IVF and Gender Selection: Success Rates and Outcomes (2023)

Thanks to modern screening and testing of embryos during in vitro fertilization (IVF), a fertility doctor can determine thegender of a child before the implantation process via preimplantation genetic testing.

Reproductive technologies have advanced significantly, and now lab tests can identify the gender of an embryo in the earliest stages of development. In conjunction with IVF, preimplantation genetic screening and diagnosis tests allow patients the option of gender selection.

(Video) Gender selection - New Hope Fertility Center NYC

Curious to learn more about the role IVF plays in gender selection? We’ll cover the entire process of gender selection, how it works, and how accurate and successful it has proven to be.

Reasons for Gender Selection During IVF

There are many reasons why a couple or individual would opt for gender selection. However, many Intended Parents often chose to use gender selection for 'Family Balancing.'

Simply put, family balancing means that if the Intended Parent(s) always wanted a girl, but only had sons, they can select gender during IVF to ensure a balanced family.

Additionally, intended parents opt for gender selection if they're at risk to pass on a gender-based genetically transmitted disease. In this scenario, gender selection gives the intended parents the chance to have a girl or boy, depending on the type of disorder they can avoid during the IVF procedure.

(Video) Gender Selection with American Reproductive Centers

Other cases may include a couple that has lost a child and wish to have another of the same sex, or the intended parents might simply feel more psychologically equipped to parent one gender over the other.

Gender selection is an incredible service made possible by science and can help Intended Parents feel more prepared to raise their future children. However, this decision does require careful consideration as it requires a higher cost and may eventually lead to regret if a parent later would have preferred to learn of their child’s gender naturally.

The PGD and PGS/PGT-A testing process for gender selection

After the egg and sperm have been combined and fertilization has occurred, then fertility doctors can examine the embryos.

This is conducted through a process called preimplantation genetic diagnosis (PGD), or preimplantation genetic screening (PGS/PGT-A). By conducting PGD/PGS/PGT-A testing on embryos, fertility doctors can determine if an embryo has any chromosomal abnormalities that could result in a birth defect or developmental issue.

(Video) Gender Selection IVF - Sex Selection | Santa Monica Fertility

In addition to identifying genetic issues and potential birth defects, PGD/PGS/PGT-A tests can also be used to determine the gender of your child. Fertility doctors can identify if an embryo carries two X chromosomes (female) or an X and a Y chromosome (male). From this, the gender of a baby is accurately determined.

Gender selection success rates with PGS/PGT-A/PGD

Intended Parents can determine gender through PGD/PGS/PGT-A during an IVF journey. Given a fertility doctor’s ability to identify XX or XY chromosomes in the embryo with PGD tests, the gender selection process is almost 100% accurate.

However, not all patients can produce healthy embryos of the desired gender because of factors related to age, egg supply, and sperm quality. In these cases, sperm or egg donation is a possibility for Intended Parent(s) who wish to pursue gender selection.

Whether the reason for gender selection is medical or elective, the success rates for gender selection are extremely high using preimplantation genetic diagnosis (PGD) or preimplantation genetic screening (PGS/PGT-A). We're experienced in all techniques used for gender selection, including sperm spinning (the act of separating sperm into X and Y chromosomes), but combining IVF with genetic testing is the only truly reliable approach to ensure that your gender selection is 100% accurate.

(Video) Dr. Frank Yelian - Can I do gender selection? If so how does it work?

Next steps for unused embryos

If an embryo is not the preferred gender, we can discuss the options moving forward. This embryo may still be viable, which means that if the Intended Parent(s) would prefer not to dispose of it, the embryo could be donated to an infertile couple or individual.

The embryo can also be donated to medical research, to facilitate a better understanding of fertility and development. Alternatively, it’s also possible to freeze the embryo to be used at a later time. In fact, a baby has been born from an embryo that was frozen for 27 years.

Discuss gender selection with your IVF clinic

There are many factors to consider when it comes to gender selection and IVF. Our fertility experts guide Intended Parent(s) through the process with compassionate support. We review the pros and cons of the process, and what Inteded Parent(s) should consider per their situation.

If you would like to learn more about gender selection during IVF and why it may be a good option to consider, we encourage you to contact our team of fertility doctors. You can also reach Pacific Fertility Center by calling (310) 853-1440.

