Alternative Paths to Parenthood: Ivf or Child Adoption?

This article analyzes the effects of child adoption on the utilization of assisted reproductive technology (ART) in the United States. Using state‐level longitudinal data for 1999–2006, we show that ART use is responsive to changes in adoption markets. After controlling for state‐specific fixed effects, our estimates reveal that a 10% increase in adoptions leads to a 1.3%–1.5% decrease in the number of ART cycles performed. The responsiveness is higher when we consider infant adoptions, adoptions by older women, and international adoptions, while there is no substitutability between ART and adoption of related children. ( JEL I11, J13, J18)