

If you define fertility as plain biological "ability to natural conceive, carry and bear a baby, barring deliberate surgical enhancement or impairment" you'll have one set of numbers; if you define it sociologically as "number of women actually giving birth per thousand," you'll get a different set of numbers.
As I understand it, well more than half of American women ages 35-44 have been sterilized; another 15% in that age group rely on the sterilization of their partners.
That should not be treated statistically as if it were natural infertility.