Preparing for PGT Counselling in Thailand: Questions to Ask

PGT counselling is a conversation with a qualified genetics professional or fertility clinician about what preimplantation genetic testing can and cannot tell you. Before you attend, it helps to write down your questions about test types, possible results, what those results may mean for your embryos, and what decisions you might face. This checklist covers the main topics to raise, so you can use your appointment to clarify your own situation rather than trying to absorb everything on the day.

At a glance

• PGT is a group of laboratory tests performed on embryos during IVF; it is not a treatment that guarantees a pregnancy or a healthy child.
• PGT-A, PGT-M, and PGT-SR are different tests used for different reasons.
• Results can be informative, uncertain, or inconclusive, and some embryos may have no result.
• Counselling should cover consent, costs, what happens to embryos, and where to get support after testing.
• Bring your questions in writing and ask for explanations in plain language.

What PGT counselling is and is not

PGT counselling is an opportunity to discuss the purpose and limits of preimplantation genetic testing in your specific situation. It is not a session that decides for you whether to test, and it is not a guarantee of any particular outcome. A counsellor or clinician can explain how PGT-A, PGT-M, and PGT-SR differ, what information each test may provide, and what remains uncertain.

PGT is not required for all patients undergoing IVF. Whether it is relevant depends on your medical history, your reasons for considering it, and the advice of your treating team. Counselling should help you weigh the possible benefits against the limitations and the decisions that may follow.

Questions about test types

Ask your clinic to explain, in plain language, which test or tests they are recommending and why.

• What is the difference between PGT-A, PGT-M, and PGT-SR?
• Which of these tests is being considered for my situation, and what is the reason?
• What does each test look for, and what does it not look for?
• Are there alternative approaches, including not testing, that we should discuss?
• How is the sample taken from an embryo, and what are the limitations of that method?
• What is the difference between screening and diagnosis in this context?

Questions about possible results

Results are not always a simple yes or no. Ask what types of results are possible and how each might be explained.

• What results could come back, and what would each type mean in general terms?
• What does it mean if a result is inconclusive, uncertain, or has no result?
• Could a result be affected by factors such as embryo mosaicism or laboratory technique?
• How will the clinic explain a result that is not clear-cut?
• Will we have a chance to ask questions after the results are available?
• What follow-up testing or counselling might be suggested if a result is unclear?

Questions about consent and decision-making

PGT consent is an important part of preparation. Ask how consent is documented and what choices you are being asked to make.

• What information will be provided before we sign a consent form?
• What are we consenting to, and can we change our mind later?
• Who will have access to our genetic information and test results?
• What are the options for embryos that are not transferred?
• How are decisions made if we disagree with each other or with the clinic?
• What support is available if we find the decision difficult?

Questions about costs and practical arrangements

Costs and logistics vary between clinics and over time. Ask for a written breakdown of what is included and what is not, and confirm details directly with your clinic.

• What is included in the quoted price for PGT, and what might cost extra?
• Are there separate charges for counselling, laboratory work, storage, or follow-up?
• How and when will we receive results, and who will explain them?
• What documents or identification do we need to bring?
• Are there any travel or timing considerations we should plan for?
• What is the clinic’s policy on refunds or cancellations if testing cannot proceed?

Questions about post-test genetic support

Post-test genetic support in Thailand may include a follow-up consultation to discuss results and next steps. Ask what is available and how to access it.

• Who will explain the results to us, and when?
• Will we have access to a genetics professional after testing?
• What emotional or psychological support is available if results are unexpected?
• Can you provide a written summary of the results for our records?
• What are the next steps if we decide to pursue further testing or treatment?
• How can we contact the clinic with questions after the appointment?

How to prepare for your appointment

Preparation can make your counselling session more productive. Consider these steps:

1. Write down your questions in advance, starting with the ones that matter most to you.
2. Bring a partner or support person if you would like help remembering the discussion.
3. Ask for explanations in plain language, and request clarification if something is unclear.
4. Take notes or ask if you can record the session, if that is permitted.
5. Ask for written information or a summary you can review later.
6. Confirm any follow-up appointments or contact details before you leave.

Next steps

After counselling, you may want to review the information you received, discuss it with your partner or support network, and decide whether you need another appointment. You can also read more about PGT in Thailand in our PGT in Thailand guide, browse our patient guides, or check the frequently asked questions for general orientation. Always confirm clinical, legal, and financial details directly with your treating clinic or the relevant authority.

Frequently asked questions

What is the difference between PGT-A, PGT-M, and PGT-SR?

PGT-A looks at the number of chromosomes in an embryo. PGT-M looks for a specific inherited condition that runs in a family. PGT-SR looks at chromosome rearrangements, such as translocations. Your clinic can explain which, if any, is relevant to your situation.

Is PGT required for all IVF patients?

No. PGT is not required for everyone undergoing IVF. Whether it is appropriate depends on your medical history, your reasons for considering it, and the advice of your treating team. Counselling can help you understand the potential benefits and limitations.

What does an inconclusive PGT result mean?

An inconclusive or uncertain result means the test did not provide a clear answer. This can happen for technical reasons or because of biological factors such as mosaicism. Your clinic should explain what the result may mean and whether further testing or counselling is available.

Can I get emotional support after PGT results?

Many clinics offer follow-up consultations and may be able to refer you to a counsellor or psychologist. Ask your clinic what support is available and how to access it if you receive unexpected results.

What should I bring to a PGT counselling appointment?

Bring a written list of your questions, any relevant medical records, and a partner or support person if you wish. You may also want to bring a notebook or ask if you can record the session, if permitted.

Continue your research

• PGT in Thailand overview
• PGT and IVF guides
• Frequently asked questions

Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.