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Video: What is PGD for Gender Selection?

PGD, or preimplantation genetic diagnosis screens embryos and allows your fertility doctor to replace one healthy embryo of the sex you desire. Dr. Daniel Potter of HRC Fertility explains.

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0:00:00.000,0:00:03.000 (text on screen): Fertility Authority. Your Most Trusted Source 0:00:03.000,0:00:05.000 Ask the Experts 0:00:05.000,0:00:10.000 What is PGD for Gender Selection? 0:00:10.000,0:00:14.000 Dr. Daniel Potter, HRC Fertility: The primary method of gender selection is in vitro fertilization 0:00:14.000,0:00:18.000 with pre-implantation genetic screening of the embryos. 0:00:18.000,0:00:26.000 And when we do this, we can check the embryos for all 24 chromosomes and also know the gender of the embryo, 0:00:26.000,0:00:34.000 and we can select just a single embryo of the desired gender, and place that embryo back, and have a very high pregnancy rate. 0:00:34.000,0:00:44.000 So, you know, when we look at all 24 chromosomes with the PGD, we can tell for sure that the embryo is normal or not, 0:00:44.000,0:00:48.000 and it turns out that when in vitro fertilization doesn't work, one of the primary reasons it doesn't work 0:00:48.000,0:00:52.000 is because the embryos that are being transferred are not normal. 0:00:52.000,0:00:56.000 So, knowing that they're normal is very helpful. 0:00:56.000,0:01:02.000 There are other PGD techniques, FISH being the chief among them, where you can look at the X and the Y chromosome, 0:01:02.000,0:01:05.000 and they are very accurate for selecting gender. 0:01:05.000,0:01:11.000 However, they do not do any good at all in terms of embryo screening. 0:01:11.000,0:01:17.000 If we use the 24-chromosome technology, we can put back, you know, as I said, a single embryo. 0:01:17.000,0:01:26.000 The gender, you know, specificity with that technique in our hands has been 100 percent. 0:01:26.000,0:01:32.000 So, what we do with this technology is we give the female medicine so that she makes multiple eggs 0:01:32.000,0:01:36.000 rather than the single egg that she makes in a normal cycle. 0:01:36.000,0:01:43.000 And then we remove those eggs, and that's done through the vagina using a needle guided by ultrasound. 0:01:43.000,0:01:48.000 The patient's asleep for this, so they don't feel anything or remember anything. 0:01:48.000,0:01:53.000 Once we have the eggs out, we take them to the laboratory and we fertilize them with sperm, 0:01:53.000,0:01:58.000 and at that point the fertilized eggs are; you know, we call them embryos. 0:01:58.000,0:02:01.000 Technically, they're actually pre-embryos. But we call them embryos. 0:02:01.000,0:02:07.000 And so they start off at a single cell and they will divide to the eight-cell stage, 0:02:07.000,0:02:14.000 and at that point we can remove one of the cells and, you know, using various technologies, 0:02:14.000,0:02:21.000 analyze the cell to determine what the chromosomal content is of that cell and then, you know, 0:02:21.000,0:02:26.000 use that information to transfer just the embryos that are healthy and that are normal. 0:02:26.000,0:02:28.000 (text on screen): Fertility Authority. Your Most Trusted Source
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Dear Sofia Vergara ... So You're Thinking about Freezing Your Eggs

Dear Sofia Vergara,

We hear you're considering egg freezing! That's great. Because of advancements in egg freezing technology, this has become a viable option for women who want to preserve their fertility. We applaud you for bringing more attention to fertility preservation for women who want or need to delay childbearing.

But here's the thing ... You're turning 40 (the new 30). You look fabulous (REALLY fabulous), and we're sure you feel fabulous too. BUT stopping the clock on the outside doesn't keep the the fertility clock from ticking on the inside. Fertility in your 40s is NOT the same as fertility in your 30s. Your egg supply is dwindling, and more of your eggs are likely to have chromosomal abnormalities. So, if you're just thinking about freezing your eggs, you should probably pull that trigger and start the egg freezing process — soon.

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