Genetic Counselling
What is Genetic Counselling and How Can It Help You?
Genetic counselling is a specialist medical service designed to help you understand, adapt to, and manage hereditary health conditions. At London Genetics, we translate complex DNA science into clear, meaningful guidance.
Led by Dr Ehsan Ghayoor Karimiani — a medical doctor, PhD in Medical Genetics, and Honorary Lecturer at University College London (UCL) — our clinic bridges world-class academic excellence with compassionate, patient-centred care.
🧬 How We Address Your Concerns
Many individuals face overwhelming uncertainty regarding their health. Our tailored consultations are designed to replace anxiety with answers if you are:
🩺 Investigating Unexplained Conditions: Exploring whether genetics might be the underlying cause of your symptoms.
👨👩👧 Planning a Family: Seeking clarity during pregnancy, or addressing hereditary risks before starting a family.
🛡️ Exploring Preventative Care: Assessing risks for hereditary cancers or cardiac conditions to take proactive medical steps.
🤝 A Private, Safe Space for Your Journey
We believe that genetic counselling is not just about laboratory reports — it is about empowerment. When you visit our central London clinic, you receive:
Tailored Evaluation: A comprehensive review of your personal and family medical history.
Absolute Discretion: A safe, strictly confidential, and culturally sensitive environment.
Actionable Advice: Evidence-based insights to help you make confident decisions about your future.
You do not have to navigate your genetic journey alone. Our specialist team is here to provide the precise answers and ongoing clinical support you deserve.
Your Journey with Us: How It Works
Book a Consultation
Schedule your initial private session online or via phone without needing a GP referral.
Clinical Assessment
Discuss your family history and health concerns in a private, extended session with a clinical geneticist.
Targeted Testing & Support
If recommended, undergo precise genomic testing followed by a detailed results breakdown and clear next steps.
Why Inherited Disorders Testing is Important
Inherited disorders testing provides critical insights that empower individuals and families to take proactive steps for their health and wellbeing. Understanding your genetic risks helps guide prevention, early diagnosis, and informed decision-making.
Inherited disorders testing allows individuals to identify potential genetic risks before symptoms appear. Early knowledge of these risks enables proactive measures, helping to prevent the onset or reduce the severity of certain conditions.
Detecting genetic conditions at an early stage provides a significant advantage in managing health. With timely intervention, tailored treatment plans can be implemented, improving outcomes and enhancing quality of life.
Understanding one’s genetic profile can greatly influence important medical and family decisions. From planning a pregnancy to considering lifestyle changes or preventive treatments, genetic testing empowers individuals and families to make informed choices that protect their long-term health.
Your genetic health matters. Through inherited disorders testing, we combine advanced science with compassionate care to guide you and your family toward informed and proactive health management.
Why Choose London Genetics for Your Care?
Genetic counselling is a deeply personal journey, and choosing the right clinic makes all the difference. At London Genetics, we combine clinical excellence with absolute discretion. Here is why patients across London and the UK trust us with their genetic health:
World-Class Specialist Expertise Our clinic is led by highly qualified clinical geneticists and specialists with extensive academic training. By staying at the absolute forefront of genomic science, we ensure you receive precise, up-to-date, and evidence-based clinical advice.
Culturally Sensitive & Inclusive Support We pride ourselves on providing care that respects and reflects the rich diversity of London. Whatever your background, culture, or personal beliefs, our experts offer compassionate, non-judgemental guidance tailored to your family’s unique dynamics.
Strictly Confidential & Private Consultations Your privacy is our utmost priority. Every consultation and genetic test is handled with total discretion within a safe, welcoming, and secure environment, ensuring you feel completely comfortable discussing sensitive medical history.
Central London Location & Flexible Scheduling Located in the heart of London, our clinic is easily accessible by both public transport and car. To accommodate your busy lifestyle, we offer highly flexible appointment times, including evening slots, ensuring expert care is available when you need it most.
Choosing the Right Path: NHS vs. Private Genetic Counselling
| Feature | NHS Route | London Genetics |
|---|---|---|
| Waiting Times | Often weeks to several months | Fast appointments (within days) |
| Consultation Time | Standard, strictly limited sessions | Extended, comprehensive consultations |
| Access / Referral | GP or specialist referral required | Direct self-referral available |
| Testing Framework | Standard, rigid clinical criteria | Highly personalised genomic profiling |
4 Steps of Our Genetic Counselling Process
Step 1: Initial Risk Assessment
The consultation typically begins with a comprehensive risk assessment, where your personal and family medical history is reviewed in detail. This crucial step helps us identify any patterns that may indicate a higher likelihood of inherited conditions.
