Care Abroad

a seriesCDC assisted reproductive technology results

also: NASS · National ART Surveillance System · ART Success Rates

American clinics call it the CDC report. Reporting is federal law, and the law was passed because clinics were advertising their own numbers.

What every reporting fertility clinic in the United States did in a year, and what came of it. "The Fertility Clinic Success Rate and Certification Act of 1992 mandates that clinics performing ART annually provide data to CDC for ART procedures they perform", and the CDC calculates standardised success rates from the returns. The most recent final year is 2022: "In 2022, there were 435,426 ART cycles performed on 251,542 unique patients at 457 reporting U.S. clinics."

The story Cited · cdc-nass

Those cycles produced 94,039 live-birth deliveries and 98,289 live-born infants, about 2.6% of all infants born in the United States that year. A further 184,423 of the reported cycles were egg or embryo banking, where everything was frozen for later.

Compliance is not complete: "A small number of clinics do not report data to CDC and are listed as nonreporters", and because most of those are small the CDC estimates the system "contains information on about 98% of all ART cycles in the United States". A register with a statute behind it still names the clinics that will not answer.

And like its British counterpart the CDC publishes the table under a warning: "Comparison of success rates across clinics may not be meaningful", and "Clinic success rates do not reflect any one patient's chance of success". Its reasons are the ones that defeat every clinic league table — different patients, different selection, different methods, rates that reflect cycles more than a year old, and small clinics whose numbers swing on a handful of cases.

Inference — for this site the series is a benchmark rather than a destination record. It gives a dated, statutory, per-clinic figure for the country most fertility travellers leave rather than enter, which makes it the sharpest available measure of what a patient gives up by travelling to a market that publishes nothing comparable.

Notes

ART is defined narrowly: treatments in which eggs or embryos are handled. Treatment in which only sperm are handled — intrauterine insemination — is outside it, as is ovulation induction with drugs alone.

The particulars

publisherUS Centers for Disease Control and Prevention
regionEverywhere, North America
publisherUS Centers for Disease Control and Prevention, Division of Reproductive Health
unitART cycles, and outcomes per cycle, per transfer and per retrieval
indicatorNational ART Surveillance System (NASS)
years2022 is the most recent final year published; earlier years sit in the CDC report archive
countries1
licenseUS Government work; no licence statement was captured on the pages read on 17 September 2026
updated by publisherannually, as required by statute
countsEvery ART cycle performed at a reporting United States clinic in the calendar year — cycles, patients, transfers, live-birth deliveries and infants — reported clinic by clinic and nationally. National figures are noncumulative and cover only cycles performed in the reporting year.
does not countAnything done outside a United States clinic. A US resident who travels to Mexico, Spain, Greece or the Czech Republic for IVF is outside the system entirely, and no American series counts them. It counts no intrauterine insemination and no ovulation induction, because neither is ART by CDC's definition; it counts nothing from the clinics listed as nonreporters, about 2% of cycles by CDC's own estimate; and its clinic rates describe cycles more than a year old, which the CDC says plainly should not be read as any individual's chance of success.
linksCDC — ART surveillance · National ART Surveillance System · How to interpret ART success rates
confidencehigh · updated 2026-09-17

What it connects to

a seriesHFEA fertility treatment resultsThe British counterpart: a register with a statute behind it, publishing rates and warning against comparing them.and of this page it says: The American counterpart: mandatory reporting, clinic-level rates, and the same warning against comparing clinics.a procedureIn vitro fertilisationThe treatment counted, cycle by cycle.a procedureIntracytoplasmic sperm injectionCounted inside the same cycles, as a laboratory method rather than a separate treatment.and of this page it says: The US series behind the 77.7% of 2022 transfers using ICSI.a procedureEgg donationReported separately in the clinic tables, because donor cycles carry different rates.a countryUnited StatesThe country the register covers, and the largest source market for fertility travel in this directory.and of this page it says: The one US series that reports clinic-by-clinic outcomes, and what it does and does not cover.a long oneCounting patientsA mandatory national register that still cannot see a patient who left.

Pages that point here

a procedure · on this pageEgg freezingThe US series behind the per-transfer figure for embryos from frozen eggs.a procedure · on this pagePreimplantation genetic testingThe US series behind the 58.2% of 2022 transfers carrying a tested embryo.an organization · on this pageHuman Fertilisation and Embryology AuthorityThe only other register in the world publishing clinic-level rates, counted from a different starting line.an organization · on this pageInternational Committee for Monitoring Assisted Reproductive TechnologiesThe American statutory register whose national totals reach the world report.a long one · on this pageWhat the data cannot seeThe same boundary in the United States, with its own limits stated by the agency.

Sources

Where it came from: Cited a source named here · Harvested pulled from an open dataset · Trade practice how the trade works, hedged · Inference this project's own reasoning · Field somebody stood there. This record as JSON.

Pass it on
BlueskyMastodonXFacebookRedditWhatsAppEmail