Step-by-Step
Gender selection is an option within IVF that allows intended parents to choose an embryo for transfer based on chromosomal sex (XX or XY). This is done through IVF with embryo creation, embryo biopsy, and genetic testing (most commonly PGT-A), followed by a frozen embryo transfer (FET). At Hanabusa IVF, gender selection is approached with clarity, professionalism, and patient-centered guidance. We’ll explain what is and isn’t possible, how to plan ethically and responsibly, and what factors (like embryo availability and age) can affect your options.
It requires a solid IVF plan, realistic expectations, and careful coordination from embryo creation through transfer.
We explain how embryo numbers, age, and embryo development affect the chance of having embryos of the desired sex available.
We tailor stimulation and lab strategy to support embryo development—because gender selection depends on having embryos to test.
We help you understand PGT-A’s role (sex identification is typically a byproduct of chromosomal testing) and what results do and don’t mean.
FET timing is personalized to support the best possible implantation environment.
We guide each step—testing, results review, embryo selection plan, and transfer—so decisions feel clear and supported.
You’re planning IVF and want the option to select embryo sex (XX/XY)
You want family balancing (case dependent and based on your goals)
You understand that embryo availability varies—and want realistic planning upfront
You are comfortable with embryo testing as part of the process
You want to avoid genetic testing or embryo freezing
Your priorities are speed and simplicity rather than selection
You have a very limited expected embryo yield and prefer to focus on the best overall embryo rather than sex selection (we’ll guide you)
IVF cycle costs (medications, monitoring, retrieval, lab services)
Genetic testing costs (often PGT-A fees + number of embryos tested)
Embryo freezing and storage
FET cycle costs for transfer
Any additional diagnostics needed for uterine readiness
Often included: embryo biopsy and lab coordination (varies by package)
Often separate: IVF medications, genetic lab fees, storage, FET cycle medications/monitoring, FET cycle costs, PGT (if chosen)
Gender selection itself doesn’t increase pregnancy success. Success still depends on embryo quality, uterine readiness, and overall health factors. The chance of having embryos of a desired sex available depends on embryo numbers and genetic results—both of which vary widely.
Age and egg quality (impacts embryo development and chromosomal results)
Number of embryos available for testing
Embryo quality and test results
Uterine lining and timing during FET
Overall fertility diagnosis and history
IVF cycle + embryo testing typically means transfer happens in a later FET cycle
IVF → embryo biopsy/testing → results review → transfer planning
Embryo availability and results may influence options
Quick in-office procedure, with pregnancy testing typically ~9–14 days later (protocol dependent)
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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