Fertility rate, total (births per woman) in India was reported at 1.975 % in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. India - Fertility rate, total (births per woman) - actual values, historical data, forecasts and projections were sourced from the World Bank on August of 2025.

In 2025, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have between 5-6 children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan and Yemen are the only countries not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost six children per woman, Chad is the country with the highest fertility rate in the world. Population growth in Chad is among the highest in the world. Lack of healthcare access, as well as food instability, political instability, and climate change, are all exacerbating conditions that keep Chad's infant mortality rates high, which is generally the driver behind high fertility rates. This situation is common across much of the continent, and, although there has been considerable progress in recent decades, development in Sub-Saharan Africa is not moving as quickly as it did in other regions. Demographic transition While these countries have the highest fertility rates in the world, their rates are all on a generally downward trajectory due to a phenomenon known as the demographic transition. The third stage (of five) of this transition sees birth rates drop in response to decreased infant and child mortality, as families no longer feel the need to compensate for lost children. Eventually, fertility rates fall below replacement level (approximately 2.1 children per woman), which eventually leads to natural population decline once life expectancy plateaus. In some of the most developed countries today, low fertility rates are creating severe econoic and societal challenges as workforces are shrinking while aging populations are placin a greater burden on both public and personal resources.

Birth rate, crude (per 1,000 people) in India was reported at 16.15 % in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. India - Birth rate, crude - actual values, historical data, forecasts and projections were sourced from the World Bank on July of 2025.

Adolescent fertility rate (births per 1,000 women ages 15-19) in India was reported at 14.06 % in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. India - Adolescent fertility rate (births per 1,000 women ages 15-19) - actual values, historical data, forecasts and projections were sourced from the World Bank on July of 2025.

Total Fertility Rate: Tamil Nadu data was reported at 1.400 NA in 2020. This records a decrease from the previous number of 1.500 NA for 2019. Total Fertility Rate: Tamil Nadu data is updated yearly, averaging 1.700 NA from Dec 2005 (Median) to 2020, with 16 observations. The data reached an all-time high of 1.700 NA in 2014 and a record low of 1.400 NA in 2020. Total Fertility Rate: Tamil Nadu data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH006: Vital Statistics: Total Fertility Rate.

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.

The statistic shows the total population of India from 2019 to 2029. In 2023, the estimated total population in India amounted to approximately 1.43 billion people.

Total population in India

India currently has the second-largest population in the world and is projected to overtake top-ranking China within forty years. Its residents comprise more than one-seventh of the entire world’s population, and despite a slowly decreasing fertility rate (which still exceeds the replacement rate and keeps the median age of the population relatively low), an increasing life expectancy adds to an expanding population. In comparison with other countries whose populations are decreasing, such as Japan, India has a relatively small share of aged population, which indicates the probability of lower death rates and higher retention of the existing population.

With a land mass of less than half that of the United States and a population almost four times greater, India has recognized potential problems of its growing population. Government attempts to implement family planning programs have achieved varying degrees of success. Initiatives such as sterilization programs in the 1970s have been blamed for creating general antipathy to family planning, but the combined efforts of various family planning and contraception programs have helped halve fertility rates since the 1960s. The population growth rate has correspondingly shrunk as well, but has not yet reached less than one percent growth per year.

As home to thousands of ethnic groups, hundreds of languages, and numerous religions, a cohesive and broadly-supported effort to reduce population growth is difficult to create. Despite that, India is one country to watch in coming years. It is also a growing economic power; among other measures, its GDP per capita was expected to triple between 2003 and 2013 and was listed as the third-ranked country for its share of the global gross domestic product.

Total Fertility Rate: Rajasthan data was reported at 2.400 NA in 2020. This records a decrease from the previous number of 2.500 NA for 2019. Total Fertility Rate: Rajasthan data is updated yearly, averaging 2.850 NA from Dec 2005 (Median) to 2020, with 16 observations. The data reached an all-time high of 3.700 NA in 2005 and a record low of 2.400 NA in 2020. Total Fertility Rate: Rajasthan data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH006: Vital Statistics: Total Fertility Rate.

While the BRICS countries are grouped together in terms of economic development, demographic progress varies across these five countries. In 2019, India and South Africa were the only BRICS countries with a fertility rate above replacement level (2.1 births per woman). Fertility rates since 2000 show that fertility in China and Russia has either fluctuated or remained fairly steady, as these two countries are at a later stage of the demographic transition than the other three, while Brazil has reached this stage more recently. Fertility rates in India are following a similar trend to Brazil, while South Africa's rate is progressing at a much slower pace. Demographic development is inextricably linked with economic growth; for example, as fertility rates drop, female participation in the workforce increases, as does the average age, which then leads to higher productivity and a more profitable domestic market.

