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Embryo Report

Advanced genetic screen for your embryos. Prevent your child from inheriting a predisposition to a condition that runs in your family.

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Our preconception test measures your future child's genetic predisposition to disease. Mitigate your risk.

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Clinician Information

Offer your patients the most advanced embryo screening with Orchid

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What is Orchid?

Orchid overview

Orchid is a cutting-edge whole genome embryo screening with CLIA/CAP-validated performance that reads >99%* of an embryo's genome, compared to the <1% that legacy array technology reads.

Orchid combines Preimplantation Genetic Testing for Aneuploidy (PGT-A) with the ability to screen for hundreds of single gene conditions known to cause severe monogenic disease (such as genetic neurodevelopmental disorders including autism, intellectual disability, developmental delay, epilepsy, genetic birth defects and pediatric and adult-onset hereditary cancers).

This allows Orchid to identify single-gene conditions previously impossible to detect in embryos, and provide superior results compared to traditional tests (cleaner aneuploidy calls, no probes for PGT-M, etc).

All of this is accomplished using the same standard 5–6 cell trophectoderm biopsy used in existing embryo testing, while generating up to 100x more data. With this advanced level of insight, Orchid helps families make more informed decisions for a successful pregnancy and a healthier future.

* Percentage is based on validation studies using genomic regions of National Institute of Standards and Technology - GIAB samples

Why is whole genome sequencing important?

Role of whole genome sequencing

Whole genome sequencing (WGS) has become a critical tool in identifying single-gene mutations that cause severe conditions.

Geneticists have spent decades identifying single-gene mutations that cause severe conditions. The diagnostic yield, or the percent of cases with a clear genetic cause, ranges by condition but has been increasing over time. For example, 30% of individuals with a neurodevelopmental disorder have an identified single-gene (monogenic) cause.

These advancements are used to diagnose children and adults who present symptoms. Now that whole genome sequencing is possible at the embryo stage, trophectoderm biopsies can be screened for monogenic conditions, and diseases can be identified and avoided before transfer.

This represents a significant advancement over traditional embryo screening (PGT-A), which only focuses on chromosomal analysis.

How can I work with Orchid?

Collaborating with Orchid

Orchid's collaboration process is designed to be seamless and straightforward. After an initial orientation, clinicians can easily order tests with Orchid handling all shipping logistics. Using the same 5-6 cell trophectoderm biopsy, Orchid provides comprehensive results and individualized reporting and consultations.

  1. Contact Orchid for an orientation

    Sign up for a commitment-free discussion with the Orchid team

  2. Quick and easy ordering

    Order tests efficiently, without any added work. Orchid handles shipping logistics for all samples.

  3. Same biopsy, superior results

    Get 100x more data and more comprehensive results with the same 5-6 cell trophectoderm biopsy

  4. Individualized reporting and consults

    Your patients will receive 1:1 consult with a board certified genetic counselor.

Get started with Orchid

Learn more about how Orchid can serve your patients and practice

Schedule here

Why is Orchid different?

Comparing Orchid to traditional PGT

Orchid offers several advantages over existing PGT methodologies. These include faster turnaround times, the ability to detect conditions that other tests may miss, and a comprehensive single screen that includes PGT-A, PGT-M, and gene panels. Moreover, Orchid provides one-on-one genetic counseling for all patients at no additional charge.

PGT-A

  • 100x more data than traditional PGT-A tests
  • Detect triploidy and molar embryos (complete uniparental isodisomy) that other labs might miss
  • Detect microdeletions + microduplications screened for during pregnancy but missed in traditional PGT
  • Plus all traditional PGT-A features

PGT-M

  • No probe design is necessary, which means faster turnaround time and less coordination
  • Ideal for:
    • Challenging PGT-M cases that may have been denied by other companies
    • Patients with a previous pregnancy/child with a de novo variant
    • Patients using an egg, sperm, or embryo donor
  • Faster results (4-5 weeks vs. 3 months)
  • Patients can screen for hundreds of monogenic diseases simultaneously (through gene panels)

Gene panels

  • Screen for genetic neurodevelopmental conditions, genetic causes of birth defects, and genes associated with hereditary cancer.
  • Includes single gene disorders associated with advancing paternal age

Want to learn more?

See our list of screened genes.

