In 2025, the total fertility rate in Europe was estimated to be 1.41 births per woman compared with 2.7 in 1950. The fertility rate in Europe fell considerably between 1957 and 1999, falling from 2.62 to 1.4.

In 2024, Monaco was the European country estimated to have the highest fertility rate. The country had a fertility rate of 2.1 children per woman. Other small countries such as Gibraltar or Montenegro also came towards the top of the list for 2024, while the large country with the highest fertility rate was France, with 1.64 children per woman. On the other hand, Ukraine had the lowest fertility rate, averaging around one child per woman.

The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.

Actual value and historical data chart for European Union Adolescent Fertility Rate Births Per 1000 Women Ages 15 19

Actual value and historical data chart for European Union Fertility Rate Total Births Per Woman

Eurostat’s annual data collections on demographic and migration statistics are structured as follows:

• NOWCAST: Annual data collection on provisional monthly data on live births and deaths covering at least six months of the reference year (Article 4.3 of the Commission implementing regulation (EU) No 205/2014).
• DEMOBAL (Demographic balance): Annual data collection on provisional data on population, total live births and total deaths at national level (Article 4.1 of the Commission implementing regulation (EU) No 205/2014).
• POPSTAT (Population statistics): The most in-depth annual national and regional demographic and migration data collection. The data relate to populations, births, deaths, immigrants, emigrants, marriages and divorces, and is broken down into several categories (Article 3 of Regulation (EU) No 1260/2013 and Article 3 of Regulation (EC) No 862/2007).

The aim is to collect annual mandatory and voluntary demographic data from the national statistical institutes. Mandatory data are those defined by the legislation listed under ‘6.1. Institutional mandate - legal acts and other agreements’.

The completeness of the demographic data collected on a voluntary basis depends on the availability and completeness of information provided by the national statistical institutes. For more information on mandatory/voluntary data collection, see 6.1. Institutional mandate - legal acts and other agreements’.

The following statistics on live births are collected from the National Statistical Institutes:

• Live births by month of occurrence;
• Live births by mother's age, year of birth and by:
  • region (NUTS 2) of residence
  • region (NUTS 3) of residence
  • mother's country of birth
  • mother's country of citizenship
  • live-birth order
  • sex of the new-born
  • mother's legal marital status
  • employment status of the mother
  • mother's educational attainment (ISCED 2011);
• Live births by birth weight and duration of gestation;
• Legally induced abortions by mother's age and parity;
• Late fœtal deaths by mother's age.

Statistics on fertility: based on the different breakdowns of data on live births and on legally induced abortions received, Eurostat produces the following:

• Statistics available in the online table Population change - Demographic balance and crude rates at national level (demo_gind):
  • natural change of the population, crude birth rate;
• Statistics available in the online table Fertility indicators (demo_find):
  • the proportion of live births outside marriage
  • total fertility rate
  • the mean age of women at childbirth
  • the mean age of women at the birth of first / second / third / fourth and higher child
  • the median age of women at childbirth
  • the percentage of first / second / third / fourth and higher live births Fertility rates by age (demo_frate);
• Fertility rates by age and NUTS 2 region (demo_r_frate2);
• Total fertility rate by NUTS 3 region (demo_r_frate3);
• Statistics available in the online table Abortion indicators (demo_fabortind):
  • abortion rate
  • abortion ratio

In 2025, the crude birth rate in Europe (the number of live births per 1,000 population) was estimated to be 8.3, which is also the lowest birth rate in the provided time period. Between 1950 and 2025, the birth rate was highest in Europe in 1950 when it stood at 22.2.

Mean number of children that a woman could have during her childbearing age, unter Berücksichtigung der aktuellen durchschnittlichen Anzahl lebend geborener Kinder in verschiedenen Altersgruppen.