Sex ratio at birth (male births per female births) in India was reported at 1.073 in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. India - Sex ratio at birth (male births per female births) - actual values, historical data, forecasts and projections were sourced from the World Bank on August of 2025.

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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 experiencing significant growth due to the increasing prevalence of late parenthood and the rising number of cases of prostate cancer, which necessitates the use of assisted reproductive technologies. However, this market faces substantial challenges, including the high complication rate in fertility services. The trend toward delayed childbearing, driven by social and economic factors, is leading to a rise in demand for fertility treatments. Furthermore, the growing incidence of prostate cancer, which often results in infertility, is fueling the need for advanced reproductive solutions. However, the high complication rate associated with fertility services poses a significant challenge to market growth.
Addressing this challenge through improved safety measures, rigorous quality control, and enhanced patient education could help mitigate risks and boost market confidence. Companies in the fertility services sector must focus on innovation, patient-centric care, and regulatory compliance to capitalize on the opportunities presented by this dynamic market and navigate the challenges effectively. These include hormone therapy to stimulate ovulation, intrauterine insemination (IUI) and artificial insemination, and embryo transfer using donor eggs or frozen embryos from previous cycles.

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

Explore in-depth regional segment analysis with market size data - historical 2019-2023 and forecasts 2025-2029 - in the full report.
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The market continues to evolve, driven by advancements in reproductive technology and growing demand for various infertility treatments. Fertility specialists offer a range of services, including tubal ligation reversal and vasectomy reversal, to help individuals and couples overcome infertility issues. Fertility clinics employ techniques such as ovulation induction, intrauterine insemination (IUI), and in-vitro fertilization (IVF), which involve the use of hormone therapy, reproductive endocrinology, and ovulation induction. Semen analysis, sperm cryopreservation, and surgical sperm retrieval are essential components of infertility diagnosis and treatment. Advanced techniques like embryo freezing, embryo adoption, and donor eggs are also gaining popularity. Genetic counseling and fertility preservation are crucial services that help individuals and couples make informed decisions about their reproductive health.

Reproductive psychology, hysterosalpingography (HSG), and reproductive immunology are additional areas of focus in the market. Fertility medication, assisted hatching, and follicle-stimulating hormone (FSH) testing are integral to the successful implementation of various infertility treatments. Reproductive surgery, egg retrieval, and testicular biopsy are surgical procedures that can help address underlying fertility issues. The ongoing dynamism in the market is reflected in the continuous unfolding of market activities and evolving patterns. These services are applied across various sectors, including gynecology, urology, and reproductive health, to help individuals and couples overcome infertility and achieve their family-building goals.

How is this Fertility Services Industry segmented?

The fertility services industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Service

  Treatment services
  Testing and storage services
  Others


End-user

  Fertility clinics
  Hospitals
  Surgical centers
  Clinical research institutes


Method

  In-vitro fertilization
  Artificial insemination


Gender

  Female
  Male


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    Italy
    Norway
    UK


  APAC

    China
    India
    Japan


  Rest of World (ROW)

By Service Insights

The treatment services segment is estimated to witness significant growth during the forecast period. The market is driven by the treatment services segment, which accounts for a significant revenue share due to the high cost of services and the prevalence of conditions like diabetes and obesity that affect reproductive health. Additionally, factors such as the increasing trend of late parenthood and the growing awareness and success of advanced reproductive technologies (ART), including in-vitro fertilization (IVF), intrauterine insemination (IUI), and ovulation induction, contribute to market expansion. ART procedures, such as egg retrieval, embryo freezing, and embryo transfer, have seen remarkable breakthroughs, leading to an incr

The India in vitro fertilization (IVF) market size reached USD 864.6 Million in 2024. Looking forward, IMARC Group expects the market to reach USD 3,458.3 Million by 2033, exhibiting a growth rate (CAGR) of 15.4% during 2025-2033. The increasing awareness and acceptance of infertility as a medical condition, delayed parenthood, rapid technological advancements in healthcare infrastructures, and expanding medical tourism are some of the key factors driving the growth of the market.

IMARC Group provides an analysis of the key trends in each segment of the market, along with forecasts at the country and regional levels for 2025-2033. Our report has categorized the market based on product, procedure type, cycle type, and end user.

