Across North America, a quiet demographic shift is accelerating: fewer babies are being born each year. In the United States, the general fertility rate declined again in 2024 (to 53.8 births per 1,000 women ages 15–44), and the total fertility rate remained far below replacement level. CDC+1 In Canada, the total fertility rate fell to 1.25 children per woman in 2024, a record low. Statistics Canada
This isn’t just a statistic—it’s the fertility gap: the growing distance between the number of children people want to have and the number they’re actually able to have.
What’s driving the fertility gap?
The fertility gap is not caused by one thing. It’s a chain reaction of modern life:
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Later family-building: People are starting families in their 30s more than ever, and biology doesn’t always cooperate.
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High cost of living: Housing, childcare, and education are expensive, making family plans feel risky.
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Career and stability pressures: Many couples delay trying until “everything is ready,” only to find time isn’t unlimited.
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Access barriers to fertility care: Even when someone is ready emotionally and financially, the system can be slow, confusing, or simply unaffordable.
The fertility gap is especially painful because it’s often invisible—until it becomes personal.
How the fertility gap affects the economy and society
When the fertility gap grows, countries age faster. That means fewer working-age people supporting more retirees, which can strain pensions, healthcare budgets, and public finances. The OECD has repeatedly warned that ageing populations—driven by lower birth rates and longer life expectancy—raise long-term fiscal pressure and can create labour shortages. OECD+1
At the global level, the same pattern is unfolding: fertility rates are trending downward in many regions, reshaping population structures for the rest of this century. World Population Prospects+1 The world population may still grow in the near term, but growth is increasingly concentrated in fewer places, while many countries face “baby-bust” dynamics and rapid ageing. IMF
In other words: the fertility gap is becoming one of the defining challenges of the modern era—economically, socially, and politically.
Why fertility treatment is so costly in the U.S. and Canada
In the U.S., the cost of IVF is commonly cited in the $12,000–$25,000 per cycle range—and many people need more than one cycle. AP News+1 Costs can rise further with medications, genetic testing, lab add-ons, and freezing.
In Canada, public funding exists in some provinces, but coverage can be limited, and eligibility, waitlists, and what’s included vary. For example, Ontario funds fertility services through its program—but not everything (often including medications and certain extras). Ontario That means many families still face major out-of-pocket expenses, even when “funded IVF” is available.
So the fertility gap grows wider: the need rises, but affordability and access don’t keep pace.
What can be done to close the fertility gap?
Some solutions are national and long-term—childcare support, housing affordability, stable parental leave, and better insurance coverage for fertility care. OECD+1 But there’s also a practical, immediate solution for many families:
Expand access through cross-border care—safely, ethically, and with expert coordination.
Why North Cyprus is becoming a viable option for families
For many intended parents in the U.S. and Canada, the fertility gap isn’t about desire—it’s about access, timing, and cost. That’s where North Cyprus can be a powerful alternative, especially when families want:
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More cost-effective treatment pathways than many North American private clinics
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Flexible, patient-focused planning (especially for international patients)
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A calmer, travel-friendly environment that supports the emotional side of treatment
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End-to-end coordination so the process feels manageable
Why choose Cyprus Crown IVF, Cyprus American IVF, and Clavis IVF—through FertilitySolutions
If you’re trying to close the fertility gap in your own life, you need more than a clinic—you need a team that can guide the entire journey.
When you contact FertilitySolutions, you’re met by experienced coordinators who can help organize the full treatment experience: clinic scheduling, travel planning support, accommodation options, and local transportation—so you don’t have to piece everything together alone.
And you gain access to trusted partners in North Cyprus, including:
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Cyprus Crown IVF
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Cyprus American IVF
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Clavis IVF
Each clinic offers a structured, professional pathway toward parenthood—especially for international families who want clarity, speed, and support.
The fertility gap is real—but it’s not the end of the story
Declining birth rates are shaping the future of the U.S., Canada, and the world. World Population Prospects+1 But for individual families, the fertility gap doesn’t have to define the outcome.
If you’re ready to act—rather than wait—the most important step is simple:
Reach out to FertilitySolutions.
Let our experts help you explore your options in North Cyprus, and build a plan that fits your timeline, your medical needs, and your dream of becoming parents.
For any of your fertility problems, please do not hesitate to contact us. At Fertility Solutions we pride ourselves with the excellent tailored personal care we provide to our patients for their specific needs. A team member will contact you as soon as we get your message, and construct a personal treatment plan for your fertility problems in the country of Cyprus. You can also contact our clinics directly through the links below.
Get in Touch with Our Clinics:
Cyprus Crown IVF Contact: https://en.cypruscrownivf.com/contact
Cyprus American IVF Contact: https://www.cyprusamericanivf.com/contact-us/
Dr. Halil Ibrahim Tekin (Dr. HIT) Youtube: https://www.youtube.com/@dr.halilibrahimtekin1715
Cyprus American IVF Youtube: https://www.youtube.com/@AmerikanTupBebekMerkezi
Clavis Fertility Centre: https://www.clavisfertilitycenter.com
