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Post bone marrow transplant monitoring test for patients tracking donor cell engraftment

Post Bone Marrow Transplant Monitoring Test

FISH, X/Y, Post Opposite Sex Bone Marrow Transplant

Google
3,138 reviews
  • Verify the success of your transplant
  • Detect any complications early on
  • Clarify your body's recovery progress
First results as soon as overnight*

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

What's this test for?

This test is essential if you've received a bone marrow transplant from a donor of the opposite biological sex. It helps verify that your body is successfully producing blood cells from the donated marrow rather than your original cells, which is crucial for transplant success. Doctors use this test to detect early signs of transplant rejection or relapse, allowing for timely intervention if needed.

How should I prepare for this test?

No special preparation is typically required for this test, as it's a standard blood draw that analyzes your cellular DNA. However, your transplant team may have specific timing requirements based on your treatment schedule and when they need to monitor engraftment levels. Always follow any instructions provided by your oncologist or transplant coordinator, and inform the lab if you're taking any immunosuppressive medications or have recently received blood transfusions.

What's included in this test?

FISH, X/Y, Post Opposite Sex Bone Marrow Transplant

This test measures FISH X/Y (Fluorescence In Situ Hybridization for X and Y chromosomes), which identifies whether blood cells contain XX (female) or XY (male) chromosome patterns. This analysis is specifically designed for patients who received bone marrow from a donor of the opposite sex, making it possible to distinguish between your original cells and the donor's cells. By tracking the ratio of donor versus recipient cells, your medical team can assess how well the transplanted marrow has engrafted and whether your body is producing healthy blood cells from the new marrow.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your cell chimerism levels mean for your transplant recovery. These notes include personalized guidance on what percentage of donor cells is expected at your stage of recovery and whether any adjustments to your treatment plan may be needed. Along with your standard lab report, you can track your donor cell engraftment over time using our trends feature, which is especially helpful for monitoring transplant stability during your recovery journey.
When will I get my results?
Results for this specialized genetic test typically take 5-10 business days, as the FISH analysis requires specialized laboratory techniques and expert interpretation. Your transplant team will review the results in the context of your overall treatment plan and recovery timeline. If there are any urgent concerns, your medical team will be notified promptly to ensure you receive appropriate care.
Who should consider this test?
This test is specifically for patients who have undergone an allogeneic bone marrow or stem cell transplant from a donor of the opposite biological sex. It's essential for anyone in the post-transplant monitoring phase, typically tested at regular intervals following transplantation. Your oncologist or transplant team will determine the appropriate testing schedule based on your specific situation, transplant type, and recovery progress.
What does chimerism testing tell doctors about transplant success?
Chimerism testing reveals what percentage of your blood cells come from the donor versus your original cells, which is the most direct way to measure transplant engraftment. Higher percentages of donor cells generally indicate successful transplantation, while decreasing donor cell percentages may signal rejection or disease relapse. This information helps your medical team make critical decisions about adjusting immunosuppressive medications or implementing additional interventions if needed.
How often should I get this test after my transplant?
Testing frequency depends on your transplant type, risk factors, and how your recovery is progressing. Typically, chimerism testing is performed frequently in the first few months post-transplant (every 2-4 weeks), then gradually less often as engraftment stabilizes. Your transplant team will create a personalized monitoring schedule that may include more frequent testing if you're at higher risk for complications or if previous results showed concerning trends.
What happens if my results show decreasing donor cells?
Decreasing donor cell percentages may indicate that your original cells are returning, which could signal graft rejection or disease relapse. Your transplant team will evaluate the results alongside your clinical symptoms, blood counts, and overall health status. They may recommend adjustments to your immunosuppressive medications, additional treatments to boost donor cell engraftment, or in some cases, donor lymphocyte infusions to help restore full donor chimerism.
Can I use this test if my donor was the same biological sex?
No, this specific X/Y chromosome-based FISH test only works when your donor was of the opposite biological sex, as it relies on detecting the difference between XX and XY chromosomes. If your donor was the same sex, your transplant team will use different chimerism testing methods, such as STR (short tandem repeat) analysis, which can distinguish between donor and recipient cells regardless of sex. Your doctor will order the appropriate test based on your specific transplant situation.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
Donor Cell Chimerism (XY Pattern) 78% Donor Cells
Demo results
Low Optimal 85 - 100% High
78% Donor Cells

What this means

Your test shows 78% of your blood cells are from the donor, which indicates good engraftment but is slightly below the optimal range for this stage of recovery. While this is encouraging progress, your transplant team will want to monitor this closely to ensure the percentage continues to increase or stabilize rather than decrease.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Post Bone Marrow Transplant Monitoring Test

Google
3,138 reviews
  • Verify the success of your transplant
  • Detect any complications early on
  • Clarify your body's recovery progress

1,000,000+ blood tests later, here's what our customers say

Google reviews 3138 reviews Next
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.