Genetic Carrier Screening

If you’re planning a pregnancy, genetic carrier screening is one of the most valuable steps you can take. Our carrier screening program provides accurate, flexible testing for up to 787 genes with genetic counselling and access to a national network of IVF and ultrasound specialists for all those who need to make the next steps.
Genetic carrier screening kit

Understand your reproductive options

Our Genetic Carrier Screening test helps you understand your chance of having a child with a significant genetic condition.

Testing is available to everyone, whether or not you are currently having IVF treatment.

The test can be completed using a simple saliva kit at home, or via saliva or blood at one of our partner pathology collection centres. For a full list of collection centres, click here.

Why you should consider Genetic Carrier Screening
To understand you and your partner's combined genetic information, so you can make informed decisions about your options for conceiving. You can choose to have this test at home, meaning no needles or hospitals are required. You can also choose to have a blood test in a clinic. Our expert genetic counselling team and fertility specialists are on hand to support you and provide you with personalised advice about your options. About 1 in 50 (2%) of reproductive couples who have expanded genetic carrier screening will find out they have an increased chance of having a child with a single gene condition.
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The best time to test

The ideal time for carrier screening is before pregnancy. This allows time to discuss your results, understand your options, and consider your reproductive plans.

Testing can also be done in early pregnancy, but this may limit the time available for decision-making and removes some reproductive options such as using IVF and testing embryos for the condition through a process called preimplantation genetic testing.

Whenever possible, we recommend completing screening prior to conception.

Carrier Screening Options

For Reproductive Couples Using Their Own Eggs and Sperm

Medicare-Funded Panel (3-Gene + 13 X-Linked Conditions)

This test includes:

  • Cystic Fibrosis (CFTR sequencing)
  • Spinal Muscular Atrophy (SMN1)
  • Fragile X Syndrome (FMR1 with AGG interruption analysis)
  • Plus 13 additional X-linked conditions, including Duchenne Muscular Dystrophy (DMD) and Haemophilia A

    Partner testing is provided for CF or SMA where indicated.

    This option represents the best available Medicare-funded screening currently in Australia with full gene CFTR sequencing and testing for an additional 13 conditions.

    Expanded Carrier Screening (787 Genes, Couples-Based Approach)

    This comprehensive, pan-ethnic test screens both partners together for 787 genes, identifying conditions that may affect children regardless of ancestry.

    It includes:

    • Full CFTR gene sequencing
    • FMR1 (Fragile X) with AGG interruption analysis
    • Advanced detection of complex genes such as CYP21A2, HBA1/2, and DMD
    • State-of-the-art analysis optimised for high accuracy in clinically challenging genes
    • Results are reported as increased chance or low chance only: individual carrier status is not included in reports.

    Around 1 in 50 reproductive couples are found to have an increased chance of having an affected child.

    We strongly recommend this expanded panel as the clinically preferred model for all couples considering pregnancy. It offers the greatest scope for detection and represents the current standard of care in reproductive genetics.

    The full list of conditions screened for is available to view here.

    For people accessing donor gametes

    Individual Expanded Carrier Screening

    For people who are planning to use international or clinic-recruited donor eggs or sperm, we may recommend individualised test reporting that matches with your chosen donor or donor bank. Our experienced donor teams can walk you through the process of screening in advance of donor treatment. If your results have an impact on your donor selection, our genetic counselling team will talk you through your options and provide support at every step of the journey.

    Genetic Carrier Screening OptionsMedicare Funded 3 Gene + 13 X-LinkedExpanded 787 Genes
    Conditions included in screen3 gene +13 X-Linked conditions787
    Patient OOP (for Medicare eligible individuals)N/A (bulk billed)$695/individual
    $990/couple
    Number of couples who screen positiveApprox. 1 in 200
    Approx. 1 in 50
    At-home saliva or in-clinic blood test options
    Support from an in-house, qualified Genetic Counsellor
    Support from reproductive and genetic experts in the event of a high-risk result
    Customised panels possible where required (e.g., for donor matching)
    Hetero couple with baby low res 94

    How the process works

    Buy your test

    Simply order your test online and we will walk you through the process and what to expect. You will have the option of using our extensive pathology collection network or having tests delivered to you.

