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Family balancing is the practice of using gender selection techniques, usually IVF (In Vitro Fertilisation) to choose the sex of a child for non-medical reasons, typically to achieve a mix of genders in a family. The process is ethically controversial and whilst accepted in some countries, is illegal for social reasons in others, including the UK.
This book explores one of the most complex and evolving frontiers of modern reproductive medicine, the science and ethics of choosing a child's gender. It delves into the medical advances, global policies, cultural influences, technologies, ethics, and personal choices that shape the landscape of gender selection today.
Gautam Nandkishore Allahbadia MD DNB FNAMS FCPS DGO DFP FICMU FICOG
Fertility Specialist, Researcher, and Founder, Allahbadia IVF, Dubai Healthcare City (DHCC), Dubai, UAE
SECTION 1: ORIGINS OF DESIRE: CULTURE, HISTORY, AND GENDER PREFERENCE
1. Divine Design: Gender Preference in Mythology and Religious Texts
2. Medical History of Gender Selection: From Folk Remedies to Molecular Genetics
3. Gender Disappointment and the Desire for Family Balancing
4. The Global Son Preference: Cultural, Lineage, and Economic Drivers
SECTION 2: MEDICINE MEETS CHOICE: SCIENCE, TECHNOLOGY, AND FAMILY BALANCING
5. Selective Abortions: The Dark Legacy of Ultrasound and Prenatal Gender Detection
6. Preconception Techniques: From Shettles to Sperm Sorting
7. Preimplantation Embryo Sexing: PGTA and Blastocyst Biopsy
8. Clinical Outcomes of PGTA for Family Balancing
9. Mild Stimulation and IVF Lite in Gender Selection Programs
10. Egg Freezing and Egg Accumulation for Future Gender Selection
11. Role of Male Factor and Intracytoplasmic Sperm Injection in Gender Selection Cycles
12. Technological Frontiers: CRISPR, Artificial Intelligence, and Epigenetics
13. Clinic Protocols and Standard Operating Procedures in Gender Selection In Vitro Fertilization Units
14. Cross-border Reproductive Care: IVF Tourism for Gender Selection
15. Donor Egg IVF and the Male Child: The New Frontier of Family Building
SECTION 3: ETHICS, AUTONOMY, AND THE LEGAL LANDSCAPE
16. Bioethical Dilemmas in Choosing Gender: Autonomy versus Social Harm
17. The Future of Ethical Family Balancing: A Global Perspective
18. Legal Landscapes: Regulation, Loopholes, and Global Governance
SECTION 4: CONVERGENCE AND THE ROAD AHEAD
19. In Vitro Fertilization, Preimplantation Genetic Testing for Aneuploidy, and Gender Selection in the 21st Century
20. The Commercialization of Gender Selection: Clinics, Marketing, and Medical Tourism
21. From Gender to Genome: Is Family Balancing the First Step Toward Designer Babies?
22. Gender Selection and Social Media: Influence, Visibility, and the Making of Modern Parenthood