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Genetic Carrier Screening is a DNA test that helps identify individuals or couples who may be at increased risk of having a child with a serious inherited genetic disorder. This information can support informed reproductive decisions.
While more than one in 20 Australians is a carrier of at least one genetic condition, most have no family history of the disorder. In fact, everyone carries at least one genetic condition, but most people are healthy and may not realise how this could impact their children.
Genetic testing is the only way to find out whether or not you are a carrier for these conditions. Knowing your carrier status can provide peace of mind, and for those with a higher risk, it opens the door to consider a range of reproductive options.
Our expert Genomic Diagnostics team uses DNA from your blood sample to analyse the relevant genetic changes.
We are committed to supporting you throughout the screening process:
If you and your reproductive partner are found to be a high-risk couple for any condition (whether from the standard or expanded panel), your clinician can refer you to a genetic counsellor to discuss your reproductive options, including:
Genetic carrier screening is testing to identify an increased risk of having children with three of the most common inherited genetic disorders: Cystic fibrosis, spinal muscular atrophy, fragile X syndrome.
One in 20 Australians will be a carrier for at least one of these conditions. Most will not have a family history of the disease. Carriers are usually unaffected by the condition themselves, but have a higher risk of having an affected child.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists recommends offering carrier screening to all women considering pregnancy or in their first trimester of pregnancy.
Cystic fibrosis, spinal muscular atrophy and fragile X syndrome can have devastating effects on life-expectancy and quality of life.
Cystic fibrosis and spinal muscular atrophy are autosomal recessive conditions, which means both parents must be carriers to have an affected child. Fragile X syndrome is an X-linked condition, so only the mother must be a carrier to have an affected child.
The best time to have carrier testing is before pregnancy, if possible. This gives you the widest range of reproductive choices and allows more time to make important decisions. However, testing can still be performed during pregnancy, ideally before 12 weeks.
Genetic carrier screening involves getting a simple blood test at your local Healius Pathology collection centre.
We recommend that the female partner get tested first, followed by the male partner if required for cystic fibrosis or spinal muscular atrophy.
Yes, genetic carrier screening for cystic fibrosis, spinal muscular atrophy and fragile X syndrome is bulk-billed.* It’s available free of charge once per lifetime for:
*Medicare eligibility applies
A carrier is someone who has one gene with a genetic variation and one gene that is unaffected. Carriers are typically symptom-free and do not know that they carry this variation.
Our expert Genomic Diagnostics team will use the DNA from your blood sample to test for the most common genetic changes that cause cystic fibrosis, spinal muscular atrophy and fragile X syndrome.
If both partners are identified as carriers for cystic fibrosis or spinal muscular atrophy, or the female partner is identified as a carrier for fragile X syndrome, they are considered to be a carrier couple.
When the female partner is not identified as a carrier, the couple is considered to have a much lower risk of having an affected child.

Recessive diseases are caused by changes (called genetic variants) in both copies of a person’s genes. Every person has two copies of each gene, one inherited from each parent. A recessive disease occurs when both copies of the same gene have the same variant. Cystic fibrosis is an example of a recessive disease.
When two parents are carriers of the same genetic disease, their children have a 1 in 4 (or 25%) chance of having that disease.

With X-linked conditions, such as fragile X syndrome, only the mother must be a carrier to have an affected child.
Generally, no follow-up testing is suggested for the diseases screened as your carrier status does not change. It is important to understand that no screen is able to identify every carrier of every disease. Speak to your healthcare provider if you have special concerns due to family history or other factors.
Standard carrier screening
If you and your reproductive partner are found to be a carrier couple for any of these conditions, genetic counselling is available. This will provide information about the condition and enable in-depth discussions about your options, whether you are already pregnant or planning to have a child.
Expanded carrier screening
Online genetic information sessions with a qualified genetic counsellor are available to you and your partner both before and after testing. These are free general information sessions and will not discuss your actual results. To schedule a complimentary genetic information session with a genetic counsellor, go to: my.natera.com/services/genetic_information.
Please select your appropriate time zone when booking a session, as these are with genetic counsellors based in the US. Meeting times are available at the beginning and end of the days, however if you cannot find a suitable timeslot, please reach out to us.
If you and your reproductive partner are found to be a carrier couple for any of the conditions tested for, additional genetic counselling is available for you free of charge. This will provide information about the condition and enable in-depth discussions about your options, whether you are already pregnant or planning to have a child.
A carrier couple is where both you and your reproductive partner are carriers of the same autosomal recessive condition, or when the female partner is a carrier of an X-linked condition.
DNA can be extracted from all sorts of samples, including blood and saliva. We use blood to get the highest quality DNA for a quick and reliable result. This blood sample collection can be easily added to other routine antenatal blood screening tests that your doctor requests for you.
As well as genetic carrier screening for cystic fibrosis, spinal muscular atrophy and fragile X syndrome, we offer expanded genetic carrier screening that can test for up to hundreds of conditions. The expanded test is not covered by a Medicare rebate. Please see our page.
Genomic Diagnostics is an authorized distributor of Natera’s Horizon Test in Australia. The content has not been reviewed by nor endorsed by Natera, Inc. Genomic Diagnostics is solely responsible for maintaining content according to Natera partnership guidelines as well as all legal and regulatory requirements in Australia. CAP accredited, ISO 13485 and CLIA certified. © 2024 Natera, Inc. All Rights Reserved.
Genomic Diagnostics has a partnership with Nateria to undertake Horizon expanded carrier screening. Your sample and request will be sent to the Natera accredited laboratory located in the United States for testing. As such, patient samples and associated personal and health information will be securely transferred and processed in accordance with applicable privacy laws. Data related to the test, including results, may be stored on secure servers located in the United States. By proceeding with this test, patients provide consent for their information to be transferred, processed, and stored outside of Australia.