Sex Selection

00:00:04.400 --> 00:00:07.454 Gender selection is what we call family balancing. 00:00:07.520 --> 00:00:11.200 It's when couples have one specific gender. 00:00:11.500 --> 00:00:14.179 In the past, it used to be, "Oh, we have more boys or more girls, 00:00:14.245 --> 00:00:15.840 and we want to have another boy, not a girl." 00:00:15.906 --> 00:00:19.774 But the reality is that nowadays, some couples want to have only one child, 00:00:19.840 --> 00:00:22.400 and the dream was to have just a boy or just a girl. 00:00:23.767 --> 00:00:26.294 That's where the gender selection come into place. 00:00:26.360 --> 00:00:28.533 The gender selection with IVF require, 00:00:28.600 --> 00:00:30.767 first of all, to go through the IVF process. 00:00:30.967 --> 00:00:35.133 The IVF process in a very nutshell is women every month, 00:00:35.200 --> 00:00:39.000 every certain amount of eggs, they got recruited by the ovaries. 00:00:39.240 --> 00:00:42.033 They go through about 2 weeks of treatment, 00:00:42.100 --> 00:00:45.533 about 10–11 days of medications to grow those eggs. 00:00:45.960 --> 00:00:49.200 After the eggs are mature, they go through egg retrieval. 00:00:49.267 --> 00:00:52.934 We take the eggs out, we fertilize them, and grow the embryos in the lab 00:00:53.000 --> 00:00:54.600 and check them for chromosomes. 00:00:54.667 --> 00:00:57.800 We cannot make more boys or girls. 00:00:58.167 --> 00:01:00.200 Sometimes we wish we could, but we can't. 00:01:00.267 --> 00:01:02.480 The only thing that the PGT can do 00:01:02.840 --> 00:01:06.967 is detect of the 5, 6, 7, 8, 9, 10 embryos that we have, 00:01:07.033 --> 00:01:09.367 which one is a male and which one is a female. 00:01:09.800 --> 00:01:11.214 We get the question a lot. 00:01:11.367 --> 00:01:15.214 "Is it possible that I'm going to do IVF and end up just with boys or girl?" 00:01:15.280 --> 00:01:16.633 Yeah, unfortunately, yes. 00:01:17.280 --> 00:01:20.654 The more eggs somebody has, the less likely that that will happen 00:01:20.720 --> 00:01:23.333 because ultimately, you should know, 00:01:23.600 --> 00:01:25.667 most women, couples will end up 00:01:25.733 --> 00:01:28.800 with at least the two genders in different proportion, 00:01:28.867 --> 00:01:31.467 but it can happen. 00:01:31.880 --> 00:01:35.733 That goes back to who's a good candidate for gender selection. 00:01:35.800 --> 00:01:37.574 We'll always respect patient wishes. 00:01:37.700 --> 00:01:40.333 If somebody come and say, "Hey, I want to do it," absolutely. 00:01:40.720 --> 00:01:44.200 But as couples get older, and they don't have a lot of eggs, 00:01:44.267 --> 00:01:45.533 we'll be the first one to say, 00:01:45.600 --> 00:01:47.133 "You can go through the IVF, 00:01:47.600 --> 00:01:50.967 but your chances of finding a normal embryo might be just 20%. 00:01:51.120 --> 00:01:54.267 Then the fact that this embryo might be the gender that you want 00:01:54.600 --> 00:01:56.467 might be just 10% or 5%." 00:01:56.920 --> 00:02:00.036 We'll always be very upfront about, "Listen, this is what we think," 00:02:00.102 --> 00:02:02.059 and at the end, we'll respect the patient wishes 00:02:02.133 --> 00:02:03.133 if they want to go through. 00:02:03.200 --> 00:02:07.633 But I think age is an important factor in that and number of eggs. 00:02:07.700 --> 00:02:11.334 As far as detecting the gender, we can never say 100% in medicine, 00:02:11.400 --> 00:02:12.833 but it's pretty much close to that. 00:02:12.967 --> 00:02:15.533 It's very unlikely that an embryo get rated 00:02:15.614 --> 00:02:17.800 as boy or girl and turn out to be different. 00:02:18.267 --> 00:02:21.267 From that perspective, it's very precise and very safe. 00:02:21.333 --> 00:02:24.867 When we consider gender selection, we always say the first thing to do 00:02:24.933 --> 00:02:28.633 after scheduling the consultation and having really fertility testing. 00:02:29.040 --> 00:02:30.867 We test both, the sperm and the egg, 00:02:30.933 --> 00:02:35.467 to be able to provide some more realistic numbers 00:02:35.533 --> 00:02:36.833 for the success rate.