I can think of three general ways of explaining why the universe contains more matter than antimatter:
(1) Near the Planck time, the universe had zero baryon asymmetry, but at some later time, determined by some GUT energy scale, the Sakharov conditions were satisfied, and the baryon asymmetry became nonzero.
(2) Nonconservation of baryon number occurs only at Planckian energies. Near the Planck time, the baryon asymmetry evolved from zero to some nonzero value.
(3) The Sakharov conditions have never been satisfied. The baryon asymmetry has always been nonzero, and has simply scaled as expected. (Apparently one expects $\Delta n=n_B-n_\bar{B}\propto s$, where $n$ is number density and $s$ is entropy density).
It seems like most theorists are interested in #1, but is there any reason why 2 and 3 aren't possible?
2 seems pretty reasonable, since for the reasons given in this answer, we have good reasons to think that baryon number is not conserved under Planckian conditions.
3 also seems reasonable to me, since even if baryon number is nonconserved at Planckian energies, that's only one of the three Sakharov conditions. I don't see any obvious fine-tuning objections to #3, since the scaling of baryon asymmetry with cosmological expansion isn't particularly drastic (not an exponential decay or anything). Is there something unphysical about maintaining $\Delta n\propto s$ all the way back to the Planckian era?
Some people might object to #3 on aesthetic grounds, since we "expect" the initial conditions of the universe to be symmetric, but that seems weak to me. After all, we don't object aesthetically to the fact that homogeneity was an imperfect symmetry of the early universe, and we even accept that the early universe was in a thermodynamically unlikely state.