Does the frequency of sexual intercourse (coitus) influence the likelihood of conceiving a female child?

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Last updated: February 2, 2026View editorial policy

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No Evidence That Sexual Frequency Influences Offspring Sex

There is no scientific evidence that the frequency of sexual intercourse affects the likelihood of conceiving a female versus male child. The sex of offspring is determined solely by which sperm (X or Y chromosome) fertilizes the egg, a process that occurs at conception and is not influenced by coital frequency.

Biological Basis of Sex Determination

  • Fetal sex is determined at fertilization by whether an X-bearing or Y-bearing sperm fertilizes the egg, creating either XX (female) or XY (male) chromosomal combinations 1.
  • The ratio of male to female births remains relatively constant across populations at approximately 105 males per 100 females, suggesting biological mechanisms maintain this balance independent of behavioral factors 1.
  • No mechanism exists by which the timing or frequency of intercourse could selectively favor X-bearing versus Y-bearing sperm in reaching or fertilizing the egg 1.

What Actually Affects Pregnancy Outcomes

While sexual frequency does not determine fetal sex, research has examined other aspects of sexual activity during conception and pregnancy:

  • Sexual intercourse frequency varies widely across populations and age groups, with American adults in their 20s averaging approximately 80 times per year, declining to about 20 times per year in their 60s 2.
  • Frequency of intercourse during pregnancy (ranging from less than once monthly to more than 4 times monthly) shows no significant impact on obstetric or neonatal outcomes in healthy pregnancies 3.
  • Fetal sex does influence pregnancy outcomes, with male fetuses associated with higher rates of preterm labor, cesarean delivery, and gestational diabetes, while female fetuses are associated with increased hypertensive disorders of pregnancy 1.

Common Misconceptions

The belief that sexual frequency or timing affects offspring sex likely stems from folk wisdom rather than biological reality. No peer-reviewed evidence supports theories that:

  • More frequent intercourse favors one sex over another
  • Timing of intercourse relative to ovulation determines sex
  • Maternal or paternal factors controllable through behavior influence sex ratio

The sex ratio at birth is a biological constant not modifiable by behavioral interventions 1.

References

Research

The impact of sexual intercourse during pregnancy on obstetric and neonatal outcomes: a cohort study in China.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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