India Fertility Monitor Market valued at USD 2.4 Million in 2025, anticipated to reaching USD 4.2 Million by 2032, with steady annual growth rate of 8.3%.

DATASET: Alpha version 2010, 2012, 2015, 2020, 2025, 2030, and 2035 estimates of numbers of pregnancies per grid square, with national totals adjusted to match national estimates on numbers of pregnancies made by the Guttmacher Institute (http://www.guttmacher.org/). REGION: Asia SPATIAL RESOLUTION: 0.000833333 decimal degrees (approx 100m at the equator) PROJECTION: Geographic, WGS84 UNITS: Estimated pregnancies per grid square MAPPING APPROACH: Tatem AJ, Campbell J, Guerra-Arias M, de Bernis L, Moran A, Matthews Z, 2014, Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births, International Journal of Health Geographics, 13:2 FORMAT: Geotiff (zipped using 7-zip (open access tool): www.7-zip.org) FILENAMES: Example - AFG2010pregnancies.tif = Afghanistan (AFG) pregnancies count map for 2010 adjusted to match UN national estimates on numbers of pregnancies. DATE OF PRODUCTION: May 2014

Vital Statistics: Birth Rate: per 1000 Population: Uttar Pradesh data was reported at 25.100 NA in 2020. This records a decrease from the previous number of 25.400 NA for 2019. Vital Statistics: Birth Rate: per 1000 Population: Uttar Pradesh data is updated yearly, averaging 28.700 NA from Dec 1997 (Median) to 2020, with 23 observations. The data reached an all-time high of 32.800 NA in 2000 and a record low of 25.100 NA in 2020. Vital Statistics: Birth Rate: per 1000 Population: Uttar Pradesh data remains active status in CEIC and is reported by Office of the Registrar General & Census Commissioner, India. The data is categorized under India Premium Database’s Demographic – Table IN.GAH002: Vital Statistics: Birth Rate: by States.

The global infertility testing and treatment market was valued at USD 17.1 billion in 2025 and is projected to reach USD 31.2 billion in 2033, exhibiting a CAGR of 8.4% during the forecast period. The increasing prevalence of infertility worldwide, technological advancements in assisted reproductive technologies (ART), and government initiatives to support infertility treatments are driving the market's growth. Rising awareness about infertility and its potential treatments, coupled with changing societal norms towards childbearing, are further contributing to market expansion. In terms of segmentation, the infertility testing segment accounted for a larger market share in 2025 due to the growing demand for early diagnosis and monitoring of infertility factors. The ART segment, including procedures such as IVF and IUI, is expected to witness significant growth during the forecast period. Key players in the market include Merck, Procter & Gamble, BioMerieux, Abbott, and Babystart, among others. Geographic regions with high birth rates and increasing fertility awareness, such as India and China, are likely to drive the market's growth in the Asia Pacific region. Ongoing research and development efforts to improve the efficacy and accessibility of infertility treatments are also poised to shape the industry's future landscape. Infertility affects millions of couples worldwide, and the demand for effective testing and treatment solutions is on the rise. This report provides a comprehensive overview of the infertility testing and treatment market, including key trends, challenges, growth catalysts, and leading players.

DATASET: Alpha version 2010, 2012, 2015, 2020, 2025, 2030, and 2035 estimates of numbers of live births per grid square, with national totals adjusted to match UN national estimates on numbers of live births (http://esa.un.org/wpp/). REGION: Asia SPATIAL RESOLUTION: 0.000833333 decimal degrees (approx 100m at the equator) PROJECTION: Geographic, WGS84 UNITS: Estimated births per grid square MAPPING APPROACH: Tatem AJ, Campbell J, Guerra-Arias M, de Bernis L, Moran A, Matthews Z, 2014, Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births, International Journal of Health Geographics, 13:2 FORMAT: Geotiff (zipped using 7-zip (open access tool): www.7-zip.org) FILENAMES: Example - AZE2010adjustedBirths.tif = Azerbaijan (AZE) births count map for 2010 adjusted to match UN national estimates on numbers of live births. DATE OF PRODUCTION: May 2014

Comprehensive dataset of 6,727 Fertility clinics in India as of July, 2025. Includes verified contact information (email, phone), geocoded addresses, customer ratings, reviews, business categories, and operational details. Perfect for market research, lead generation, competitive analysis, and business intelligence. Download a complimentary sample to evaluate data quality and completeness.

