A Boy or A Girl? A Simple Guide to IVF Gender Selection

Berk Angün
19 June 2025
Ivf And Gender Selection

What is IVF and Gender Selection?

IVF (In Vitro Fertilization) is an assisted reproductive technology that helps you and your partner conceive by addressing infertility. One of the advantages of IVF is that it allows for gender selection, giving parents the option to choose the sex of their baby for medical or family reasons.

For those longing to start a family after facing infertility, IVF offers a powerful path forward. It is a journey shaped by hope, strength, and the chance to finally build the life they have dreamed of. In Vitro Fertilization (IVF) is aimed at managing all infertility factors, such as unexplained infertility, to enhance the likelihood of conception. It is especially helpful for women or couples who have not been able to conceive after a year or more of trying to get pregnant.

How Does IVF Allow You to Choose Gender?

IVF allows for gender selection primarily through a process called preimplantation genetic testing (PGT).

Here’s how it works:

  • The resulting embryos are carefully monitored during IVF after fertilization in a laboratory setting.
  • To facilitate sex selection, a few cells are carefully taken from each embryo (fertilized sperm and egg) for PGT.
  • Genetic analysis of these cells is then performed. This analysis identifies which embryos have an XY chromosome pairing (indicating a boy) and an XX chromosome pairing (indicating a girl).

Can You Do “In Vitro Fertilization” Just for Gender Selection?

While many parents are simply hoping for a healthy pregnancy, gender selection through IVF is available for both medical and personal reasons. These can include preventing sex-linked genetic conditions, balancing the number of boys and girls in a family, or other individual preferences that you may have.

Unlike IUI, which involves placing sperm directly into the uterus, IVF allows embryos to be tested before transfer. Since IUI does not involve embryo creation, gender selection is not possible with IUI. This is why IVF is the preferred option for those who wish to choose their baby’s sex.

What is Preimplantation Genetic Diagnosis (PGD)?

Preimplantation Genetic Diagnosis (PGD) is a type of testing done during IVF. It checks all embryos for specific genetic conditions before they are transferred to the uterus. This is especially helpful for couples who may pass on inherited diseases.

PGD can also be used to find out the sex of each embryo. This allows parents to choose the sex of their baby for medical or personal reasons. These days, PGD is part of a wider group of tests called Preimplantation Genetic Testing (PGT), but many people still use the term PGD when talking about testing for genetic conditions.

What are the Risks and Considerations?

Though IVF gender selection has numerous advantages, it also has its risks and considerations.

  • High-cost barrier: Opting for gender selection drives up IVF expenses, so couples on a tight fertility budget may find pre-implantation genetic diagnosis (PGD) financially out of reach.
  • Ethical debate: Many feel that deciding a baby’s sex should be left to nature or a higher power, so they view parental gender selection as morally inappropriate.
  • Risk of future regret: Critics worry that if a family’s circumstances change, parents might later regret choosing their child’s gender, a decision that inevitably shapes the child’s life.

Is Gender Selection Legal?

Although many countries allow gender selection, it is typically restricted by family structure or health considerations. Different countries impose restrictions due to ethical concerns. Clinics in countries where gender selection is permitted follow strict clinical and ethical guidelines while respecting each patient’s personal choices.

While acknowledging cultural and ethical aspects, you must accept that views on gender selection vary significantly across cultures and faiths. These beliefs often determine how patients perceive and approach the process.

Frequently Asked Questions

How Much is the Cost of Selecting My Baby’s Gender?

The cost of gender selection through IVF with PGT or PGD can vary widely depending on the country and clinic.

In the United States, gender selection is legal and available in many clinics, but it can be quite expensive. It can typically range from 15,000 to 25,000 US dollars, depending on the clinic, location, and whether additional treatments or testing are required.

In the rest of the World, prices can generally be lower, with many countries offering packages between 6,000 and 12,000 euros, depending on the services included.

Why Should I Consider Sex Selection?

Family Balancing:

This is the most frequently cited reason why families seek gender selection, as it is often about creating a balanced family . It refers to the desire to have children of both sexes or a specific ratio of boys and girls within a family.

Medical Reasons:

Gender selection can also be pursued for clinical purposes. This is typically done to prevent the inheritance of sex-linked genetic conditions, ensuring the health of the child. The technology often used for this, which includes using Preimplantation Genetic Diagnosis (PGD), allows for screening embryos for genetic conditions as well as gender before implantation during IVF.

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