Assisted Reproduction Registries and Reporting
RRM Academy Synopsis
France recorded over 162,000 fertility treatment attempts in 2021
The French national report counts every fertility treatment (AMP) done in France in 2021, at licensed clinics and labs. It found 162,411 treatment attempts and 27,609 babies born, about 1 out of every 27 births in France that year.
Key Findings
- 162,411 total AMP attempts were recorded in 2021, up 2.7% from 2019 and 36.3% from pandemic-affected 2020.
- Intrauterine insemination made up 48,172 cycles (29% of all attempts); donor sperm was used in 5.3% of these.
- IVF egg retrievals were done for close to 50,800 couples (61,289 retrieval procedures); ICSI was used in 67% of all IVF attempts.
- 27,609 babies were born after AMP in 2021, of which 42.3% (11,688) followed a frozen embryo transfer and 36.3% (10,014) a fresh IVF transfer.
- The multiple-pregnancy rate after IVF or ICSI fell to 7.3% in 2021, down from 10.6% in 2020, as single-embryo transfer rose to 69% of IVF transfers.
Interpretation
The document is a national surveillance report. The report is a census of AMP activity in France's licensed clinics for one year. It is not a comparison between patient groups. The registry shows how much treatment happened and what it produced. The numbers do not explain why one couple's treatment worked. Outcome differences between techniques cannot be cleanly separated into patient selection versus the procedure itself; the agency attributes them to both the reasons a technique was chosen and the procedures used. The birth count is a modest undercount: data on 418 children's vital status was missing. Findings describe France's national system in 2021 and may not generalize.
RRM Context
The report counts what IVF-based treatment produced in one country in one year. It does not evaluate restorative reproductive medicine, which sits outside this reporting system entirely. The registry shows the scale of IVF-based care in France. The document says nothing about diagnostic workup or root-cause treatment before that care begins.
Key figures
Treatment activity, 2021
| Measure | Value | Source |
|---|---|---|
| Intracytoplasmic sperm injection share of all IVF attempts, 2021 | 67% | Tableau AMP2 |
Donor treatment, 2021
| Measure | Value | Source |
|---|---|---|
| Donor sperm share of third-party donor gamete attempts, 2021 | 61% | Bilan de l'activité |
| Donor sperm share of intrauterine insemination cycles, 2021 | 5.3% | Tableaux AMP1, AMP2 |
Frozen embryo transfer, 2021
| Measure | Value | Source |
|---|---|---|
| IVF attempts including embryo freezing, 2021 | 51.9% | Bilan de l'activité |
| Embryo thawings' share of ART attempts, 2021 | 31.3% | Bilan de l'activité |
Children born after assisted reproduction, 2021
| Measure | Value | Source |
|---|---|---|
| Total children born after ART treatment performed in 2021 | 27,609 | Bilan de l'activité |
| Share of children born after immediate IVF embryo transfer, 2019 to 2021 | 41.3% to 36.3% | Bilan de l'activité |
| Share of children born after embryo thawing, 2021 | 42.3% (11,688) | Bilan de l'activité |
| Intrauterine insemination cycles' share of all ART births, 2021 | 21.4% | Bilan de l'activité |
| Partner sperm share of intrauterine insemination births, 2021 | 90.7% | Bilan de l'activité |
| Donor sperm share of intrauterine insemination births, 2021 | 9.3% | Bilan de l'activité |
| ART-conceived children's share of all children born in France, 2021 | 3.7% | Bilan de l'activité |
| Total newborns in France, 2021 (context, INSEE figure, not the registry's own result) | 742,052 | Bilan de l'activité |
| ART-conceived children's share of all children born (2020, for comparison) | 2.7% | Bilan de l'activité |
Embryo transfer practice, 2021
| Measure | Value | Source |
|---|---|---|
| Single embryo transfer share of IVF transfers, 2021 | 69% | Tableau AMP3 |
| Single embryo transfer share of IVF transfers (2018, for comparison) | 55.1% | Tableau AMP3 |
| Single embryo transfer share of thawed embryo transfers, 2021 | 86.5% | Tableau AMP3 |
| Single embryo transfer share of thawed embryo transfers (2018, for comparison) | 76.3% | Tableau AMP3 |
Multiple births, 2021
| Measure | Value | Source |
|---|---|---|
| Multiple pregnancy rate after intrauterine insemination, 2021 | 9.2% | Tableau AMP3 |
Our summary of the report's published figures, each citing its table, figure or section. The full report is at the publisher's link.
Read the guide
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ART Registries and Codes of Practice: A Reference for Patients and Clinicians
A global reference to national IVF registries (HFEA, RTAC, ANZARD, Q-IVF, CDC, DIR, JSOG, CARTR Plus, REDLARA, ESHRE EIM, ICMART) and the codes of practice that govern fertility clinics. What each measures, and what they miss.
