In recent years, the question of whether it’s possible to choose the gender of a child through In Vitro Fertilization (IVF) has sparked both excitement and controversy. With advances in reproductive technology, many couples have wondered if gender selection is a legitimate option, or if it’s just a myth wrapped in medical hype. In this blog post, we’ll take a deep dive into the science, ethics, and legal aspects surrounding gender selection through IVF.

How Does IVF Work for Gender Selection?

Before we look at the option of gender selection, it is critical to first understand how IVF works. The process entails collecting eggs from the mother's ovaries, fertilizing them with the father's sperm in a laboratory setting and implanting the resultant embryos into the mother's womb.
Genetic screening known as Preimplantation Genetic Testing (PGT) is sometimes conducted to check for specific genetic conditions before selecting embryos for implantation.
Can IVF be used to choose whether a baby will be male or female? The short answer is yes, but it's a bit more nuanced than simply "choosing" the gender.

The Science Behind Gender Selection

Gender is determined by the chromosomes in the sperm. Females have two X chromosomes (XX), and males have one X and one Y chromosome (XY). The egg always carries an X chromosome, while the sperm can carry either an X or a Y chromosome. If the sperm carries an X chromosome, the resulting child will be female (XX). If the sperm carries a Y chromosome, the child will be male (XY).
In IVF, gender selection is achieved through a method called PGD (pre-implantation genetic diagnosis) or PGS (pre-implantation genetic screening). This technique allows identifying sex chromosomes in embryos and selecting only those of the desired sex for implantation.

Is Gender Selection Ethical?

This is where things get tricky. While choosing the baby's gender might seem simple, it raises significant ethical concerns. It could cause gender imbalance and the threat of stigmatization and discrimination always looms. Here are some key ethical considerations:

1. Gender Imbalance: If parents predominantly select a particular gender, it could lead to an imbalance in the population's gender ratio. In China and India, the practice of gender selection to favor male children has significantly skewed the natural male-to-female ratio.
2. Social and Psychological Effects: Some experts argue that if parents choose the gender of the child, there might be a preference for one over the other, leading to potential emotional issues. It may also harm the child's sense of identity and self-worth as they mature and realize that their existence was contingent upon their gender.
3. The "Designer Baby" Debate: Some argue that the ability to select a child's sex through IVF will lead to additional trait selection (e.g., intelligence, appearance) and criticize the practice for promoting "designer babies." This raises ethical concerns about genetic engineering and the potential for eugenics.
4. Natural Diversity: Some people argue that there is profound beauty in nature's diversity and in the unpredictability of having a child. The forces of nature and parents' joy are at risk since the basic foundations of parenthood are being violated.

The Legal Landscape of Gender Selection

The legality of gender selection varies depending on the country. In some places, the practice is legal under specific conditions; in others, it is banned or restricted.

• United States: It is lawful and parents can choose the gender of their child to prevent the baby from suffering sex-linked illnesses. When gender is chosen just for non-medical reasons, picking sex may be banned in some states. There are fertility clinics that offer the option of gender selection through PGD, although there is usually an ethical and legal dimension to it.
• United Kingdom: Gender selection is prohibited unless it is required to prevent a severe genetic disorder. Non-medical gender selection is prohibited.
• Australia: Same as UK, sex selection is available only for medical reasons not by personal choice.
• India: Due to female foeticide, it is illegal and punishable to ask a doctor for the baby's gender. It is done when there is a strong possibility or history of sex-linked genetic disorders.

The Bottom Line: Can You Choose Gender with IVF?

Yes, you can choose the gender of your baby through IVF, using genetic testing to select an embryo of the desired sex. However, whether or not you should choose gender is a question filled with ethical, legal, and social implications.
In many countries, it’s legal to choose gender for medical reasons, such as preventing gender-specific genetic diseases. But non-medical gender selection remains controversial, with concerns about societal impacts and potential misuse of this technology.
Before pursuing gender selection, it’s important to have a conversation with your doctor about the risks, costs, and ethical considerations involved. While the science is clear, the decision to use IVF for gender selection is deeply personal, and it’s essential to consider both the benefits and the broader implications of this choice.