In Table I the number of institutions or clinics offering ART services and those performing IUI are listed together with all available treatment modalities. In comparison to the 2013 data (Calhaz-Jorge et al., 2017) not only the numbers of reporting clinics has increased (1169 in 2013 to 1279 in 2014, +9.5%), but also the overall number of reported treatments (686 271 in 2013 to 776 556 in 2014, +13.1%). Among the 51 European countries, nine are not members of the EIM Consortium (Supplementary Table SI), most being very small countries not offering ART services. Bosnia-Herzegovina resumed their participation. Armenia became a member of the EIM Consortium but has not yet provided any data to the Consortium, and neither did Turkey and Slovakia. Among the 42 members, 39 have sent in their data (92.9%) and in 14 countries (35.8%) all ART centres have reported complete data sets. Currently, 1280 clinics report their data (87.6% of all known clinics in Europe, 85.4% in 2013). The European countries with the largest treatment numbers in 2014 are Spain (109 275 treatments), Russia (94 985), France (90 434) and Germany (81 177).

Table I

Treatment frequencies after ART in European countries in 2014.

IVF clinics in the countryCycles/million*
CountryIVF clinicsIncluded IVF clinicsIUI labsIncluded IUI labsIVFICSIFERPGDEDIVMFORAllWomen 15-45Population
Albania81810964401102153
Austria3028897477316567326
Belarus548415121064130258002739
Belgium18183429322013 45710 6775818535728 84513 5682510
Bosnia-Herzegovina0531670000598
Bulgaria3240388419912303746006314
Croatia1371513897865311000422115
Cyprus76212933316282501739
Czech Republic424213 28090591552486828 75913 9192694
Denmark2121585565425322389812625602316 16715 4492884
Estonia55556361183887017800288412 8282304
Finland19192424248420663384216870864288311566
France10110019118820 63840 29527 2141039104720190 434
Germany13312913 67245 61221 89381 177
Greece44444444335912 4043216481462243424 12012 1622240
Hungary131111843866437201195626
Iceland111118916624101100070610 3442978
Ireland7373623505385001513
Italy200200362362769548 01095011895156163968 89661731109
Kazakhstan23623610131286974179484013937
Latvia535346248030131441390
Lithuania647420015229381
Macedonia95953881457117251987
Malta222001350000411762218423
Moldova4373250501860600843
Montenegro545442517442
Norway1010993167295947990010 92510 6622054
Poland37293089913 7357775325756248023 594
Portugal25252626222834331556694931677863844718
Romania19131913120112188439323357
Russia16713313329 13638 33419 524201356194531494 985
Serbia18118112614750000278
Slovenia3333936244112888812468412 9592375
Spain245225349272549146 10021 007524230 57614845109 275
Sweden1716059385894577126334718 213
Switzerland2927930451944739922
The Nederlands13136537757810 50552125 14180981472
Ukraine3832181818868629480649611442216 983
UK828210710721 21224 23513 5959703196229463 5045278980
All1456127913641366146 14836 2285192 01715 89456 5162923404776 55676231927
IVF clinics in the countryCycles/million*
CountryIVF clinicsIncluded IVF clinicsIUI labsIncluded IUI labsIVFICSIFERPGDEDIVMFORAllWomen 15-45Population
Albania81810964401102153
Austria3028897477316567326
Belarus548415121064130258002739
Belgium18183429322013 45710 6775818535728 84513 5682510
Bosnia-Herzegovina0531670000598
Bulgaria3240388419912303746006314
Croatia1371513897865311000422115
Cyprus76212933316282501739
Czech Republic424213 28090591552486828 75913 9192694
Denmark2121585565425322389812625602316 16715 4492884
Estonia55556361183887017800288412 8282304
Finland19192424248420663384216870864288311566
France10110019118820 63840 29527 2141039104720190 434
Germany13312913 67245 61221 89381 177
Greece44444444335912 4043216481462243424 12012 1622240
Hungary131111843866437201195626
Iceland111118916624101100070610 3442978
Ireland7373623505385001513
Italy200200362362769548 01095011895156163968 89661731109
Kazakhstan23623610131286974179484013937
Latvia535346248030131441390
Lithuania647420015229381
Macedonia95953881457117251987
Malta222001350000411762218423
Moldova4373250501860600843
Montenegro545442517442
Norway1010993167295947990010 92510 6622054
Poland37293089913 7357775325756248023 594
Portugal25252626222834331556694931677863844718
Romania19131913120112188439323357
Russia16713313329 13638 33419 524201356194531494 985
Serbia18118112614750000278
Slovenia3333936244112888812468412 9592375
Spain245225349272549146 10021 007524230 57614845109 275
Sweden1716059385894577126334718 213
Switzerland2927930451944739922
The Nederlands13136537757810 50552125 14180981472
Ukraine3832181818868629480649611442216 983
UK828210710721 21224 23513 5959703196229463 5045278980
All1456127913641366146 14836 2285192 01715 89456 5162923404776 55676231927

