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  autosomal abnormalities  
 
 
From time to time, men may ask for fertility treatments including IVF/ICSI when they are already known to have an autosomal defect. In these cases, genetic counselling is also required.
 
Genetic counselling should be offered to all couples where the male partner is known or found to have an autosomal karyotype abnormality. When there is conflict between the wishes of the couple and the interests of the future child, it may be ethically correct to withhold therapy. In general, the best management is to agree treatment with the couple, providing them with full information about the genetic risk.