One in six people worldwide experience infertility at some point in their lives, a statistic that underscores a quiet yet mounting public health crisis. The World Health Organization now frames infertility not just as a personal heartbreak, but a systems issue that leaves millions without affordable care. Beyond individual suffering, the burden includes hefty out-of-pocket costs for tests and treatments, with a single IVF cycle sometimes costing more than a family’s annual income. This financial pressure compounds mental health strain and social stigma, impacts disproportionately borne by women.
WHO Director-General Tedros Adhanom Ghebreyesus emphasized that infertility is one of the most overlooked public health challenges and a major equity issue globally. In response, the WHO issued new guidance urging countries to expand access to fertility care, prioritize the cheapest effective options, ensure prompt diagnosis for both men and women, and uphold the right of individuals and couples to decide if and when to have children. The guidance also calls for preventive actions, such as reducing risk factors like smoking and untreated sexually transmitted infections, and integrating mental health support into fertility services.
Across Europe, care and coverage vary markedly. Belgium and the Netherlands are highlighted for better legal regulations, public funding, and patient experiences, while Albania, Azerbaijan, and Kosovo rank lower on access and affordability. The WHO guidance is not yet exhaustive; it signals a shift toward recognizing fertility health as part of universal health coverage, with plans to add more recommendations in future versions.