Medical Tourism for Preimplantation Genetic Diagnosis (PGD)
by Dr. Hsien-Hsien Lei
Posted July 16, 2007 in DNA Around the World, DNA Testing, DNA and Disease
All parents want to protect their children from harm especially when it comes to serious illnesses. For families who have a history of inherited diseases, there is now the option of preimplantation genetic diagnosis (PGD) where one cell is taken from an early stage embryo and genetically screened for the disease-causing mutation. Currently, PGD can be performed for a long list of diseases including Huntington’s disease, breast cancer, neurofibromatosis, cystic fibrosis, and polycystic kidney disease.
This past weekend, the Brookhyser family was profiled in The Orange County Register. Stacy Brookhyser carries the Huntington’s disease (HD) gene and not only is she destined to develop the disease herself later in life, she has a 50-50 chance of passing on the gene to each child. But with the help of PGD, she and her husband were able to select embryos that are free of the HD gene and now have two healthy twin girls.
Last year, a reader in Malaysia, under the pseudonym Rica Lode, contacted me asking for more information on PGD for neurofibromatosis (NF) type I. Here’s what she said about their search for PGD (reprinted here with permission):
I am in my 30s, born and bred in Malaysia. I’ve been married for a few years now with no children yet. I would never imagine one day how genetics would play a strong role in our lives. Genetics, bioethics has never been a part of my vocabulary before until I came across this term, preimplantation genetic diagnosis in the newspapers recently. It appears to be the latest “word” in the world due to “designer babies”. This procedure allows parents to select the gender of their baby effortlessly.
To me and my husband, it’s a God-send solution to our dilemma. Because this procedure ensures we would have a healthy child as it is able to detect genetic disorder. My husband have a genetic disorder condition known as Neurofibromatosis Type I, where benign tumours would grow externally and/ internally on the peripheral nerves. It is a gene mutation on chromosome 17. There’s no known cure. There’s a 50% chance this would passed onto our next of kin.
Rica and her husband searched all over Asia for affordable and available PGD. The situation is much the same in Europe. At the annual meeting of the European Society of Human Reproduction and Embryology, a study on PGD patients travelling abroad for treatment found that patients had the following reasons for searching internationally:
-
PGD was banned in their own country (PGD is banned in Ireland, Switzerland and Germany.)
-
Quality of treatment
-
Test availability
-
Expertise in certain diseases
-
Cost and length of waiting lists in their home countries
According to the study, the situation is untenable for both healthcare providers and patients where free exchange of information is impossible. Doctors are afraid of being prosecuted and patients aren’t able to access all the medical treatment, counselling, and support they need once they leave the country where PGD was performed. Mr. Lawford Davies, a solicitor specialising in reproductive and genetic technologies, recommends that members of the European Union develop a consistent policy across all countries and regulate rather than prohibit PGD. (HT: PHG Foundation)
In the end, elective procedures like PGD will be subject not only to legal restrictions, but also to market forces. Medical tourism is an increasingly lucrative business for the uninsured and the underinsured. There may not be a way around this but at least the procedure is available somewhere somehow.
Tags: genetics, genes, dna, diseases, illness, health, preimplantation genetic diagnosis, pgd, medicine

Related Posts:
Preimplantation Genetic Diagnosis for Early-Onset Alzheimer’s Disease...
Eye on DNA Links - June 19, 2007...
IVF Strategies: Cloned Sperm and Preimplantation Genetic Diagnosis...
Types of Genetic Tests...
Genetic Testing to Prevent Wrongful Life...
Parents Feel Guilty Over Giving Children Bad Genes...
Eye on DNA Links for 10 July 2007...
Please note that comments left using the form below will be publicly displayed. If you'd like to correspond with me privately, please email me at hsien@eyeondna.com.
If your comment doesn't show up immediately, it's probably in moderation. I will approve it as soon as I can! Thanks for your patience.
1 Comment »
Note: Posting will be sporadic while I'm on maternity leave.
Search Eye on DNA
- Smart Genetics Shuts Its Doors
- Eye on DNA Interview: Terry Carmichael, VP of Marketing & Sales at Consumer Genetics
- My Son, The Genetic Epidemiologist
- DNA for Terrorism
- Stephen Colbert’s DNA Headed for the International Space Station
- 23andMe DNA Tests for $399, Down From $999
- Digitized DNA Blasting Off Into Space
- Teaching Genetics Without the Mumbo Jumbo
- Is genetic testing useful?
- Hello from Singapore
MOST POPULAR
- DNA Toys: Ben 10 and Digimon Digivice
- 100 Facts About DNA
- Want a job? Submit your DNA
- Salaries for Jobs in Genetics
- What does DNA mean to you? #11
- What does DNA mean to you? #14
- 5 Cool Things You Can Do With Your DNA
- DNA Excerpt: Bringing Home the Birkin
- What does DNA mean to you? #10
- DNA Video: DNA Replication by The Backrow
- Smart Genetics Shuts Its Doors
10/07/2008 11:29 pm
1 Comment - Is genetic testing useful?
10/06/2008 10:50 pm
3 Comments - Eye on DNA Interview: Terry Carmichael, VP of Marketing & Sales at Consumer Genetics
10/02/2008 08:34 am
4 Comments - My Son, The Genetic Epidemiologist
10/01/2008 07:35 am
5 Comments - Whole Genome Sequencing Costs Continue to Drop
09/30/2008 08:53 am
6 Comments - Business of DNA
- DNA @ Google Answers
- DNA and Disease
- DNA and Genealogy
- DNA and the Law
- DNA Around the World
- DNA Fun
- DNA in General
- DNA Inventions and Gadgets
- DNA Lab Talk
- DNA Podcasts and Videos
- DNA Quotes and Excerpts
- DNA Testing
- Gene Therapy
- Genetic Engineering
- Genetically Modified Foods and Organisms
- Jobs Involving DNA
- Personalities with DNA
- Polls About DNA
RECENT POSTS
RECENT COMMENTS
CATEGORIES
ARCHIVE
- October 2008
- September 2008
- August 2008
- July 2008
- June 2008
- May 2008
- April 2008
- March 2008
- February 2008
- January 2008
- December 2007
- November 2007
- October 2007
- September 2007
- August 2007
- July 2007
- June 2007
- May 2007
- April 2007
RANDOMIZED BLOGROLL
- Nurse Practitioner News
- Adult ADD Strengths
- Scared to Health
- Autism Vox
- HealthNex
- Genomics Revolution
- Eating Fabulous
- AIDS Combat Zone
- Alltop Science
- Suracell Inc. Blog
| We comply with the HONcode standard for trustworthy health information: verify here. |






Does medical tourism really offer affordable health care options for those who lack insurance? Or is it just a marketing gimmick for baby boomers?