Range of services & costs

On this page, I would like to provide you with a comprehensive overview of my genetic counseling services. I am happy to answer any questions you may have.

Genetic counseling

Infertility

The World Health Organization (WHO) defines infertility as the failure to achieve pregnancy after one year of regular unprotected sexual intercourse. There are many reasons for this, including physical causes and unhealthy lifestyles, and it affects both women and men. In some cases, however, infertility is caused by genetic changes. These can be identified by modern techniques.

During my genetic counseling, we take the time to analyze your family history and personal background, including medical conditions and risk factors. I am happy to answer any questions you may have about possible genetic testing and can arrange laboratory testing if necessary. My goal is to advise you empathetically and competently and to clarify all your concerns in a professional and, above all, understandable manner.

Recurrent miscarriage

Recurrent miscarriage, also known as recurrent pregnancy loss (RPL), affects up to 5 % of confirmed pregnancies. If you have had two or more miscarriages and are wondering whether they were accidental or could have a genetic cause, I am happy to help you as a medical geneticist.

Together, we gather information about possible reasons for miscarrying. We look at your personal family tree, including any medical history. In addition, I will provide you with information on useful tests to determine the cause, to provide you with clarity and support.

Before starting a family / carrier screening

In about one out of 100 healthy, unrelated couples, both partners are carriers of the same genetic disease. There is a 25 % chance that their child will inherit both disease-causing genetic variants and will be affected by the disease. Consanguineous couples have a higher risk of being healthy carriers for the same disease. Carrier screening is a test to see if both of you are carriers of the same disease.

If you are planning to start a family and are not sure if there is a hereditary disease in your family, or if you would like to learn more about carrier screening, then please feel free to contact me to schedule a consultation.

Noninvasive prenatal testing (NIPT)

NIPT requires only a blood sample from the mother and can be performed from the 10th week of pregnancy without any risk to the baby. NIPT can be used to determine whether the unborn child is at risk for having certain chromosomal abnormalities, such as trisomy 21. I offer several testing options and would be happy to advise you personally.

Abnormalities during pregnancy

During pregnancy, both the mother and the unborn child receive regular medical care and routine examinations. These examinations may reveal abnormalities that cause concern for parents. If there is evidence for a genetic cause for the unborn child’s abnormalities, you may seek medical genetic counseling. I will discuss your questions and concerns with you. By asking specific questions and evaluating the existing findings, I will determine the specific risk situation and explain it to you in an understandable way. We will also discuss what other testing options are available and whether they are appropriate for you, considering the possible consequences.

Developmental delay

Your child has a confirmed developmental delay, and you would like to know if there could be a genetic cause? In this regard, I offer qualified medical genetic counseling. This may be relevant not only for the diagnosis and initiation of possible therapeutic measures, but also for the likelihood of recurrence for future children.

Hereditary tumors

Hereditary tumors can be benign or malignant and account for about 5 to 10 % of all malignant tumor diseases or cancers. Signs of hereditary predisposition may include a relatively younger age at onset, the occurrence of multiple tumors in the same person, and the same tumors or tumors of a typical spectrum in several family members. As a specialist in medical genetics, I offer comprehensive consultation on hereditary tumors in my doctor’s office in Berlin. This not only allows for improved diagnosis of hereditary tumor predisposition, but also for a more accurate assessment of hereditary risk for family members. In addition, targeted early detection could be recommended.

Breast and ovarian cancer

Breast cancer is the most common cancer in women. Various factors, both genetic predisposition and external influences, play an important role. If breast cancer or ovarian cancer runs in a family, or if both are diagnosed in the same person, it may be hereditary. In such cases, genetic counseling or analysis may be useful to assess an individual’s risk of breast or ovarian cancer and the risk of passing it on to future generations.

Colorectal cancer

Colorectal cancer is also one of the most common types of cancer. About 5-10 % of colorectal cancer cases are due to genetic predisposition. Individuals with hereditary colorectal cancer have an increased risk of developing colorectal cancer at a young age. If you suspect that you have a hereditary condition or a family history of colorectal cancer, I would be happy to advise you.

