平均年龄攀升至38岁，辅助生殖让高龄女性获得生育自由了吗？

Group 1 - The overall fertility rate in China is declining, with younger women (20-29 years) contributing less and older women (30-39 years) contributing more to births, leading to a net decrease in birth rates [2][3] - The average age of women seeking assisted reproductive technology (ART) has increased from the early 30s to 38 years, indicating a trend towards later motherhood [3][4] - The success rate of ART for women aged 38 is less than 50%, highlighting the challenges faced by older women in achieving pregnancy [4][23] Group 2 - The demand for ART services has increased significantly, with hospitals reporting a rise in the number of cycles performed, reflecting the trend of late marriage and childbearing [31][32] - As of October 2023, all provinces in China have included ART in health insurance, benefiting over 1 million people [32] - The industry is experiencing a "high-level stable state," with growth slowing but demand remaining strong, as more women seek ART services in urban areas [31][33] Group 3 - The psychological burden on women undergoing ART is significant, with many experiencing anxiety and stress during the treatment process, particularly during the waiting period after embryo transfer [24][30] - The focus of the ART industry is shifting from merely achieving pregnancy to ensuring the safety and health of mothers and babies, with an emphasis on reducing complications associated with high-risk pregnancies [27][30] - There is a growing trend of women actively choosing to pursue motherhood for personal reasons rather than societal pressures, indicating a shift in the perception of fertility and reproductive health [35]