See what you missed at ASRM 2024 with the ASRM 2024 Recorded Bundle 

Menu
Close Close Icon
ASRM Today teaser

ASRM Today: Genetics - Episode One

Subscribe to ASRM Today

Transcript

The following transcript was automatically generated.

Join us as this season we dive into the topic of Genetics. In this first episode, we'll explore how a 19th-century monk, working quietly in his garden, set the stage for a scientific revolution. Our guest this episode is Janine Gessner Mash, Director at Arbor Genetic Counseling.

Welcome to ASRM Today, a podcast that takes a deeper dive into the current topics in reproductive medicine. Welcome to ASRM Today, I'm your host, Jeffrey Hayes, and today we're going back to the beginning, to the very roots of genetics. In this first episode, we'll explore how a monk, working quietly in his garden, set the stage for a scientific revolution.

A quiet, scholarly man in a monastery garden is spending his days experimenting with pea plants. His name? Gregor Mendel. Mendel isn't a household name at the time, nor is he a famous scientist.

He's a monk with a passion for understanding how traits are passed down from one generation to the next. But what made Mendel's work so special? Let's step into that monastery garden for a moment. Here, Mendel is cross-pollinating pea plants with different traits.

Some are tall, others are short. Some have yellow peas, others have green. What Mendel discovers, through careful observation and record-keeping, is something profound.

Traits are passed down in a predictable way. He notices that some traits, like tallness, seem to dominate, while others, like shortness, can disappear in one generation, only to reappear in the next. Mendel called these factors heritable units.

Today, we call them genes. Now imagine the patience it took to manually cross thousands of pea plants, counting and categorizing every trait over multiple generations. It was meticulous work, but Mendel's results were clear.

He established the basic principles of dominant and recessive traits, which are now known as Mendel's Laws of Inheritance. But despite the groundbreaking nature of his work, Mendel's discoveries were largely ignored by the scientific community during his lifetime. His paper, published in 1866, gathered dust in scientific archives, while Mendel himself returned to his quiet life at the monastery.

He passed away in 1884, never knowing the impact his work would have. It wasn't until the early 1900s, more than 30 years later, that three scientists, working independently in Europe, rediscovered Mendel's work. They realized that Mendel had cracked the code of how traits are inherited.

The world of science was about to change, forever. To get some more insight, I asked my guest, Janine Gessner Mash, about Mendel. Let me ask you a small question, to get the ball rolling here.

How did Mendel change science with his genetic studies? Just a small question. Just a little question there. You know, obviously, kind of the bigger piece that happened was he was so observant and kind of breaking down these, you know, traits that he was observing.

And there was, of course, a big amount of luck in what he was selecting and what he was working on to even be able to observe those sorts of traits. But over time, once people started to realize his work, it basically became the foundation for which so much of genetics knowledge has been thrust off from. So those fundamental kind of, you know, discrete pieces of alleles and genes and all these things, which they did not have, like Mendel did not have terms for those at that time.

But he correctly identified these units, which then allowed for the rest of genetics to kind of really be built off of. So he didn't he didn't come up with the term genetics or was that a term that existed at the time? I don't think it existed at that time. And most of the words that we use around this did not exist at that time either.

He was saying words like traits or observations or, you know, color. He was describing those units, but they had yet to be, you know, given their scientific names like genotype, phenotype, allele, genes, those sorts of things. Now, is it is it true that his work was discovered later, posthumously? Yes.

Is that correct? You know, I'm not 100 percent sure if it was, but it was about 35 years after he had written his work when people finally started to kind of pick up on it. And then it took another 30 years before, kind of in that early 1930s, before he really got recognized as the grandfather, you know, really the father of genetics. Like that's when that kind of got enshrined.

So what other are there anything in reproductive medicine that we can thank Mendel for? Yeah, definitely. I mean, every time we run an expanded carrier screening panel, that's all Mendelian genetics, right? Every time someone comes to us for PGTM testing for their single gene disorder, whether it's dominant or X-linked or all of this, that all roots back to to Mendel and what he first kind of observed and discovered and wrote. You think, do you think hypothetically that Mendel could have anticipated any of the ethics, you know, that have come with like pre-genetic testing screening and all this? I mean, he was just basically he was dissecting beans, right? Right.

