Assisted Reproduction · Registries and Reporting

Assisted Reproductive Technology in Australia and New Zealand 2023

Kotevski DP, Newman JE, Chaitarvornkit A, Paul RC, Chambers GM

Published September 2025 National Perinatal Epidemiology and Statistics Unit, UNSW Sydney

Key figures

Treatment activity, 2023

Measure Value Source
Total ART treatment and lab-only cycles, Australia and New Zealand combined, 2023 112,707 Summary
ART treatment and lab-only cycles, Australia, 2023 103,556 Summary
ART treatment and lab-only cycles, New Zealand, 2023 9,151 Summary
Year on year increase in cycle numbers, Australia, 2022 to 2023 3.5% Summary
Year on year increase in cycle numbers, New Zealand, 2022 to 2023 3.1% Summary
ART cycles per 1,000 women aged 15 to 44, Australia, 2023 18.7 Summary
ART cycles per 1,000 women aged 15 to 44, New Zealand, 2023 8.6 Summary
Autologous cycles, using a woman's own oocytes or embryos, as a share of fresh and/or thaw cycles, 2023 approximately 94% (105,855) Summary
Number of women undertaking autologous fresh and/or thaw cycles, 2023 55,783 Summary
Fresh cycles as a share of autologous cycles, 2023 65,283 (61.7%) Chapter 1
Thaw cycles as a share of autologous cycles, 2023 40,572 (38.3%) Chapter 1

Pregnancy and birth outcomes, 2023

Measure Value Source
Clinical pregnancy rate per initiated ART cycle, excluding donation, surrogacy commissioning and lab-only cycles, 2023 22.6% (24,808) Chapter 1, Table 1
Live birth rate per initiated ART cycle, excluding donation, surrogacy commissioning and lab-only cycles, 2023 18% (19,741) Chapter 1, Table 1
Clinical pregnancy rate per embryo transfer, autologous and recipient fresh and thaw cycles, 2023 38.2% Summary
Live birth rate per initiated autologous fresh cycle, excluding freeze-all cycles, 2023 14.5% Summary
Live birth rate per autologous fresh cycle reaching embryo transfer, 2023 25.4% Summary
Live birth rate per initiated autologous thaw cycle, 2023 32.6% Summary
Live birth rate per autologous thaw cycle reaching embryo transfer, 2023 33% Summary
Live birth rate per embryo transfer, autologous fresh cycles, women under 30, 2023 38.9% Summary
Live birth rate per embryo transfer, autologous thaw cycles, women under 30, 2023 38.1% Summary

Embryo transfer practice, 2023

Measure Value Source
Fresh and thaw embryo transfer cycles, autologous and recipient, 2023 64,646 Chapter 3
Single embryo transfer share of embryo transfer cycles, autologous and recipient, 2023 94.8% Chapter 3
Double embryo transfer share of embryo transfer cycles, autologous and recipient, 2023 5.1% Chapter 3

Babies born and multiples, 2023

Measure Value Source
Total babies born following ART treatment, Australia and New Zealand, 2023 20,417 Summary
Liveborn babies following ART treatment, Australia and New Zealand, 2023 20,174 Summary
Babies born from treatments at Australian ART Units, 2023 18,338 (89.8%) Summary
Babies born from treatments at New Zealand ART Units, 2023 2,079 (10.2%) Summary
Liveborn babies that were singletons at term with normal birthweight, 2023 83% (16,741) Chapter 1
Multiple birth rate following ART, 2023 2.2% Chapter 1

Cumulative live birth, women starting their first ART cycle 2020-2021 (followed to end of 2023)

Measure Value Source
Number of women beginning their first ART ovarian stimulation cycle, 2020-2021 cohort 41,543 Summary, cumulative live birth
Cumulative live birth rate by first complete ART cycle, 2020-2021 cohort 39% Summary, cumulative live birth
Cumulative live birth rate by sixth complete ART cycle, 2020-2021 cohort 59.7% Summary, cumulative live birth

Five-year trend, 2019 to 2023

Measure Value Source
Live birth rate per embryo transfer cycle, overall, 2019 to 2023 28% to 30.4% Summary, five-year trends
Live birth rate per embryo transfer cycle, fresh transfers, 2019 to 2023 25.5% to 25.7% Summary, five-year trends
Live birth rate per embryo transfer cycle, thaw transfers, 2019 to 2023 29.7% to 32.8% Summary, five-year trends
Single embryo transfer share of embryo transfer cycles, 2019 to 2023 91.9% to 94.9% Summary, five-year trends
Multiple birth rate following ART, 2019 to 2023 2.9% to 2.2% Summary, five-year trends

Our summary of the report's published figures, each citing its table, figure or section. The full report is at the publisher's link.

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Related research

Assisted Reproduction › Registries and Reporting › National Registry Data
Kotevski et al. 2025, Kotevski 2025