Mirror Gene by Kishore Sai

Mirror Gene by Kishore Sai 🧬Mirror Gene | Genetic Counselor
📃Kishore Sai, MSc Genetic Counseling
💬From risk assessment to peace of mind—one conversation at a time
📍Hyderabad

This is one of the most common things I hear, and one of the most important misconceptions to address.For many genetic c...
28/05/2026

This is one of the most common things I hear, and one of the most important misconceptions to address.

For many genetic conditions, particularly autosomal recessive ones, carriers have no symptoms at all. There is no family history to notice. No warning. No pattern that would make anyone think twice.

You can carry a significant genetic variant and live your entire life without knowing, unless you test.

This is especially relevant for couples planning pregnancy in India, where carrier rates for conditions like SMA, thalassemia, and certain metabolic disorders are higher than most people realise.

Family history is one piece of the picture. It is not the whole picture.

A pre-conception genetic counseling session can help you understand what, if any, testing is relevant for your specific background and situation.

Did you know you could be a carrier without any family history? Drop your thoughts below.

— Kishore Sai, Genetic Counselor
mirrorgene.com

Recurrent miscarriage is one of the most isolating experiences a couple can go through, and one of the least discussed i...
27/05/2026

Recurrent miscarriage is one of the most isolating experiences a couple can go through, and one of the least discussed in terms of its genetic component.

Genetics is not always the cause. But it is always worth exploring.

If you or someone you know had recurrent pregnancy loss, this post is for them.

— Kishore Sai, Genetic Counselor
mirrorgene.com

26/05/2026

Before a couple starts trying to conceive, carrier status is the one conversation that rarely happens at a regular clinic visit.
This is part 1 of a 3-part series on what I cover with every couple before pregnancy.
Parts 2 and 3 are coming in the weeks to follow, so you do not miss them.

— Kishore Sai, Genetic Counselor
mirrorgene.com

This is one of the most distressing moments in any pregnancy.You receive a result flagged as high risk, and suddenly you...
21/05/2026

This is one of the most distressing moments in any pregnancy.

You receive a result flagged as high risk, and suddenly you are searching the internet trying to understand what it means.

Here is what is important to know.

NIPT is a screening test, not a diagnostic one. A high-risk result means the probability of a chromosomal condition is elevated, it does not confirm a diagnosis. Many high-risk NIPT results are not confirmed when follow-up diagnostic testing is done.

The next step after an abnormal NIPT is a conversation with a genetic counselor and, if appropriate, a confirmatory test such as amniocentesis or CVS. These give a definitive answer.

An abnormal NIPT result is not the end of the story. It is the beginning of getting accurate information.

If you have received an unexpected prenatal result and do not know where to start, that is exactly what a genetic counseling session is for.

Have you or someone you know been through this? Drop your question below.

— Kishore Sai, Genetic Counselor
mirrorgene.com

In many Indian communities, marriage between relatives is common and culturally significant.And it is one of the most un...
20/05/2026

In many Indian communities, marriage between relatives is common and culturally significant.

And it is one of the most under-discussed topics in reproductive health.

The genetic risk is real, but it is not absolute. What matters is understanding your specific situation, not a generalisation.

Save this and share it with someone planning a pregnancy.

— Kishore Sai, Genetic Counselor
mirrorgene.com

19/05/2026

A high-risk NIPT result does not mean a confirmed diagnosis.

It means the probability of a chromosomal condition is elevated, and that the next step is more information, not a conclusion.

Save this and share it with anyone who is navigating through a difficult prenatal result.

— Kishore Sai, Genetic Counselor
mirrorgene.com

A couple came to me before their second pregnancy.Their first child had been diagnosed with an autosomal recessive condi...
14/05/2026

A couple came to me before their second pregnancy.

Their first child had been diagnosed with an autosomal recessive condition at eight months of age. They were reassured that the chance of recurrence was probably low.

After Genetic Counseling, carrier testing told a different story. Both parents carried the same variant in a gene. With each pregnancy, their risk of recurrence was 1 in 4.

That information did not close doors. It opened them. They were able to explore options they did not know existed, with time to think, not in the middle of a crisis.

Genetic counseling is not about delivering difficult news. It is about making sure families have accurate information before they need it.

Details changed to protect privacy.

Have you or someone you know been in a similar situation? You are welcome to ask questions in the comments below.

— Kishore Sai, Genetic Counselor
mirrorgene.com

1 in 38 people in India carry the SMA gene, and most have no idea.SMA is one of the leading genetic causes of infant dea...
13/05/2026

1 in 38 people in India carry the SMA gene, and most have no idea.

SMA is one of the leading genetic causes of infant death in our country. Carrier testing before pregnancy is a simple blood test that gives couples the information they need to make an informed decision.

Save this and share it with a couple who are planning a pregnancy.

Have you heard of SMA carrier testing before? Drop your answer below.

— Kishore Sai, Genetic Counselor
mirrorgene.com

Most couples go into prenatal testing without knowing what the test actually screens for, or what it misses.These are th...
06/05/2026

Most couples go into prenatal testing without knowing what the test actually screens for, or what it misses.

These are the five questions worth asking before you decide.
Save this before your next appointment.
Have you or someone you know had prenatal genetic testing? What was the one thing you wished you had known beforehand?
— Kishore Sai, Genetic Counselor

mirrorgene.com

05/05/2026

Most carriers of a genetic condition have no symptoms and no family history.
That is what makes carrier testing so important before pregnancy, not after a diagnosis.
In India, 1 in 38 people carries the SMA alone. Most have no idea.
Save this if it was useful. And if you have questions about carrier testing, drop them below.
— Kishore Sai, Genetic Counselor
mirrorgene.com

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