Yeah. Pea plants, right? Yeah. Yeah.

So he was looking off of plants. No, I don't think I don't even know if he necessarily was able to apply this into humans either, right? Because at this time in science, you know, animal, plant, human were very distinct groups, right? We didn't always think of them as being so interchangeable. But then as that thought process evolved, realizing that there was this really core transcript DNA that ran through all of life and that took time to discover and kind of really put together.

So when he was doing this work, it was really all about his pea plants, these traits that he could observe off of them and really calculating out those statistics. Would you would you say it's fair to say a lot of his work is philosophical? I actually think it's more discreet. I don't know if he was really philosophical about it.

I think it was kind of that really monotonous, laborious, like, I'm just going to replicate these experiments over and over and over again. And it was actually noticed in the 60s that it seems like some of this data was, you know, not necessarily recorded under scientific methods that we would use today. His statistics were a little too perfect.

They matched too much, too well. There's no control trial, you know, going on. It's just, you know, again, fair, right? We're in the 1800s.

He was a monk. He didn't have scientific training and background. So it was really just like funneling into, you know, that core monotony observation, doing the due diligence and then really making observations from that.

And I don't know how much philosophy really went into that piece at that point in time. Mendel's humble experiments in a monastery garden gave rise to the field of genetics and his laws of inheritance remain as relevant today as they were more than 150 years ago. From Mendel's peas to modern gene editing techniques like CRISPR, our understanding of life at its most fundamental level continues to evolve.

But Mendel's legacy endures. In future episodes this season, we'll dive deeper into genetics and reproductive medicine. But it all started here with a monk and his pea plants.

Thank you for joining me today on ASRM Today. I hope you've enjoyed this journey into the origins of genetics. Be sure to subscribe.

And if you like today's episode, leave us a review and share it with a friend. Until next time, I'm Jeffrey Hayes. This concludes this episode of ASRM Today.

For show notes, author information and discussions, go to ASRMToday.org. This material is copyrighted by the American Society for Reproductive Medicine and may not be reproduced or used without express consent from ASRM. ASRM Today series podcasts are supported in part by the ASRM Corporate Member Council. The information and opinions expressed in this podcast do not necessarily reflect those of ASRM and its affiliates.

These are provided as a source of general information and are not a substitute for consultation with a physician.

ASRM Today Series Podcasts are supported in part by the ASRM Corporate Member Council

ASRM Today

ASRM Today teaser

ASRM Today: Genetics - Episode One

Explore how Gregor Mendel's pea plant experiments in a monastery garden laid the foundation for modern genetics and reproductive medicine.
ASRM Today teaser

ASRM Today: Bonus Episode: Reflections at ASRM 2024

Explore highlights from ASRM 2024 in Denver, featuring interviews with leaders in reproductive medicine, educational insights, and inspiring attendee experiences.
ASRM Today teaser

ASRM Today: Industry Sponsored Episode: Importance of Equity in Fertility Care & FertilityEquity™ Module Launch

ASRM Today podcast discusses challenges in fertility care access for Black women, launching an e-learning module to address equity and support in reproductive healthcare.
ASRM Today teaser

ASRM Today: Equity, Access, and Innovation, Episode Nine: Reflections

Explore equity, access, and innovation in reproductive medicine through ASRM Today's journey this season, blending personal, political, and cultural insights.

ASRM Podcast Family

Please subscribe and rate our shows on Apple Podcasts, Google Play, or wherever you get your podcasts. Subscribe Now so you don't miss an episode!
ASRM Today teaser
Podcast

ASRM Today

A podcast that takes a deeper dive into current topics in reproductive medicine. And what is in that dive? ASRM Today brings you episodes that explore reproductive medicine through personal interviews and expert discussions, keeping up with the topics that matter.

Subscribe Now!
F & S OnAir teaser
Podcast

Fertility and Sterility On Air

The podcast where you can stay current on the latest global research in the field of Reproductive Medicine. This podcast brings you an overview of the monthly F&S journal, in-depth discussion with authors, and other special features.