Adolescent Fertility Rate for Developing Countries in Europe and Central Asia was 19.43135 Births per 1,000 Women Ages 15-19 in January of 2023, according to the United States Federal Reserve. Historically, Adolescent Fertility Rate for Developing Countries in Europe and Central Asia reached a record high of 54.20183 in January of 1987 and a record low of 19.43135 in January of 2023. Trading Economics provides the current actual value, an historical data chart and related indicators for Adolescent Fertility Rate for Developing Countries in Europe and Central Asia - last updated from the United States Federal Reserve on November of 2025.

The fertility rate of a country is the average number of children that women from that country will have throughout their reproductive years. In Germany in 1800, the average woman of childbearing age would have 5.4 children over the course of their lifetime. It remained around this number until the late 1820s, when it then dropped to just under five, which was a long-term effect of the Napoleonic Period in Europe. From this point until the end of the nineteenth century, Germany's fertility rate was rather sporadic, reaching it's lowest point in 1855 with an average of 4.6 births per woman, and it's highest point in 1875 (just after the foundation of the German Empire in 1871), with an average of 5.4 live births per woman. From the beginning of the twentieth century until the end of the Second World War, Germany's fertility rate dropped from around 5 children per woman in 1900, to 1.9 in 1945. The only time where the fertility rate increased was in the inter-war years. Like other countries heavily involved in the Second World War, Germany (both East and West) experienced a Baby Boom from the late 1940s to the late 1960s, however it then dropped to it's lowest point of just 1.3 children per woman by 1995, shortly after the re-unification of Germany. In recent years, Germany's fertility rate has gradually been increasing again, and is expected to reach 1.6 in 2020, its highest rate in over forty years.

Fertility Rate, Total for Developing Countries in Europe and Central Asia was 1.98306 Births per Woman in January of 2023, according to the United States Federal Reserve. Historically, Fertility Rate, Total for Developing Countries in Europe and Central Asia reached a record high of 3.47574 in January of 1955 and a record low of 1.63174 in January of 2001. Trading Economics provides the current actual value, an historical data chart and related indicators for Fertility Rate, Total for Developing Countries in Europe and Central Asia - last updated from the United States Federal Reserve on November of 2025.

Introduction to fertility estimates

Fertility refers to the number of live births within an individual or group, influenced by a combination of biological, social, cultural, and economic factors.

There are several ways to describe fertility rates, but two of the most commonly used are Age-Specific Fertility Rates (ASFR) and Total Fertility Rates (TFR).

Age-specific fertility rates (ASFR) measure the number of births per woman within specific age groups. For example, in England, the peak childbearing age is currently 32, with an ASFR of 0.107, meaning 107 babies were born for each 1,000 women aged 32.

Total fertility rate (TFR) is a commonly used measure of overall fertility calculated as the sum of all age-specific fertility rates across all reproductive age groups. It represents the average number of children that a woman would have if she were to experience current age-specific fertility rates over the course of her life. For 2023, we estimate the TFR in Inner London to have been 1.16 compared to 1.54 in Outer London, and 1.41 for England as whole.

About these estimates

The estimates published here were produced by the GLA for use in analysis and as inputs to population projections. These data include annual estimates for all local authority districts and regions in England and Wales from 1993 onward of:

• Total Fertility Rates
• Age-Specific Fertility Rates by single year of age (15 to 49)

The GLA is making these estimates and the code used to create them as a resource for analysts and researchers working to understand local birth trends. We welcome feedback and suggestions from the community for how these data could be improved or made more useful.

The code used to produce these estimates is available on GitHub. All the requirements and information necessary to recreate the estimates can be found in the README file. This repository also includes some examples of code for plotting age-specific and total fertility rates across local authorities and periods of interest.

The Office for National Statistics also publishes fertility rates for local authority districts and higher geographies. Age-specific fertility rates are published by five-year age groups and for 2013 onward. These data are available to download from Nomis.

Note: There will be differences between the rates published by the GLA and those available from ONS. These are because the GLA:

• models rates for individual ages 15 to 19 and 40 to 49 from aggregate data
• applies smoothing to age specific rates
• uses population denominators for 2002 to 2020 that differ from the official mid-year estimates used by ONS.

