Reproductive genetics guide

PGT-A and PGT-M: embryo testing in clear language.

Preimplantation genetic testing is performed as part of an IVF pathway. PGT-A and PGT-M answer different questions, require careful counselling and cannot guarantee pregnancy or a healthy baby.

01

PGT-A screens chromosome number

PGT-A examines a small sample of cells from an embryo to screen for gains or losses of chromosomes. It may be discussed in selected IVF situations, but it is not a universal test and does not diagnose every genetic condition.

Results can include euploid, aneuploid, mosaic or no-result findings. Because the sample comes from cells that form the placenta, it may not perfectly represent every cell in the embryo.

02

PGT-M looks for a known single-gene condition

PGT-M is designed for a family where a specific disease-causing gene change has been identified, such as certain inherited blood or metabolic conditions. It is targeted testing—not a general check for every disorder.

The genetics team usually needs reports from affected relatives or the intended parents and may need to develop a family-specific test before the IVF cycle begins.

03

The usual pathway

After counselling and test preparation, IVF is used to create embryos. Suitable embryos develop to the blastocyst stage, a small cell sample is taken, and embryos are commonly frozen while an accredited genetics laboratory performs testing.

  • Clinical and genetic counselling
  • IVF, fertilisation and embryo culture
  • Blastocyst biopsy by an experienced embryology team
  • Laboratory analysis and a written result
  • Review of suitable embryos and a transfer plan
04

Understand the limits before consenting

Testing may leave no embryo suitable for transfer, and some embryos may return an uncertain or no-result finding. Biopsy and freezing are highly specialised procedures and are not completely risk-free.

Prenatal testing may still be offered after pregnancy because PGT is not a guarantee. Decisions about mosaic or uncertain results require individual genetic and clinical counselling.

Frequently asked questions

Questions people often ask.

What is the main difference between PGT-A and PGT-M?

PGT-A screens chromosome number. PGT-M targets a specific known single-gene condition in a family. They answer different questions and may require different preparation.

Can PGT tell me that a baby will be completely healthy?

No. It only reports on the chromosomes or condition included in that test and cannot exclude every genetic, developmental or pregnancy-related problem.

Does every embryo reach the testing stage?

No. Some eggs do not fertilise, and some embryos do not develop to a suitable blastocyst stage. Your embryology team should explain attrition and likely next steps.

A personal next step

You do not have to work everything out alone.

Bring your questions to a confidential Fertpromax consultation. We will explain the available pathways in clear language and help you understand what is appropriate for you.