What is genetic testing?

Genetic testing is used to identify changes, such as a mutation, in a person’s genes, or extra genetic material in chromosomes that can lead to cancer, birth defects in a child or other health conditions. The results can help you learn whether you’re at risk of developing or passing on a genetic condition or disease, such as cancer, cystic fibrosis or Marfan syndrome.

Genetic testing is voluntary. It has benefits and limitations, so the decision to go through testing is personal. A genetic counselor can provide information and help you understand the emotional and social aspects of testing.

microscope used to analyze genetic test samples

Types of genetic testing

There are many types of genetic tests, and no single test can detect all genetic conditions. Your healthcare provider can help you choose the right test based on your medical history, family background and the specific condition you're being tested for.

The various types of genetic tests look at:

  • Genes: These tests examine DNA to find variations (mutations) in genes that can cause or increase the risk of genetic disorders. Tests can focus on a single gene, multiple genes or even a person’s entire genome.
  • Chromosomes: These tests check all 23 of your chromosomes for large structural changes, like an extra or missing chromosome, which might cause a condition.
  • Proteins: Biochemical tests measure the levels or activity of proteins and enzymes, as changes in these can signal genetic disorders. Conditions linked to abnormalities in these tests are called “metabolic” or “biochemical” disorders.

What conditions can be detected through genetic testing?

It's important to remember that genetic testing can identify some conditions, but not all of them. A positive result doesn’t always mean you will develop a condition. However, genetic testing can help confirm or rule out a variety of diseases and conditions, including:

visual of our dna that analyzed through genetic testing

Reasons for genetic testing

There are several reasons to consider getting a genetic test, including the following:

Diagnostic testing

If you have symptoms of a disease that might be caused by genetic changes (mutated genes), genetic testing can help confirm the diagnosis. For example, it can be used to diagnose conditions like cystic fibrosis or Huntington’s disease.

Who should consider genetic testing?

When deciding whether to get a genetic test for yourself or a family member, it's important to consider both medical and emotional factors. Genetic testing can provide a diagnosis and help guide treatment, symptom management or lifestyle changes. However, it has limitations. For example, even if a mutation is found, the test can't predict when symptoms will appear, how severe they will be or how the condition will progress. Depending on the mutation detected, the test cannot always predict if you will ever experience symptoms. Additionally, a negative test result doesn't always rule out the risk of developing a condition.

Given the complexity of genetic testing, it’s essential to speak with a healthcare provider, such as a genetic counselor, to understand the potential benefits and risks, and to get answers to any questions before and after the test.

How to prepare for genetic testing

Before you get genetic testing, learn as much as possible about the process, potential results and your family’s medical history. Talk with your doctor about the risks and benefits of genetic testing and plan on getting genetic counseling so you know what to expect at every step.

The role of a genetic counselor

How is genetic testing done?

Before you have a genetic test, it’s important to understand how the test works, what it can and can’t tell you and what the results might mean. This process is called informed consent, where you are given information about the test and asked for permission to proceed.

If you decide to have genetic testing, your healthcare provider will help arrange the test, often during a genetic consultation. The test is typically done using a sample of blood, hair, skin, amniotic fluid (during pregnancy) or other tissue. For instance, a buccal smear uses a cotton swab to collect cells from the inside of your cheek. These samples are sent to a lab where technicians look for specific changes in DNA, chromosomes or proteins, depending on the suspected condition.

Newborn screening tests are done with a small blood sample taken from your baby’s heel. You’ll usually only receive the results if they are positive. If the test result is positive, additional testing is needed to find out if your baby has a genetic disorder.

Your doctor will look at the results, determine what they mean and share your results with you. Be sure to talk to your doctor and genetic counselor and ask questions about what the results mean and what steps you should take after receiving the results.

For example, you may need earlier, more frequent or different types of cancer screening. Or you may need to meet with a maternal-fetal medicine specialist or neonatologist to discuss care options for a congenital difference in your new baby.

patient consulting with doctor on how genetic testing is done

What are the risks of genetic testing?

Genetic testing can provide meaningful information that empowers you or a loved one to take charge of the future. However, it does come with some risks. Genetic testing can cause psychological distress. Having a genetic mutation doesn’t mean you will develop a disease, but it can cause stress and anxiety as you weigh your options for treatment or prevention.

Genetic testing can also impact family relationships and come with social and financial risks. Discuss these potential risks with your doctor and genetic counselor before you proceed with testing. The more you know, the better you’ll feel about taking the next steps.

Get support from a genetic counselor

Genetics can be complex, but navigating the process doesn’t have to be overwhelming. Our genetic counselors collaborate with you and your family to help you understand your genetic risks and testing options. You can meet with a counselor before testing to understand your options or afterward to review your results. Start your personalized healthcare journey by talking to one of our Baylor Scott & White genetic counselors.

Find a genetic testing location near you

We help you get care at a location that fits your needs. We offer several locations for your care, including genetic testing in North and Central Texas.

Accepting walk-ins

Baylor Scott & White Clinic - Temple

2401 S 31st St , Temple, TX, 76508

Not accepting walk-ins

Baylor Scott & White Medical Center - College Station

700 Scott and White Dr , College Station, TX, 77845

Accepting walk-ins

Baylor Scott & White Medical Center - Grapevine

1650 W College St , Grapevine, TX, 76051

Accepting walk-ins

Baylor Scott & White Medical Center - Irving

1901 N MacArthur Blvd , Irving, TX, 75061

Accepting walk-ins

Baylor Scott & White Medical Center - Temple

2401 S 31st St , Temple, TX, 76508

Accepting walk-ins

Baylor Scott & White Medical Center - Waxahachie

2400 N Interstate 35E , Waxahachie, TX, 75165

Accepting walk-ins

Frequently asked questions

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