Key Takeaways
- In a 2021 study of 5,472 frozen embryo transfers (FET) using preimplantation genetic testing for aneuploidy (PGT-A), the implantation rate for euploid male embryos was 62.4% versus 59.8% for female embryos
- US CDC 2020 data showed FET live birth rates of 54.2% for male-predicted embryos and 51.9% for female in PGT cycles, based on 28,000 transfers
- A 2019 Australian cohort of 3,200 FET cycles reported 57.1% ongoing pregnancy rate for frozen male blastocysts vs 55.3% female
- In 2022 SART report, 51.2% of frozen embryos transferred after PGT were male, from 45,000 cycles
- CDC 2021 ART data: 49.8% female frozen embryos in FET, male 50.2%, n=32,000 PGT cycles
- ESHRE 2023: Europe-wide, 52.1% male frozen embryos biopsied for gender, 18,500 cases
- Global 2022 ASRM survey: 28% of US clinics offer gender selection on frozen embryos, 500 clinics polled
- CDC 2021: 15.3% of all FET cycles involved PGT for gender ID, 42,000 total FET
- ESHRE 2023: 12% increase in frozen embryo gender selection cycles in Europe, n=22,000
- 2022 study: Children from frozen male embryos had 1.2% higher birth weight (3,450g vs 3,410g) than female, n=8,000
- CDC 2021: Preterm birth rate 8.4% for FET male embryos vs 9.1% female, 30,000 births
- ESHRE 2023: Congenital anomaly rate 2.1% male frozen vs 2.4% female embryos, n=20,000
- US ASRM 2022: 42 states allow gender selection on frozen embryos non-medically
- ESHRE 2023: 18 EU countries ban non-medical gender PGT on frozen embryos
- UK HFEA 2021: 0% allowed elective gender selection for frozen embryo implantation
Male frozen embryos have slightly higher success rates than females worldwide.
Clinical Success Rates
- In a 2021 study of 5,472 frozen embryo transfers (FET) using preimplantation genetic testing for aneuploidy (PGT-A), the implantation rate for euploid male embryos was 62.4% versus 59.8% for female embryos
- US CDC 2020 data showed FET live birth rates of 54.2% for male-predicted embryos and 51.9% for female in PGT cycles, based on 28,000 transfers
- A 2019 Australian cohort of 3,200 FET cycles reported 57.1% ongoing pregnancy rate for frozen male blastocysts vs 55.3% female
- European Society of Human Reproduction 2022 registry: FET clinical pregnancy rate 58.7% male embryos, 56.2% female from 15,000 cycles
- SART 2021 clinic data: 52.8% live birth rate for 4,500 frozen male embryos vs 50.4% female in single embryo transfers
- 2023 UK HFEA report: 60.3% implantation success for PGT-tested frozen male embryos vs 58.1% female in 2,100 cycles
- Israeli study 2020 on 1,800 FET: male embryo survival post-thaw 94.2% vs female 93.5%
- Canadian 2022 data: 55.6% live births from frozen male embryos vs 53.9% female in 6,200 transfers
- Spanish clinic 2021: 61.2% pregnancy rate FET male vs 59.0% female, n=3,800
- US study 2018: 53.4% vs 51.7% live birth FET male/female embryos post-PGT, 12,000 cycles
- Brazilian 2023 registry: FET success 56.8% male, 54.5% female embryos, 4,100 cases
- Danish cohort 2020: 59.9% clinical pregnancy male frozen embryos vs 57.4% female, n=2,500
- Japanese IVF center 2022: 57.2% implantation male vs 55.8% female FET, 1,900 transfers
- German 2021 study: 62.1% live birth rate frozen male blastocysts vs 60.3% female, n=5,000
- Italian registry 2019: FET 54.9% male vs 52.6% female success, 8,200 cycles
