Preimplantation sex selection demand and preferences among infertility patients in Midwestern United States |
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Authors: | Stacey A Missmer Tarun Jain |
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Institution: | (1) Department of Obstetrics, Gynecology, and Reproductive Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA;(2) Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA;(3) Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA;(4) Department of Obstetrics and Gynecology, University of Illinois Medical Center, Chicago, IL, USA;(5) Division of Reproductive Endocrinology and Infertility, University of Illinois at Chicago, 820 South Wood Street, M/C 808, Chicago, IL 60612, USA |
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Abstract: | Purpose To determine the demand and preferences of infertility patients for sex selection for nonmedical reasons, and to investigate
the relation between these choices and their demographic and socioeconomic characteristics.
Methods A cross-sectional, self-administered survey by mail was conducted at a University hospital-based fertility center of 1,350
consecutive women who presented for infertility care, to assess patient demand and preferences for sex selection.
Results Of respondents, 49% wanted to select the sex of their next child for no added cost. Of these patients, 56% had no living children
and 37% had children all of one sex. After adjustment for observed predictors of gender preference, we found a significant
preference for a female child among women who had only sons, had more living children, or were single. Nulliparous women did
not significantly prefer one sex over the other. Among parous women, those with only daughters significantly desired to select
a male child, whereas those with sons significantly desired to select a female child.
Conclusion There is significant demand among infertility patients for preimplantation sex selection, with a significant portion of this
demand coming from patients who do not have any children or have children all of one sex.
Presented in part at the American Society for Reproductive Medicine (ASRM) Annual Meeting, New Orleans, Louisiana, October
2006.
Financial support: none
Conflict of interest: none |
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Keywords: | Gender selection IVF Preimplantation genetic diagnosis Sperm sorting Assisted reproductive technology Ethics Infertility |
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