Other consulting areas

In my medical genetics doctor’s office, I also offer comprehensive medical genetic counseling for a variety of diseases and disorders:

  • Syndromes
  • Metabolic diseases
  • Hormonal disorders
  • Skin, hair, teeth, bones, connective tissue
  • Neurological disorders
  • Neuromuscular disorders
  • Muscular diseases
  • Kidney diseases
  • Eye diseases
  • Ear diseases, hearing impairment
  • Diseases of the heart and blood vessels
  • Blood disorders

Prevention

Genetic counseling and testing can also proactively help to identify genetic risk factors. Depending on the results of the examination, early detection of diseases can be offered, lifestyle changes or preventive therapies can be implemented for health maintenance. I would be happy to provide you with personalized, expert advice on prevention and the options available to you.

DNA paternity test / relationship test

A paternity test is a reliable and quick way to determine a child’s parentage. In my medical genetics doctor’s office, I offer both simple paternity tests for personal use and paternity reports that are judicially sound in German courts. In the case of a paternity report for the court, please ask the judge in advance if he or she will accept the standard test of the laboratory I offer or if the judge prefers a particular laboratory. If you need more information, please feel free to contact me.

It is important to note that all parties must agree to a paternity test. In addition, documented sampling must be performed in person. A video appointment is not possible in this case. Minors require the consent of all legal guardians. Conducting tests in secret is not permitted. In fact, it is punishable.

Your consultation – individual & confidential

Schedule your desired appointment online or contact me for an individual arrangement.

Medical genetic counseling
in my Berlin office…

… or from any location as a video call.

About video consultation

Dear patient,

with the advancement of telemedicine, I am pleased to offer video consultations. There are many advantages for you as a patient, as you do not have to make the long trip to my office and still receive a medical genetic consultation. To participate in a video consultation, you need a smartphone, tablet, notebook, or PC with a camera and microphone as well as internet access. The video consultation takes place via Doctolib.

Please send me the signed "Informed Consent for Genetic Counseling" for the video consultation and have your ID ready for verification at the beginning of the consultation. The items on the "Consultation Checklist" apply to both in-person and video consultations. A medical genetic consultation via video consultation is permitted in individual cases, if it is medically justifiable and the necessary medical care is ensured If you have booked a video consultation with me, I will check whether this is possible in your case. . If I cannot take responsibility for a video consultation in your case, I will inform you in good time and offer you an appointment for a personal consultation instead.

The documented collection of buccal swabs for paternity testing must be done in person. A video appointment is not possible in this case.

Your specialist in medical genetics
Dr. med. Anna N. Henkelmann

Cost of medical genetic counseling

In my doctor’s office in Berlin, I offer medical genetic counseling for privately insured patients as well as for self-paying patients. Individuals with public health insurance also have the option of using my services on a self-pay basis.

The cost of medical genetic counseling is usually covered by private health insurance. However, it is advisable to check with your private health insurance company on an individual basis whether the costs will be covered in your case before using the consultation service. Please note that medical genetics often involves complex diseases that require intensive counseling and which, according to the ‘Gebührenordnung für Ärzte’ (GOÄ), justify a billing factor of 3.5. My fee is based on the time I need to prepare for our meeting, research and write your consultation letter, and the duration of our consultation. Please feel free to contact me for further information.

A special service offered by my medical genetics doctor’s office is the documented collection of samples for paternity testing. The cost of sampling is €39 per person. Laboratory costs will be added. It is possible to get both simple paternity tests for private use and paternity reports that can be used in German courts. It is important to note that in the case of minors, all legal guardians must give their written consent to the test. It is not permitted to take the test secretly.

 

Schedule a consultation appointment online now!

Book an appointment for a personal consultation via video call or in my doctor’s office in Berlin. Book conveniently online at Doctolib. I am looking forward to meeting you!

Your specialist in medical genetics
Dr. med. Anna N. Henkelmann