Bosnia Herzegovina consists of two parts: the Federation part and the Republic of Srpska.

Treatment cycles in IVF and ICSI refer to initiated cycles.

For Albania, Austria, Belgium, Czech Republic, France, Germany, Iceland, Latvia, Lithuania, Macedonia and Montenegro treatment cycles refer to aspirations. For Austria, Belgium and France the total number of initiated cycles was only available for IVF and ICSI together, being 5993, 19 570 and 68 202, respectively.

For the Czech Republic, no distinction between IVF and ICSI is made. All cycles are counted as ICSI. For Belgium there are 766 aspiration cycles for which it is not known whether IVF or ICSI was performed.

Treatment cycles in FER refer to thawings.

For Czech Republic, Finland, Hungary, Romania, Sweden and The Netherlands treatment cycles refer to transfers.

Treatment cycles in PGD contain both fresh and frozen cycles and refer to initiated cycles in the fresh cycles (except for Finland and Hungary where it refers to aspirations) and thawings in the frozen cycles (except for The Netherlands where it refers to transfers).

Treatment cycles in ED refer to donation cycles and contain fresh and frozen cycles.

ED fresh: For France, Iceland and Latvia treatment cycles refer to aspirations, for Italy it refers to transfers. ED FOR: For France and Italy treatment cycles refer to transfers. ED FER: For Finland, France, Italy, Romania and Sweden treatment cycles refer to transfers.

Treatment cycles in IVM refer to aspirations.

Treatment cycles in FOR refer to thawings.

Women of reproductive age and population were found at the following link: http://www.census.gov/population/international/data/idb/region.php

Table I

Treatment frequencies after ART in European countries in 2014.

