Everyone's efforts to conceive

In recent years, along with the social environment and systems surrounding fertility treatment, our values and behaviors have also continued to change. What do we need now to live authentically and make choices that are true to ourselves?
Rohto Pharmaceutical has been working to support people's desire to have children, undertaking various initiatives such as research and development of products to support fertility treatment and disseminating accurate information about pregnancy. As part of these efforts, we have been publishing the "Fertility Treatment White Paper" since 2018, which focuses on people who are currently undergoing or planning to undergo fertility treatment.
For the sixth edition of the "Fertility Treatment White Paper," we expanded the scale and target group of our survey to better understand the current situation and gain insights into how to move forward, by listening more closely to the real voices surrounding fertility treatment, pregnancy, and childbirth.
In today's world, where diverse values are commonplace, gaining accurate knowledge about your own and your partner's bodies is crucial for choosing a life that is true to yourself. Based on the issues revealed by the survey results, we would like to consider proposals that can help solve these problems.

Intentions of unmarried men and women to have children

The majority of young, unmarried men and women say they "don't want children now or in the future."

  • Young unmarried men and women

We are asking people about their desire to have children now and in the future, over the years. The percentage of unmarried men and women (18-29 years old) who do not want children has been steadily increasing, and this year it finally exceeded 50%. Furthermore, looking at the results by gender, more men than women do not want children, with approximately 60% of men responding that they do not want children.

  • The majority of young, unmarried men and women say they "don't want children now or in the future."
  • The majority of young, unmarried men and women say they "don't want children now or in the future."

I want to keep the possibility of having children open.

However, about one in four women who do not want children,
Those who want to keep the possibility of having children open are the "preparation group for fertility treatment."

  • Young unmarried men and women

  • Young and unmarried
  • woman

  • I don't want children,
    The possibility of conceiving
    Women I want to leave behind

Among unmarried men and women who said they did not want children, about one in five (men and women combined), and about one in four (women who face significant age-related limitations regarding pregnancy), said they wanted to maintain a physical condition that would allow them to have children if their feelings changed in the future.

  • Do you want to have children in the future?
  • I don't want children in the future.

Furthermore, it was found that about one in five women (18-39 years old) who do not want children now or in the future, but want to keep the possibility of having children open in case their thinking changes in the future (to maintain a physical condition that allows them to have children if they wish), are interested in "egg freezing."

Do you want to have children in the future?

Looking back on my experience trying to conceive

Approximately 70% of those who have tried to conceive said that "getting pregnant was more difficult than they had imagined before trying."

  • Women who have tried to conceive

On the other hand, 68.8% of women who have actually conceived a child after trying to get pregnant (age 18-44 at the time of childbirth; current age if pregnant) responded that "getting pregnant is more difficult than they imagined before starting to try to get pregnant," and 58.4% responded that "it would have been better to start trying to get pregnant earlier" (the percentages shown are the sum of "applies" and "somewhat applies").
In all categories, the percentage of responses tends to increase as the mother's age at childbirth increases.

Looking back on my experience trying to conceive

Looking back on my experience trying to conceive

Looking back on my experience trying to conceive

The time it takes to conceive increases significantly in proportion to the age at which one is trying to get pregnant.
65% of those who have tried to conceive said they "wish they had gained accurate knowledge about pregnancy and childbirth when they were younger."

  • Women who have tried to conceive

For women who have conceived a child after trying to get pregnant (age 18-44 at the time of childbirth; current age if pregnant), the average time it took from starting to try to conceive to actually getting pregnant was 13.6 months. This period increased in proportion to the age at the time of childbirth, with a difference of 12.8 months between women around 20 years old and those around 40 years old.

Looking back on my experience trying to conceive

65.0% of women who have conceived a child after trying to get pregnant said they "wish they had acquired accurate knowledge about pregnancy and childbirth when they were younger," and 67.5% said they "lacked opportunities to acquire knowledge about pregnancy" (the percentages are the sum of "applies" and "somewhat applies").

Looking back on my experience trying to conceive

Among women who have conceived a child after trying to get pregnant, the average age at which they last received sex education in school was 14.8 years old. Furthermore, 29.2% of respondents said they had the opportunity to learn basic knowledge about trying to conceive a child in school, such as "the period from three days before ovulation to the day after ovulation is the most fertile time" and "a woman's ability to conceive gradually begins to decline from around age 35."
While the internet has made it easier to access information compared to the past, the survey results show that there is still a lack of opportunities to acquire appropriate knowledge for "conceiving" a child, and to obtain it early at the necessary time.
We strongly believe that there is a need for opportunities to learn the correct knowledge about "being blessed with children," not only in schools and families, but throughout society. As a pharmaceutical company that has been conducting research and developing products related to fertility, we at Rohto Pharmaceutical will continue to offer our suggestions.