Learn More

Parental confirmation

  • Saliva-based test to confirm parental relationship to embryos
  • Non-blood samples increase convenience and ease for patients

Orchid's comprehensive screening

Orchid's comprehensive screening combines PGT-A, PGT-M, screens for 100s of genes linked to severe disease, and measures genetic predisposition to disease. These are all screened simultaneously from the same embryo biopsy used in traditional testing.

What can I gain from working with Orchid?

Additional services for practices and patients

Orchid's superior data and hands-on approach can be a valuable addition to any fertility center. Benefits include reducing risk for patients and the practice, providing faster results for a wider variety of patients, and access to Orchid's expert staff. Orchid also provides access to board certified Genetic Counselors and Medical Genetics resources, as needed.

Patients receive comprehensive reports and have access to their own patient portal. Genetic counselors are available to answer both clinician and patient questions.

Orchid Scientific Advisors

Developed by world-class experts

The technology behind Orchid has been developed by experts in medical genetics, embryology, and assisted reproductive technology.

Jacques Cohen, PhD

Jacques Cohen, PhD

Pioneering Embryologist and foundational figure in IVF and ART innovation

Roohi Jeelani, MD

Roohi Jeelani, MD

Double board certified Reproductive Endocrinologist and Infertility Specialist (REI)

Lusine Aghajanova, MD, PhD

Lusine Aghajanova, MD, PhD

Clinical Assistant Professor at the Stanford Medical Center

Barry Behr, PhD

Barry Behr, PhD

Professor of Obstetrics and Gynecology Emeritus at the Stanford Medical Center

Jan Liphardt, PhD

Jan Liphardt, PhD

Professor of Bioengineering at Stanford University

Nathan Slotnick, MD, PhD

Nathan Slotnick, MD, PhD

Perinatologist and Medical Geneticist

Amber Cooper, MD

Amber Cooper, MD

Double board certified Obstetrics and Gynecologist and Reproductive Endocrinologist and Infertility Specialist

How can I learn more?

Orchid research

Orchid adheres to the highest clinical and scientific standards. It works with world-class experts in reproductive medicine and genetics, processes samples in a CAP/CLIA certified laboratory, is licensed to process samples nation-wide (except New York), and its technology has been independently validated.

CAP number: 9234146

CLIA number: 34D2260214

Our science ↗Validation study ↗

Get started with Orchid

Learn more about how Orchid can serve your patients and practice

Schedule here

Frequently Asked Questions

While there can be hundreds of genetic variations within an embryo, Orchid only reports on genes known to cause monogenic disease based on decades of research. Genes included on our panels are selected based on extensive literature searches and information from the Clinical Domain Working Group, a group of independent academic geneticists. Only pathogenic and likely pathogenic variants based on the American College of Medical Genetics and Genomics (ACMG) guidelines are included. Carrier status is not reported unless requested.

Any patient could benefit from Orchid, but here are a few examples of patients that would be most interested:

  • Patients looking to use the most advanced genetic testing option available, or are otherwise concerned about neurodevelopmental disorders, pediatric cancers, and/or birth defects.
  • Patients who might traditionally do PGT-M (Orchid does not usually require probe development, which increases speed to results).
  • Patients concerned about de novo variants (i.e., advanced paternal age, a previous child with a de novo variant).
  • Patients using donor egg/sperm/embryos, with potentially limited contact with donor for testing.

Orchid's embryo screening results can help you (the clinician) in many important ways, including:

  • Counsel your patients on each embryo's genetic health profile.
  • Inform your patients' transfer plans.

A reproductive endocrinologist can use Orchid's genetic risk assessment to:

  • Assist with patient decision-making in embryo selection.
  • Help your patients make an informed decision about which embryo to consider transferring first.

Most fertility centers can get started with Orchid in just a few weeks. Schedule an initial conversation to learn more.

You don't have to! Orchid's Board Certified Genetic Counselors will happily lead all counseling sessions with patients on your behalf. Genetic counselors are available to answer any physician questions. Reach out to genetics@orchidhealth.com for more information on our genetic counseling approach.

Orchid's standard Preimplantation Whole-Genome Sequencing costs $2500 per embryo. For cost-sensitive patients, options for more limited screening may be available. For more details please contact genetics@orchidhealth.com.

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