Global fertility care with assisted reproductive technology

Assisted reproductive technology has progressed greatly since the birth of Louise Brown in 1978. The pregnancy rates have increased, care is safer with significantly reduced multiple pregnancy and complication rates, infants have good health, and millions of people have been able to have the families they desired. The major challenges facing assisted reproductive technology are to continue to in-crease the quality of care, increase utilization through more societal funding, and expand care to nontraditional and marginalized pop-ulations in all countries, especially lower-and middle-income countries where access is currently limited. Significant collaboration among professionals, organizations, the World Health Organization, and policymakers is occurring and will be necessary to achieve these goals. (Fertil Steril & REG; 2023;120:473-82. & COPY;2023 by American Society for Reproductive Medicine.)