The human sex ratio from conception to birth

The human sex ratio has long interested cell biologists, developmental biologists, demographers, epidemiologists, evolutionary biologists, gynecologists, and statisticians. Nonetheless, the trajectory of the human sex ratio from conception to birth has been poorly characterized. We present the most comprehensive analysis of this trajectory ever done. Our dataset is the largest ever assembled to estimate the sex ratio at conception and is the first, to our knowledge, to include data from 3- to- 6-d-old embryos, induced abortions, chorionic villus sampling, amniocentesis, and fetal deaths and live births. Our results indicate that the sex ratio at conception is unbiased, the proportion of males increases during the first trimester, and total female mortality during pregnancy exceeds total male mortality; these are fundamental insights into early human development.