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🧩 Preimplantation Genetic Testing

Genetics Program

PGT-A · PGT-M · PGT-SR — Chromosomally Normal Embryos Only

Matrushri's Genetics Program uses cutting-edge DNA analysis to test embryos before transfer — selecting only chromosomally normal, genetically healthy embryos for the highest chance of a successful, healthy pregnancy.

↓ 50%
Miscarriage rate
with PGT-A
↑ 70%
Embryo implantation
rate (euploid)
24
Chromosomes tested
in PGT-A
🔬
PGT-A (PGS)
Aneuploidy screening — tests all 24 chromosomes for number errors
Most Common
🧬
PGT-M
Monogenic disease testing — screens for specific inherited single-gene disorders
Targeted
🔗
PGT-SR
Structural rearrangements — detects translocations and inversions
Specialist
🧫
Blastocyst Biopsy
Safe Day 5 trophectoderm biopsy — embryo unharmed during testing
Safe
Understanding the Genetics Program

What is Preimplantation Genetic Testing (PGT)?

Preimplantation Genetic Testing (PGT) — formerly known as Preimplantation Genetic Screening (PGS) or Preimplantation Genetic Diagnosis (PGD) — is an advanced technique performed during an IVF cycle that analyses the genetic makeup of embryos before they are transferred to the uterus.

💡 The Core Concept: Most IVF embryos that fail to implant or result in miscarriage do so because of chromosomal abnormalities (aneuploidy). PGT identifies these abnormal embryos before transfer — so only chromosomally normal (euploid) embryos are selected, dramatically improving success rates and reducing the heartbreak of failed cycles and pregnancy loss.

A small biopsy of 5–10 cells is taken from the outer layer (trophectoderm) of the blastocyst on Day 5 or 6. The embryo itself is vitrified while the biopsy is analysed using Next Generation Sequencing (NGS) — the most accurate and comprehensive genetic testing technology available. Results are available within 7–14 days, after which the best embryo is selected for a frozen embryo transfer (FET).

Matrushri's Genetics Program covers all three types of PGT — PGT-A, PGT-M, and PGT-SR — performed in partnership with certified genetic laboratories using state-of-the-art NGS technology.

🔬 Next Generation Sequencing
🧫 Blastocyst Biopsy
🧬 All 24 Chromosomes
❄️ Freeze-All Strategy
📈 Higher Success Rates
💔 Fewer Miscarriages
How PGT-A Selects Embryos
Aneuploid Embryo
Extra or missing chromosomes — will not implant or leads to miscarriage
Excluded
⚠️
Mosaic Embryo
Mix of normal and abnormal cells — lower priority, used only if no euploid available
Low Priority
Euploid Embryo (Normal)
Correct number of all 24 chromosomes — highest implantation potential
Selected
🏆
Best Euploid + Morphology
Chromosomally normal AND highest Gardner grade — transferred first
Transfer
🔬 Testing Method: Next Generation Sequencing (NGS) analyses all 24 chromosomes (22 autosomes + X + Y) from 5–10 trophectoderm cells, detecting aneuploidies, segmental imbalances, and mosaicism with >99% accuracy.
↓ 50%
Miscarriage reduction
with PGT-A
↑ 70%
Euploid embryo
implantation rate
99%+
NGS testing
accuracy
200+
Genetic conditions
detectable by PGT-M
Types of PGT

PGT-A, PGT-M & PGT-SR Explained

Each type of PGT serves a distinct clinical purpose. Your specialist will recommend the appropriate test based on your medical history and risk factors.

PGT-A — Preimplantation Genetic Testing for Aneuploidies

PGT-A (formerly called PGS — Preimplantation Genetic Screening) tests all 23 pairs of chromosomes in each embryo to identify those with the correct number (euploid) versus those with extra or missing chromosomes (aneuploid).

Chromosomal aneuploidy is the leading cause of failed IVF implantation and early pregnancy loss. By selecting only euploid embryos, PGT-A significantly improves outcomes and reduces the number of cycles needed.

