Those fertility procedures are not the desired way to go about having a baby. The vast majority of the time it's a procedure of last resort (i.e. can't get pregnant another way). These procedures are expensive and often don't work.
It could be intentional that a government, organization or pharmaceutical / chemical company is knowingly sterilizing / making it more difficult to conceive. This could either be through a willingness to look the other way (i.e. a side effect) or intentional (North Korea for instance may do some sabotage or government is intentionally pushing population reduction)
For instance, the US government gives funding to Planned Parenthood which provides birth control, abortions, and other drugs to support people looking to not have children. This organization advertises and gives a lot of birth control out for free or low fees. That's an overt intentional act of reducing population growth.
Similarly, a concern I have is purposefully downplaying the risks of long-term birth control via "the pill". Then having policies that make that pill easy to acquire (without being knowledgeable of said side effects) AND with the ability for minors to obtain them without parental awareness. Those are intentional policies intended to reduces fertility.