IVF + Gender Selection in Iran

FlyToTreat/Articles/ IVF + Gender Selection in Iran


Nowadays, treating infertility problems and having a child has become easier due to assisted reproductive technologies. Couples can even choose their offspring’s gender through IVF + gender selection. This is not a dream but it is a reality of modern assisted reproduction.

Reproductive technologies have advanced significantly so that by doing a lab test, the sex of the embryo will be revealed. Through preimplantation genetic screening (PGS) tests, patients are allowed to decide if they want to have a baby boy or a baby girl.  In this article, we will cover the whole process of IVF and gender selection (sex selection) to know how they work and how successful this process would be.

Free Consuultation on Whatsapp

How does IVF Work?

In vitro fertilization or IVF for short is a medical procedure that helps treat infertility problems, prevents genetic disorders, and reveals the gender of the embryos using other procedures like PGD or PGS. During IVF, mature eggs are retrieved from ovaries and are fertilized via sperm in vitro in a laboratory environment. Then the high-quality embryos are transferred to the recipient’s uterus. A cycle of IVF often takes about three weeks. Other assisted reproductive techniques like ICSI, sex selection, embryo screening, etc. can be used along with the IVF procedure.

IVF is the most popular and the most effective way of helping fertility that has caused many babies to be born. In this process, eggs and sperm can come from the known couple or anonymous donors. In some other cases, a gestational carrier or surrogate will be used to carry the embryo. In vitro fertilization may end with multiple pregnancies if more than one embryo is transferred to the uterus. Before proceeding with IVF, you should know the possible complications of this method and consult with your doctor about your options.

What are the Reasons for Gender Selection during IVF?

What are the Reasons for Gender Selection during IVF?

Gender selection was initially developed to help couples with a history of a sex-linked genetic disease, aiming to reduce the risk of having a child with the same disorder. As sex selection technology has evolved, more couples were willing to use it for non-medical reasons. There are many reasons for using this technology during IVF. The main reasons for using sex selection are discussed below.

  • Intended parents usually choose the sex selection method for “Family balancing”. For example, a couple always wanted to have a girl but they only have boys. Therefore, they can use a sex selection process during IVF to make sure they can get a baby girl.
  • Another reason for doing this process is the risk of transmitting a genetic disease to the baby. Some couples have another child affected by a genetic disorder; therefore, they use sex selection to avoid the type of disorder that affects a specific gender (sex-linked disorders).
  • A couple may have lost a child and wish to have another one of the same sex.
  • Some people may feel psychologically more prepared to parent one specific gender.
  • In some traditional cultures, having a baby with a certain gender (often a male) can be considered a merit.

There are so many deeply personal reasons for wanting to undergo sex selection that should all be respected. If you want to undergo gender selection, we can discuss it during the consultation session and put it into your treatment process. Sex selection is an incredible service that let parents be more prepared for raising their future offspring.


How to Select Baby’s Gender?

There are some myths and theories for choosing the sex of a baby through certain diet or other factors, though they do not have scientific documents and should not be taken seriously. However, through a scientific method used along with the IVF process, the sex of the baby could be chosen with very high accuracy. Gender selection is not a separate and stand-alone service and it should be used in conjunction with in vitro fertilization.

A baby’s gender can be revealed in the early stages via in vitro fertilization and preimplantation genetic testing (PGT) when it is only the first days of insemination. Two chromosomes known as X and Y determine the sex of the baby. Egg cells of female partner always carry XX chromosome while male sperm carries XX or XY chromosomes. If a sperm containing XY chromosome fertilizes the egg, the embryo will be a boy and if a sperm containing XX chromosome fertilizes the egg, the resulting embryo will be a girl.

You may already know that there is a 50/50 percent chance of having a baby with either gender. Therefore, in order to determine the sex of your baby confidently, you must use IVF + sex selection service. For example, if you want to have a baby boy, your doctor needs to accurately select a sperm that contains the XY chromosomes to fertilize your eggs. In case you want to use a donor embryo, you need to have an embryo containing XY chromosomes.

Is Gender Selection Safe?

Is Gender Selection Safe?

