The issue of fertility and population reproduction has been an actual topic in North Macedonia for years now. The reduced birth and fertility rates, the more frequent delays of giving birth later in life, extramarital births, and reduced fertility rates are the main indicators that are pointing out the changes in the reproductive behavior. Such changes are due to the changes in lifestyle and changed social norms, the changes in the economy of the country, but also because women are more educated and emancipated compared to the past, they are getting employed after completing their education, they are more independent and have the freedom to choose whether, when and how many children they will have and so on. Using some fertility indicators, this paper shows the changes and their intensity in the period from the beginning of the nineties of the last century until the present. Some of these indicators include changes in the number of live births, the crude and specific fertility rates, the age at which women have a child (or first child), generation replacement, and more.