Alignment, Anticipation, Adaptation, or Lagging Behind? Age‐Based Regulations in Assisted Reproduction and Late Fertility

Marie‐Caroline Compans

doi:10.1111/padr.12658

Titel

Alignment, Anticipation, Adaptation, or Lagging Behind? Age‐Based Regulations in Assisted Reproduction and Late Fertility

Autor*in

Marie‐Caroline Compans

Universität Wien

Abstract

This paper focuses on age restrictions on access to infertility treatments and eligibility for their public reimbursement, exploring their relevancy in contexts of rising late birth rates (40+). I explore how age-based reimbursement policies for in vitro fertilization treatments have responded to these fertility trends in 27 high-income countries and in which regulatory frameworks for medically assisted reproduction (MAR) very late births (45+) have particularly increased. First, I show that while age limits for treatment reimbursement are well aligned with the prevalence of late fertility in some national contexts, in most countries, strict age restrictions are lagging behind the rise in late births. In others, pronatalist policies have prompted permissive age criteria or law revisions, anticipating or adapting to rising trends in late births. Second, the rise in very late births has been limited in some contexts with strict age-based rules. However, the analysis suggests that the impact of MAR on very late births may also be influenced by contextual factors other than regulations.

Stichwort

medically assisted reproduction (MAR)MAR policiesage-based regulationslate fertilitychildbearing norms

Objekt-Typ

journal article

Sprache

Englisch [eng]

Persistent identifier

phaidra.univie.ac.at/o:2114567

DOI

10.1111/padr.12658

Erschienen in

Titel