Subscribe Now!
SART Fertility Experts teaser
Podcast

SART Fertility Experts

An educational project of the Society for Assisted Reproductive Technology, this series is designed to provide up-to-date information about a variety of topics related to fertility testing and treatment such as IVF. 

Subscribe Now!

Topic Resources

View more on the topic of genetic screening/testing
Podcast Icon

ASRM Today: Genetics - Episode Two

Explore the nature vs. nurture debate, epigenetics, and how genetics and environment shape behavior, personality, and modern precision medicine. Listen to the Episode
Document Icon

Transfer of embryos affected by monogenic conditions: an Ethics Committee Opinion (2025)

Patient requests to transfer embryos with serious monogenic disorders detected in preimplantation testing are rare; this opinion discusses physician responses. View the Committee Opinion
Podcast Icon

Fertility and Sterility On Air - TOC: Jan 2025

This episode of Fertility and Sterility On Air covers groundbreaking research on reproductive medicine, including PGTA in donor eggs, BMI effects, and ovarian transplantation. Listen to the Episode
Podcast Icon

Fertility and Sterility On Air - TOC: Dec 2024

Podcast episode discussing reproductive medicine highlights, including ASRM 2024 insights, meta-analysis integrity, donor ethics, and IVF communication challenges. Listen to the Episode
Podcast Icon

Fertility and Sterility On Air - TOC: November 2024

Explore insights on the latest Fertility and Sterility On Air podcast, discussing ART workups, LGBTQ family building, genetic screening, and original research. Listen to the Episode
Podcast Icon

Fertility and Sterility On Air - Unplugged: December 2024

Explore the complexities of chromosomal abnormalities in embryos, their impact on fertility, and counseling strategies for patients in this in-depth podcast discussion. Listen to the Episode
Videos Icon

Journal Club Global: Embriões mosaicos ao Teste Genético Pré-Implantacional para Aneuploidia (PGT-A): o que fazer?

Discutiremos embriões mosaicos ao teste genético pré-implantacional para aneuploidia (PGT-A) View the Video
Videos Icon

Journal Global Club From TSRM 2024: Preimplantation genetic testing for aneuploidy in unexplained recurrent pregnancy loss: A systematic review and meta-analysis

Explore the effectiveness of PGT-A in managing unexplained recurrent pregnancy loss, featuring systematic review findings, insights on miscarriage risks, and live birth rates. View the Video
Podcast Icon

Fertility and Sterility On Air - TOC: October 2024

Explore the latest in reproductive medicine with Fertility and Sterility On Air. Topics include ovarian tissue cryopreservation, DuoStim debates, 1PN embryos, and ART outcomes. Listen to the Episode
Videos Icon

Genetics: Counseling Fertility Couples About Their Evaluation

Caitlin Hebert discusses fertility counseling, the importance of carrier screening, and overcoming barriers for patients while highlighting the role of genetic counseling. View the ASRMed Talk Video
Document Icon

Use of preimplantation genetic testing for monogenic adult-onset conditions: an Ethics Committee opinion (2024)

Preimplantation genetic testing for adult-onset monogenic diseases is ethically allowed when fully penetrant or conferring disease predisposition. View the Committee Opinion
Coding Icon

Codes for Embryo Biopsy

When doing a preimplantation genetic test (PGT) biopsy, can you bill for each day a biopsy is performed or can you only bill once for the cycle? View the Answer
Videos Icon

Journal Club Global: Recent clinical trials in Fertility and Sterility from the Asia Pacific region

Join ASPIRE 2024 for a Journal Club Global on PGT-A and IVF. Learn from top experts discussing recent clinical trial data and pregnancy outcomes View the Video
Coding Icon

Coding for an endometrial biopsy/Mock cycle

We had patients request us to bill their insurance for the two monitoring visits and the Endo BX and change the diagnosis code to something that is payable.  View the Answer
Videos Icon

Journal Club Global: Cost effectiveness analyses of PGT-A

Infertility treatments can be financially burdensome, often without insurance coverage, making understanding the cost effectiveness of PGT-A crucial. View the Video
Coding Icon

Coding PGT requisitions to the PGT lab

Do you have any recommended codes to use for PGT requisitions to the PGT lab?   View the Answer
Videos Icon

Genetics: Is Expanded Carrier Screening the Standard of Care?