Gender selection happens through PGD or PGS testing. In these techniques, no increase in birth defects compared to general pregnancies has been seen. Removal of a few cells of the embryos for the screening process or revealing their sex does not harm the embryo or stop it from developing. By follow-up evaluations of children who were born after the PGS or PGD process, no noticeable negative effects on the growth of the babies have been detected.


The PGD/PGS/PGT-A Process for Gender Selection

Those who are willing to use the gender selection technique should undergo the same protocols as others utilizing in vitro fertilization. Through the IVF process, when the egg and sperm are inseminated and the embryo has been formed, the fertility doctor can examine the embryos and identify their genders (sometimes fertilization is accomplished with intracytoplasmic sperm injection or ICSI, in which sperm is injected directly into the eggs). The sex selection process happens through preimplantation genetic diagnosis (PGD), or preimplantation genetic screening (PGS/PGT-A).

By conducting PGD/PGS/PGT-A testing on embryos, an embryologist can determine if any chromosomal abnormalities can lead to future birth disorders. In addition, the sex of the embryos will be revealed by showing XX and XY chromosomes, letting the parents choose the desired sex for their baby.

Sex selection begins in a laboratory setting. When the embryo has been formed, a single cell named blastomere is removed from the outside layer without harming it by using a microscopic glass needle and laser. Then the cell’s genetic makeup will be analyzed under the microscope to determine the gender and its general quality. Finally, the high-quality embryos of the preferred sex would be transferred into the recipient’s uterus.


What Happens to the Unused Embryos?

If there are embryos that do not have your preferred gender, you can consider different options about what you can do with them. The embryos of high quality can be frozen and kept for future use. In one of the cases, a baby has been born from a frozen embryo that has been kept for 27 years. They can be donated to an infertile couple or an individual who wants to have children. They can also be donated to medical research institutions for further studies on embryo development and other related research.


Gender Selection Success Rates in Iran

No matter whether the reason for sex selection is a medical one or a personal choice, the accuracy of this method is very high in Iran. Gender selection can be done through PGS/PGD/PGT-A, which all determine the sex of the embryos in the early stages. When XX and XY chromosomes of embryos are detected through each of the mentioned tests, then the success rate of gender selection is almost 100 % accurate.

However, not all patients may be able to produce healthy embryos of the desired gender. This inability can be due to different factors like age, gamete quality, egg supplies, etc. In this condition, the intended parents can use donor gametes to get the embryos with the desired sex for implanting into the uterus.

Gender Selection Cost in Iran

Gender Selection Cost in Iran

Gender selection costs vary in different countries. In the US, the average cost of sex selection is around $27000. Undergoing the sex selection process in Iran is an ultra-affordable option that helps people from different economical levels get their treatment in lower costs. The cost of IVF and sex selection in Iran is around $3800, which is an amazing offer to international couples who want to select the gender of their offspring.

The important reason that couples choose Iran as their medical destination is not only the significantly low cost of PGD treatment but also the high quality of the process with almost 100% exact results. While the cost of sex selection in Iran is about one-fourth of IVF and PGD cost compared to the other parts of the world, the quality of the service is compatible with countries like USA and Germany.




Ethical Considerations about Gender Selection

When gender selection is utilized for medical reasons, there are no ethical considerations. However, when it is used for family balancing or personal preferences, it may cause ethical concerns for some people. FlytoTreat fertility team discusses potential ethical concerns with the clients to be informed about the possible future concerns before starting this process.

One of these considerations is about promoting one sex over another which some consider as being sexist. It can lead to sex imbalance in cultures where one gender has a higher value in society compared to the other. Another concern is making decisions about unused embryos of the opposite sex or the chosen sex which can be very difficult decisions for many people. Thus, FlytoTreat experts discuss these subjects in advance and if it is needed refer the patients for counseling.


best free consultation

The bottom Line

Due to the high cost of gender selection and the limitations of practising this technology in some countries, many people travel to Iran to receive affordable sex selection services of the highest quality. FlytoTreat is honored to help couples in this way by standing beside them as early as the consultation step and providing the medical visa, until the pregnancy and the need for follow-up attempts. For getting more information about this service, feel free to contact us all throughout the week.



AUTHOR: Leila Nazari

17 June 2023 - Updated At: 26 May 2024