Infertility among active component service women, U.S. Armed Forces, 2019-2023.

This report presents the incidence and prevalence of diagnosed female infertility among active component U.S. service women. During 2019-2023, 8,154 active component women of childbearing potential were diagnosed with incident infertility, resulting in an overall incidence of 77.5 cases per 10,000 person-years (p-yrs). Incidence rates were highest among women in their 30s, non-Hispanic Black individuals, those in health care and pilot or air crew occupations, Army soldiers, and those who were married. From 2019 through 2023, the incidence rate of diagnosed female infertility decreased from 89.2 per 10,000 p-yrs to 69.5 per 10,000 p-yrs despite a concurrent increase in the rate of fertility testing. During the surveillance period, the average annual prevalence of diagnosed female infertility was 1.6%. Of the service women diagnosed with infertility for the first time during the surveillance period, 2,005 (24.6%) delivered live births within 2 years following their incident infertility diagnoses. The incidence rate of diagnosed infertility among service women decreased by 22.1% during the surveillance period, coincident with an increase of 74.0% in the rate of fertility testing from 2019 through 2023.