The market size was valued at USD 1.5 billion in 2021 and will be 2.2 billion by 2030 with a CAGR of 8.2% during the forecast period. Factors Affecting Infertility TreatmentMarket Growth

Government spending on healthcare facilities

The federal government's increased support will likely accelerate market expansion. Additionally, the development and expansion of the healthcare sector, pushed by both public and private sectors, particularly in developing nations, will provide attractive potential for market expansion. High returns on investments, which are guaranteed by research efforts, would also benefit the market. Additionally, a rise in personal disposable income, an increase in the number of fertility clinics around the world, an increase in investment in the development of cutting-edge medical products and devices, and the growth of emerging Infertility markets will contribute to the market's positive rate of expansion.

Increasing frequency of the infertility

The demand for infertility is growing in male and females that result in an increasing demand for sterile treatment, Delayed parenthood, sexual transmission disease, aging, lifestyles are the factors that impact infertility. Therefore, there is faster growth in this field.

The Restraining Factor of Infertility Treatment:

High cost associated with treatment 

It is anticipated that barriers to market expansion will include high costs associated with research and development capabilities, a lack of adequate infrastructure, and increased complexity and concerns surrounding assisted reproductive technology (ART). In addition, during the forecast period of 2022–2029, the market is anticipated to face challenges from an unfavourable reimbursement scenario, a lack of technology penetration in developing economies, high costs associated with assisted reproductive technology (ART) procedures, and an inadequate infrastructure in low- and middle-income nations. This hampers the infertility market.

Opportunities on Infertility Treatment

Developing economies in APAC and RoW:

Market participants for infertility treatments can anticipate finding significant growth opportunities in developing nations like China, India, Brazil, and Mexico. The Asia market is different from other growing nations, due to greater focus on infrastructure upgrades in the healthcare sector. For a variety of reasons, the medical tourism industry is also booming in developing countries. The quality of the healthcare facilities in Asia is very excellent. The medical procedures are reasonably priced, and many of the physicians and surgeons were educated at renowned universities in the US and Europe. Emerging markets including India, China, Singapore, Thailand, Brazil, and Malaysia offer promising opportunities for the growth of the global market.

Impact of the COVID-19 pandemic on the Infertility Treatment Market:

The market has been negatively impacted by COVID-19. The market growth rate was slowed down as attention was diverted from non-essential healthcare services to meet COVID-19 patient expectations. Guidelines were established to prevent front-line hospital and public employees from contracting the COVID-19 virus. Due to the cancellation of in vitro fertilisation procedures, 90% decrease in the number of people having in vitro fertilisation cycles was seen during this pandemic phase. The infertility market growth rate was hampered as a result of everything. Introduction of Infertility Treatment

Infertility means a woman is not able to conceive after trying for more than a year. Infertility occurs when a woman can become pregnant but tends to experience miscarriages. Infertility treatment largely depends on the underlying cause and objectives. A treatment will be chosen for you based on your age, length of infertility treatment, and personal preferences. Sometimes only one person needs treatment, and other times both spouses must participate. In most circumstances, infertile individuals and couples have a high possibility of getting pregnant. The use of assisted reproductive technology (ART), surgery, or medication can be beneficial.

In 2022, India overtook China as the world's most populous country and now has almost 1.46 billion people. China now has the second-largest population in the world, still with just over 1.4 billion inhabitants, however, its population went into decline in 2023. Global population As of 2025, the world's population stands at almost 8.2 billion people and is expected to reach around 10.3 billion people in the 2080s, when it will then go into decline. Due to improved healthcare, sanitation, and general living conditions, the global population continues to increase; mortality rates (particularly among infants and children) are decreasing and the median age of the world population has steadily increased for decades. As for the average life expectancy in industrial and developing countries, the gap has narrowed significantly since the mid-20th century. Asia is the most populous continent on Earth; 11 of the 20 largest countries are located there. It leads the ranking of the global population by continent by far, reporting four times as many inhabitants as Africa. The Demographic Transition The population explosion over the past two centuries is part of a phenomenon known as the demographic transition. Simply put, this transition results from a drastic reduction in mortality, which then leads to a reduction in fertility, and increase in life expectancy; this interim period where death rates are low and birth rates are high is where this population explosion occurs, and population growth can remain high as the population ages. In today's most-developed countries, the transition generally began with industrialization in the 1800s, and growth has now stabilized as birth and mortality rates have re-balanced. Across less-developed countries, the stage of this transition varies; for example, China is at a later stage than India, which accounts for the change in which country is more populous - understanding the demographic transition can help understand the reason why China's population is now going into decline. The least-developed region is Sub-Saharan Africa, where fertility rates remain close to pre-industrial levels in some countries. As these countries transition, they will undergo significant rates of population growth