Advanced Reproductive Age and Fertility

Because the ART industry is largely unregulated, we have very little data on who uses these technologies. Until 2003, the only national data collected was through the Fertility Clinic Success Rate and Certification Act of 1992, which requires that fertility clinics report the number of pregnancies and live births from ART, which the Act defines narrowly as “fertility treatments in which both eggs and sperm are handled in the laboratory” (e.g., in vitro fertilization and related procedures) and excludes treatments such as fertility drugs or alternative insemination (also known as artificial insemination). The only demographic data collected is women’s...