Data and methods

The data used to calculate fertility rate estimates are:

• ONS calendar year births by age of mother from 1993
• ONS mid-year population estimates from 1991 - 2000
• GLA estimates components of change modelled backseries from 2000

Raw age-specific fertility rates are calculated by dividing the number of births in a calendar year by the population of women the same age at the mid-point of that year.

Smoothed rates, covering individual ages from 15 to 49 are produced by fitting a series of parametric curves to the raw fertility rates.

Age-specific fertility rates are summed across all ages to obtain total fertility rates.

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The statistic shows the 20 countries with the lowest fertility rates in 2024. All figures are estimates. In 2024, the fertility rate in Taiwan was estimated to be at 1.11 children per woman, making it the lowest fertility rate worldwide. Fertility rate The fertility rate is the average number of children born per woman of child-bearing age in a country. Usually, a woman aged between 15 and 45 is considered to be in her child-bearing years. The fertility rate of a country provides an insight into its economic state, as well as the level of health and education of its population. Developing countries usually have a higher fertility rate due to lack of access to birth control and contraception, and to women usually foregoing a higher education, or even any education at all, in favor of taking care of housework. Many families in poorer countries also need their children to help provide for the family by starting to work early and/or as caretakers for their parents in old age. In developed countries, fertility rates and birth rates are usually much lower, as birth control is easier to obtain and women often choose a career before becoming a mother. Additionally, if the number of women of child-bearing age declines, so does the fertility rate of a country. As can be seen above, countries like Hong Kong are a good example for women leaving the patriarchal structures and focusing on their own career instead of becoming a mother at a young age, causing a decline of the country’s fertility rate. A look at the fertility rate per woman worldwide by income group also shows that women with a low income tend to have more children than those with a high income. The United States are neither among the countries with the lowest, nor among those with the highest fertility rate, by the way. At 2.08 children per woman, the fertility rate in the US has been continuously slightly below the global average of about 2.4 children per woman over the last decade.

Fertility Rate, Total for the European Union was 1.38605 Births per Woman in January of 2023, according to the United States Federal Reserve. Historically, Fertility Rate, Total for the European Union reached a record high of 2.61665 in January of 1964 and a record low of 1.38605 in January of 2023. Trading Economics provides the current actual value, an historical data chart and related indicators for Fertility Rate, Total for the European Union - last updated from the United States Federal Reserve on December of 2025.

Today, globally, women of childbearing age have an average of approximately 2.2 children over the course of their lifetime. In pre-industrial times, most women could expect to have somewhere between five and ten live births throughout their lifetime; however, the demographic transition then sees fertility rates fall significantly. Looking ahead, it is believed that the global fertility rate will fall below replacement level in the 2050s, which will eventually lead to population decline when life expectancy plateaus. Recent decades Between the 1950s and 1970s, the global fertility rate was roughly five children per woman - this was partly due to the post-WWII baby boom in many countries, on top of already-high rates in less-developed countries. The drop around 1960 can be attributed to China's "Great Leap Forward", where famine and disease in the world's most populous country saw the global fertility rate drop by roughly 0.5 children per woman. Between the 1970s and today, fertility rates fell consistently, although the rate of decline noticeably slowed as the baby boomer generation then began having their own children. Replacement level fertility Replacement level fertility, i.e. the number of children born per woman that a population needs for long-term stability, is approximately 2.1 children per woman. Populations may continue to grow naturally despite below-replacement level fertility, due to reduced mortality and increased life expectancy, however, these will plateau with time and then population decline will occur. It is believed that the global fertility rate will drop below replacement level in the mid-2050s, although improvements in healthcare and living standards will see population growth continue into the 2080s when the global population will then start falling.

EUROPOP2023 are the latest Eurostat long-term population projections produced at national level for 30 countries: all 27 European Union (EU) Member States and three European Free Trade Association (EFTA) countries (Iceland, Norway, and Switzerland), covering the time horizon from 2022 to 2100. Population projections are 'what-if scenario' that aim to show the hypothetically developments of the population size and structure based on a set of assumptions regarding fertility, mortality, and net migration. They are presented for a long time period that covers more than a half-century (50 years).

