I want to be a mother, but before that, I would like to know if I will pass on genetic mutations to my child.

X-linked carrier test

The X-Linked Carrier test is a test specifically designed for women who want a pregnancy. The test is used to investigate genetic mutations passed from a mother to her children where they cause disease.

The genetic mutations studied are linked to the X chromosome and cause X-linked recessive hereditary diseases. X-linked recessive hereditary disease has a mutation in a gene on the X chromosome and mainly affects boys. Men have one X and one Y chromosome, (XY); therefore, if the X chromosome is inherited with a mutation in a gene, men don’t have another X chromosome to compensate for the mutation, and they may be affected by a disease.

On the other hand, women have two X chromosomes (XX); therefore, if one of the X chromosomes is inherited with a mutation in a gene, women can compensate for the mutation with the other X chromosome and be healthy carriers. Since it is unlikely that women have two mutated copies of the gene which causes the disease, men are more affected by X-linked recessive inherited illness than women.

X-linked recessive Hereditary Diseases

In boys: one copy of the mutated gene is sufficient to cause the disease.

In girls: two copies of the mutated gene are needed to cause the disease; it is more likely that the woman inherits only one copy of the mutated gene and becomes a healthy carrier.

Timely counseling helps prevent X-linked disease such as:

  • Adrenoleukodystrophy (ALD)
  • Choroideremia 
  • Alport syndrome
  • Duchenne muscular dystrophy (DMD)
  • Hypohidrotic ectodermal dysplasia
  • Hemophilia A (HEMA)
  • Hemophilia B (HEMB)
  • Emery-Dreifuss muscular dystrophy 6
  • Fragile X syndrome 
  • Fabry disease
  • Retinoschisis 1, X-linked, juvenile (RS1)

How to do it

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