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In his spacious, oak-paneled office down the hall, Steinberg is surrounded by photos of his own naturally conceived children. The United States is one of the few countries in the world that still legally allows PGD for prenatal sex selection.

His clinic is the world leader for this gender selection technique, known as preimplantation genetic diagnosis (PGD). The procedure was designed in the early 1990s to screen embryos for chromosome-linked diseases.

Business quadrupled when Steinberg started advertising PGD for gender selection.

Steinberg said he never intended to make gender selection his niche.

He revoked the offer after receiving a letter from the Vatican.

Steinberg seems to enjoy the attention, whether good or bad.

After fertilization and three days of incubation, an embryologist uses a laser to cut a hole through an embryo’s protective membrane and then picks out one of the eight cells.

She took a job in the operating room so she would no longer have to work with women who were giving birth to girls.

They paid 0 for a procedure that sorts sperm based on the assumption that sperm carrying a Y chromosome swim faster in a protein solution than sperm with an X chromosome do.

Simpson was inseminated with the slower sperm that same day.

It would cost tens of thousands of dollars, money Simpson and her husband did not have. That has certainly been the case in places like China and India, where couples have used pregnancy screening to abort female fetuses.

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But in the United States, a different kind of sex selection is taking place: Mothers like Simpson are using expensive reproductive procedures so they can select girls.

Simpson and her husband talked about getting an abortion, but she decided to continue with the pregnancy.

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