Objective
To study national-level trends in ART treatments and outcomes, as well as the characteristics of women who have sought this form of infertility treatment.
Design
CDC registry data of clinics and pooled data from three cycles (1995, 2002, and 2006–10) of the National Survey of Family Growth (NSFG), a repeated nationally representative, cross-sectional survey of women aged 15–44 years.
Setting
Population based.
Patients
CDC: All reporting clinics from 1996–2010. NSFG: For the logistic analysis, the sample includes 2,325 women aged 22–44 who have ever used medical help to get pregnant, excluding women who used only miscarriage prevention services.
Interventions
None.
Main Outcome Measures
CDC data: number of cycles, live birth deliveries, live births, patient diagnoses. NSFG data: individual utilization of ART procedures.
Results
Between 1995 and 2010, utilization of ART increased. Parity and age are strong predictors of utilizing ART procedures; other correlates are higher education, having had tubal surgery, and having a current fertility problem.
Conclusions
The two complementary data sets highlight the trends of ART utilization. Increase in the utilization of ART services over this time period is seen in both data sources; nulliparous women aged 35–39 are the most likely to have ever used ART services.