Fertility Cafe

What Genetics Really Means for IVF, Donors, and Embryos


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Genetics touches nearly every part of the family-building journey, yet for most people it feels confusing, intimidating, and filled with unknowns.

In this conversation, Eloise Drane sits down with Gina Davis, a genetic counselor with more than 20 years of experience in reproductive genetics, IVF, donor conception, and embryo donation. Gina brings rare insight as both a clinician and someone who has personally navigated IVF and become a known embryo donor.

Gina shares what intended parents, donors, and professionals need to understand about carrier screening, family history, genetic risk, and how testing fits into a fertility plan. She breaks down common misconceptions, explains why no genetic picture is ever “perfect,” and highlights the biggest gaps she sees inside fertility clinics today.

They explore the realities of embryo testing, including PGTA, mosaicism, false positives, and how to evaluate results when embryos are limited or labeled “abnormal.” Gina also explains how patients can advocate for themselves and why genetics should be values-driven rather than fear-driven.

By the end, listeners will walk away with clarity, confidence, and a better understanding of the questions to ask, the decisions only they can make, and how to navigate genetics without feeling overwhelmed.

You can’t control everything, but you can be informed.

“We’re all perfectly imperfect when it comes to genetics.” – Gina Davis

Guest Bio:

Gina Davis is a genetic counselor who has worked in the reproductive medicine space for over 20 years. A few years into her career, she also became an IVF patient, and later, a known embryo donor. This experience has shaped her lens of best practices and how professionals can work together to improve the lives of our patients and the families we help create. Gina spent the first 9 years of her career as a genetic counselor at the REI and reproductive genetics program at UCSF. Gina now leads a team of genetic counselors at her private practice, Advocate Genetics, which provides nationwide virtual genetic counseling for fertility patients, gamete donors, and embryo donors. Gina is also a co-founder of Empower with Moxi – https://empowerwithmoxi.com, an educational, support, matching and journey management program with the central aim of empowering choice and understanding in embryo donation.

You’ll hear about:

  • Why genetics matters in fertility care
  • Gina’s IVF and embryo donation journey
  • Carrier screening basics
  • Family history vs genetic testing
  • Donor genetic evaluations
  • Understanding PGTA and mosaicism
  • Limits of embryo testing
  • Making values-driven decisions
  • Red flags in clinic genetic counseling
  • Where to start when feeling overwhelmed
  • Episode Resources:

    Advocate Genetics - https://advocategenetics.com

    Empower with Moxi - https://empowerwithmoxi.com

    Related episodes:

    Ep 97 - Fertility in the Modern Age: IVF, Environmental Impacts, and Quality Care
    https://thefertilitycafe.com/podcast/ep-97-fertility-in-the-modern-age-ivf-environmental-impacts-and-quality-care/

    Ep 102 - Beyond the Clinic: Why the Fertility Lab is Key to Your Success
    https://thefertilitycafe.com/podcast/ep-102-beyond-the-clinic-why-the-fertility-lab-is-key-to-your-success/

    Ep 121 – Inside Modern Fertility Care — IVF, Surrogacy, Egg Donation & Family Building
    https://thefertilitycafe.com/podcast/beyond-ivf-surrogacy-egg-donation-the-future-of-fertility-care/

    Stay Connected:

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    LinkedIn: https://www.linkedin.com/company/fertility-cafe/

    More Resources

    Learn more about surrogacy & fertility: https://familyinceptions.com/

    Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists

    Get expert insights & updates: https://thefertilitycafe.com/resources

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    Fertility CafeBy Eloise Drane

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