Understanding Genetic and Genomic Testing

A Comprehensive Guide for Patients

Internal Medicine

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Last updated: Mar 24, 2025

What Are Genetic and Genomic Tests?

Genetic and genomic tests analyze your DNA, chromosomes, and proteins to identify potential inherited conditions, disease risks, and treatment responses.

Types of Testing

Diagnostic Testing

  • Identifies specific genetic conditions
  • Used when symptoms suggest a genetic disorder
  • Can confirm or rule out suspected diagnoses

Predictive Testing

  • Determines future disease risks
  • Particularly useful for hereditary cancers
  • Helps with preventive care planning

Carrier Testing

  • Identifies if you carry genes for inherited conditions
  • Important for family planning
  • Common for conditions like cystic fibrosis

Pharmacogenomic Testing

  • Determines how you'll respond to medications
  • Helps optimize drug selection and dosing
  • Reduces adverse drug reactions

The Testing Process

  1. Consultation

    • Discussion with healthcare provider
    • Review of family history
    • Assessment of testing benefits
  2. Sample Collection

    • Usually blood draw or cheek swab
    • Minimal discomfort
    • Quick procedure
  3. Laboratory Analysis

    • Specialized genetic laboratories
    • Several weeks for results
    • Quality control measures

Understanding Results

Positive Results

  • Indicate presence of genetic variation
  • May require follow-up testing
  • Family members may need testing

Negative Results

  • No genetic variation found
  • May not rule out all conditions
  • Regular medical care still important

Variants of Unknown Significance

  • Unclear impact on health
  • May require periodic review
  • Further research needed

Privacy and Legal Considerations

  • Protected health information
  • Genetic discrimination laws
  • Insurance implications

Cost and Insurance

  • Coverage varies by test type
  • Pre-authorization often required
  • Financial counseling available

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