Access to Assisted Reproductive Technology Services in Brazil: A Descriptive Analysis of SisEmbrio Data

To conduct a descriptive analysis of data from the National Embryo Production System (SisEmbrio) to characterize access to assisted reproductive technology (ART) services in Brazil.

Data from SisEmbrio for the period from 2020 to 2024 were used, along with data from the Brazilian Institute of Geography and Statistics, Google Maps, and clinical guidelines on ART.

The data showed growth in the number of ART centers, as well as increases in the number of frozen embryos and completed cycles during the study period. Following the increase in embryo cryopreservation, a higher absolute number of ART procedures was observed among women aged ≥35 years. The analysis also showed that most clinics are privately operated and that their geographic distribution is concentrated mainly in large urban centers.

The findings indicate that access to ART services in Brazil remains limited. SisEmbrio data reaffirm barriers previously identified in the literature. These challenges restrict the expansion of access and underscore the need for structural changes to promote greater equity in care for the target population.