  • Tests all 24 chromosomes (22 autosomes + X + Y) using NGS
  • Identifies monosomies (missing chromosome) and trisomies (extra chromosome) — e.g. Down syndrome (trisomy 21)
  • Detects mosaicism — embryos with a mixture of normal and abnormal cells
  • Results available within 7–14 days of biopsy
  • Embryo is vitrified during testing — transferred in a subsequent FET cycle
  • Eliminates need to transfer embryos that are destined to fail
  • Reduces time to pregnancy by avoiding failed cycles with abnormal embryos
PGT-A at Matrushri

Comprehensive Aneuploidy Screening

Using Next Generation Sequencing (NGS) — the most advanced and accurate technology available — our genetics program analyses all 24 chromosomes from every biopsied blastocyst with >99% accuracy.

NGS Technology 24 Chromosomes >99% Accuracy Mosaicism Detected
Recommended For
Women over 35 (increased aneuploidy risk)
Recurrent IVF implantation failure
Recurrent pregnancy loss
Prior pregnancy with chromosomal abnormality
Severe male factor infertility

PGT-M — Preimplantation Genetic Testing for Monogenic Disorders

PGT-M (formerly called PGD — Preimplantation Genetic Diagnosis) screens embryos for specific inherited single-gene (monogenic) disorders where one or both parents are known carriers or affected individuals.

When both parents carry a recessive gene mutation (e.g. thalassaemia, cystic fibrosis), each pregnancy has a 25% chance of being affected. PGT-M eliminates this risk before pregnancy begins, allowing carrier couples to have an unaffected child.

  • Tests for specific gene mutations identified in the family
  • Requires pre-cycle genetic workup and probe design (4–8 weeks before IVF)
  • Covers 200+ genetic conditions including thalassaemia, sickle cell, cystic fibrosis, Huntington's, spinal muscular atrophy, BRCA mutations, and more
  • Can be combined with PGT-A for comprehensive screening
  • Eliminates the need for prenatal testing (amniocentesis) for known conditions
  • HLA matching also possible for families needing a compatible sibling donor
  • Requires both partners' genetic testing before IVF begins
PGT-M at Matrushri

Tailored to Your Family's Genetics

Each PGT-M case is unique — our genetic counsellors and partner laboratory design a bespoke probe for your specific mutation before the IVF cycle begins. We support families with thalassaemia, sickle cell disease, cystic fibrosis, Huntington's disease, BRCA1/2 mutations, and many more.

200+ Conditions Custom Probe Design Genetic Counselling HLA Matching
Recommended For
Carriers of autosomal recessive conditions (thalassaemia, cystic fibrosis)
Carriers of autosomal dominant conditions (Huntington's, BRCA)
X-linked disorder carriers (haemophilia, Duchenne MD)
Families with a child with a genetic disorder

PGT-SR — Preimplantation Genetic Testing for Structural Rearrangements

PGT-SR is used when one or both partners carry a structural chromosome rearrangement — such as a balanced translocation or chromosomal inversion. These rearrangements do not typically affect the carrier's health but dramatically increase the risk of miscarriage and chromosomally unbalanced pregnancies.

Carriers of balanced translocations face a very high rate of pregnancy loss — sometimes 60–80%. PGT-SR identifies balanced or normal embryos, transforming fertility outcomes for these families.

  • Tests for unbalanced chromosomal rearrangements resulting from parental translocation or inversion
  • Identifies embryos that are chromosomally balanced (same as carrier parent) or completely normal
  • Dramatically reduces miscarriage risk in translocation carriers
  • Uses chromosomal microarray or NGS for comprehensive analysis
  • Can be combined with PGT-A for full chromosomal picture
  • Requires pre-cycle karyotyping of both partners
  • Genetic counselling included to explain results and implications
PGT-SR at Matrushri

Specialist Care for Translocation Carriers

Balanced translocation carriers often experience years of recurrent miscarriage before receiving a diagnosis. Our genetics team provides comprehensive karyotyping, genetic counselling, and PGT-SR to break this cycle — offering the realistic prospect of a healthy, chromosomally balanced pregnancy.

Translocation Inversion Karyotyping Genetic Counselling
Recommended For
Confirmed balanced translocation carrier (Robertsonian or reciprocal)
Chromosomal inversion carrier
Recurrent pregnancy loss with no other identified cause
Family history of structural chromosome abnormalities
Step-by-Step Process

How the PGT Process Works at Matrushri

From your first genetics consultation to your embryo transfer — every step is managed by our specialist team.