Knowledge about fertility treatment

There is nearly a twofold difference in the amount of basic knowledge about fertility treatment between men and women.
This suggests a scenario where women research information online and then share it with their male partners.

  • Married men and women

Looking at current sources of information regarding fertility treatment and childbirth, among married men and women (ages 25-44) who want to have children someday, women primarily obtain information from internet searches, while men primarily obtain information from their partners. This suggests a pattern where women proactively search the internet and then share that information with their male partners.

Knowledge about fertility treatment

Knowledge about fertility treatment

Changes in attitudes towards "trying to conceive as a couple"

While over 50% of couples are planning to conceive together, a gap in basic knowledge about fertility remains a challenge.

  • Married men and women

Rohto Pharmaceutical Co., Ltd. advocates "Two-Person Fertility Treatment" through its corporate activities, meaning that both women and men should face the challenge of fertility treatment together with their partners.
This year, 51.3% of married men and women who want to have children someday are participating in "couple-based fertility planning," a slight increase from last year.
However, as mentioned above, there is still room for improvement regarding the gender gap in knowledge about fertility treatment.

Changes in attitudes towards "trying to conceive as a couple"

Career women's journey to fertility

Contrary to the overall trend, young, unmarried women with stable incomes...
On the contrary, there is a tendency to want children. On the other hand, nearly 80% of those who have tried to conceive
"It was difficult to continue trying to conceive while balancing work and family life."

  • Young and unmarried
  • woman

  • Women who have tried to conceive

Shifting our perspective slightly to women's careers and pregnancy, we find that among young, unmarried women (18-29 years old), those with an annual income exceeding the average for women in their 20s (over 3 million yen) have a lower percentage of women who do not want children (27.9%). This suggests that employed women with stable incomes are actually more likely to desire children than other young women.

Career women's journey to fertility

In contrast, 50.7% of women who have conceived a child after undergoing fertility treatment (ages 18-44 at the time of childbirth) responded that "fertility treatment necessitated changes to their work or career plans," and 76.5% responded that "it is difficult to continue fertility treatment while balancing work" (the percentages shown are the sum of "applies" and "somewhat applies").

Career women's journey to fertility

While many still say they don't want children, a closer look reveals a spectrum and fluctuations in their opinions. For example, unmarried working women among younger generations tend to desire children, and some who don't want children now want to keep the possibility open in case their feelings change in the future.
With news about systems related to fertility treatment and egg freezing increasing, the options and possibilities have become visibly more diverse these days. What I felt through the survey was a positive will to choose a life that is true to oneself, considering career, age, economic situation, and various other factors not only for the present but also for the future, while grappling with these concerns. And there was a sense that "options" themselves hold great value and potential, and are a great source of reassurance for moving forward in life.
One of the important things that supports such "choices" is appropriate education and knowledge. However, even though people have received "sex education" at school and have basic knowledge about contraception, there are few opportunities to learn about "how to conceive," such as planning for conception and childbirth, and the gender gap remains significant.
Based on these results, I felt it's important to provide opportunities for everyone—not just those actively trying to conceive, but everyone who hopes to have children someday, regardless of age or gender—to acquire basic knowledge about the body involved in conception and the process of fertility and childbirth. Because the "choices" needed to think about and choose a life that suits you should begin there.
Encouraged by the lessons learned from this survey, Rohto Pharmaceutical will continue to work closely with everyone, listening to the voices of each individual and supporting the ever-changing society, so that everyone can choose a life that is true to themselves. We hope to move forward little by little together with you.

Career women's journey to fertility

An edutainment program about fertility treatment, starring eggs and sperm!

"Don't give up, little egg cell!" released.

Don't give up, little egg!

A story of eggs and sperm, for those who wish to have children someday.

The earnest protagonist eagerly awaits her rendezvous with "Sperm-kun"
Through the daily life of "Egg-chan",
Learn about eggs, which are essential for fertility treatment.
This is a web animation about "fertility treatment edutainment."

Don't give up, little egg!

The "Fertility Treatment White Paper 2023" revealed that there are few opportunities to acquire accurate knowledge about fertility treatment, that the knowledge gap between men and women remains, and that there is a growing demand for early education. In today's world where diverse values are commonplace, acquiring accurate knowledge about your own body and your partner's body is extremely important in order to make choices that are true to yourself.
In response to the challenges revealed by these survey results, we at Rohto Pharmaceutical have created and released "Don't Give Up, Egg-chan!", a fertility-focused edutainment program aimed at everyone, regardless of age or gender.
The video "Don't Give Up, Egg-chan!" features characters representing the "egg" and "sperm," which are often misunderstood and overlooked but are arguably the main characters in the fertility journey. It funnily conveys important knowledge for those considering fertility treatment through the slightly bittersweet but adorable daily life of Egg-chan. Please watch it with your partner or loved one.

Watch the video here