Assisted Reproduction Registries and Reporting
RRM Academy Synopsis
France's 2023 National ART Report Counted 27,455 Babies Born
Out of 164,670 fertility treatment cycles in 2023, France's national report counted 27,455 babies born. More than one in four IVF and ICSI egg retrievals produced no usable embryo. That count covers own eggs and sperm and leaves out freeze-all cycles. Multiple pregnancies fell to 5.3% of deliveries from 8.3% in 2020, alongside more single-embryo transfers.
Key Findings
- France's 164,670 assisted reproduction attempts in 2023 led to 87,324 embryo transfers, 31,048 confirmed pregnancies, 26,876 deliveries, and 27,455 live-born children, with vital status unknown for 995 more.
- An adjusted estimate put ART births at 28,440 in 2023: 4% of all children born in France, or nearly 1 in 24, up from about 1 in 27 in 2022.
- 12.4% of ART children in 2023 were conceived using donor eggs, sperm, or embryos, roughly 3,460 children, up from 6.6% in 2022.
- In 2023, 27.6% of standard IVF and 27.2% of ICSI cycles ended with no transferable embryo after retrieval, up from 25.1% and 26.2% in 2022. Own eggs and sperm; freeze-all excluded.
- Among ICSI cycles using the couple's own eggs and sperm in 2023, the delivery rate per egg retrieval fell from 26.6% under age 30 to 7.1% at ages 40 to 42.
Interpretation
This is a government report. France's health agency, the Agence de la biomédecine, collects yearly data that every licensed fertility clinic must submit by law. The agency counts what happened nationwide in 2023. The dataset does not test a hypothesis, so these numbers describe outcomes across the whole country. The report does not adjust for age, diagnosis, or how many attempts a couple already made. So it cannot explain why success rates differ between techniques or years. The 'no embryo to transfer' and multiple-birth figures come from named groups, such as standard IVF or ICSI.
RRM Context
This report shows how ART outcomes in France change with age and technique. More than a quarter of 2023 IVF and ICSI retrievals with own eggs and sperm, freeze-all cycles excluded, produced no transferable embryo. Success also fell sharply with age. RRM clinicians read numbers like these as a reason to find out why conception is not happening before turning to assisted reproduction. Bypassing the reproductive system does not fix an underlying cause.
Key figures
Treatment activity, 2023
| Measure | Value | Source |
|---|---|---|
| Number of clinico-biological centers practicing in vitro fertilization, 2023 | 105 | VOLUME D’ACTIVITE SELON LA TECHNIQUE |
| Median annual oocyte retrievals per center practicing in vitro fertilization, 2023 | 471 | VOLUME D’ACTIVITE SELON LA TECHNIQUE |
| Positive extraction rate (presence of spermatozoa) in surgical sperm retrieval procedures, 2023 | 51.1% | RECUEIL CHIRURGICAL DE SPERMATOZOÏDES EN VUE D'AMP |
Pregnancy and delivery rates, 2023
| Measure | Value | Source |
|---|---|---|
| Delivery rate per intrauterine insemination using the couple's own gametes, 2023 | 10.9% | INSEMINATION INTRA-UTERINE |
| Singleton deliveries as a share of deliveries after intrauterine insemination using the couple's own gametes, 2023 | 91.9% | INSEMINATION INTRA-UTERINE |
| Ultrasound-confirmed pregnancies after fresh embryo transfer, conventional in vitro fertilization excluding ICSI, 2022 to 2023 | 3,175 to 2,961 | Tableau AMP13 |
Children born after assisted reproduction, 2023
| Measure | Value | Source |
|---|---|---|
| Total children born from assisted reproduction performed in 2023 | 27,455 | ENFANTS ISSUS D'UNE AMP |
Frozen embryo transfer, 2023
| Measure | Value | Source |
|---|---|---|
| Freeze-all of the entire embryo cohort as a share of oocyte retrievals in in vitro fertilization attempts, 2023 | 26.6% | LES EMBRYONS CONSERVES |
Donor treatment, 2023
| Measure | Value | Source |
|---|---|---|
| Conventional in vitro fertilization (excluding ICSI) fertilizations among donor oocyte fertilizations, 2023 | 10 (0.7%) | TENTATIVES AVEC DON D'OVOCYTES |
| Oocyte donation attempts as a share of attempts using third-party donor gametes, 2023 | 12.6% | CHIFFRES CLES DE L’ACTIVITE 2023 |
| Embryo donation (reception of donated embryos) attempts as a share of attempts using third-party donor gametes, 2023 | 1.2% | CHIFFRES CLES DE L’ACTIVITE 2023 |
| Average number of oocytes injected per attempt using donor oocytes, 2023 | 5.7 | Tableau AMP43 |
| Female couples or unmarried women as a share of intrauterine insemination cycles using donor sperm, 2023 | 80.4% | INSEMINATION INTRA-UTERINE |
| Ratio of assisted reproduction requests using donor sperm to donors accepted in the year, 2023 | 16.7 | DONNEURS ET COUPLES OU FEMMES NON MARIEES RECEVEURS |
| Ratio of assisted reproduction requests using donor sperm to donors accepted in the year, 2022 (for comparison) | 14 | DONNEURS ET COUPLES OU FEMMES NON MARIEES RECEVEURS |
| Ratio of assisted reproduction requests using donor sperm to donors accepted in the year, 2021 (for comparison) | 7.7 | DONNEURS ET COUPLES OU FEMMES NON MARIEES RECEVEURS |
Preimplantation genetic diagnosis, 2023
| Measure | Value | Source |
|---|---|---|
| Molecular genetics requests accepted among those examined for preimplantation genetic diagnosis, 2023 | 59.7% | Tableau DPI7 |
| Cytogenetics requests accepted among those examined for preimplantation genetic diagnosis, 2023 | 68.5% | Tableau DPI7 |
Trends, 2022 to 2023
| Measure | Value | Source |
|---|---|---|
| Increase in intrauterine inseminations using donor sperm, 2022 to 2023 | 127% | INSEMINATION INTRA-UTERINE |
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.
