“Infertility Prevalence Estimates, 1990–2021” Report

April 8, 2023

Infertility is a disease of the male or female reproductive system that is defined by the failure to achieve pregnancy after 12 months or more of regular unprotected sexual intercourse. It affects millions of people globally, and the World Health Organization (WHO) estimates that the prevalence rate of infertility among the global adult population is 17.5%. However, this is likely an underestimation, as many people do not seek fertility care or may not be aware of their infertility status.

Recently, the WHO published the report on Infertility Prevalence Estimates, 1990-2021. The report’s purpose is to provide estimates of the global and regional prevalence of infertility by analyzing all relevant and representative studies from 1990 to 2021. This report is significant because understanding the magnitude of infertility is essential for developing appropriate interventions, monitoring access to quality fertility care, and mitigating risk factors for and consequences of infertility.

Impact on Healthcare Costs

Infertility treatment can be expensive, and millions of people face catastrophic healthcare costs after seeking treatment for infertility. Patients often find themselves priced out, and many have no choice but to cover the costs out of pocket. This can have devastating consequences, as patients fall into a “medical poverty trap.”

Link to Intimate Partner Violence

Infertility is also associated with an increased risk of intimate partner violence. Women who are unable to conceive or carry a pregnancy to term may experience physical and emotional abuse from their partners, which can have long-lasting effects on their physical and mental health.

Fertility Care’s Role

Fertility care is a main part of sexual and reproductive health. It plays a major role in addressing gender inequality. However, many people in low- and middle-income countries do not have access to quality fertility care. Patients in the poorest countries spend a greater proportion of their income on fertility care compared to those in wealthier countries, highlighting the urgent need to expand access to prevention, diagnosis, and treatments.

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