OpenHealth Q&A

Get answered by medical professionals

Exploring Genetic Testing Without Prior Family Medical History

8/20/2025, 3:00:57 AMMale25-34

I’m a 32-year-old female residing in Virginia, and I was adopted at the tender age of 15 months from another country. Unfortunately, I have no access to my family’s medical background as my adoption was closed, meaning I can't retrieve any birth records. As I near the time for cancer screenings and start thinking about future family planning, I am considering undergoing comprehensive genetic testing for the very first time. However, my primary care physician, along with specialists in obstetrics, genetics, and cancer screening associated with their practice, have told me that I don’t meet the criteria to be considered a new patient due to the absence of available medical history or any suspected genetic issues. Consequently, they recommended I reach out to **Invitae** for what they describe as broad genetic testing panels, often referred to as 'healthy screenings.' These tests can help identify potential predispositions to various cardiac issues such as arrhythmias, cardiomyopathies, and hereditary forms of hypertension or high cholesterol. Furthermore, they also assess cancer susceptibility among other health concerns. You can choose between a comprehensive genetic health evaluation or focus on a specific area such as cancer risks or cardiovascular health. Additionally, they suggested I look into the **All of Us Research program** sponsored by the NIH, which may provide further insights into my personal health, including aspects of my DNA. This program could enable me to uncover information related to my ancestry, traits, and health-associated DNA results that I might share with my healthcare providers. Has anyone else navigated either of these options or does anyone have suggestions for alternative resources to explore? Thank you in advance!

AgingWellnessPreventive Medicine

Answers (1)

Cony

8/20/2025, 3:01:34 AM

OpenHealth AI

It's understandable to have concerns about your health, especially given your unique situation with a closed adoption and lack of family medical history. Genetic testing can be a valuable tool in understanding your risk for certain health conditions, including cancer. Here’s a structured approach based on what you've shared and the options available to you.

Main Points:

  1. Genetic Testing for Health Insights: Comprehensive genetic testing can help identify predispositions to various health conditions, even without family history.
  2. Resources: Invitae’s genetic testing panels and the NIH All of Us Research program are two solid options you can explore.

Explanation:

Without access to your family medical history, genetic testing provides an opportunity to fill in those gaps. It can offer valuable insights into potential health risks you might face in the future. The option of broad genetic testing panels through companies like Invitae may help detect risks for cancer, cardiovascular disease, and other inherited conditions.

The All of Us Research Program is also noteworthy; it aims to collect diverse health information from participants to personalize precision medicine, which can be insightful for you in terms of understanding genetic predispositions and ancestry.

Next Steps:

  1. Consider Comprehensive Genetic Testing:

    • Research Invitae’s options to select a panel that fits your concerns (e.g., cancer risk assessment or cardiovascular health).
    • Understand the costs involved and check with your insurance coverage.
  2. Enroll in the All of Us Research Program:

  3. Stay Proactive with Health Monitoring:

    • Regardless of your decision on genetic testing, maintain regular check-ups with your primary care provider. Discuss cancer screenings relevant to your age and risk factors.
  4. Educate Yourself:

    • Keep informed about genetic testing and its implications by reading materials from reputable sources like the National Institutes of Health (NIH) or the American Society of Clinical Oncology (ASCO).

Navigating these resources can empower you in managing your health proactively. If you have any more questions or need clarification on your options, feel free to ask!

Related Questions

Unusual Tongue Condition

Last weekend, I participated in a three-day sleepover with my younger cousin, who seems to have a habit of coughing openly. Upon returning home, I began to feel unwell; I woke up with a pounding headache and a painful throat. By the final day of the sleepover, my discomfort intensified. I noticed a rash spreading across my face, and my throat was incredibly sore, similar to the experience of having stage 2 sunburn (an ordeal I went through last year) but without the blistering. Eating and drinking became increasingly painful, and even resting caused discomfort. Though the rash eventually faded, I was left with a peculiar appearance on my tongue. Frustratingly, my parents refuse to seek medical attention, dismissing my concerns as typical hypochondria. I find myself wondering about the strange changes happening with my tongue and whether I should urge them for a doctor’s visit.

WellnessFamily MedicinePreventive Medicine
Male25-34
27 seconds ago

Are There Lasting Effects from Long-Term Use of Montelukast?

Hello everyone! To provide some background, I was prescribed montelukast at a young age—around 4 or 5 years old—continuing until I was about 10 or 11. During that time, I experienced significant levels of aggression. Unfortunately, none of the medical professionals we consulted suggested discontinuing the medication or indicated that my symptoms could have been related to its use. This has left me with some unresolved feelings so I’d rather not delve deeper into that right now. Currently, it has been some time since I stopped taking montelukast, but I find myself grappling with certain challenges. While I’m hesitant to elaborate unless absolutely necessary, I’m curious whether anyone knows about potential long-term side effects from prolonged use of this medication during childhood. Thank you so much for your insights! Much appreciated! <3

AgingFamily MedicinePreventive Medicine
Male25-34
10 minutes ago

Concerns About Hand Discoloration

A 30-year-old woman, who stands at 5 feet 7 inches and weighs 140 pounds, has been experiencing concerning symptoms with her hands and wrists. They have developed a reddish and blotchy appearance, which has now spread down to the wrists. She is on medication for Borderline Personality Disorder and depression. Although she recognizes the need to consult a doctor soon, her anxiety levels are significantly elevated as she prepares to schedule this appointment.

AgingFamily MedicineInternal Medicine
Male25-34
30 minutes ago

Understanding Patent Ductus Arteriosus

I recently learned that my 7-year-old daughter has a minor patent ductus arteriosus (PDA). She underwent an echocardiogram due to our family's background of bicuspid heart valves, which I, along with my father and brother, also have. While her heart valves appear healthy, the echocardiogram did reveal this small PDA, as indicated in the report I received. Although I anticipate hearing from the doctor by Monday, that means I have two days to ponder this situation and feel anxious about it. I’m curious—do all PDAs require surgical intervention? Considering her age, it’s unlikely that it will close spontaneously. If anyone has any experiences or knowledge regarding this condition, I would greatly appreciate your input! Thank you!

WellnessFamily MedicineInternal Medicine
Male25-34
50 minutes ago

Should You Discuss Your Own Research on Test Results with Your Doctor?

I recently underwent an echocardiogram, and while awaiting my cardiologist's call, I took it upon myself to look up what constitutes normal values and compare them with my own results. When she eventually reached out, she highlighted two abnormalities in my readings; however, one noticeable irregularity was not mentioned in our conversation. This has left me pondering whether I should address this overlooked abnormal result at our upcoming meeting, or if it might be best to refrain from mentioning it, considering her expertise in this area. I have complete confidence in her assessments, yet I find myself feeling a bit anxious about this situation.

Family MedicineInternal MedicinePreventive Medicine
Male25-34
50 minutes ago