Effects of assisted reproductive technologies on human sex ratio at birth

Objective To investigate the effect of assisted reproductive technology (ART) treatments on the sex ratio of babies born. Design Assessment of direct effects of assisted conception through retrospective data analysis on the progeny sex ratio of treated women in the United Kingdom. Setting...

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Main Authors: Maalouf, Walid E., Mincheva, Mina N., Campbell, Bruce K., Hardy, Ian C.W.
Format: Article
Published: Elsevier 2014
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Online Access:https://eprints.nottingham.ac.uk/41526/
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author Maalouf, Walid E.
Mincheva, Mina N.
Campbell, Bruce K.
Hardy, Ian C.W.
author_facet Maalouf, Walid E.
Mincheva, Mina N.
Campbell, Bruce K.
Hardy, Ian C.W.
author_sort Maalouf, Walid E.
building Nottingham Research Data Repository
collection Online Access
description Objective To investigate the effect of assisted reproductive technology (ART) treatments on the sex ratio of babies born. Design Assessment of direct effects of assisted conception through retrospective data analysis on the progeny sex ratio of treated women in the United Kingdom. Setting The study uses the anonymized register of the Human Fertilisation and Embryology Authority. Patient(s) A total of 106,066 babies of known gender born to 76,994 treated mothers and 85,511 treatment cycles between 2000 and 2010 in the United Kingdom. Intervention(s) Intrauterine insemination, IVF, or intracytoplasmic sperm injection (ICSI). Main Outcome Measure(s) Sex ratio of babies born. Result(s) Intrauterine insemination, IVF, and ICSI lead to different sex ratios, highest after IVF (proportion male = mean 0.521 ± confidence interval 0.0056) and lowest under ICSI embryo transfer (0.493 ± 0.0031). In addition, for both ICSI and IVF, transferring embryos at a later stage (blastocyst) results in approximately 6% more males than after early cleavage-stage ET. Conclusion(s) Because the cumulative number of IVF babies born is increasing significantly in Britain and elsewhere, more research is needed into the causes of gender bias after ART and into the public health impact of such gender bias of offspring born observed on the rest of the population.
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spelling nottingham-415262020-05-04T20:14:36Z https://eprints.nottingham.ac.uk/41526/ Effects of assisted reproductive technologies on human sex ratio at birth Maalouf, Walid E. Mincheva, Mina N. Campbell, Bruce K. Hardy, Ian C.W. Objective To investigate the effect of assisted reproductive technology (ART) treatments on the sex ratio of babies born. Design Assessment of direct effects of assisted conception through retrospective data analysis on the progeny sex ratio of treated women in the United Kingdom. Setting The study uses the anonymized register of the Human Fertilisation and Embryology Authority. Patient(s) A total of 106,066 babies of known gender born to 76,994 treated mothers and 85,511 treatment cycles between 2000 and 2010 in the United Kingdom. Intervention(s) Intrauterine insemination, IVF, or intracytoplasmic sperm injection (ICSI). Main Outcome Measure(s) Sex ratio of babies born. Result(s) Intrauterine insemination, IVF, and ICSI lead to different sex ratios, highest after IVF (proportion male = mean 0.521 ± confidence interval 0.0056) and lowest under ICSI embryo transfer (0.493 ± 0.0031). In addition, for both ICSI and IVF, transferring embryos at a later stage (blastocyst) results in approximately 6% more males than after early cleavage-stage ET. Conclusion(s) Because the cumulative number of IVF babies born is increasing significantly in Britain and elsewhere, more research is needed into the causes of gender bias after ART and into the public health impact of such gender bias of offspring born observed on the rest of the population. Elsevier 2014-05 Article PeerReviewed Maalouf, Walid E., Mincheva, Mina N., Campbell, Bruce K. and Hardy, Ian C.W. (2014) Effects of assisted reproductive technologies on human sex ratio at birth. Fertility and Sterility, 101 (5). pp. 1321-1325. ISSN 1556-5653 Sex ratio; gender bias; embryo; ART births; IUI; IVF; ICSI http://www.sciencedirect.com/science/article/pii/S0015028214000892 doi:10.1016/j.fertnstert.2014.01.041 doi:10.1016/j.fertnstert.2014.01.041
spellingShingle Sex ratio; gender bias; embryo; ART births; IUI; IVF; ICSI
Maalouf, Walid E.
Mincheva, Mina N.
Campbell, Bruce K.
Hardy, Ian C.W.
Effects of assisted reproductive technologies on human sex ratio at birth
title Effects of assisted reproductive technologies on human sex ratio at birth
title_full Effects of assisted reproductive technologies on human sex ratio at birth
title_fullStr Effects of assisted reproductive technologies on human sex ratio at birth
title_full_unstemmed Effects of assisted reproductive technologies on human sex ratio at birth
title_short Effects of assisted reproductive technologies on human sex ratio at birth
title_sort effects of assisted reproductive technologies on human sex ratio at birth
topic Sex ratio; gender bias; embryo; ART births; IUI; IVF; ICSI
url https://eprints.nottingham.ac.uk/41526/
https://eprints.nottingham.ac.uk/41526/
https://eprints.nottingham.ac.uk/41526/