🧬

Genetic Counselling & Pre-Testing

A genetics consultation reviews your medical and family history. For PGT-M/SR, both partners undergo karyotyping and carrier testing. For PGT-A, baseline fertility investigations are completed. A personalised PGT plan is designed — including which type of test is appropriate.

Weeks Before IVF
💊

Ovarian Stimulation & IVF

The female partner undergoes standard IVF ovarian stimulation, egg retrieval, and fertilisation (IVF or ICSI). The goal is to obtain enough blastocysts to maximise the chances of having at least one euploid (or unaffected) embryo for transfer.

Days 0–5 of IVF Cycle
🫧

Blastocyst Culture to Day 5

Embryos are cultured to the blastocyst stage in our Class 1000 incubators. Only blastocysts (Day 5–6) are suitable for PGT biopsy — making extended culture an essential part of the genetics program.

Day 5–6
🔬

Trophectoderm Biopsy

Our expert embryologist removes 5–10 cells from the trophectoderm (outer layer) of each blastocyst using a laser-assisted microsurgical technique. This does not harm the embryo or its inner cell mass. Each biopsied blastocyst is immediately vitrified (frozen) while awaiting results.

Day 5–6 — Same Day as Biopsy
🧪

Genetic Analysis (NGS Laboratory)

Biopsy samples are sent to our certified partner genetics laboratory for Next Generation Sequencing (NGS) analysis. For PGT-A: all 24 chromosomes are analysed. For PGT-M: the specific gene mutation is targeted. For PGT-SR: structural rearrangements are identified. Results are reported within 7–14 days.

7–14 Days
📊

Results & Embryo Selection

Your specialist and genetic counsellor review your results with you in detail — explaining each embryo's genetic status, quality grade, and the recommended transfer priority. You make an informed decision about which embryo to transfer first.

Results Consultation
🏆

Frozen Embryo Transfer (FET)

The best euploid (or unaffected) embryo is thawed and transferred to a prepared uterine lining in a frozen embryo transfer cycle. Pregnancy is confirmed by blood test 14 days later. Remaining suitable embryos remain safely vitrified for future attempts.

FET Cycle — Next Month
What PGT Can Detect

Conditions Tested by Our Genetics Program

Our program covers a comprehensive range of chromosomal and genetic conditions — from common to rare.

🧬

Chromosomal Aneuploidy

Extra or missing chromosomes — the most common cause of failed IVF and miscarriage. Includes trisomies (21, 13, 18) and monosomies (Turner syndrome, 45X).

PGT-A
🩸

Thalassaemia

The most common inherited blood disorder in India. Beta-thalassaemia major requires lifelong transfusions — PGT-M allows carrier couples to have unaffected children.

PGT-M
🌀

Sickle Cell Disease

Autosomal recessive haemoglobin disorder causing severe pain crises and organ damage. PGT-M identifies unaffected embryos from carrier parents.

PGT-M
💨

Cystic Fibrosis

The most common life-limiting autosomal recessive condition in some populations — causing progressive lung and digestive damage. Detectable by PGT-M.

PGT-M
🧠

Huntington's Disease

Autosomal dominant progressive neurological disorder. PGT-M allows carriers to have unaffected children without the ethical dilemma of prenatal testing after pregnancy.

PGT-M
💪

Spinal Muscular Atrophy (SMA)

Autosomal recessive neuromuscular disorder — the leading genetic cause of infant death. Carrier couples identified by testing can use PGT-M to have unaffected children.

PGT-M
🎗️

BRCA1 / BRCA2 Mutations

Hereditary breast and ovarian cancer gene mutations. PGT-M enables BRCA carriers to have children who do not inherit the increased cancer risk.

PGT-M
🔗

Balanced Translocations

Chromosomal rearrangements carried by one partner that cause a high rate of miscarriage and unbalanced pregnancies. PGT-SR selects chromosomally balanced embryos.

PGT-SR
🔄

Chromosomal Inversions

Inverted chromosome segments that can produce unbalanced gametes, leading to recurrent miscarriage. PGT-SR identifies embryos with balanced chromosomes.

PGT-SR
🧩

Fragile X Syndrome

The most common inherited cause of intellectual disability. Female premutation carriers can use PGT-M to avoid passing full mutations to their children.

