ABSTRACT
This was a multicentred, prospective study of pregnancies among women using natural family planning. The women maintained natural family planning charts of the conception cycle, recording acts of intercourse and signs of ovulation (cervical mucus changes, including peak day and basal body temperature). Charts were used to assess the most probable day of insemination relative to the day of ovulation and length of the follicular phase of the cycle. The sex ratio (males per 100 females) for 947 singleton births was 101.5, not significantly different from the expected value of 105. The sex ratio did not vary consistently or significantly with the estimated timing of insemination relative to the day of ovulation, with the estimated length of the follicular phase or with the planned or unplanned status of the pregnancy. Although these findings may be affected by imprecision of the data, the study suggests that manipulation of the timing of insemination during the cycle cannot be used to affect the sex of offspring.
PIP: In the context of ongoing debate over the determinants of sex ratio, the authors used data from a multinational study of pregnancies among natural family planning (NFP) users to investigate the association between timing of conception or follicular phase and length and the sex ratio at birth. They also explored whether a pregnancy's planned or unplanned status affects those associations. A multicenter, prospective study of pregnancies among women using NFP was conducted. The women maintained NFP charts of their conception cycles, recording acts of intercourse and signs of ovulation such as cervical mucus changes and basal body temperature. Charts were used to identify the most probable day of insemination relative to the day of ovulation and length of the follicular phase of the cycle. The sex ratio (number of males per 100 females) for 947 singleton births was 101.5, not significantly different from the expected value of 105. The sex ratio did not vary consistently or significantly with the estimated timing of insemination relative to the day of ovulation, with the estimated length of the follicular phase, or with the planned or unplanned status of the pregnancy. Study findings suggest that manipulating the timing of insemination during the cycle cannot be used to affect the sex of offspring.
