CDC's 2021 state data brief (published December 2023) shows 1 fertility clinic in North Dakota reporting ART data and 425 ART procedures for North Dakota residents, or 2,498 per million women aged 15 to 49 (U.S.: 3,250). 138 babies born to North Dakota residents in 2021, 1.4% of all births, were conceived with ART (U.S.: 2.3%).
| 2021, by state of residence | North Dakota | United States |
|---|---|---|
| Clinics that reported ART data to CDC | 1 | 453 of 501 |
| ART procedures for residents | 425 | 246,087 |
| ART procedures per 1 million women aged 15 to 49 | 2,498 | 3,250 |
| Embryo-transfer procedures | 356 | not listed |
| Live-birth deliveries from those procedures | 191 | 91,906 |
| Live-born infants from those procedures | 200 | 97,128 |
| Share of all infants born in 2021 conceived with ART | 1.4% | 2.3% |
Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (published December 2023). Procedures exclude cycles in which eggs or embryos were only banked.
Those 425 procedures included 356 embryo transfers and resulted in 191 live-birth deliveries and 200 live-born infants. CDC's birth count is a different measure: 138 of the 10,112 babies born to North Dakota mothers during 2021 were conceived with ART.
Every figure follows the patient's state of residence. North Dakota women treated at clinics in other states are counted here, which is why CDC says state figures may not reflect the clinics located in the state.
With a single reporting clinic, it pays to arrive with a workup in progress and clear questions. Ask the clinic for its results for women your age and with your diagnosis, and how monitoring works if you live far away.
No federal law requires health plans to cover infertility treatment (healthinsurance.org, June 2026). Ask your insurer or HR what your plan covers for diagnosis and treatment, and confirm before you start, because rules change.
Map to the Positive describes a first level of treatment, clinical and medication optimization, indicated for most cases with a defined diagnosis. It takes 3 to 6 months to evaluate the results:
This first level, and the ladder that leads up to IVF, are in Chapter 34 of Map to the Positive, in Station IV. The same station explains when to see a specialist, how to choose a doctor and what happens in each phase of IVF.
Take 30 days. If it does not give you more clarity than everything you have read for free so far, ask for a refund and you get every cent back. We cannot promise you a pregnancy. We can promise you will not be guessing.
References: State-Specific Assisted Reproductive Technology Surveillance, United States: 2021 Data Brief (CDC, with ASRM, SART and RESOLVE) (2023-12) · Does the ACA require infertility treatment to be covered by health insurance? (healthinsurance.org) (2026-06-18)