Genetic Counseling

Genetic Counseling

Genetic testing technology changes rapidly, and the number of genetic testing options keeps growing. At GSF, we’re here to help you sort through the wealth of information in this new age of genetics and get all the facts you need to make informed decisions about your health.

In fact, we’re the only nonprofit organization that advocates for access to genetic counseling for all.

A visit with a genetic counselor can help address your questions and concerns about genetic health, including genetic testing options during pregnancy, cancer risks, and the role genetics play in shaping your health. GSF’s team of certified and experienced genetic counselors can help you understand and address these and other concerns.

Genetics 101

Genetics is a vast and increasingly complicated field of science. The information here will help to provide a basic background in general genetics concepts and can be a resource as you come up with questions.

Let’s start with the basics: The birds and the bees and how we pass on our genes.


Our bodies are made up of billions of cells. We have skin cells, heart cells, brain cells, etc. These cells all have special functions in our bodies, but one thing they have in common is that each cell has a set of 46 chromosomes, or 23 pairs. The first 22 pairs of chromosomes are the same in men and women and the 23rd pair is different. Women have two ‘X’ chromosomes for their 23rd pair, and men have one ‘X’ chromosome and one ‘Y’ chromosome (see picture to the right of a set of male/female chromosomes, also called a karyotype).

Along the chromosomes are the individual instructions, or genes, that tell our bodies how to grow and function, including things such as hair color, eye color, and height. Since we have two copies of every chromosome, we also have two copies of every gene. All in all, it is estimated that we each have about 20,000 pairs of genes, one set from our mother and one set from our father. Males only have one X chromosome though, so they only have one copy of all of the genes on the X chromosome, and one copy of the genes on the Y chromosome.

Genes are specific instructions that contain our genetic code, or DNA (deoxyribonucleic acid). DNA is made up of four similar chemicals, called bases: adenine (A), thymine (T), cytosine (C ), and guanine (G). The specific order of these letters (bases) is what makes the instructions (genes) work properly. If one or more of these letters is changed, deleted, or duplicated, and this change causes the gene to not work as usual, this is called a mutation. Mutations in our genes may lead to genetic conditions in ourselves or other family members.

Many of the genetic conditions that are discussed in prenatal genetics are due to a baby having an extra (called a trisomy) or missing (called a monosomy) chromosome. An important thing to remember is that we have no control over how many chromosomes are packaged in our egg or sperm cells. If a baby has an extra or missing chromosome, there is nothing that was done to cause it and nothing that could have been done to prevent it.

Other types of genetic conditions involve changes in the instructions (genes) that are on the chromosomes. Some of the more common genetic conditions involving a single gene can be categorized into the three main ways that they can be passed down in a family: autosomal recessive, autosomal dominant and X-linked. These three terms are also referred to as ‘patterns of inheritance‘, and understanding the basics behind these terms will help to understand how genetic conditions may run in a family.

Because each gene does a specific job in the body, if someone inherits a non-working gene(s), what job that gene(s) does in the body generally determines what the genetic condition will be. For example, if someone inherits a non-working copy of a gene that is responsible for helping to build bone, then that person may have a genetic condition that causes differences with the bone development, while someone who inherits a non-working copy of a gene that helps to form structures in the ears may be hard of hearing.

Do I Need Genetic Testing?

If you or someone in your family is considering genetic testing, if you’re wondering if a certain health condition could run in your family, if you’re pregnant and interested in learning more about genetic testing options during pregnancy, or if you have a personal or family history of cancer, a genetic counselor can help.

Do I Need Genetic Testing?

  • Genetic counselors can help you sort through complex information to understand the meaning of genetic tests so you can make informed decisions about what testing options, if any, are best for you.

  • Genetic counselors strive to be non-directive. In other words, genetic counselors want to provide up-to-date, accurate, and balanced information to help you make decisions about genetic testing that are right for you and your family.

  • Genetic counselors’ unique education allows them not only to be experts on the science of genetics, but also on the emotional impact of this information on individuals and families. Genetic counselors can also help you identify support resources when needed.

  • Genetic counselors typically spend from 30 minutes to an hour or more making sure that you have the information you need and that all of your questions are answered.

What’s the Genetic Counselor’s Role in My Decision-Making?

Genetic counselors are there to provide you with all of the information you need to make the decisions that are right for you and for your family. They will not tell you what to do. Genetic counselors do their very best to give you the information you need in a non-biased way and make sure you understand the information to make decisions that are most consistent with your own beliefs and values.

You may have had an experience of seeing a healthcare professional and having them make recommendations or tell you what to do. When it comes to whether or not to undergo genetic testing (for example, during your pregnancy) and what to do with that information, genetic counselors believe that these decisions are very personal and will support you no matter what you decide.

Inheritance Patterns

Family History

Genetic Testing

Counseling FAQs

Get answers to common questions related to genetic counseling for Pediatrics/Adults, Prenatal, and Preconception. Determine if/when counseling is right for you and how to schedule an appointment.

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