(Video) Gender Selection IVF

IVF and Gender Selection: Success Rates and Outcomes (1)


What is the success rate of IVF for gender selection? ›

IVF with PGT

Parents can expect a nearly 99-100% success rate in determining the sex of the child with this method.

What is the success rate of PGD gender selection? ›

Because it can definitively determine which sex chromosomes are in an embryo, PGD has an accuracy rate of over 99%, making it the most precise method for gender selection available today.

What is the most reliable method of gender selection? ›

Pre-implantation genetic diagnosis sex selection is the most reliable method, with almost 100 percent accuracy.

What are typical IVF success rates please explain? ›

The Society for Reproductive Technology (SART) states that for women under 35, the percentage of live births via IVF is 55.6%. Live births per first embryo transfer is 41.4%. With a later embryo transfer, the live births percentage is around 47%.

Is IVF gender selection risky? ›

There has been no proven risk of birth defects with any of the procedures involved with gender selection. In fact, due to the genetic embryo testing, the possibility of a birth defect is lower with IVF than with natural conception.

Should you choose gender with IVF? ›

IVF and Gender Selection

This is an option with IVF. Intended parents consider gender selection for many reasons, the most prominent being that gender selection can help prevent genetic diseases. Since many disorders are sex-linked, choosing the gender can sometimes allow for a better chance of healthy embryos.

What are the cons of gender selection? ›

Ethical concerns about selecting a baby's gender
  • Possible destruction of embryos. One concern revolves around what happens to the unused embryos. ...
  • Societal imbalance. ...
  • Gender devaluation. ...
  • “Designer babies” ...
  • Adult onset diseases. ...
  • References:

How successful is IVF with PGD? ›

PGD testing success rates

Additionally, PGD testing was associated with a 95% chance of clinical pregnancy, a 95% chance of live-birth delivery, and a 95% chance of multiple-birth delivery among women over 37.

What are the disadvantages of IVF PGD? ›

Cons of PGD or Preimplantation Genetic Diagnosis

Chance of embryo destruction – About 20 percent of the time, an embryo can be damaged as a result of the biopsy process required for PGD. An embryo damaged by PGD biopsy will usually stop growing, not proceed to the next growth phase.

How do you tell if an embryo is a boy or girl? ›

The sex identification of embryos is done using preimplantation genetic testing (PGT), which involves taking a few cells from an embryo as it develops in the lab, and determining the sex, boy or girl, of the embryos through genetic analysis.

Is gender selection allowed in USA? ›

Gender selection is legal in the United States

Gender selection is a bonus for many of our patients who already are using PGS to find the most viable embryos to transfer. All reasons to utilize gender selection, including non-medical ones, are valid to the parents who use it to build their families.

How accurate is the gender prediction? ›

The researchers found that out of 672 cases, sex determination was possible 90 percent of the time, and the prediction was correct 87 percent of the time. While those percentages may seem pretty high, it's not as easy as it sounds.

How often is IVF successful on the first try? ›

IVF success rates depend on many factors, such as age and the reasons for infertility. Overall, first-time IVF success rates often fall between 25-30% for most intended parents. However, this probability tends to increase after multiple IVF cycles.

How often is IVF successful first time? ›

The national average for women younger than 35 able to become pregnant by in-vitro fertilization (IVF) on the first try (meaning, the first egg retrieval) is 55%. However, that number drops steadily as the woman ages.

What is the average number of IVF attempts before success? ›

“For most couples – and certainly those where the woman is younger than 40 and those of any age using donor eggs – two-thirds will achieve a live birth after five or six treatment cycles. This will take, on average, two years and is similar to rates that couples conceiving naturally take in one year.”

How long does gender selection process take? ›

How long does the treatment take? The first step of the process (ovarian stimulations) usually begins on the second or third day of the menstrual period. The stimulation generally lasts for 11-14 days with the second stage, the egg retrieval, happening 2 days after the last shot of medicine.

Why are boys more common IVF? ›

Research has shown that if you wait for the embryo to reach the blastocyst stage before transfer, instead of performing the transfer at day 3, that sex ratio of the embryos is altered so that there are a higher percentage of male babies.

