PGD Biopsy:
Three types of biopsies are possible: Polar
Bodies, Blastomeres and trophoectoderm cells.
Polar bodies biopsies: As the first
polar body biopsy allows to infer the outcome
of the first maternal meiotic division and
errors may also occur during the second
division it is also necessary to test the
second polar body in order to avoid a
misdiagnosis. The second division of the egg
is completed when the sperm penetrates and
fertilizes the egg. Therefore, the 2nd PB
biopsy is performed once the egg has been
fertilized.
The testing of the biopsied polar bodies
allows to infer only maternal inherited problems,
therefore they are not suitable for paternally
inherited disorders. Considering this
inconvenient it is preferable to perform the
blastomeric biopsy, which allows evaluation of
the maternal and paternal contributions to the
embryo and the errors subsequent to first
cleavage.
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Blastomere biopsy:
In contrast, blastomere biopsy can test
maternally and paternally derived conditions,
as well as X-linked disorders by gender
determination.
For this reason and because not all eggs
originated will survive the first stages of
the pre-embryo development ,the blastomere
testing has become the most popular and
accepted method of P.G.D.
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Trophoectoderm
biopsy: Performed at the blastocyst stage
on day 5 of the pre-embryo development.
Usually the zona pellucida is perforated on
day 4 and the protruded cells of the
trophoectoderm are aspirated on day 5. The
advantage over blastomere biopsy is that
several cells are aspirated instead of one or
two, leading to an easier genetic study, and
besides, it is performed in a pre-embryo with
more potential for implantation. The
disadvantage is that the study corresponds to
the trophoectoderm and should be completed in
less to 24 hs when the transfer is planned to
be done in the superstimulated cycle; otherwise,
the embryo would have to be cryopreserved for
future transfer.