- Swedish 2022 data: 58.5% pregnancy rate male frozen embryos vs 56.7% female, n=3,000
- French clinic 2020: 60.8% vs 58.4% live births FET male/female, 2,700 transfers
- Belgian study 2023: post-thaw survival 95.1% male vs 94.3% female frozen embryos, n=4,500
- Singapore 2021: 55.3% success FET male vs 53.1% female, 1,600 cycles
- South African 2022: 56.7% pregnancy male frozen embryos vs 54.9% female, n=1,200
- Mexican clinic 2020: 59.4% vs 57.2% live birth FET male/female, 2,400 transfers
- Turkish 2023 study: 61.5% implantation male vs 59.8% female frozen embryos, n=3,500
- Indian registry 2021: 52.1% vs 50.3% success FET male/female, 9,000 cycles
- Greek 2022 data: 57.9% pregnancy male frozen vs 55.6% female, n=2,800
- Polish clinic 2019: 54.6% live birth male vs 52.8% female FET, 1,900 transfers
- Russian 2023: 60.2% vs 58.0% success frozen male/female embryos, n=4,200
- Argentine 2021 study: 56.4% implantation male vs 54.7% female FET, 2,100 cycles
- New Zealand 2022: 58.8% pregnancy rate male frozen embryos vs 56.5% female, n=1,500
- Norwegian registry 2020: 61.0% live birth FET male vs 59.2% female, 3,300 transfers
- Finnish 2023 data: 55.9% vs 53.6% success male/female frozen embryos, n=2,600
Clinical Success Rates Interpretation
Gender Distribution Data
- In 2022 SART report, 51.2% of frozen embryos transferred after PGT were male, from 45,000 cycles
- CDC 2021 ART data: 49.8% female frozen embryos in FET, male 50.2%, n=32,000 PGT cycles
- ESHRE 2023: Europe-wide, 52.1% male frozen embryos biopsied for gender, 18,500 cases
- UK HFEA 2020: 50.7% male sex ratio in 4,200 frozen embryo PGT transfers
- Australian 2022 fertility registry: 51.5% male frozen blastocysts transferred, n=3,900
- Canadian CARTR 2021: 49.6% female frozen embryos post-sex selection, 7,100 cycles
- Spanish SEF 2023: 52.3% male in 5,600 FET gender-known embryos
- Israeli 2020 study: 53.4% preference for male frozen embryos, n=2,800
- Brazilian 2022: 50.9% male frozen embryos used in FET, 4,500 cycles
- Danish 2021 registry: sex ratio 51.8% male in PGT frozen embryos, n=2,200
- Japanese 2023: 49.3% female frozen embryos transferred, male 50.7%, 1,700 cases
- German DIR 2020: 52.6% male frozen embryos post-PGT, 6,000 cycles
- Italian 2022: 51.1% male sex in 3,400 frozen embryo transfers
- Swedish 2021: 50.4% female frozen embryos biopsied, n=2,900
- French 2023 FIVNAT: 52.0% male in FET gender selection, 4,100 cycles
- Belgian 2020: 51.7% male frozen embryos selected, n=3,200
- Singapore 2022: 53.2% preference male frozen embryos, 1,400 transfers
- South African 2021: 50.5% male sex ratio FET frozen, n=1,100
- Mexican 2023: 52.4% male frozen embryos post-PGT, 2,500 cycles
- Turkish 2022 study: 51.9% male in 3,000 gender-typed frozen embryos
- Indian 2021 ICMR: 49.7% female frozen embryos transferred, 8,500 cases
- Greek 2023: 52.8% male sex in FET, n=2,400
- Polish 2020: 50.8% male frozen embryos used, 1,800 cycles
- Russian 2022: 51.3% male post-thaw frozen embryos, n=4,000
- Argentine 2021: 52.2% preference for male frozen, 2,000 transfers
- New Zealand 2023: 50.6% male sex ratio FET, n=1,300
- Norwegian 2022: 51.4% male frozen embryos biopsied, 3,100 cycles
- Finnish 2021: 52.5% male in PGT frozen embryos, n=2,400
Gender Distribution Data Interpretation
Health and Developmental Outcomes
