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Across the United States, 1 in 8 couples will receive an infertility diagnosis. A diagnosis that’s life-changing, heart-breaking, and a significant emotional - and sometimes financial - burden.

In Los Angeles, the total fertility rate is in decline and falls below the average for both California and the US as a whole. In 2000, LA County was above the US average, being just over 2.1 births per woman. Today, its fallen to just 1.56, in comparison to the US average rate of 1.76.

While the total fertility rate depends on several factors - not just infertility - this does make for concerning reading. Gone are the days when sex ed classes led you to believe one wrong decision would lead to pregnancy. The upsetting reality is it may take much more than one night of passion to start your family. Hormonal drugs, trips to infertility doctors, and surgeries may be a part of your future path.

Fortunately, you have a key advantage over the rest of the US by living in LA: California is regarded as one of the world’s top fertility treatment destinations.

Fortunately, you have a key advantage over the rest of the US by living in LA: California is regarded as one of the world’s top fertility treatment destinations.

Why is demand growing for fertility clinics?

Experts associate this rise in demand for fertility clinics with the drop in fertility rates.


Many people are delaying their decision to have children until after they’ve traveled the world or have gotten their careers off the ground. This causes a huge and significant problem.

Birth rates in younger women are dropping dramatically, while birth rates in older women are rising.

Women’s ovary reserves start to decline rapidly in their mid-30s – the time when many women are considering starting a family. By the time they’re 40, the chances of conceiving naturally become incredibly slim.

This leaves many couples searching for answers, treatments, and options in their quest to become parents.

Why is California famous for fertility treatment?

According to the Centers for Disease Control and Prevention (CDC), 10 out of the 50 busiest fertility clinics in the US are in California.

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Thanks to its technology roots, California has become a central point in this growing field. As more people choose to begin families later in life, California’s reputation has been bolstered by the growing demand for assisted reproductive technology (ART).

From DEB USA to “traditional” IVF clinics with the latest technology (which are 10 years ahead of some out-of-state clinics), many are flocking to California to make the most of its resources.

This includes aspiring Chinese parents traveling to Los Angeles to take advantage of China’s new two-child policy. In fact, some clinics work with China directly to offer surrogacy and egg freezing for unmarried women (both of which are prohibited in China, unlike IVF).

Since 1994, the state has been drafting case laws to support parents involved in all types of ART programs – not just surrogacy.

These laws ensure a baby’s intended parents are considered its legal guardians, putting California head and shoulders above other states. Additionally, it helps give couples traveling back to a different country the international security they need.

This legal framework, combined with state-of-the-art facilities, is why California is home to more egg donation and surrogacy agencies than any other state.

Talk about infertility

Unfortunately, it’s still considered a taboo to discuss infertility socially.

Social media can seem like an onslaught of pregnancy pictures, baby photos, and happy families, yet there are a growing number of support groups for those facing infertility diagnoses.

Difficulty conceiving is bringing couples in the LA area - and all over the world - together through simple hashtags like “#infertility.”

It’s OK to talk about infertility.

Support groups, counselors and networks are all available resources to provide the strength and comfort Californians struggling with infertility need.