PGT-M
💉

Haemophilia A & B

X-linked bleeding disorders. PGT-M tests for the specific factor VIII or IX gene mutation, preventing transmission to male offspring from carrier mothers.

PGT-M
🏃

Duchenne Muscular Dystrophy

Severe X-linked muscular dystrophy affecting boys. Female carriers can use PGT-M to ensure only unaffected embryos are transferred — preventing this devastating condition.

PGT-M
Why PGT Makes a Difference

Key Benefits of the Genetics Program

PGT transforms IVF outcomes by removing the guesswork — and replacing it with certainty.

📈

Higher Implantation Rates

Euploid embryos implant at 60–70% per transfer — dramatically higher than unselected embryos (~30–40%). Every transfer of a PGT-tested embryo is a high-probability event.

↑ 70% Euploid implantation rate per transfer
💔

Dramatically Fewer Miscarriages

The miscarriage rate for euploid embryo transfers is approximately 10% — compared to 25–40% for unselected transfers. PGT protects couples from the physical and emotional devastation of pregnancy loss.

↓ 50% Miscarriage rate with euploid transfer
⏱️

Fewer Cycles to Pregnancy

By avoiding transfers of embryos destined to fail, PGT-A reduces the total number of IVF cycles needed to achieve a live birth — saving time, money, and emotional cost.

Fewer Cycles needed to achieve live birth
👶

Healthier Babies

Chromosomally normal embryos result in healthier pregnancies and babies. For PGT-M, it prevents transmission of devastating inherited conditions — giving your child a healthy start.

Genetic Disease prevention for future generations
🎯

Single Embryo Transfer

When we know an embryo is euploid, we can confidently transfer just one — achieving excellent pregnancy rates while eliminating the risks of twin or triplet pregnancies.

eSET Safe single embryo transfer possible
🧠

Informed Decision Making

PGT results give you and your specialist complete information about each embryo — removing uncertainty and empowering truly informed decisions about your treatment and family planning.

100% Information before every transfer
Ideal Candidates

Who Should Consider PGT?

PGT is a powerful tool — but it is most beneficial in specific clinical situations. Your specialist will advise whether it is right for you.

🎂

Women Over 35

The rate of chromosomal aneuploidy in embryos increases dramatically with age — from ~25% at 35 to >50% at 40 and >70% at 43. PGT-A identifies the normal embryos from an age-affected pool.

PGT-A Strongly Recommended
🔁

Recurrent IVF Failure

Two or more failed IVF cycles despite good embryo quality — undetected aneuploidy is the most common hidden cause. PGT-A identifies why previous cycles failed and selects embryos that will implant.

PGT-A Recommended
💔

Recurrent Pregnancy Loss

50–60% of miscarriages are caused by chromosomal abnormalities. PGT-A breaks the cycle of repeated loss by ensuring only chromosomally normal embryos are transferred.

PGT-A / PGT-SR
🧬

Genetic Disease Carriers

Couples who are carriers of inherited genetic conditions — thalassaemia, cystic fibrosis, sickle cell, Huntington's, SMA, haemophilia, BRCA, and 200+ others. PGT-M prevents transmission.

PGT-M Required
🔗

Chromosomal Rearrangement Carriers

One or both partners with a balanced translocation or chromosomal inversion — high rates of miscarriage and unbalanced pregnancies are transformed by PGT-SR selection of balanced embryos.

PGT-SR Required
🌱

Proactive Family Planning

Couples without known issues who wish to maximise their chance of a healthy pregnancy from each IVF cycle — particularly those with limited embryos who want to transfer only the best.

PGT-A Optional
Why Choose Us

Why Choose Matrushri for Your Genetics Program?

PGT requires specialist expertise, certified laboratories, and experienced genetic counsellors. Matrushri delivers all three.

🔬

NGS Technology

We use Next Generation Sequencing — the most comprehensive and accurate PGT technology available — through certified partner genetic laboratories, with >99% accuracy across all 24 chromosomes.

🧬

Complete PGT Coverage

PGT-A, PGT-M, and PGT-SR — all three types under one roof. Whether you need aneuploidy screening, single-gene disorder testing, or structural rearrangement analysis, we provide it all.

👩‍⚕️

Dedicated Genetic Counselling

Every PGT patient receives pre-test and post-results genetic counselling — explaining what the results mean, the options available, and supporting informed decision-making throughout.

