Aspire HFI Blog

Understanding Family Balancing with IVF: What to Know

Posted on July 30th, 2025

For many families, the journey to parenthood is filled with hopes, not just for a healthy baby, but sometimes for a sense of balance. You might imagine your future with a mix of sons and daughters, picturing the unique energy each child brings to the family dynamic. That’s where family balancing comes in.

Family balancing refers to the intentional choice to pursue a more even mix of male and female children, often through in vitro fertilization (IVF) and genetic testing. For example, a couple with a son may wish for a daughter the second time around—or the other way around. While this option can be meaningful for some families, it also raises important ethical considerations to think through before taking the next step.

Genetic Testing and Family Balancing

When sperm fertilizes an egg, it provides an X chromosome, which will become a female, or a Y chromosome, which will become a male. Due to recent advancements in treatment, patients can test embryos created through IVF, not only to determine if they're genetically healthy, but also to see if they’ll result in a baby girl or boy. This testing is called Preimplantation Genetic Testing for Aneuploidy, or PGT-A.

An embryologist performs PGT-A via an embryo biopsy, where they remove a few cells from the embryo and send them to a genetics laboratory for analysis. Like any genetic test, there aren’t any guarantees, but PGT-A does make gender selection possible.

Ethical Considerations

Family balancing raises complex ethical considerations. For example, it may reinforce societal preferences for one gender over another, potentially leading to gender inequality and discrimination. Concerns also exist that family balancing could lead to the selection of other traits, potentially creating "designer babies" and exacerbating social inequalities.

Ultimately, individuals have the right to make informed decisions regarding their reproductive health. In some cases, family balancing helps prevent certain genetic conditions linked to a specific sex. Couples and individuals interested in family balancing should work alongside a fertility specialist to understand their options, minimize potential harms, and uphold societal values regarding gender equality.

Learn More About Family Balancing

Family balancing has potential benefits as well as ethical considerations. As Aspire HFI, we're committed to helping our patients make informed, respectful choices that best align with their family-building goals.

For more information about IVF with PGT-A, contact us today to schedule an appointment at our Houston, Willowbrook, Cypress, Katy, Sugar Land, The Woodlands, Memorial City, Beaumont, Kingwood, or Clear Lake locations. We’re proud to offer Houston family balancing, IVF, PGT-A, and other advanced fertility treatments.

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