Experts in reproductive medicine have warned that declining fertility rates in Tunisia have become a multifaceted phenomenon. According to data from the National Institute of Statistics, the fertility rate has decreased from 2.4 children per woman in 2016 to 1.5 in 2024. The number of births has also declined from 219,441 to 126,401 during the same period.
The decline in fertility rates is attributed to various factors, including delayed marriage and childbearing, economic difficulties, and changing social norms. Dr. Mohamed Khrouf, a specialist in reproductive assistance, noted that age is a significant factor in fertility, particularly for women. As women age, their chances of conception decrease, with a notable decline after the age of 35.
The success rates of fertility treatments also vary depending on age, health, and the type of technology used. Dr. Khrouf estimated that the chances of success with fertility treatments are around 45-50% for women in their thirties, compared to 35% for women aged 35 and 20% for women in their forties. Lifestyle factors, such as smoking, alcohol consumption, and obesity, also contribute to declining fertility rates in both men and women.
Experts are calling for increased awareness and education on reproductive health and fertility. Dr. Bashir Zouawi, a professor of obstetrics and gynecology, emphasized the importance of promoting reproductive health and sex education. He suggested that awareness campaigns and educational programs could encourage couples to seek medical advice earlier, improving their chances of conception.
Tunisia has made significant progress in reproductive medicine, with modern technologies and qualified healthcare professionals. The National Health Insurance Fund covers some fertility treatments, including three attempts at in vitro fertilization (IVF). However, the high cost of fertility treatments remains a challenge for many couples.
The Tunisian Association of Obstetrics and Gynecology is promoting the use of artificial intelligence in reproductive medicine. The organization's president, Dr. Mechal Meradi, noted that AI can help analyze data, support medical decision-making, and improve the selection of sperm or embryos for fertility treatments.
To address declining fertility rates, experts recommend a comprehensive approach that includes prevention, awareness, and education, as well as continued development of fertility treatments and AI technology. The Tunisian Association of Obstetrics and Gynecology has proposed revising the reproductive medicine law to allow women to freeze their eggs for future use, currently only permitted in specific medical cases.
Key points
- Experts warn that declining fertility rates in Tunisia are a multifaceted issue requiring a comprehensive approach.
- The country's fertility rate has declined from 2.4 children per woman in 2016 to 1.5 in 2024.
- Experts recommend promoting reproductive health and sex education to address declining fertility rates.