IVF clinics in the countryCycles/million*
CountryIVF clinicsIncluded IVF clinicsIUI labsIncluded IUI labsIVFICSIFERPGDEDIVMFORAllWomen 15-45Population
Albania81810964401102153
Austria3028897477316567326
Belarus548415121064130258002739
Belgium18183429322013 45710 6775818535728 84513 5682510
Bosnia-Herzegovina0531670000598
Bulgaria3240388419912303746006314
Croatia1371513897865311000422115
Cyprus76212933316282501739
Czech Republic424213 28090591552486828 75913 9192694
Denmark2121585565425322389812625602316 16715 4492884
Estonia55556361183887017800288412 8282304
Finland19192424248420663384216870864288311566
France10110019118820 63840 29527 2141039104720190 434
Germany13312913 67245 61221 89381 177
Greece44444444335912 4043216481462243424 12012 1622240
Hungary131111843866437201195626
Iceland111118916624101100070610 3442978
Ireland7373623505385001513
Italy200200362362769548 01095011895156163968 89661731109
Kazakhstan23623610131286974179484013937
Latvia535346248030131441390
Lithuania647420015229381
Macedonia95953881457117251987
Malta222001350000411762218423
Moldova4373250501860600843
Montenegro545442517442
Norway1010993167295947990010 92510 6622054
Poland37293089913 7357775325756248023 594
Portugal25252626222834331556694931677863844718
Romania19131913120112188439323357
Russia16713313329 13638 33419 524201356194531494 985
Serbia18118112614750000278
Slovenia3333936244112888812468412 9592375
Spain245225349272549146 10021 007524230 57614845109 275
Sweden1716059385894577126334718 213
Switzerland2927930451944739922
The Nederlands13136537757810 50552125 14180981472
Ukraine3832181818868629480649611442216 983
UK828210710721 21224 23513 5959703196229463 5045278980
All1456127913641366146 14836 2285192 01715 89456 5162923404776 55676231927
IVF clinics in the countryCycles/million*
CountryIVF clinicsIncluded IVF clinicsIUI labsIncluded IUI labsIVFICSIFERPGDEDIVMFORAllWomen 15-45Population
Albania81810964401102153
Austria3028897477316567326
Belarus548415121064130258002739
Belgium18183429322013 45710 6775818535728 84513 5682510
Bosnia-Herzegovina0531670000598
Bulgaria3240388419912303746006314
Croatia1371513897865311000422115
Cyprus76212933316282501739
Czech Republic424213 28090591552486828 75913 9192694
Denmark2121585565425322389812625602316 16715 4492884
Estonia55556361183887017800288412 8282304
Finland19192424248420663384216870864288311566
France10110019118820 63840 29527 2141039104720190 434
Germany13312913 67245 61221 89381 177
Greece44444444335912 4043216481462243424 12012 1622240
Hungary131111843866437201195626
Iceland111118916624101100070610 3442978
Ireland7373623505385001513
Italy200200362362769548 01095011895156163968 89661731109
Kazakhstan23623610131286974179484013937
Latvia535346248030131441390
Lithuania647420015229381
Macedonia95953881457117251987
Malta222001350000411762218423
Moldova4373250501860600843
Montenegro545442517442
Norway1010993167295947990010 92510 6622054
Poland37293089913 7357775325756248023 594
Portugal25252626222834331556694931677863844718
Romania19131913120112188439323357
Russia16713313329 13638 33419 524201356194531494 985
Serbia18118112614750000278
Slovenia3333936244112888812468412 9592375
Spain245225349272549146 10021 007524230 57614845109 275
Sweden1716059385894577126334718 213
Switzerland2927930451944739922
The Nederlands13136537757810 50552125 14180981472
Ukraine3832181818868629480649611442216 983
UK828210710721 21224 23513 5959703196229463 5045278980
All1456127913641366146 14836 2285192 01715 89456 5162923404776 55676231927

Bosnia Herzegovina consists of two parts: the Federation part and the Republic of Srpska.

Treatment cycles in IVF and ICSI refer to initiated cycles.

For Albania, Austria, Belgium, Czech Republic, France, Germany, Iceland, Latvia, Lithuania, Macedonia and Montenegro treatment cycles refer to aspirations. For Austria, Belgium and France the total number of initiated cycles was only available for IVF and ICSI together, being 5993, 19 570 and 68 202, respectively.

For the Czech Republic, no distinction between IVF and ICSI is made. All cycles are counted as ICSI. For Belgium there are 766 aspiration cycles for which it is not known whether IVF or ICSI was performed.

Treatment cycles in FER refer to thawings.

For Czech Republic, Finland, Hungary, Romania, Sweden and The Netherlands treatment cycles refer to transfers.

Treatment cycles in PGD contain both fresh and frozen cycles and refer to initiated cycles in the fresh cycles (except for Finland and Hungary where it refers to aspirations) and thawings in the frozen cycles (except for The Netherlands where it refers to transfers).

Treatment cycles in ED refer to donation cycles and contain fresh and frozen cycles.

ED fresh: For France, Iceland and Latvia treatment cycles refer to aspirations, for Italy it refers to transfers. ED FOR: For France and Italy treatment cycles refer to transfers. ED FER: For Finland, France, Italy, Romania and Sweden treatment cycles refer to transfers.

Treatment cycles in IVM refer to aspirations.

Treatment cycles in FOR refer to thawings.

Women of reproductive age and population were found at the following link: http://www.census.gov/population/international/data/idb/region.php

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