    Same sex couple low res 38

    How the process works

    Receive your test and provide a sample

    The test will arrive in the mail, simply follow the instructions to provide a saliva swab. You can return your test using the prepaid envelope or drop it in at one of our clinics. A copy of these instructions can be found here.

    Lab microscope

    How the process works

    Receive your results

    Our genetic counselling team will be in touch with your results. The process usually takes about six weeks. Most people will be reassured, but about 1 in 50 reproductive couples who have expanded genetic carrier screening will find out they have an increased chance of having a child with a single gene condition.

    Monash10004

    How the process works

    Next steps

    If you and your partner or donor are found to be carriers of a condition that might be passed to your children, our genetic counselling team will talk you through your options and arrange a follow up with one of our specialists. These include testing in a pregnancy (prenatal diagnosis), testing embryos before transfer (preimplantation genetic testing) and other reproductive options.

    Genetic Carrier Screening Costing

    Three condition and expanded couples 787 carrier screening are eligible for the Medicare rebate. To access this rebate, you will be required to enter your Medicare number and upload a photo or scanned copy of a referral from your treating doctor. If you have already used your Medicare rebate to have three condition screening with another provider, additional payment will be requested by the testing laboratory. Please ensure you have signed your referral form before uploading.

    Download the genetic carrier screening referral form

    Monash IVF's Genetic Carrier Screening Test costs vary depending on which panel you are ordering and whether you are ordering an individual or couple test.

    The fee includes:

    • The test itself.
    • Expert analysis of your sample by leading genetic scientists.
    • Results interpretation and support from our genetic counselling team.

    A note for patients wanting to access the expanded panel:
    It is recommended that couples (or patients using a known donor) buy two tests at the discounted rate of $990 rather than two individual tests. The individual test is customised for individuals who require more information and counselling with comparison with a donor profile or a previous result.

    Three Gene
    Individual (1 test)
    Bulk billed
    no out-of-pocket
    Genetic carrier screening kit
    1 saliva testing kit Detailed instructions Support from our genetic counselling team

    Available for patients assigned female at birth with Medicare.

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    ZIP financing available
    Expanded
    Individual (1 test)
    $695
    out of pocket
    Genetic carrier screening kit
    1 saliva testing kit Detailed instructions Support from our genetic counselling team Hundreds of additional conditions screened for

    Recommended for those individuals using international or clinic-recruited donor gametes.

    Order Now
    ZIP financing available
    Expanded
    Couple (2 tests)
    $990
    out of pocket
    Genetic carrier screening kit
    2 saliva testing kits Detailed instructions Support from our genetic counselling team Hundreds of additional conditions screened for

    Recommended for couples considering starting a family, or for those using a known donor.

    Order Now
    ZIP financing available
    Monash IVF Genetic 01

    "Information on carrier screening should be offered to all people planning a pregnancy or in the first trimester of pregnancy."

    Royal Australian College of Obstetricians and Gynaecologists

    Genetic carrier screening kit

    Download our Genetic Carrier Screening Pack

    Not sure yet that genetic carrier screening is right for you?

    Get access to more resources such as our “What is Genetic Carrier Screening and Why Is It Important?” video and our “12 Common Questions About Carrier Screening” document. You can view the transcript below.

    Download an Info Pack

    Genetic Carrier Screening FAQs

    Don’t see your question below? Give us a call on 1800 684 198.

    Monash10004
    References

    1. Berbic M, Hesson L, Clarke J, et al, (2022) Reproductive carrier screening (RCS) to identify Australian couples at risk of having children with autosomal recessive and X-linked conditions, RANZCOG Annual Scientific Meeting, October 2022.

    2. Punj S, Huang J, Akkari Y, et al. Preconception carrier screening by genome sequencing: results from the clinical laboratory. Am J Hum Genet. 2018;102:1078–1089.

    3. RANZCOG. Genetic carrier screening C-Obs. March 2019. Genetic carrier screening (ranzcog.edu.au).

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