Genetic counselors help individuals, families and couples affected by or at risk for FSHD to work through the process of genetic testing for the disease. Genetic counseling also helps individuals, families and couples as they plan to have a baby. Prenatal and in-vitro fertilization pre-implantation genetic (PGD IVF) tests are available for FSHD1A (chromosome 4 linked FSHD). Genetic counselors help couples consider possible scenarios and alternatives, such as having a child with FSHD, adoption or artificial insemination. In this way, couples arrive at a decision that is right for them.