As the fifth anniversary of the establishment of medically assisted reproduction (PMA) in France approaches, the demand for these services has surged, leading to significantly longer waiting lists across the country. This increase is prompting both healthcare providers and patients to implement new strategies to manage the delays. Medically assisted reproduction, which allows women to conceive with the help of medical procedures, was made available to all women under a revised bioethics law enacted in August 2021. Before this change, PMA was only accessible to heterosexual couples who were married, in a civil partnership, or cohabiting for at least two years, and who met specific medical criteria. Since the new law was introduced, the demand for PMA has increased five to six times. According to the Agency for Biomédecine, 105 centers are now authorized to provide PMA, but there are significant regional disparities in access. The Île-de-France region, which includes Paris, faces the most tension, while areas like Corsica lack adequate services. As a result, national waiting times for PMA now range from 8 to 28 months. A report by the Parliamentary Office for the Evaluation of Scientific and Technological Choices (Opecst), published on June 25, noted that the demand for PMA with sperm donation has "exploded" since 2021, with over 43,000 attempts recorded between August 2021 and the end of 2025. This represents a sixfold increase compared to the same period in 2019. The use of PMA with egg donation has also risen, increasing from 2,099 attempts in 2019 to 2,586 in 2023, a 23% rise. Additionally, the law now allows women to freeze their eggs without a medical reason, leading to more than 60,000 requests for oocyte autoconservation. Between August 2021 and the end of 2025, 18,320 of these requests were made. As a result of this surge in demand, waiting times for PMA have lengthened significantly. In 2022, the average waiting time for PMA with sperm donation was one year, but by 2025, it had stretched to 17.7 months. Delays for PMA with egg donation have reached two years, while requests for egg freezing now have a one-year waiting time, with over half of these coming from women in Île-de-France. The Opecst report highlights that many PMA centers have developed new strategies to manage the high demand, such as setting age limits for patients, limiting the number of egg retrieval procedures, and prioritizing local residents to reduce the number of requests. However, these practices have created a significant variation in care and waiting times between centers, which is confusing and frustrating for patients. Some centers have been criticized for refusing cases that do not meet the age criteria outlined in the bioethics law, leading to an increase in complaints from affected women. In response to these access challenges, many women are now turning to foreign sperm banks, a practice that was previously illegal but is now permitted in certain cases with the approval of the Agency for Biomédecine. In 2025, the agency authorized access to 98 such requests.