Step 2: Expert Guidance & Testing Options
If appropriate, genetic testing may be recommended. Our specialists will guide you through the available testing options, clearly explaining their purpose, benefits, and any potential limitations. We believe it’s vital that you understand the process completely.
Step 3: Tailored Results Interpretation
Once results are available, your genetic counsellor will interpret the findings, clearly explaining what they mean for your health and the health of your family. This interpretation is tailored to your individual circumstances, ensuring you understand both the medical implications and the next steps you might consider.
Step 4: Ongoing Support & Empowerment
Throughout the process, the counsellor’s role is to offer expert guidance, emotional support, and clear, jargon-free explanations. At London Genetics, we believe that Genetic Counselling isn’t just about science — it’s about empowering you to make confident, informed choices for your future.
Genetic Testing – What You Need to Know
Understanding genetic testing can feel a bit daunting, but at London Genetics, we’re here to make it clear and straightforward. Here’s a quick overview of what genetic testing involves and what you should be aware of.
Available Tests & What They Reveal
There are several types of genetic tests available, each designed to look for specific inherited conditions or risks. Some common tests include screening for hereditary cancers, rare genetic disorders, and carrier testing for couples planning a family.
These tests can provide valuable information about your genetic makeup, ccasionally, genetic testing identifies a Variant of Uncertain Significance (VUS), meaning the clinical significance of the genetic change is not yet fully understood. Learn what a Variant of Uncertain Significance means and how specialists interpret these findings.
helping to identify potential health risks or guide treatment options. Your genetic counsellor will explain which tests are suitable for your situation and what the results could mean for you and your family as part of our Genetic Counselling services.
Informed Consent & Ethical Considerations
Before any genetic test is carried out, it’s essential you fully understand what the test involves, If you are preparing for your first appointment, our complete guide on how to prepare for a genetic counselling appointment explains what medical records, family history, and questions you should bring to get the most from your consultation.
what it can reveal, and any limitations it might have. At London Genetics, we ensure you provide informed consent — meaning you agree to testing based on clear, comprehensive information.
We also discuss important ethical issues, such as how results might affect your relatives, potential emotional impacts, and your right to privacy. Our aim is to support you in making decisions that feel right for you, guided by our expertise in Genetic Counselling.
Insurance and Privacy in the UK
Many people wonder how genetic testing might affect their insurance or privacy. In the UK, genetic information is protected by strict laws and guidelines to ensure confidentiality.
While most standard insurance policies won’t be affected by genetic test results, it’s always best to discuss any concerns with your counsellor. At London Genetics, your information is handled with the utmost care and kept strictly confidential at all times.
DNA Health Screening
DNA Health Screening offers a comprehensive insight into your genetic profile, enabling you to understand potential health risks and predispositions. Unlike standard genetic tests that may focus on specific conditions, DNA Health Screening evaluates a broad spectrum of genes linked to inherited diseases, lifestyle-related risks, and carrier status. This allows individuals to take a proactive approach to their health, make informed lifestyle or medical decisions, and seek personalised guidance from our expert team. At London Genetics, our DNA Health Screening is accompanied by professional Genetic Counselling, ensuring you fully comprehend your results and can act on them with confidence and clarity.
What is Included in Your Genetic Counselling Service
- ✓ Detailed Pedigree Analysis: Construction and evaluation of a 3-generation family medical tree to identify inheritance patterns.
- ✓ Risk Quantification: Precise calculation of your statistical risks for inherited conditions or passing traits to offspring.
- ✓ Custom Testing Roadmaps: Selection of the most relevant molecular panels (e.g., WES, Carrier Screening) avoiding unnecessary expenses.
- ✓ Post-Test Clinical Reports: A formal, comprehensive genetic report with clear diagnostic insights for your GP or consultant.
Who Can Benefit from Genetic Counselling?
Genetic counselling offers valuable insights and support to a wide range of people. At London Genetics, we tailor our services to meet your individual circumstances.
Hover over each box for more detailed information!
Personalized care every step of the way. We focus on providing compassionate guidance and actionable insights tailored to your unique genetic profile and circumstances.
How This Service Empowers Your Health and Future
Genetic counselling goes far beyond delivering laboratory data; it provides lifelong clarity and peace of mind. By choosing London Genetics, you gain actionable insights that allow you to take proactive control of your wellbeing.
