Use of Fertility Services in Women Ages 20-49 in the United States: 2022-2023

Using data from the 2022-2023 National Survey of Family Growth (NSFG), this report estimates ever use of individual fertility services among women ages 20-49 in the United States, as well as ever use of medical help to get pregnant, medical help to prevent pregnancy loss, and any fertility services overall, by selected socioeconomic characteristics.

Data from 4,856 women surveyed in the 2022-2023 NSFG, a survey of the U.S. household reproductive-age population, were used in this report. Estimates are shown by Hispanic origin and race, family income as a percentage of the federal poverty level, and current health insurance coverage. Point estimates and the corresponding standard errors were produced using SAS-callable SUDAAN to account for the complex sample design of NSFG. Differences between percentages were evaluated using two-tailed t tests at the 5% level.

Among women ages 20-49 in 2022-2023, 13.7% had ever used any fertility services, defined as any medical help to get pregnant or prevent pregnancy loss, at some time in their lives. Use of any fertility services or any medical help to get pregnant varied by race and Hispanic origin, family income, and current health insurance coverage, but use of any medical help to prevent pregnancy loss did not vary by these characteristics.