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The article addresses the decline in fertility indicators in Tunisia, where the fertility rate dropped from 2.4 children per woman in 2016 to 1.5 in 2024. During the same period, the number of births decreased from 219,441 to 126,401. Specialists attribute this deterioration to multiple factors, including delayed marriage and childbirth, economic hardships, young people's desire to migrate, as well as health, environmental, and social factors. Experts emphasize that age, especially after 35, significantly impacts the chances of successful conception, with success rates varying according to age and health status—ranging from 45-50% in the thirties and dropping to 20% after forty. The article also stresses the importance of raising awareness about reproductive health, advancing assisted reproduction techniques, and leveraging artificial intelligence to support diagnosis and embryo analysis, with future plans to incorporate egg freezing procedures. The consensus among specialists is that addressing the decline in fertility requires comprehensive efforts involving prevention, awareness campaigns, improvement of medical services, and promotion of reproductive health education.
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