The datasets consist of the baseline population projections and five sensitivity tests, which are described as follows:

• no migration – it is assumed that net migration is zero for each year within the 2023-2100 time horizon;
• lower migration – it is assumed that the net migration is lower due to a 33% reduction in non-EU immigration flows for each year within the 2023-2100 time horizon;
• higher migration – it is assumed that the net migration is higher due to a 33% increase in non-EU immigration flows for each year within the 2023-2100 time horizon;
• lower fertility – it is assumed that the fertility rates are lower 20% than the baseline assumptions for each year within the 2023-2100 time horizon;
• lower mortality – it is assumed that the mortality rates are lower resulting in an increase of approximately two years in life expectancy at birth by 2070 compared to the baseline assumptions.

In each sensitivity test, the assumptions for the year 2022 were maintained as in the baseline projections. This is because, for that year, there is a combination of observed data (i.e. beneficiaries on temporary protections at the end of December 2022), information from the national authorities, and forecasting.

Data are available by single-year time interval, as detailed below:

• Projected population on 1 January by age and sex;
• Assumptions on future age-specific fertility rates, age-specific mortality rates and net migration levels;
• Projected life expectancy by age (in completed years) and sex.

Additionally, the demographic balances and indicators are available for the baseline projections and each of the five sensitive variants, including also:

• Total numbers of the projected live births and deaths;
• Projected population structure indicators including proportions of broad age groups in total population, age dependency ratios and median ages of the population (for each sex component).

STP2024 are the short-term population projections covering the time horizon from 2023 to 2050, and produced at national level for 30 countries: all 27 European Union (EU) Member States and three European Free Trade Association (EFTA) countries (Iceland, Norway, and Switzerland). Similar to long-term projections, these are 'what-if scenario' that aim to show the hypothetically developments of the population size and structure based on a set of assumptions regarding fertility, mortality and net migration. The latest demographic data published on Eurostat website, as of 06 September 2024, were used as input in building the assumptions, thereby including the published post-2021 census revisions and data related to the temporary protection granted to persons displaced from Ukraine due to Russia's invasion.

The dataset (proj_stp24) includes data by single-year time interval for two types of projections:

• Baseline projections:
  • Projected total population on 1 January, the working-age population (defined as persons aged from 15 to 74), and its share in the total population;
  • Assumptions on total fertility rates, life expectancy at birth by sex, and total net migration levels;
  • Total numbers of projected live births and deaths.

• No migration sensitivity test – it is assumed that the net migration is zero for each year within the 2024-2050 time horizon.
  • Projected total population on 1 January, the working-age population (defined as persons aged from 15to 74), and its share in the total population;
  • The 2023 net migration levels remain the same as in the baseline projections to reflect the nowcast data;
  • Total numbers of projected live births and deaths.

STP2025 are the latest short-term population projections covering the time horizon from 2024 to 2050, produced at national level for 30 countries: all 27 European Union (EU) Member States and three European Free Trade Association (EFTA) countries (Iceland, Norway, and Switzerland). Similar to long-term projections, these are 'what-if scenario' that aim to show the hypothetically developments of the population size and structure based on a set of assumptions regarding fertility, mortality, and net migration. The latest demographic data published on Eurostat website as of 15 May 2025, were used as input in building the assumptions, thereby including the published post-2021 census revisions and data related to temporary protection granted to persons displaced from Ukraine due to Russia's invasion.

The dataset (proj_stp25) includes data by single-year time interval for two types of projections:

• Baseline projections:
  • Projected total population on 1 January, working-age population (15-74 years) and its share in the total population;
  • Assumptions on total fertility rates, life expectancy at birth by sex, and total net migration levels;
  • Total numbers of projected live births and deaths.

