Abstract

Nonmedical sex selection refers to the discretionary use of technology to fulfill the parental desire for offspring of a certain sex, rather than use of technology for the purpose of avoiding X-linked genetic conditions. The ASRM has not taken a firm position on the ethical permissibility of nonmedical sex selection but rather encourages individual clinics to develop and publicise their own policies on the subject. The autonomy of both the parents and the providers ought to be considered. Providers should consider the potential societal implications of reinforcing inaccurate gender stereotypes or the possibility of creating distorted sex ratios. As reproductive technologies continue to advance, it is essential for clinicians to carefully consider the short and long-term repercussions of using technology to select for particular traits. This chapter explores these ethical considerations with the aim of providing guidance to providers who may be faced with the decision of whether to participate in prenatal sex selection for nonmedical reasons.