What are the pros and cons of baby gender selection? ›

Gender Selection: The Pros and Cons
  • PRO: Can Help Prevent Transmission Of Gender-Specific Diseases. via huffintgtonpost. ...
  • CON: Expensive And Medically Unnecessary. via parents. ...
  • PRO: Can Help Grieving Parents Who Lost A Child. via Motherhood Diaries. ...
  • CON: Can Contribute To Gender Inequalities. via postline.
May 25, 2020

What are the long term consequences of gender selection? ›

The long-term consequences of this masculinization could be dangerous, including the possibility of increased sexual violence and human trafficking. Tragically, these social ills perpetuate and reinforce the root cause of son preference: gender inequality.

What are the pros of IVF gender selection? ›

Gender selection can prevent serious genetic diseases and chromosomal disorders that are gender-specific.

Can you pick twins with IVF? ›

Yes, a couple can ask for twins, but the clinic will counsel on the risks. The main risk with IVF is pre-term births. Pre-term births account for 60% of twin deliveries and bring a host of complications for the babies.

Are PGD designer babies? ›

Infants born with traits selected following PGD are sometimes considered to be designer babies. One application of PGD is the selection of 'saviour siblings', children who are born to provide a transplant (of an organ or group of cells) to a sibling with a usually life-threatening disease.

How long does IVF with PGD take? ›

It takes 12-16 weeks for the customized DNA test development. A newer technique in PGD is called karyomapping. It tests just a couple of weeks, not months, for test development and allows a universal test for PGD of almost any genetic mutation.

Does PGD rule out Down syndrome? ›

PGD is a method of screening eggs or embryos during the in vitro fertilization (IVF) process. Before an embryo is transferred to the uterus, a fertility specialist can check the cellular material for genetic defects. Down syndrome is one of the conditions that PGD can screen for.

How many eggs are needed for PGD? ›

Generally, obtaining 6 or more eggs would be best. On the other hand, if the woman is a low responder, there is little chance that IVF with PGD will be successful. There is also the option of making cycles of egg accumulation to obtain several embryos from several cycles and to be able to analyze them all together.

Why are people against PGD? ›

Objections to PGD include that to selectively transfer embryos is at odds with the moral status of the embryo, that IVF/PGD is too burdensome for women, and the 'slippery slope' argument.

How often is PGD wrong? ›

The error rate for PGD in detecting an abnormal number of chromosomes is currently 10%. PGD cannot detect genetic mosaicism. That's when genetic abnormalities may be present in one cell of the embryo, not in another.

Do boy or girl embryos develop faster? ›

It is already known that there are metabolic differences between male and female embryos – male embryos develop faster than female embryos, for example. These differences are probably down to the action of proteins coded for by DNA on the sex chromosomes.

What are the disadvantages of IVF? ›

Risks of IVF include:
  • Multiple births. IVF increases the risk of multiple births if more than one embryo is transferred to your uterus. ...
  • Premature delivery and low birth weight. ...
  • Ovarian hyperstimulation syndrome. ...
  • Miscarriage. ...
  • Egg-retrieval procedure complications. ...
  • Ectopic pregnancy. ...
  • Birth defects. ...
  • Cancer.
Sep 10, 2021

Does a blastocyst have a gender? ›

Alfarawati et al did a cytogenetic analysis of human blastocysts and found that the majority of developmentally advanced blastocysts were male (3:1 ratio of male to female) [2]. Dumoulin et al. found a clear sex related growth difference in a study on growth rate of human preimplantation surplus blastocysts [10].

Which country is best for gender selection? ›

For foreign couples, Iran is one of the best countries for undergoing gender selection, where other assisted fertility technologies such as egg donation, microarray genetic screening, etc. are legally practiced with the same quality as the western countries.

How much is gender selection USA? ›

How much does ivf with gender selection cost? The average price of ivf with gender selection is $7250, the minimum price is $3750, and the maximum price is $11200.

Are IVF babies normal? ›

IVF is a different way of conception from normal sexual intercourse. But the IVF children are as normal as other children concerning their mental and physical attributes.