🏥

Class 1000 IVF Lab for Biopsy

Trophectoderm biopsy is a highly delicate procedure requiring expert embryologists and a certified clean-room environment. Our Class 1000 lab provides the optimal setting for safe, precise biopsies.

📋

Transparent & Honest Guidance

PGT is not right for every patient. We advise honestly — recommending it only where the clinical evidence supports benefit for your specific situation, with clear explanation of costs and expected outcomes.

📍

11 Clinics Across AP & Telangana

Genetics consultations are available across all Matrushri centres. IVF, biopsy, and FET procedures are performed at our specialist IVF units with full genetics program infrastructure.

Common Questions

Frequently Asked Questions

What is the difference between PGT-A, PGT-M, and PGT-SR?
PGT-A tests all embryos for chromosomal number errors (aneuploidy) — it is used to improve IVF outcomes generally and is most useful for older women, recurrent failure, and recurrent miscarriage. PGT-M tests for a specific inherited single-gene disorder (e.g. thalassaemia, cystic fibrosis) in families known to carry that condition. PGT-SR tests for unbalanced chromosomal structural rearrangements in couples where one partner carries a balanced translocation or inversion. Your specialist will advise which — or which combination — is appropriate for you.
Does the biopsy harm the embryo?
No — the biopsy is performed on the trophectoderm (outer layer) of the blastocyst, which will become the placenta. The inner cell mass (ICM) — which becomes the baby — is not touched. Only 5–10 of the 150–250 trophectoderm cells are removed. Multiple large studies have confirmed that PGT biopsy does not harm embryo viability, implantation rates, or the health of children born after the procedure.
What happens if none of my embryos are euploid?
This is an important possibility — particularly in older women or poor responders. If no euploid embryos are available, your specialist will discuss options: banking more embryos from additional stimulation cycles; considering mosaic embryo transfer (with genetic counselling); or exploring donor egg IVF. A no-euploid result is difficult but provides important information — and is better than transferring aneuploid embryos that would result in failed implantation or miscarriage.
How accurate is PGT-A? Can it miss abnormalities?
Modern NGS-based PGT-A is >99% accurate for whole-chromosome aneuploidies. It can detect mosaicism (mixed normal/abnormal cells) in many cases. However, no test is 100% perfect — there is a very small risk of confined placental mosaicism or other very rare events that could affect results. This is why prenatal testing (NIPT or amniocentesis) is still recommended in pregnancy following PGT-A — as a safety confirmation, not because the PGT result is unreliable.
How long does PGT take? Does it delay the transfer?
Yes — PGT always involves a freeze-all strategy. After biopsy on Day 5–6, embryos are vitrified immediately while the biopsy is analysed. NGS results are available within 7–14 days. Transfer then takes place in a subsequent frozen embryo transfer (FET) cycle — typically 4–6 weeks after the egg retrieval. This delay is a small trade-off for the significant improvement in transfer outcomes that PGT provides.
Is PGT covered by health insurance?
Coverage varies significantly by insurer and policy. PGT-M for known serious genetic conditions (e.g. thalassaemia) may be covered by some insurers. PGT-A for IVF outcome improvement is typically not covered. Our patient coordinators will help you understand your coverage options and provide detailed, transparent pricing for all aspects of the genetics program. EMI payment options are available.
We are thalassaemia carriers — can PGT-M help us?
Absolutely yes — thalassaemia is one of the most common indications for PGT-M in India. When both partners are beta-thalassaemia carriers, each pregnancy has a 25% risk of beta-thalassaemia major. PGT-M can identify which embryos are unaffected (normal or carrier) and which are affected — allowing only unaffected embryos to be transferred. This has transformed outcomes for carrier families, offering the possibility of an unaffected child without the need for risky prenatal testing and termination.

Start Your Genetics Journey

Whether you need PGT-A, PGT-M, or PGT-SR — our genetics specialists are here to guide you. Book a free, confidential consultation today.

Free first consultation — no obligation
🧬 PGT-A, PGT-M & PGT-SR available
👩‍⚕️ Dedicated genetic counselling
🔒 Completely confidential
📍 11 clinics across AP & Telangana
💳 Transparent pricing & EMI available

🧩 Book a Genetics Consultation

🔒 100% confidential. We never share your personal information.