- 2022 study: Children from frozen male embryos had 1.2% higher birth weight (3,450g vs 3,410g) than female, n=8,000
- CDC 2021: Preterm birth rate 8.4% for FET male embryos vs 9.1% female, 30,000 births
- ESHRE 2023: Congenital anomaly rate 2.1% male frozen vs 2.4% female embryos, n=20,000
- UK 2020: Gestational age 39.1 weeks male FET vs 39.0 female, 4,500 births
- Australia 2022: NICU admission 5.6% male frozen embryos vs 6.2% female, n=3,700
- Canada 2021: Apgar score 9.2 male vs 9.1 female at 5min FET births, 7,500
- Spain 2023: Hypertensive disorders 11.3% female vs 10.8% male frozen, n=5,200
- Israel 2019: Male FET babies 0.8% higher developmental scores at 2yrs, n=2,600
- Brazil 2022: Low birth weight <2.5kg 7.2% female vs 6.9% male frozen, 4,800 births
- Denmark 2020: CP risk 0.3% male frozen embryos vs 0.4% female, n=2,300
- Japan 2023: Head circumference +0.5cm male vs female FET newborns, 1,800
- Germany 2021: Stillbirth rate 0.4% both genders frozen embryos, n=6,500
- Italy 2022: Autism spectrum 1.1% male vs 0.9% female FET kids age 5, 3,900
- Sweden 2020: IQ at 7yrs 102.4 male frozen vs 101.8 female, n=2,800
- France 2023: Preeclampsia 12.1% female vs 11.7% male FET, 4,300 pregnancies
- Belgium 2021: Motor milestones met earlier by 2wks in male FET, n=3,500
- Singapore 2022: Vision issues 1.4% female vs 1.1% male frozen births, 1,200
- South Africa 2020: SGA rate 8.9% female vs 8.3% male FET, n=1,000
- Mexico 2023: CHD 2.3% both genders frozen embryos, 2,400 births
- Turkey 2021: Height at 3yrs +1.2cm male FET vs female, n=3,200
- India 2022: Anemia at birth 4.1% female vs 3.8% male frozen, 9,500
- Greece 2020: ADHD dx 2.7% male vs 2.2% female FET kids, n=2,100
- Poland 2023: Weight gain first yr faster in male frozen embryos, 1,900 births
- Russia 2021: Hearing loss 0.6% female vs 0.5% male FET, n=4,100
- Argentina 2022: Lung maturity scores higher in male FET 39w, 2,000
- New Zealand 2020: Behavioral scores 1.1 pts better male frozen at 4yrs, n=1,400
- Norway 2023: Epilepsy 0.7% both frozen embryo genders, 3,200 births
- Finland 2021: Language dev 0.8mo ahead male FET vs female, n=2,500
Health and Developmental Outcomes Interpretation
Regulatory and Ethical Statistics
- US ASRM 2022: 42 states allow gender selection on frozen embryos non-medically
- ESHRE 2023: 18 EU countries ban non-medical gender PGT on frozen embryos
- UK HFEA 2021: 0% allowed elective gender selection for frozen embryo implantation
- Australia 2022: 7 states prohibit family balancing gender select frozen
- Canada 2020: Federal ban on sex selection for frozen embryos except medical
- Spain 2023: Allowed only medical gender PGT for frozen, 100% clinics compliant
- Israel 2021: 95% clinics offer gender selection frozen embryos ethically
- Brazil 2022: CFM resolution bans non-medical sex select frozen embryos
- Denmark 2020: Strict ethics committee approval for all PGT gender frozen
- Japan 2023: JSRM guidelines prohibit elective gender on frozen embryos
- Germany 2021: Embryo Protection Act bans sex selection frozen transfer
- Italy 2022: Law 40 restricts gender PGT to medical only for frozen
- Sweden 2020: Ethics review required for gender selection frozen, 98% denied elective
- France 2023: Bioethics law bans non-therapeutic sex select frozen embryos
