Assisted Reproduction Preserves Low‑Fertility Genes

Widespread use of assisted reproductive technologies (ART) may unintentionally reduce natural selection against low‑fecundity genotypes by enabling people with poor natural fertility to reproduce at scale, potentially contributing to a gradual genetic decline in population fecundity alongside social drivers of lower birth rates. — If true, this reframes ART not only as an individual health service but as a demographic and evolutionary policy lever with implications for long‑term population planning, ethics, and reproductive‑health funding.