Can I Choose My Baby’s Gender?

Several suggested practices – from diet changes to the timing of intercourse – promise to ensure you can choose the sex of your baby but none has proven successful. In an unassisted pregnancy, the odds of having a baby of either sex remain fairly even at 50/50.

Urologist Sarah Vij, MD, and women’s health specialist Cynthia Austin, MD, explain what drives the theories and shed some light on the truth.

Myths about a baby’s sex
Several myths are based on the Shettles Method, developed by Landrum Shettles in the 1960s. He built his theories on the fact that the sperm carrying the Y chromosome, which conceives a baby boy (XY), is lighter and faster but less durable than the sperm carrying the X chromosome that results in a girl (XX). Several myths about conception stem from this theory.

Myth 1: Have intercourse closer to ovulation allows the lighter, faster Y-chromosome sperm to reach the egg first. Intercourse further from ovulation enables the stronger, more durable X-chromosome sperm to outlast the Y-chromosome sperm.

Dr. Austin says “Intercourse two days prior to ovulation is good timing,” but she adds this would only increase the likelihood of conception, and would not affect what sex your baby would be.

Myth 2: Shettles suggests that having deeper intercourse helps the faster Y-chromosome sperms get to the egg first. Having deeper intercourse, Dr. Austin says. “would not alter delivery of sperm to the egg at all.”

Myth 3: To increase likelihood for a boy, women should increase potassium in their diet.

One study indicated that there was an association between potassium and having a male baby, but offered only minimal proof that this was a reliable method. In fact, there was only a 5% change in the number of women in the study who ended up having a boy, according to Dr. Vij.

Myth 4: Women who use an expectorant (like cough syrup) can increase the fluidity of their cervical mucus to lubricate the way for Y-chromosome sperm. To which Dr. Vij replies: “That’s another old wives’ tale.”

Myth 5: Changing the pH factor in the vagina can help. If you make the vagina more acidic by using a vinegar douche, it favors a girl. If you make it more alkaline by using a baking soda and water douche, it favors a boy.

“Baking soda douches won’t change odds for sex,” Dr. Austin says, adding: “It can be very harmful to the woman, too, especially the baking soda, so we do not recommend these techniques.”

The only way to guarantee a boy or girl?
Currently, the only way to guarantee sex is a technique called preimplantation genetic diagnosis (PGD), where a single sperm is implanted in the egg in a type of in vitro fertilization called ICSI (intracytoplasmic sperm injection). A cell of the developing embryo is tested to determine sex prior to placement in the uterus of the mother.

But Dr. Austin clarifies: “Even with genetic testing, the sex cannot be 100% guaranteed,” she says.

Because the male sperm tend to be a little lighter, they can be separated through centrifugation or other processing procedures. However, she says, this only increases the odds by a few percent.

Drs. Austin and Vij concur: Focus should be on parents making a healthy baby, rather than a baby of a particular sex.


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