How often is a boy mistaken for a girl in an ultrasound? ›

The chances of an error with ultrasound are up to 5 percent, says Schaffir. An ultrasound can be between 95 to 99 percent accurate in determining sex, depending on when it's done, how skilled the sonographer is and whether baby is in a position that shows the area between their legs.

Can baby gender change after conception? ›

Sex determination of a baby happens during fertilization, and it can't change during your pregnancy. However, there's a slim chance that the provider could read the 20-week ultrasound incorrectly and tell you you're having a girl (or a boy) when the opposite is true.

Can a boy be mistaken for a girl? ›

The chances of an error with ultrasound are up to 5 percent, says Schaffir. An ultrasound can be between 95 to 99 percent accurate in determining sex, depending on when it's done, how skilled the sonographer is and whether baby is in a position that shows the area between their legs. Mistakes can also be made.

How many rounds of IVF do most people do? ›

Most couples have to undergo that previously mentioned three IVF rounds or more. The process takes its toll on mental and emotional health, and infertility/fertility treatments also take their toll on relationships.

Which round of IVF is most successful? ›

The Greatest Percentage of IVF Success Occurs in Six Cycles
  • Women under the age of 35 are the most likely to benefit from a six-cycle regimen.
  • Women 40-42 (using their own eggs) had a 31.5% live birth rate at the six-cycle mark.
  • Women older than 42 (using their own eggs) had a <4% live birth rate at the six-cycle mark.
Feb 3, 2023

How many rounds of IVF does it take to get pregnant? ›

Studies examining the likelihood of pregnancy after multiple IVF attempts show varied results, with some suggesting that three rounds is the optimal number, given the emotional and financial strain that IVF can cause. Financial limitations aside, it actually may be worth continuing beyond three cycles.

Why did my first IVF fail? ›

There are several reasons why an IVF cycle may fail. The most common causes are abnormal sperm or embryos, infertility, and a uterus that is not receptive to the embryo.

How can I make my first IVF successful? ›

How to Increase Your Chances of IVF Success
  1. Maintain a healthy weight. ...
  2. Optimize sperm health. ...
  3. Partner with an excellent doctor and embryology laboratory. ...
  4. Reduce your stress. ...
  5. Quit smoking. ...
  6. Look into taking supplements. ...
  7. Ensure you have adequate levels of vitamin D. ...
  8. Focus on persistence and patience.
Nov 23, 2022

What happens if first IVF fails? ›

The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF ovarian stimulation process, or from any issues with egg retrieval, egg quality and/or quantity, fertilization results, embryo ...

How successful is IVF at 40 with own eggs? ›

IVF Success Rates Over 40

For women over 40, the IVF success rate is around 7%, with women under 42 having a higher rate of success than women over 42 years of age. In many cases, women over 40 may decide to use donor eggs.

Does IVF work first time? ›

So I could cut this blog short by saying that perhaps no, IVF possibly won't work the first time. That is only to say that, it's not guaranteed. But there is always nuance and circumstantial factors within any journey. Personally, I do know a few people where IVF has worked first time.

Is second attempt of IVF more successful? ›

“When it comes to IVF, we have to understand that repetition is the key to success—so we really have to look at that cumulative number of 87.5% at the end of three embryo transfers,” Dr Divyashree elucidates. That said, there are many factors that contribute to how many IVF cycles you as a couple are eligible for.

How much does it cost to choose the gender of your baby? ›

Sex Selection Cost

The cost of sex selection varies from clinic to clinic. Typically, it may be $3,000 – $5,000 depending on whether microsorting or PGD sex selection is used. It is important to remember this cost will be in addition to the cost of any assisted reproductive fertility treatment procedure.

Is there a way to guarantee to have a boy? ›

As to whether there's a guaranteed way to influence your chances have a boy — no, there isn't. Short of medically implanting an embryo that is known to be a boy, there are no guarantees when it comes to the sex of your baby.


1. Gender Selection - Fertility Fact or Fiction with Dr Victory
(Dr Victory)
2. Choosing Your Babies Gender Through IVF - Gender Selection
(American Reproductive Centers)
3. Gender Selection Of Babies Is A Growing Trend
4. IVF and family balancing/gender selection. Where and how? #IVFWEBINARS
5. IVF and gender selection in Ukraine #IVFWEBINARS
6. Gender Selection
(Center for Human Reproduction)
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