IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp17965.html

Career, Family, and IVF: The Impact of Involuntary Childlessness and Fertility Treatment

Author

Listed:
  • Martinenghi, Fabio I.

    (University of Newcastle, Australia)

  • Naghsh Nejad, Maryam

    (University of Technology, Sydney)

Abstract

We use whole-population linked administrative data from Australia to ex- amine the economic and mental health impacts of IVF treatment and invol- untary childlessness. Leveraging detailed information on fertility treatment, income, and prescription drug use, we implement a dynamic triple-difference framework comparing women who remain childless five years after initiating IVF to those who successfully conceive. Results reveal large and persistent effects on both mental health and income. We further show that the IVF process itself leads to income declines among childless women, underscoring substantial unmeasured costs and suggesting downward bias in child penalty estimates that use unsuccessful IVF patients as controls.

Suggested Citation

  • Martinenghi, Fabio I. & Naghsh Nejad, Maryam, 2025. "Career, Family, and IVF: The Impact of Involuntary Childlessness and Fertility Treatment," IZA Discussion Papers 17965, IZA Network @ LISER.
  • Handle: RePEc:iza:izadps:dp17965
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp17965.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Patricia Cortés & Jessica Pan, 2023. "Children and the Remaining Gender Gaps in the Labor Market," Journal of Economic Literature, American Economic Association, vol. 61(4), pages 1359-1409, December.
    2. Barton H. Hamilton & Brian McManus, 2012. "The Effects Of Insurance Mandates On Choices And Outcomes In Infertility Treatment Markets," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 994-1016, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Brosch, Hanna & Grewenig, Elisabeth & Lergetporer, Philipp & Werner, Katharina & Zeidler, Helen, 2026. "Are Gender Norms Shaped by Who Earns More?," IZA Discussion Papers 18661, IZA Network @ LISER.
    2. David Dorn & Florian Schoner & Moritz Seebacher & Lisa Simon & Ludger Woessmann, 2024. "Multidimensional Skills on LinkedIn Profiles: Measuring Human Capital and the Gender Skill Gap," Papers 2409.18638, arXiv.org, revised May 2025.
    3. Hélène Périvier & Gregory Verdugo, 2024. "Where Are the Fathers? Effects of Earmarking Parental Leave for Fathers in France," ILR Review, Cornell University, ILR School, vol. 77(1), pages 88-118, January.
    4. Boinet, Césarine & Norris, Jonathan & Romiti, Agnese & Shi, Zhan & Telemo, Paul, 2024. "Beliefs on Children's Human Capital Formation and Mothers at Work," IZA Discussion Papers 17574, IZA Network @ LISER.
    5. Ross Chu & Sohee Jeon & Hyun Seung Lee & Tammy Lee, 2025. "Sorting of Working Parents into Family-Friendly Firms," Papers 2512.22810, arXiv.org.
    6. Francine D. Blau, 2025. "Gender Inequality in the Labor Market: Continuing Progress?," ILR Review, Cornell University, ILR School, vol. 78(2), pages 275-303, March.
    7. Boneva, Teodora & Brás-Monteiro, Ana & Golin, Marta & Rauh, Christopher, 2024. "Are Men's Preferences for Couple Equity Misperceived? Evidence from Six Countries," IZA Discussion Papers 17493, IZA Network @ LISER.
    8. Francine D. Blau & Lisa M. Lynch, 2024. "Fifty Years of Breakthroughs and Barriers: Women in Economics, Policy, and Leadership," The ANNALS of the American Academy of Political and Social Science, , vol. 711(1), pages 225-244, January.
    9. Jessen, Jonas & Kinne, Lavinia & Battisti, Michele, 2026. "Child penalties in labour market skills," European Economic Review, Elsevier, vol. 184(C).
    10. Glogowsky, Ulrich & Hansen, Emanuel & Sachs, Dominik & Lüthen, Holger, 2025. "The evolution of child-related gender inequality in Germany and the role of family policies, 1960–2018," European Economic Review, Elsevier, vol. 175(C).
    11. Doerr, Annabelle, 2022. "Vocational Training for Female Job Returners - Effects on Employment, Earnings and Job Quality," Working papers 2022/02, Faculty of Business and Economics - University of Basel.
    12. Gershoni, Naomi & Low, Corinne, 2021. "The power of time: The impact of free IVF on Women’s human capital investments," European Economic Review, Elsevier, vol. 133(C).
    13. Grönqvist, Erik & Hensvik, Lena & Okuyama, Yoko & Thoresson, Anna, 2026. "Women’s labor market opportunities and equality in the household," Journal of Public Economics, Elsevier, vol. 254(C).
    14. Limor Hatsor & Ity Shurtz, 2025. "Breastfeeding and the return to work after childbirth of new mothers: Evidence from a baby formula scare," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 44(3), pages 943-963, June.
    15. Jordy Meekes & Wolter H J Hassink & Guyonne Kalb, 2023. "Essential work and emergency childcare: identifying gender differences in COVID-19 effects on labour demand and supply," Oxford Economic Papers, Oxford University Press, vol. 75(2), pages 393-417.
    16. Carnicelli, Lauro & Morando, Greta, 2025. "The Unequal Motherhood Penalty: Maternal Preferences and Education," IZA Discussion Papers 18140, IZA Network @ LISER.
    17. Marchionni, Mariana & Pedrazzi, Julián, 2025. "The last hurdle? Unyielding motherhood effects in the context of declining gender inequality in Latin America," World Development, Elsevier, vol. 195(C).
    18. Si, Chunxiao & Wang, Dihai & Wu, Maohua, 2025. "How broadband internet access shapes fertility decisions: Evidence and mechanisms," Journal of Asian Economics, Elsevier, vol. 99(C).
    19. Zhang, Mingxue & Wang, Yue & Hou, Lingling, 2024. "Gender norms and the child penalty in China," Journal of Economic Behavior & Organization, Elsevier, vol. 221(C), pages 277-291.
    20. Cobb-Clark, Deborah A. & Dang, Tung & Fisher, Hayley, 2025. "Daycare Accessibility and Maternal Labor Market Outcomes: Do Quality Ratings Matter?," IZA Discussion Papers 18300, IZA Network @ LISER.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp17965. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Mark Fallak (email available below). General contact details of provider: https://edirc.repec.org/data/izaaalu.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.