Core Outcomes:
Gain Absolute Medical Clarity You will fully understand your hereditary health risks, replacing anxiety and uncertainty with precise, evidence-based facts about your genetic makeup.
Make Informed Family Decisions Whether you are planning a family, undergoing prenatal screening, or investigating recurrent pregnancy loss, you will receive the definitive guidance needed to make confident reproductive choices.
Receive a Personalised Preventative Care Plan Armed with your results, our specialists will help you design a tailored healthcare strategy, including early detection measures and lifestyle adjustments to mitigate future risks.
Protect and Guide Your Family Members Identifying genetic patterns allows you to share vital, potentially life-saving insights with your close relatives, helping them manage their own health risks proactively,Comprehensive genetic testing can identify inherited health risks before symptoms appear, helping both you and your family take proactive steps towards prevention and early intervention. Learn how genetic testing for health risks can protect your family’s future.
Ongoing Emotional and Clinical Support You will walk away with an empathetic support network, expert resources, and a clear roadmap for the next steps in your medical journey.
Our Genetic Counselling Specialties
Individual Genetic Counselling
focuses on assessing personal genetic risk factors that may impact your health. At London Genetics, we provide tailored consultations to identify inherited conditions or predispositions unique to you.
Individuals should consider a consultation if they have a personal or family history of genetic conditions, unexplained medical issues, or simply wish to understand their genetic risks better. This service empowers you to make informed decisions about your health and lifestyle.
Family Genetic Counselling
Family Genetic Counselling involves evaluating hereditary risks shared among family members. By examining family medical histories, our experts can identify patterns that suggest inherited conditions, helping families understand their collective genetic health.
This service is invaluable for long-term family health planning, offering guidance to multiple generations on managing and mitigating genetic risks.
Prenatal Genetic Counselling
Prenatal Genetic Counselling provides support throughout pregnancy, including information on screening and diagnostic testing options. At London Genetics, we help expecting parents understand potential genetic risks and the available tests to ensure a healthy pregnancy.
Our goal is to facilitate informed decision-making for parents-to-be, ensuring they have the knowledge and support needed during this important time.
Premarital Genetic Counselling
Premarital Genetic Counselling assesses genetic compatibility before marriage to help prevent hereditary conditions in future offspring. This service is especially important in communities with a higher prevalence of certain genetic disorders.
London Genetics emphasises cultural sensitivity and informed consent, providing respectful and confidential consultations tailored to your needs.
Cancer Genetic Counselling
Cancer Genetic Counselling offers risk assessment for hereditary cancers such as BRCA-related breast and ovarian cancers, and Lynch syndrome. Our specialists evaluate your family and personal history to determine your genetic risk.
We also provide advice on preventative strategies and surveillance options, helping you manage your health proactively.
Rare Disease Genetic Counselling
This service focuses on the diagnostic evaluation of uncommon genetic disorders. At London Genetics, we assist in identifying rare conditions and provide long-term management plans.
Patients also gain access to specialist resources and support networks, ensuring comprehensive care tailored to their unique needs.
Recurrent Pregnancy Loss Counselling in London
Our Recurrent Pregnancy Loss Counselling service supports individuals and couples who have experienced multiple miscarriages. At London Genetics, we provide compassionate guidance and personalised assessments to help identify potential genetic, medical, or lifestyle factors contributing to pregnancy loss.
We aim to empower you with clear information, emotional support, and practical advice, enabling informed decisions about future pregnancies and care. Our specialists work closely with you to explore available testing options and strategies to maximise the chances of a healthy pregnancy.
Oncology Counselling
Oncology Counselling provides expert guidance for individuals and families navigating hereditary cancer risks. Our specialists offer personalised assessments, psychological support, and ethical advice to ensure informed decisions, helping patients manage their health proactively while addressing both medical and emotional considerations.
Ready to Take the Next Step?
If you’re curious about how genetic counselling could benefit you or your family, don’t hesitate to get in touch. At London Genetics, our friendly team is here to provide personalised advice and answer any questions you might have.
Whether you want to book a consultation, discuss testing options, or simply find out more, we’re just a call or click away. Your journey to better genetic understanding starts here.
Book a Consultation
Dr Ehsan Karimiani
In this section you can check frequently asked questions.
Is genetic counselling covered by the NHS?
Yes, genetic counselling is available on the NHS for many conditions, especially if you have a strong family history or specific medical concerns. However, waiting times can vary, and some people choose private services like ours for quicker access and more personalised care.
How accurate are the results?
