Prenatal genetic counseling and preconception (the time period and care that happens prior to pregnancy) genetic counseling and testing offer ways to gain further information and education that can help patients and families make informed decisions about their pregnancy and for preconception planning. There are many testing options available nowadays with different benefits, risks, and limitations. This article lays the foundation for essential questions you may have, such as: However, it’s important to keep in mind that genetic counseling and genetic testing are voluntary — it’s your choice. In fact, the American College of Obstetricians and Gynecologists (ACOG) reaffirmed in January 2026 that, “After pretest counseling, every patient has the right to pursue or decline prenatal genetic screening and diagnostic testing.” So, keep the communication open with your OB/GYN, or maternal-fetal medicine doctors, about the types of testing you’re comfortable with and what the information means (and what it doesn’t). […]