PGD is a method
for knowing chromosomal and genetic
abnormalities before implantation of the
embryo.
The procedure is performed after the egg has
been fertilized in vitro
and before the pre-embryo is transferred into
the uterus.
After fertilization, the egg cleaves into
individual cells called blastomeres.
In a normal development, all these cells
should be virtually identical
to the genetic determination established
during fertilization.
Therefore, studying only one blastomere, one
can know the genetic
constitution of the embryo.
Due to near 40% of the eggs are arrested
before 3rd day it is preferred to perform the
biopsy when the embryo reaches the 8 cells
stage on 3rd day in order to assure the study
of live embryos.
PGD involves removing 1 or 2 blastomeres from
the embryo with the help of a
micromanipultive microscope. In this stage,
all cells of the embryo are totipotential,
this is why the retrieval of one or two of
them is considered non damaging for posterior
embryo development.
The biopsy may be also performed on day 5 with
the advantage of the possibility of having
more cells for the genetic study and of the
blastocyst being a more viable stage of the
pre-embryo during the in vitro development.
The disadvantages are having less time for
perform the genetic study and the cells
removed correspond to
trophoectoderm. The biopsed blastocyst may be
vitrified and transferred in another better
receptive cycle with the preparation of a more
physiological endometrium.