Genetic testing typically is issued only after a medical history, a physical examination, and the construction of a family pedigree documenting familial genetic diseases have been considered. The genetic tests themselves are carried out using chemical, radiological, histopathologic, and electrodiagnostic procedures. Genetic testing may involve cytogenetic analyses to investigate chromosomes, molecular assays to investigate genes and DNA, or biochemical assays to investigate enzymes, hormones, or amino acids.