On a related note, this is becoming a more common issue worldwide. Almost every country, even developing ones, are experiencing below replenishment birthrates. Only a few countries are spared in Central Africa, though not sure how long that will last.

https://www.imf.org/en/publications/fandd/issues/series/anal...

https://www.ssa.gov/policy/docs/ssb/v66n4/v66n4p37.html

https://www.newsweek.com/americas-population-time-bomb-18987...

IVF is also no longer something that's only for older women. Younger couples from both sexes are starting to need it.

https://tulipivf.com/news/detail/397

https://thehill.com/opinion/healthcare/4727738-people-need-i...