Hannah Green, a genetic counselor at NYU, discusses the benefits and limitations of expanded carrier screening, highlighting its impact on clinical practice and patient care. View the ASRMed Talk Video
Videos Icon

Genetics - Extra Testing, Passthrough or Money Maker?

Danielle Soltesz of RMA New York discusses the complex economics and ethical considerations of genetic testing in reproductive medicine, exploring costs, patient care, and sustainability. View the ASRMed Talk Video
Document Icon

Clinical management of mosaic results from preimplantation genetic testing for aneuploidy of blastocysts: a committee opinion (2023)

This document incorporates studies about mosaic embryo transfer and provides evidence-based considerations for embryos with mosaic results on PGT-A. View the Committee Opinion
Videos Icon

Journal Club Global - Revisiting the STAR trial: The Fellows debate PGT-A

We are excited to host a debate covering the pros and cons of PGT-A and how new technologies should be validated before clinical implementation. View the Video
Coding Icon

Results Review

What CPT code is most appropriate to submit for Physician Time to review CCS/PGS/PGD results? View the Answer
Coding Icon

Sperm DNA Fragmentation

Is there a CPT code for HALO DNA Fragmentation for sperm? View the Answer
Coding Icon

ICSI and Embryo Biopsy

How to bill for ICSI or embryo biopsies that occur in different days?  View the Answer
Coding Icon

Embryo Biopsy

Have any new codes been introduced for the lab portion of PGT? View the Answer
Coding Icon

Embryo Biopsy Embryologist Travel Costs

Can we bill insurance for the biopsy procedure? Can we bill for travel expenses? View the Answer
Coding Icon

Embryo Biopsy PGS Testing

What codes are appropriate for PGS testing? View the Answer
Coding Icon

Genetic Counseling

Does ASRM have any guidance for how to bill for genetic counseling services provided by a genetic counselor?
View the Answer
Coding Icon

Assisted Zona Hatching

Can assisted hatching and embryo biopsy for PGT-A; PGT-M or PGT-SR be billed during the same cycle? View the Answer
Document Icon

Indications and management of preimplantation genetic testing for monogenic conditions: a committee opinion (2023)

ASRM has updated its opinion on PGT for monogenic conditions, providing guidance on clinical and technical complexities. View the Committee Opinion
Videos Icon

Journal Club Global - PGT-A - Can non-invasive approaches based on spent medium analysis

PGT-A by trophectoderm biopsy aims to select available euploid embryos for transfer. View the Video
Document Icon

ASRM müllerian anomalies classification 2021

The Task Force set goals for a new classification and chose to base it on the iconic AFS classification from 1988 because of its simplicity and recognizability. View the Committee Opinion
Videos Icon

Journal Club Global - Accuracy of Preimplantation Genetic Testing for Aneuploidies

One of the highest aspirations in reproductive medicine is to develop a technology allowing for ID of embryos that have true reproductive potential.
View the Video
Document Icon

Reproductive and hormonal considerations in women at increased risk for hereditary gynecologic cancers: Society of Gynecologic Oncology and American Society for Reproductive Medicine Evidence-Based Review (2019)

Providers who care for women at risk for hereditary gynecologic cancers must consider the impact of these conditions. View the Joint Statement
Document Icon

Disclosure of sex when incidentally revealed as part of preimplantation genetic testing (PGT): an Ethics Committee opinion (2018)

Clinics may develop a policy to disallow selecting which embryos to transfer based on sex and choose to use only embryo quality as selection criteria. View the Committee Opinion
Document Icon

Best practices of ASRM and ESHRE: a journey through reproductive medicine (2012)

ASRM and ESHRE are the two largest societies in the world whose members comprise the major experts and professionals working in reproductive medicine. View the Committee Joint Guideline
Membership Icon

Preimplantation Genetic Testing Special Interest Group (PGTSIG)

The ASRM PGTSIG coordinates research, education, and training in preimplantation genetic diagnosis (PGT). Learn more about the PGTSIG