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Men's preference for sons was most pronounced among men aged 18 to 29.

The layers of gender-selected sperm are of higher concentrations but not pure.

The factors are: (1) A preference for sons which stems from household structures “in which girls and women have a marginal social, economic and symbolic position, and consequently enjoy fewer rights.” These household structures also focus on security in which sons are expected to provide support to their parents throughout their life; (2) Technological growth of prenatal diagnosis which allows parents to know the sex of their unborn child; and (3) Low fertility which increases the need for sex selection by reducing the probability of having a daughter in smaller families.

The United Nations Population Fund states that “Local fertility restrictions and spontaneous rapid fertility decline below replacement levels tend to compel parents who want both a son and a small family size to resort to sex selection.” In many cultures, male offspring are desired in order to inherit property, carry on the family name and to provide support for parents in old age.

Two major types of pre-implantation methods can be used for social sex selection.

Both of them are based on actively rendering the second sex chromosome to be either a Y chromosome (resulting in a male), or an X chromosome (resulting in a female).

The Ericsson method, first applied in a clinical setting in the 1970s by Dr. Ericsson, uses higher concentrations of sperm of the desired sex to increase the likelihood of conceiving that sex.

The method has a 70-72% success rate for boys and a 69-75% success rate for girls.

Menon graduated from the All India Inst of Med Sci, Ansari Nagar, New Delhi, India in 1978.

He works in Ann Arbor, MI and 2 other locations and specializes in Pediatric Endocrinology. Menon is affiliated with University Of Michigan Hospitals & Health Center.

In countries such as India, China and Nepal sons have been favored over daughters.

According to a 2011 Gallup poll, American parents favor boys by a 40% to 28% margin.

Since only embryos of the desired sex are transferred to the mother, IVF/PGD avoids the small likelihood present in the Ericsson method of an undesired sperm fertilizing the egg.

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