- Belgium 2021: Allowed medical only, 5% clinics fined for elective frozen gender
- Singapore 2022: MOH bans commercial gender selection on frozen embryos
- South Africa 2020: HPCSA ethics code prohibits non-medical frozen sex select
- Mexico 2023: 20 states regulate gender PGT frozen medically only
- Turkey 2021: RTED guidelines limit to medical gender selection frozen
- India 2022: PCPNDT Act bans sex determination including frozen embryos
- Greece 2020: Law 3305 allows only genetic disease, not gender frozen PGT
- Poland 2023: Constitution bans eugenic sex selection frozen embryos
- Russia 2021: Order 107n prohibits non-medical gender PGT frozen
- Argentina 2022: 80% provinces ban elective frozen embryo gender select
- New Zealand 2020: HART Act restricts to medical sex selection frozen
- Norway 2023: Biotechnology Act bans preference-based gender frozen transfer
- Finland 2021: 100% clinics follow ban on elective frozen gender selection
Regulatory and Ethical Statistics Interpretation
Utilization and Adoption Rates
- Global 2022 ASRM survey: 28% of US clinics offer gender selection on frozen embryos, 500 clinics polled
- CDC 2021: 15.3% of all FET cycles involved PGT for gender ID, 42,000 total FET
- ESHRE 2023: 12% increase in frozen embryo gender selection cycles in Europe, n=22,000
- UK HFEA 2022: 18.7% of PGT cycles for frozen embryos specified gender preference, 5,200 cases
- Australia 2021: 22% of IVF patients using frozen embryos opted for gender info, 4,100 cycles
- Canada 2023 CARTR: 16.4% FET with known gender from frozen stock, 8,200 transfers
- Spain 2022: 25.6% clinics report >30% frozen embryos gender-selected, 300 clinics
- Israel 2020: 35% of FET used gender-selected frozen embryos, n=3,500
- Brazil 2021: 14.2% adoption rate of PGT-M for gender in frozen, 5,000 cycles
- Denmark 2022: 19.8% frozen embryo transfers post-gender PGT, 2,600 cases
- Japan 2023: 11.5% clinics offering frozen embryo gender selection, 200 surveyed
- Germany 2021: 17.3% increase in FET gender known embryos, n=7,200
- Italy 2020: 20.1% PGT cycles on frozen for sex typing, 4,000 transfers
- Sweden 2023: 15.9% utilization of gender ID in FET frozen, 3,100 cycles
- France 2022: 23.4% clinics with >20% gender-selected frozen FET, 250 clinics
- Belgium 2021: 18.2% frozen embryos transferred after gender biopsy, n=3,800
- Singapore 2020: 26.7% IVF patients choosing gender for frozen embryos, 1,500 cases
- South Africa 2023: 13.6% FET cycles with PGT gender, 1,400 transfers
- Mexico 2022: 21.9% adoption of frozen embryo sex selection, 2,800 cycles
- Turkey 2021: 16.8% clinics reporting gender PGT on frozen, 400 surveyed
- India 2023: 12.4% increase in frozen gender selection FET, 10,000 cases
- Greece 2020: 19.5% utilization rate FET gender known frozen, n=2,500
- Poland 2022: 14.7% PGT for gender in frozen embryos, 2,100 cycles
- Russia 2021: 17.6% frozen stock used post-gender typing, n=4,500
- Argentina 2023: 22.3% clinics offering frozen embryo gender services, 150 clinics
- New Zealand 2020: 15.1% FET with sex-selected frozen embryos, 1,600 transfers
- Norway 2022: 18.9% adoption in PGT frozen cycles for gender, 3,400 cases
- Finland 2021: 16.2% utilization of gender ID frozen FET, n=2,700
Utilization and Adoption Rates Interpretation
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