Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population

Objective: To describe the clinical experience of managing expanded carrier screening (ECS) results in sperm donor applicants at a sperm bank in the United States, including considerations around suitability determination and appropriate education of prospective donors and recipients. Design: A retr...

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Main Authors: Lauren Isley, M.S., C.G.C., Pamela Callum, M.S., C.G.C., Jennifer Luque, M.S., C.G.C., Jessica Park, M.S., C.G.C., Kara Baldwin, M.S., C.G.C.
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:F&S Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666334123001071
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author Lauren Isley, M.S., C.G.C.
Pamela Callum, M.S., C.G.C.
Jennifer Luque, M.S., C.G.C.
Jessica Park, M.S., C.G.C.
Kara Baldwin, M.S., C.G.C.
author_facet Lauren Isley, M.S., C.G.C.
Pamela Callum, M.S., C.G.C.
Jennifer Luque, M.S., C.G.C.
Jessica Park, M.S., C.G.C.
Kara Baldwin, M.S., C.G.C.
author_sort Lauren Isley, M.S., C.G.C.
collection DOAJ
description Objective: To describe the clinical experience of managing expanded carrier screening (ECS) results in sperm donor applicants at a sperm bank in the United States, including considerations around suitability determination and appropriate education of prospective donors and recipients. Design: A retrospective review of donor genetic screening records from July 2017 to December 2021. Setting: A U.S.-based sperm bank. Patients: Donor applicants at a sperm bank. Intervention: Not applicable. Main Outcome Measures: To examine the rate of potentially significant health risks on the basis of ECS results to inform donor management and donor/recipient counseling considerations. Results: Nearly 2% of donor applicants were identified as having potentially significant health risks on the basis of their ECS results, and most individuals had no clinical manifestations related to these findings. Conclusion: There are unique challenges related to ECS in third-party reproduction for gamete providers, recipients, and their healthcare providers. A collaborative, multidisciplinary approach is necessary to help mitigate risks to donor offspring and maximize patient experience. Informed consent and access to a trained genetics professional are paramount when facilitating ECS on donor applicants and disseminating results to recipients.
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spelling doaj.art-566d22df8c3d4d09aa280aa1c3e284fd2023-12-19T04:17:29ZengElsevierF&S Reports2666-33412023-12-0144384389Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant populationLauren Isley, M.S., C.G.C.0Pamela Callum, M.S., C.G.C.1Jennifer Luque, M.S., C.G.C.2Jessica Park, M.S., C.G.C.3Kara Baldwin, M.S., C.G.C.4Correspondence: Lauren Isley, M.S., C.G.C., CooperSurgical, Inc., 75 Corporate Drive, Trumbull, Connecticut 06611.; CooperSurgical, Inc., Trumbull, ConnecticutCooperSurgical, Inc., Trumbull, ConnecticutCooperSurgical, Inc., Trumbull, ConnecticutCooperSurgical, Inc., Trumbull, ConnecticutCooperSurgical, Inc., Trumbull, ConnecticutObjective: To describe the clinical experience of managing expanded carrier screening (ECS) results in sperm donor applicants at a sperm bank in the United States, including considerations around suitability determination and appropriate education of prospective donors and recipients. Design: A retrospective review of donor genetic screening records from July 2017 to December 2021. Setting: A U.S.-based sperm bank. Patients: Donor applicants at a sperm bank. Intervention: Not applicable. Main Outcome Measures: To examine the rate of potentially significant health risks on the basis of ECS results to inform donor management and donor/recipient counseling considerations. Results: Nearly 2% of donor applicants were identified as having potentially significant health risks on the basis of their ECS results, and most individuals had no clinical manifestations related to these findings. Conclusion: There are unique challenges related to ECS in third-party reproduction for gamete providers, recipients, and their healthcare providers. A collaborative, multidisciplinary approach is necessary to help mitigate risks to donor offspring and maximize patient experience. Informed consent and access to a trained genetics professional are paramount when facilitating ECS on donor applicants and disseminating results to recipients.http://www.sciencedirect.com/science/article/pii/S2666334123001071Expanded carrier screeningsperm donorgamete donorgenetic screening
spellingShingle Lauren Isley, M.S., C.G.C.
Pamela Callum, M.S., C.G.C.
Jennifer Luque, M.S., C.G.C.
Jessica Park, M.S., C.G.C.
Kara Baldwin, M.S., C.G.C.
Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
F&S Reports
Expanded carrier screening
sperm donor
gamete donor
genetic screening
title Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
title_full Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
title_fullStr Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
title_full_unstemmed Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
title_short Management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
title_sort management considerations for clinically relevant findings on expanded carrier screening in a sperm donor applicant population
topic Expanded carrier screening
sperm donor
gamete donor
genetic screening
url http://www.sciencedirect.com/science/article/pii/S2666334123001071
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