When you fall in love and decide that your partner is going to be the person you want to share your life with, life can seem blissful. If you start thinking about children, the future seems rosy and exciting. Some of you might be aware that the Jewish population may be at risk for certain genetic diseases. When a couple is from two different religious backgrounds, a they may think they are in the clear. A mix of genes from a variety of cultures should lead to a more robust gene pool, they think. Remember we learned in high school that both parents have to carry the gene for the child to be at risk. So an interfaith couple should be unlikely to produce a child with genetic issues, right? Maybe not.
I recently saw a news story that members from the Irish community were having children with Tay Sachs (a genetic disease that can occur with people from eastern European descent). This got me thinking. Do all of us truly know who our great, great, great grandparents were? Is there a chance that our ancestors left Spain in 1492? Is there a chance that one of our ancestors was born to Jewish parents but decided to become another religion to avoid religious persecution? I realized, this entire country was founded upon the basis of freedom of religion! Obviously, throughout the world, the freedom to practice one’s religion has been (and in many places continues to be) at risk. So chances are high that one of our ancestors could have been from a different religion or culture. With such a possibility, it makes sense that we might not truly know our genetic makeup. When I think about it further, anti-Semitism has been around for thousands of years. So the chances that an ancestor was Jewish and then converted to another religion to avoid persecution is possibly quite high.
At the Victor center, statistics say that one in four Jews is a carrier for at least one of 19 preventable Jewish genetic diseases. The mission of the Victor Center for the Prevention of Jewish Genetic Diseases is to ensure ongoing access to comprehensive genetic education, counseling services and screenings. This is accomplished through Jewish community education programs and screening programs for healthy individuals at risk for being carriers of a gene mutation for any one of these diseases. The Victor Center recommends that the Jewish partner be tested first. If the Jewish partner has no issues, then there is no need for additional genetic testing.
It is obviously a scary proposition to think about “what if” and what decisions that might need to be made if there is a problem. That is the point of testing. Then you know and can move forward. More important, once you know that you are in the clear, you can stop worrying about genetic diseases. Genetic counselors can explain all the issues, risks and options. Genetic testing is a simple blood test but it can provide peace of mind. With peace of mind, you can start focusing on the other exciting aspects of upcoming parenthood.
If both are carriers, what are the reproductive options?
There are many reproductive options available to carrier couples, including prenatal diagnosis (chorionic villus sampling and amniocentesis), pre-implantation genetic diagnosis, gamete donation and adoption. Genetic counseling is recommended to learn more about all of the reproductive options. To speak with the genetic counselor at The Victor Center, please call (215) 456-8722. Additionally, your rabbi or other clergy may be able to provide insight and help in making these decisions.Everyone is different and every couple is different. The point is this: You and your partner should just think about being tested. It is a good discussion to have and there are genetic counselors ready to help no matter what you decide.
Read one couple’s story about coping with genetic disease