4.7 Article

Genetics of infertility: a paradigm shift for medically assisted reproduction

Journal

HUMAN REPRODUCTION
Volume -, Issue -, Pages -

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/humrep/dead199

Keywords

infertility; genetic; counselling; azoospermia; primary ovarian insufficiency; medically assisted reproduction; fertility preservation; high-throughput sequencing; personalized treatment

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The field of reproductive genetics has made significant advancements through the completion of the Human Genome Project and the development of high-throughput sequencing techniques. This has revolutionized the diagnosis and management of infertility patients, and expanded the scope of care to include family members. The increasing understanding of infertility genes holds promise for improved treatment outcomes.
The field of reproductive genetics has undergone significant advancements with the completion of the Human Genome Project and the development of high-throughput sequencing techniques. This has led to the identification of numerous genes involved in both male and female infertility, revolutionizing the diagnosis and management of infertility patients. Genetic investigations, including karyotyping, specific genetic tests, and high-throughput sequencing, have become essential in determining the genetic causes of infertility. Moreover, the integration of genetics into reproductive medicine has expanded the scope of care to include not only affected individuals or couples but also their family members. Genetic consultations and counselling play a crucial role in identifying potentially affected relatives and offering tailored therapy and the possibility of fertility preservation. Despite the current limited therapeutic options, an increasing understanding of genotype-phenotype correlations in infertility genes holds promise for improved treatment outcomes. The availability of genetic diagnostic tools has reduced the number of idiopathic infertility cases by providing accurate aetiological diagnoses. The transition from research to clinical practice in reproductive genetics requires the establishment of genetic consultations and data warehousing systems to provide up-to-date information on gene-disease relationships. Overall, the integration of genetics into reproductive medicine has brought about a paradigm shift, emphasizing the familial dimension of infertilityand offering new possibilities for personalized care and family planning.

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