Module 3: Tests for Intended Parents
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Questions and Answers

What is the primary goal of conducting a psychological evaluation for intended parents?

  • To evaluate the physical health of the intended parents
  • To ensure the emotional readiness for the surrogacy process (correct)
  • To assess the financial readiness of intended parents
  • To identify the legal implications of surrogacy
  • Why is medical screening for intended parents important in the surrogacy process?

  • It determines the financial contributions required.
  • It is only a legal requirement.
  • It identifies potential health issues that may affect surrogacy outcomes. (correct)
  • It assesses the intended parents' psychological stability.
  • Which of the following tests would NOT typically be included in the infectious disease screening for intended parents?

  • Gonorrhea screening
  • Sperm count analysis (correct)
  • Hepatitis C testing
  • HIV testing
  • What might a high DNA fragmentation rate in sperm indicate regarding the surrogacy process?

    <p>There may be underlying health issues that could affect fertility.</p> Signup and view all the answers

    Which infectious disease test is specifically important to prevent the transmission of sexually transmitted infections during the surrogacy process?

    <p>Chlamydia screening</p> Signup and view all the answers

    What could be a result of not identifying psychological issues in intended parents prior to surrogacy?

    <p>Emotional challenges that complicate the surrogacy experience</p> Signup and view all the answers

    What is the significance of analyzing motility and morphology parameters in sperm tests?

    <p>They evaluate the quality of sperm crucial for fertility.</p> Signup and view all the answers

    Which of the following is NOT a purpose of medical screening for intended parents in the surrogacy process?

    <p>To analyze personal finance for surrogacy</p> Signup and view all the answers

    What is the primary purpose of Carrier Genetic Testing (CGT) in the surrogacy process?

    <p>To assess the risk of genetic disorders being passed to the child</p> Signup and view all the answers

    Which of the following tests is not included in the standard initial screening for male partners in an egg donation program?

    <p>Pap smear</p> Signup and view all the answers

    How does a semen analysis evaluate sperm motility?

    <p>By observing the ability of sperm to swim</p> Signup and view all the answers

    What does a high sperm DNA fragmentation rate indicate?

    <p>Potential fertility issues</p> Signup and view all the answers

    Which carrier genetic testing panel is recommended for a comprehensive understanding of genetic risk?

    <p>CGT Plus</p> Signup and view all the answers

    What is a possible consequence of high DNA fragmentation in sperm?

    <p>Higher chances of embryos developing poorly</p> Signup and view all the answers

    What is the role of legal and background checks in the surrogacy process?

    <p>To ensure intended parents meet surrogacy requirements</p> Signup and view all the answers

    What does a normal Karyotype indicate for males?

    <p>46XY</p> Signup and view all the answers

    Which of the following is essential for a complete sperm analysis?

    <p>Time to liquefaction</p> Signup and view all the answers

    What is the normal pH range for healthy semen?

    <p>7.2 to 8.0</p> Signup and view all the answers

    What is one of the key purposes of Carrier Genetic Testing (CGT)?

    <p>To identify carriers of recessive genetic conditions</p> Signup and view all the answers

    If both partners are carriers of the same genetic mutation, what is the probability of having a child with the genetic disease?

    <p>25%</p> Signup and view all the answers

    What condition does the karyotype test primarily assess?

    <p>The number and structure of chromosomes</p> Signup and view all the answers

    Why is it recommended to use the Igenomix genetic lab for CGT testing?

    <p>It provides a more comprehensive analysis using the same laboratory results</p> Signup and view all the answers

    Which infection is commonly screened for during initial tests for both male and female partners?

    <p>HIV</p> Signup and view all the answers

    What must the Intended Parents (IPs) do to collect samples for CGT testing?

    <p>Follow the saliva collection instructions from Igenomix</p> Signup and view all the answers

    What is the significance of conducting infection screening in intended parents?

    <p>To protect the surrogate's health</p> Signup and view all the answers

    What happens if the CGT result shows that the intended father is a carrier of genetic mutations?

