne@amc.uva.nl
Many couples undergoing genetic testing for recurrent miscarriage (RM) or poor semen quality lack understanding and overestimate risks. Improved patient counseling is needed to address anxiety and knowledge gaps before genetic testing.
Area of Science:
- Reproductive Medicine
- Medical Genetics
- Psychological Wellbeing
Background:
- Recurrent miscarriage (RM) and poor semen quality often prompt genetic testing.
- Patient understanding and psychological impact of genetic testing are crucial but understudied.
Purpose of the Study:
- To explore knowledge and perceptions of genetic testing in couples with RM or poor semen quality.
- To evaluate psychological wellbeing, including anxiety and depression.
- To identify variables associated with these outcomes.
Main Methods:
- Prospective questionnaire study in seven clinical genetics and gynaecology centers.
- 439 participants (couples with RM or poor semen quality) completed questionnaires before genetic test result disclosure.
- Main outcome measures included knowledge, perceived risk, anxiety, and depression.
Main Results:
- 256 participants (58%) were unaware genetic testing was part of the diagnostic work-up.
- One-third reported not receiving information about genetic tests from their doctor.
- Perceived risk of abnormal results exceeded objective risk, with anxiety highly correlated to perceived risk.
- Women with RM reported higher anxiety levels than other groups.
Conclusions:
- Couples undergoing genetic testing exhibit suboptimal understanding and overestimate risks.
- High levels of anxiety are present in some participants.
- Findings highlight the need for improved pre-test patient counseling.
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