Genetic tests are highly accurate in detecting specific genetic changes. That said, no test can guarantee a 100% prediction of future health, as many factors—genetics, environment, lifestyle—work together. Your genetic counsellor will explain what your results mean in context.
Do I need to inform my family about the results?
It’s often helpful to share relevant genetic information with family members, as it may impact their health too. However, it’s your decision when and how to discuss this. We can support you in this process.
Can genetic counselling help me if I don’t have a family history of disease?
Yes, genetic counselling can still be useful even without a family history. Sometimes, unexplained health issues or other factors can make genetic advice valuable for understanding your risks.
What should I bring or prepare for my first genetic counselling session?
To get the most out of your consultation, it is highly beneficial to gather as much family medical history as possible, particularly regarding any chronic illnesses, early-onset conditions, or known genetic diagnoses among close relatives (parents, siblings, grandparents). If you have previous medical records, blood test results, or specific clinic letters, please bring them along.
How long does a private genetic counselling consultation take, and will I need multiple sessions?
An initial private consultation typically lasts between 45 to 60 minutes, ensuring you have ample time to discuss your concerns without feeling rushed. For many clients seeking a general risk assessment, a single comprehensive session is sufficient. However, if diagnostic genetic testing is initiated, a follow-up session is usually scheduled to thoroughly discuss and interpret your results.
Can I have my genetic counselling session online, or do I need to visit the London clinic in person?
We offer flexible options to suit your schedule and comfort. You can book an in-person consultation at our London clinic, or choose a secure, fully confidential remote video consultation (Telehealth). Both options provide the exact same level of clinical expertise, dedicated time, and comprehensive care.
Will the results of my private genetic test affect my health or life insurance in the UK?
Under the current UK Government and Association of British Insurers (ABI) moratorium, insurance companies cannot require you to disclose the results of predictive genetic tests for the vast majority of policies, nor can they use them to increase your premiums. There are very limited exceptions (such as high-value life insurance over certain thresholds relating to Huntington’s disease), which your counsellor can clarify during your session.
What happens if my genetic test results show a high risk for a specific condition?
Receiving a high-risk result can be challenging, but it is a powerful tool for proactive healthcare. If a pathogenic variant is found, your clinical geneticist will immediately collaborate with you to build a tailored management plan. This may include targeted medical screening, preventative therapies, lifestyle adjustments, or fast-tracked referrals to top specialists for ongoing care
Individual Genetic Counselling
Individual Genetic Counselling is a personalised service designed to help individuals understand their genetic makeup and the potential risk of inherited conditions.
Family Genetic Counselling
Family Genetic Counselling is a specialised service that helps families understand how genetic conditions may affect them. Essentially, it provides guidance on inherited health risks and helps individuals make informed decisions about their wellbeing.
Prenatal Genetic Counselling
Prenatal Genetic Counselling is a specialised healthcare service that provides prospective parents with information regarding the genetic health of their unborn child.
Premarital Genetic Counselling
Premarital genetic counselling is a specialised consultation provided to couples before marriage, aimed at assessing the risk of passing on inherited genetic disorders to their future children.
Cancer Genetic Counselling
Cancer genetic counselling is particularly relevant for individuals who may have an increased hereditary risk of cancer.
Rare Disease Genetic Counselling
Rare diseases, sometimes described as orphan conditions, are disorders that affect only a very small proportion of the population. Although each condition is uncommon in itself, collectively rare diseases affect millions of individuals and families worldwide.
I had my consultation last week and it was so supportive. The team really listened and gave practical advice.
Just booked my appointment for Recurrent Pregnancy Loss Counselling in London. Feeling hopeful to get some clarity.
Really comforting service. They cover both medical and emotional aspects, which makes a huge difference.
I’ve had two miscarriages in the past year and I’m feeling lost. Can this counselling help me understand why it keeps happening?
Thank you for reaching out, Emily. Our Recurrent Pregnancy Loss Counselling is designed to assess potential genetic, medical, and lifestyle factors that may contribute to repeated miscarriages. During the consultation, we review your medical history, suggest any relevant tests, and provide personalised guidance to help you make informed decisions about future pregnancies.
Are there specific genetic tests you recommend for couples who’ve experienced multiple miscarriages?
Yes, Michael. We typically start with reviewing family and personal histories to identify any inherited conditions. Based on this, we may recommend genetic testing such as karyotyping or screening for specific chromosomal abnormalities. Each plan is personalised, as the most suitable tests depend on your unique situation.