    <p>The egg donor must also be tested for the same mutations</p> Signup and view all the answers

    Which of the following measures sperm concentration?

    <p>The number of sperm per milliliter</p> Signup and view all the answers

    What is the expected timeframe for receiving CGT results after the sample is sent to the lab?

    <p>35-45 days</p> Signup and view all the answers

    Why is the assessment of antral follicular count important?

    <p>To evaluate the egg quality of the female partner</p> Signup and view all the answers

    What is the primary objective of conducting complete blood counts in intended parents?

    <p>To evaluate immune status and overall health</p> Signup and view all the answers

    What should Intended Parents do if they choose not to run CGT testing?

    <p>Email the team providing clear information about their decision</p> Signup and view all the answers

    What is the potential risk if the selected egg donor is also a carrier of the same mutation?

    <p>A second donor must be selected and tested at additional cost</p> Signup and view all the answers

    Study Notes

    Psychological Evaluation

    • Evaluates mental and emotional readiness of intended parents for the surrogacy process.
    • Identifies psychological challenges potentially impacting the surrogacy journey.
    • Ensures parents are equipped to handle emotional complexities.

    Medical Screening

    • Involves sperm tests for males and ovarian reserve check-ups for females.
    • Assesses reproductive health to guide the surrogacy process effectively.
    • Identifies health issues that may affect the surrogate or child's well-being.

    Infectious Disease Testing

    • Screens for Hepatitis B, Hepatitis C, HIV, Syphilis, Chlamydia, Gonorrhea, and other infections.
    • Aims to prevent communicable disease transmission during surrogacy.
    • Protects the health of the surrogate and child while ensuring legal compliance.

    Genetic Testing

    • Includes Carrier Genetic Testing (CGT) and karyotype analysis.
    • Evaluates genetic compatibility and risks for intended parents.
    • Aims to prevent genetic disorders and supports informed decision-making.
    • Confirms legal status and eligibility of intended parents for surrogacy.
    • Protects rights and interests of all participants in the surrogacy arrangement.
    • Ensures compliance with legal regulations governing surrogacy.

    Sperm Lab Analysis

    • Evaluates sperm concentration, motility, morphology, and DNA fragmentation.
    • Helps identify potential fertility problems based on structured sperm analysis.
    • Normal sperm parameters include pH 7.2-8.0, volume 1.5-7.6 ml, and motility 40-81%.

    DNA Fragmentation

    • Refers to changes or breaks in sperm DNA, impacting fertility and embryo development.
    • High DNA fragmentation correlates with poor implantation and increased miscarriage rates.

    Karyotype Analysis

    • Provides a visual representation of an individual’s chromosomes.
    • Identifies chromosomal abnormalities and genetic disorders.
    • Normal karyotypes for males and females are noted as 46XY and 46XX, respectively.

    Carrier Genetic Testing (CGT)

    • Determines risk of genetic diseases in offspring by identifying recessive gene carriers.
    • Utilizes Next-Generation Sequencing (NGS) for a comprehensive panel analysis.
    • Essential for ensuring compatibility between intended parents and egg donors.
    • Essential (24 genes), Plus (579 genes), and Exome (2200 genes) with varying prices.
    • Plus or Exome programs highly recommended for thorough lifetime genetic reports.

    Testing Process and Responsibilities

    • Organize sample collection with an Igenomix representative and send a saliva kit.
    • Return sample to the lab, with results typically available in 35-45 days.
    • Results influence additional testing for selected egg donors if required.

    Documentation and Communication

    • Coordinators manage collection and storage of all required tests and documents.
    • Clear communication channels must be established, including WhatsApp for assistance and documentation sharing.
    • Patients have the right to decline tests, but must document their decision formally.

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    Description

    This quiz focuses on the initially required tests for intended parents during the surrogacy process. It highlights the importance of psychological evaluations and their role in ensuring that parents are mentally prepared. Understand the emotional complexities and challenges that may affect the surrogacy journey.

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