Fertility Treatments: How Americans Compare With the World in 2021



By: Lisa Holliman Updated: July 13, 2021, 12:27 p.m.


Fertility Community recently surveyed our users and other communities to get an idea of how Americans compare with the world when it comes to fertility treatments. Our goal was to discover the differences in the types of treatments Americans get compared to the world and how willing Americans are to go out of the country for their fertility treatments.

Overall, we got some interesting answers that should lead to some new questions for research. Read on to learn more about what we discovered.


couple holding baby shoes



  1. The Respondents
  2. Respondents Who've Undergone Fertility Treatments
  3. Final Thoughts



The Respondents


The survey was posted both on the fertilitycommunity.com website and public Facebook groups focused on IVF around the world. There were 358 respondents in total, with 141 coming from the website and 217 from Facebook groups.


Of the respondents, 180 came from the US, making up 50% of the total. Other respondents came from outside the US, and the top countries represented were Australia and the UK. Overall, there were also respondents from Europe, Asia, Africa, and the Middle East.


Where Were Respondents on Their Treatment Journey?


The survey split the respondents into three groups - those who had undergone fertility treatments, those who were thinking about undergoing fertility treatments, and those who had no plans to undergo fertility treatments. It's important to note that not all fertility treatments were IVF.



Respondents Who've Undergone Fertility Treatments


We'll only dig into the responses from the respondents who've gone through some sort of fertility treatment. This sample size was 232 respondents and 41% of them were from the US.

Respondents' Relationship Statuses


The majority of respondents were in a heterosexual marriage or de facto relationship.



Age at the Time of Treatment


Age is an important factor in fertility, since a woman's chances of getting pregnant decrease as she gets older. Our survey measured to see which age group the respondents fell into.



These numbers are consistent with the average age of fertility treatments - 34, and make sense, considering many women are trying to have children in their 30s and are aware of their declining fertility.

Most Common Fertility Treatments


Respondents who had undergone fertility treatments were asked about the types of treatments they'd had. It's also important to note that quite a few of the respondents had more than one type of fertility treatment. It's common to start with milder forms of treatment and move to more intensive treatments if those aren't effective.


While most of the treatments should be familiar, note that natural IVF refers to IVF that doesn't rely on stimulation medication and instead works with a woman's natural cycle (learn more on natural IVF).


Mild (mini) IVF also works with the woman's cycle but also uses stimulants to increase egg production. Mild (mini) IVF uses lower doses than standard IVF (Learn more on mild (mini) IVF).



For fertility treatments, the numbers between the US and the rest of the world were relatively the same. Embryo donation and mild IVF seem to be slightly more popular in the US than in other countries, but a larger sample size is needed for more accurate statistics.


Standard IVF appears to be the most popular choice for the US and around the world. There may be a few reasons for this popularity. Many patients start with less intense fertility treatment, such as medications or IUI, and if those are unsuccessful, they move on to IVF.


Many people also start with standard IVF, skipping over less intense treatments. Fertility treatments can be expensive and both physically and mentally exhausting. Many people feel that standard IVF is their best chance of getting pregnant, and so they start there.

Number of Treatments


Participants were asked how many fertility treatments they'd had in the past.



These percentages make sense. For many patients, it only takes one treatment to result in a successful pregnancy. However, if the first treatment doesn't work, there are usually more complicated issues. These patients often wind up having several treatments before achieving pregnancy, if at all.

Local vs. International Fertility Treatment


Respondents who'd undergone fertility treatments were asked whether they had their treatment locally, in different state or internationally. Local meant they stayed in their own state, while international meant they went out of the country.


It's important to note that these numbers reflect people who had done treatments both in their home state and internationally. Some people stayed in their home state but traveled several hours or more to get to the fertility clinic.


These numbers show that most people still seem reluctant to go out of the country for their fertility treatments. There are several reasons people may stay in their home country. They may feel that it's cheaper and easier to stay local. They may feel that their home country offers the best care.

For Americans, they may choose not to go with international treatments because most popular international clinics are very far away, for example in europe:


What Do Respondents Look for in a Fertility Clinic?


Struggling with infertility is a sensitive issue and people are often selective in choosing a fertility clinic. We asked respondents what were the main things they looked for in a fertility clinic. Note that respondents were able to choose more than one factor, so the numbers will reflect multiple answers.



Respondents were able to fill in their own responses as well. Several respondents chose a clinic based on how they were treated. They wanted to feel like the doctor treated their case individually and that the staff cared about them.

A few respondents also chose a clinic based on who their insurance or national healthcare accepted. Respondents also preferred clinics that a friend was happy with.


The three biggest factors make a lot of sense. The success rate is obviously important because people who undergo treatment want the clinic with the best possible results. Price and distance are more practical choices, but since IVF is so expensive, people have to consider the cost and their budgets. Patients also realize that they'll need to visit their IVF clinic at least several times throughout the process, so distance can be an issue.


It's interesting to note that finding a clinic with several different types of fertility treatments was the least important of the options. It seems counterintuitive that people wouldn't value a clinic with a variety of options. However, this number does line up with the number of people who've had standard IVF. If most people are looking for standard IVF, they can get that at most clinics.

Side Effects During IVF


Patients who'd undergone IVF were asked about any side effects they experienced during the procedure. They were allowed to choose more than one option and could add any side effects that weren't listed.



Side Effects After IVF


Many patients experience side effects after going through the IVF process, typically when they're in the two-week wait to see if they've achieved pregnancy.



Respondents also had the option to fill in their own side effects. A few said that their bloating and cramping were severe. Two of the participants experienced Ovarian hyperstimulation syndrome (OHSS).

Final Thoughts


When looking at America and the world, it seems that opinions and decisions are pretty similar.

This survey shows that people largely still have traditional views about fertility treatments. Most want affordable, proven treatments. They don't want to travel too far and prefer treatments like standard IVF over less tested treatments like natural and mild IVF.

It'll be interesting to see how fertility treatments progress over the next few years as a younger generation reaches the age to start a family.







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