How Much Does Preimplantation Genetic Diagnosis Cost?
The pre-implantation Genetic Diagnosis (PGD), sometimes called pre-implantation genetic profiling, refers to a procedure used to identify genetic defects in the embryos produced through in vitro fertilization. This is usually done if one or both of the genetic parents are known to have a genetic abnormality.
PGD was first developed in the United Kingdom in the 1980s, and since then, thousands of cycles have been performed all over the world. The procedure, however, has ignited some ethical questions on the basic, clinical, and societal levels. There are already ethical debates regarding in vitro fertilization, and adding PGD to the mix just makes it more debatable. To form an embryo in a lab and implant it into the uterus is one thing, but PGD takes these embryos, selects which ones may have the genetic defects and gets rid of them.
How much does it cost?
- On average, pa pre-implantation genetic diagnosis can cost around $2,500 to $7,500. The majority of health insurance policies out there will not cover this procedure.
- The Advanced Fertility Center of Chicago charges around $2,200 to $5,000 for PGD testing, in addition to the usual IVF and medication fees.
What is going to be included?
- The chance of getting pregnant at a standard round of IVF is only between 10% and 35% depending on the age and health condition of the woman.
- Pre-implantation genetic diagnosis is the process of testing the embryos from in vitro fertilization before these are moved into the uterus of a woman. During the procedure, the embryo is formed and grown for around three days. After this period of time, instruments are used to extract one cell from each embryo. This will then be analyzed by the technician to ensure that it is genetically healthy.
- Once the analyzed embryos are found to be normal, they are placed into the woman’s uterus where it is hoped that the implant will result in the birth of a child.
- The average patient that receives that procedure is over the age of 35, has an association with diseases, and can potentially experience a miscarriage.
- The test is designed to look for genetic dispositions of disorders such as Cystic Fibrosis, abnormalities, Hemophilia and even cancer.
- To learn more in depth about the process, see this Wikipedia page.
What are the extra costs?
- If you are getting a PGD test done, that means that you are also getting in vitro fertilization. The cost of IVF is almost always charged separately from the cost of PGD. SEE: “How much does in vitro fertilization cost?“
- Most often, a woman would need to undergo several IVF attempts just to achieve a viable pregnancy.
- You also have to spend for embryo biopsy, aneuploidy testing for chromosome normality, and medications. Biopsies can cost $1,000 to $2,500.
Factors that influence the price:
- PGD cost differs from one clinic or medical facility to another. Likewise, it depends on the number of IVF cycles a woman undergoes.
- For a patient who has no insurance coverage, the big variables with her PGD expenses are on the costs of in vitro fertilization and IVF medications.
- IVF medications are dependent on how a woman’s ovaries respond to the drugs. A young and slender candidate who has a good antral follicle count and fair ovarian reserve would need minimal doses of medications, while a heavier woman in her advanced age who has less ovarian reserve would require higher doses.
Tips to know:
- Pre-implantation Genetic Diagnosis is very expensive and cost-prohibitive to most women. When choosing a clinic, be sure to know their success rate.
- People who may be possible candidates for pre-implantation screening are those women who are already in their advanced maternal age; couples who experienced recurrent pregnancy loss; couples who have had repeated IVF failure; and a husband or partner who have been diagnosed to have extreme male factor infertility.
Questions to ask
- What is the moral or ethical impact of pre-implantation genetic diagnosis?
- How do I get started with PGD?
- Up to how many times does a woman should attempt an IVF?
- Is PGD still applicable to women in their late 40s or even older?
- Is PGD safe?
How can I save money?
- Unless the first cycle produced positive results, you will have to repeat the process over and over, resulting in more spending on your part.
- The possibility of PGD lowering its costs will take time and only when demand increases and competition among clinics heightens.
- Verify with your insurance company whether or not it covers PGD. For those that either want to shop for a new policy or maybe get one for the first time, eHealthInsurance.com allows you to browse through hundreds for free.
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