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Madhur Hamine: IVF in India Remains Deeply Underpenetrated Despite 3000+ Centres
Madhur Hamine/LinkedIn
Apr 17, 2026, 11:27

Madhur Hamine: IVF in India Remains Deeply Underpenetrated Despite 3000+ Centres

Madhur Hamine, Managing Director at Oospheere IVF Services Pvt Ltd, shared a post on LinkedIn:

“India already has 3000+ IVF centres doing ~3 lakh cycles.
That’s ~10 cycles per centre per month.
So the market is saturated.”

This is a commonly quoted industry narrative.

  • The math is correct.
  • The conclusion is not.

Let’s decode it hear

3,00,000 cycles ÷ 3000 centres = 100 cycles/year

100 ÷ 12 = ~8–10 cycles/month

But this assumes uniform distribution across centres.

—

The ground reality

Top centres (metro brands): 40–100+ cycles/month

Mid-level centres: 15–30 cycles/month

Majority centres (Tier 2/3): 2–8 cycles/month

The ’10 cycles/month’ is just an average illusion

—

What this hides

Patient concentration in few centres

Massive underutilization elsewhere

Poor geographic access

Weak referral ecosystems

—

Now look at the real picture

In India 16–22 million infertile couples

Only ~3–4 lakh IVF cycles annually

IVF penetration: just 1.5–2.2%

> That means ~98% couples never reach IVF treatment

—

Global context

Israel / Denmark: ~30%

USA: ~16–18%

Europe: ~6–9%

China: ~4–5%

India: ~2%

—

The truth hear

India is not saturated.
India is severely underpenetrated and poorly distributed.

—

What India actually needs

Not just more centres —
but right centres in the right locations

Tier 2 / Tier 3 / Tier 4 expansion

Strong fertility OPD funnel

Ethical counselling & awareness

Collaborative IVF models

—

Final thought

> The problem is not ‘too many IVF centres’
The problem is ‘too few accessible IVF centres’

And until we solve this—
the real demand will remain invisible.

Note: Above numbers are based upon studies and sensus which is of last decade, current assumption may different than these numbers
—

India needs 5000+ IVF centres.
Not as a business statement.
As a healthcare necessity.”

Madhur Hamine: IVF in India Remains Deeply Underpenetrated Despite 3000+ Centres

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