Kelley AS, et al. - Women in the United States were investigated for infertility rates and access to infertility care in this retrospective cross-sectional study. Participants were women from the National Health and Nutrition Examination Survey between 2013 and 2016 who had answered questions RHQ074 (“have you ever attempted to become pregnant over a period of at least a year without becoming pregnant?”) and RHQ076 (“have you ever been to a doctor or other medical provider because you were unable to become pregnant?”). Infertility rate of 12.5% was evident in these women. With increasing age and body mass index, infertility rates increased. Race/ethnicity, education, income, U.S. citizenship, insurance, or primary location of health care had no influence on infertility rates. However, access to infertility care was less among women with less than a high school diploma vs women with a college degree (5.0% vs 11.6%). Women with incomes less than $25,000 vs those with incomes above $100,000 sought infertility care less (5.4% vs 11.6%). Non-U.S. citizens vs U.S. citizens accessed infertility care less (6.9% vs 9.4%), and uninsured women vs insured women reported fewer visits for infertility (5.9% vs 9.9%). Women who used the emergency department as their primary medical location vs those who relied on a hospital outpatient unit reported accessing infertility care less (1.4% vs 14.9%). These findings emphasize the necessity for addressing disparities in access to infertility care.