The idea of choosing a baby’s gender has fascinated many couples undergoing fertility treatments. With advances in reproductive medicine, some wonder, “can you choose gender with IVF?” While gender selection is possible under certain medical conditions, myths and misconceptions abound. Understanding IVF gender selection, its costs, timelines and potential side effects can help couples make informed decisions.
Understanding IVF Gender Selection
IVF gender selection involves using advanced laboratory techniques to determine the sex of embryos before transfer. This is usually done through preimplantation genetic testing (PGT), which analyzes chromosomes in embryos. While often promoted for family balancing, gender selection is primarily recommended for medical reasons, such as avoiding genetic diseases linked to a specific sex.
How the Process Works
- IVF Cycle Initiation – Like standard IVF, the process starts with hormonal stimulation and IVF medications to produce multiple eggs.
- Egg Retrieval and Fertilization – Eggs are retrieved and fertilized in the lab to create embryos.
- Genetic Testing (PGT) – Embryos are tested for chromosomal health and sex determination.
- Embryo Transfer – Healthy embryos of the desired sex are transferred to the uterus.
The IVF process timeline for gender selection is similar to standard IVF, typically taking 4–6 weeks per cycle, with careful monitoring and multiple appointments.
Common Myths About Gender Selection
- Myth 1: IVF gender selection is 100% guaranteed – While success rates are high with PGT, no method is foolproof. A small percentage of embryos may not survive testing or transfer.
- Myth 2: IVF is always painful – Some fear the process due to discomfort from IVF medications and egg retrieval. Most patients report manageable pain, especially with sedation and proper guidance.
- Myth 3: It’s only for wealthy couples – While costs for IVF gender selection can be higher due to genetic testing, many agencies provide transparent pricing and guidance for budgeting.
- Myth 4: Is IVF painful for everyone – While some discomfort may occur, most patients experience only mild or manageable pain, especially with sedation and proper medical care.

IVF Side Effects to Consider
Although gender selection uses standard IVF techniques, some side effects may occur:
- Mild cramping or bloating from ovarian stimulation.
- Mood changes due to hormonal IVF medications.
- Risk of multiple pregnancies if multiple embryos are transferred.
Working closely with your fertility specialist helps manage side effects and ensures the process is as safe and comfortable as possible.
Legal and Ethical Considerations
Gender selection for non-medical reasons is regulated differently across countries. In the U.S., many clinics allow gender selection for family balancing, while some countries restrict it to medical reasons only. Couples should ensure they follow local regulations and ethical guidelines when considering IVF gender selection.
Final Thoughts
While the answer to “can you choose gender with IVF?” is yes in certain contexts, it’s important to separate myths from facts. IVF gender selection involves careful planning, monitoring and expert guidance. Understanding the IVF process timeline, potential side effects and costs helps couples make informed choices. For those requiring donor eggs, collaborating with a trusted Egg donor agency like Indian Egg Donors ensures reliable access to screened donors, adding confidence to the process.
Have questions about IVF gender selection? Contact us today at (212) 661-7177 to speak with our fertility specialists team and explore your options with expert guidance.
Frequently Asked Questions:-
Q. Can IVF be used to choose a baby’s gender?
Ans : Yes, can you choose gender with IVF? The answer is yes—IVF can help select a baby’s gender using preimplantation genetic testing (PGT), primarily for medical reasons or family balancing.
Q. How does the IVF gender selection process work?
Ans : The IVF process timeline includes hormonal stimulation, egg retrieval, fertilization, genetic testing of embryos, and transferring embryos of the desired sex.
Q. Is gender selection with IVF 100% guaranteed?
Ans : No, while success rates are high, is IVF painful for most patients is generally manageable. Some embryos may not survive testing or transfer, and discomfort is usually mild.
Q. Are there any side effects of IVF gender selection?
Ans : Possible IVF side effects include mild cramping, bloating, mood changes from IVF medications, and the risk of multiple pregnancies.

Dr. Pooja Patel
Dr. Pooja Patel is a Chief Surrogacy Coordinator at Surrogacy4all. She has 10 years of experience in Anesthesiology and critical care medicine.
She received her medical degree from Seth GS Medical College and K.E.M Hospital in India. She then completed an internship. She finished her Anesthesia residency at Grant Govt Medical College and JJ Group of Hospitals in India.