• No migration sensitivity test – it is assumed that the net migration is zero in each year of the 2025-2050 time horizon.
  • Projected total population on 1 January, working-age population (15-74 years) and its share in the total population;
  • The 2024 net migration levels remain as in the baseline projections to reflect the nowcast data;
  • Total numbers of projected live births and deaths.

Actual value and historical data chart for European Union Birth Rate Crude Per 1000 People

Snapshot img

Fertility Services Market Size 2025-2029

The fertility services market size is forecast to increase by USD 9.53 billion, at a CAGR of 7.8% between 2024 and 2029.

The market is a continually evolving landscape, driven by various factors that shape its dynamics. One significant trend is the increasing demand for fertility treatments due to the rising prevalence of late parenthood. According to recent studies, the number of women giving birth over the age of 35 has increased by 23.3% in the last decade. This demographic shift has led to a surge in demand for assisted reproductive technologies, including in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Moreover, the market is also influenced by the growing incidence of prostate cancer, which can impact male fertility. According to the American Cancer Society, there will be approximately 193,000 new cases of prostate cancer diagnosed in the US in 2022.
This statistic underscores the importance of fertility services in addressing the reproductive health needs of cancer survivors. Despite these growth opportunities, the market faces challenges, including high complication rates associated with fertility treatments. For instance, the risk of multiple pregnancies and ovarian hyperstimulation syndrome (OHSS) are significant concerns. These complications can lead to increased healthcare costs and potential long-term health risks for patients. The market is a complex and dynamic industry, shaped by demographic trends, health concerns, and technological advancements. As the demand for fertility treatments continues to rise, stakeholders must navigate the challenges and opportunities that come with this evolving landscape.

Major Market Trends & Insights

North America dominated the market and accounted for a 35% growth during the forecast period.
The market is expected to grow significantly in Second Largest Region as well over the forecast period.
By the Service, the Treatment services sub-segment was valued at USD 6.65 billion in 2023
By the End-user, the Fertility clinics sub-segment accounted for the largest market revenue share in 2023

Market Size & Forecast

Market Opportunities: USD 89.23 billion
Future Opportunities: USD USD 9.53 billion 
CAGR : 7.8%
North America: Largest market in 2023

What will be the Size of the Fertility Services Market during the forecast period?

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Fertility services encompass a range of medical interventions and technologies designed to help individuals and couples achieve pregnancy. One significant area within this market is the use of fertility medications, which play a crucial role in assisted reproductive technology (ART). According to recent reports, approximately 12% of women in the United States have used some form of fertility medication. ART involves various techniques, including artificial insemination, ovulation predictor kits, and ovarian stimulation protocols, among others. Cervical mucus plays a vital role in the natural process of conception, but ART may bypass this step through the use of intrauterine insemination (IUI) or in vitro fertilization (IVF).
In IUI, semen cryopreservation is essential for the success of the procedure. Ovarian stimulation protocols, such as ovulation induction, are commonly used in ART to increase the number of mature follicles and improve the chances of successful pregnancy. Ovulation predictor kits help individuals monitor their menstrual cycle and identify the most fertile days for conception. Despite the advancements in fertility services, challenges persist. Miscarriage rates remain a concern, with approximately 10-20% of known pregnancies ending in miscarriage. Blastocyst development is a critical factor in the success of ART, with implantation rate and pregnancy rate being essential indicators of treatment efficacy.
Reproductive endocrinology, a subspecialty of obstetrics and gynecology, focuses on the diagnosis and treatment of infertility. Donor insemination and ectopic pregnancy are other areas of fertility services that have gained increasing attention. Embryo culture media and ultrasound imaging are essential tools used in the field to monitor the development of embryos and assess the progress of pregnancies. Looking ahead, the market is expected to grow substantially. According to market reports, the global ART market is projected to expand at a significant rate, with an increase of around 15% in the number of ART cycles performed annually.
This growth is driven by factors such as rising infertility rates, increasing awareness, and advancements in technology. Comparing the growth rates of different regions, Asia Pacific is expected to witness the fastest growth in the ART market due to factors such as increasing disposable income, changing social norms, and government initiatives to promote fertility treatments

