ABSTRACT
Ethical concerns about the ethics of selecting the sex of a child predate current
techniques of prenatal genetic diagnosis (PGD) and sperm sorting. The only methods
previously available were highly problematic, as they involved infanticide or abortion
of an unwanted sex. PGD is less problematic than the earlier methods, yet still troubling
to some because it involves destruction of a healthy embryo and risks to women. The
technique of sperm sorting, still in an experimental phase, is the least ethically
problematic method, yet opponents argue that sex selection by any means involves sex
discrimination and can have undesirable consequences. One such consequence is an imbalance
in the sex ratio. This imbalance already exists in some Asian countries that favor
male children, but is less likely in Western Europe and North America. There is increasing
acceptance of family balancing as a reason for sex selection, but some people remain
opposed to broadening the indications for sex selection of offspring beyond family
balancing. Nevertheless, parents may have good reasons other than family balancing
for choosing the sex of a future child. Such reasons may be justified by the principle
of reproductive liberty.
KEYWORDS
Sex selection - family balancing - sperm sorting - reproductive liberty
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Ruth MacklinPh.D.
Albert Einstein College of Medicine
1300 Morris Park Avenue, New York, NY 10463
Email: ruth.macklin@einstein.yu.edu