Genetic Carrier Screening

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
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 Options | Medicare Funded 3 Gene + 13 X-Linked | Expanded 787 Genes |
| Conditions included in screen | 3 gene +13 X-Linked conditions | 787 |
| Patient OOP (for Medicare eligible individuals) | N/A (bulk billed) | $695/individual $990/couple |
| Number of couples who screen positive | Approx. 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) | ✓ |
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.

Available for patients assigned female at birth with Medicare.

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

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

"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

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.

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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