In the past four centuries, the population of the Thirteen Colonies and United States of America has grown from a recorded 350 people around the Jamestown colony in Virginia in 1610, to an estimated 346 million in 2025. While the fertility rate has now dropped well below replacement level, and the population is on track to go into a natural decline in the 2040s, projected high net immigration rates mean the population will continue growing well into the next century, crossing the 400 million mark in the 2070s. Indigenous population Early population figures for the Thirteen Colonies and United States come with certain caveats. Official records excluded the indigenous population, and they generally remained excluded until the late 1800s. In 1500, in the first decade of European colonization of the Americas, the native population living within the modern U.S. borders was believed to be around 1.9 million people. The spread of Old World diseases, such as smallpox, measles, and influenza, to biologically defenseless populations in the New World then wreaked havoc across the continent, often wiping out large portions of the population in areas that had not yet made contact with Europeans. By the time of Jamestown's founding in 1607, it is believed the native population within current U.S. borders had dropped by almost 60 percent. As the U.S. expanded, indigenous populations were largely still excluded from population figures as they were driven westward, however taxpaying Natives were included in the census from 1870 to 1890, before all were included thereafter. It should be noted that estimates for indigenous populations in the Americas vary significantly by source and time period. Migration and expansion fuels population growth The arrival of European settlers and African slaves was the key driver of population growth in North America in the 17th century. Settlers from Britain were the dominant group in the Thirteen Colonies, before settlers from elsewhere in Europe, particularly Germany and Ireland, made a large impact in the mid-19th century. By the end of the 19th century, improvements in transport technology and increasing economic opportunities saw migration to the United States increase further, particularly from southern and Eastern Europe, and in the first decade of the 1900s the number of migrants to the U.S. exceeded one million people in some years. It is also estimated that almost 400,000 African slaves were transported directly across the Atlantic to mainland North America between 1500 and 1866 (although the importation of slaves was abolished in 1808). Blacks made up a much larger share of the population before slavery's abolition. Twentieth and twenty-first century The U.S. population has grown steadily since 1900, reaching one hundred million in the 1910s, two hundred million in the 1960s, and three hundred million in 2007. Since WWII, the U.S. has established itself as the world's foremost superpower, with the world's largest economy, and most powerful military. This growth in prosperity has been accompanied by increases in living standards, particularly through medical advances, infrastructure improvements, clean water accessibility. These have all contributed to higher infant and child survival rates, as well as an increase in life expectancy (doubling from roughly 40 to 80 years in the past 150 years), which have also played a large part in population growth. As fertility rates decline and increases in life expectancy slows, migration remains the largest factor in population growth. Since the 1960s, Latin America has now become the most common origin for migrants in the U.S., while immigration rates from Asia have also increased significantly. It remains to be seen how immigration restrictions of the current administration affect long-term population projections for the United States.

The European In Vitro Fertilization (IVF) market is projected to reach a value of $XX million by 2033, exhibiting a CAGR of 5.0% from 2025 to 2033. The market growth is primarily driven by the increasing prevalence of infertility, advancements in IVF technology, and government support for fertility treatments. Moreover, the rising awareness of IVF procedures and the availability of advanced facilities are contributing to the market growth. Key trends in the European IVF market include the adoption of advanced techniques such as intracytoplasmic sperm injection (ICSI) and preimplantation genetic testing (PGT), the growing popularity of fertility tourism, and the increasing use of cryopreservation technologies. However, the market growth is restrained by factors such as the high cost of IVF treatments, ethical concerns, and strict regulatory frameworks in some countries. The major players in the European IVF market include Vitrolife, Bayer AG, Ferring B.V., Thermo Fisher Scientific Inc., and LG Chem, among others. Recent developments include: In May 2024, Vitrolife, one of the key market participants in the in vitro fertilization industry, completed the acquisition of eFertility, a prominent company in the system and software industry, renovating IVF clinic management with its cutting-edge innovations and solutions..