Background: The main purpose of assisted reproductive technology is to treat infertility. ART refers to the collection of medical practices and methods designed to assist people and couples who are having trouble conceiving naturally in becoming pregnant. Therefore, this study aims to assess the status and its correlates among Assisted Reproductive Technology (ART) users in Nepal. Methods: 215 patients who attended fertility facilities in the Kathmandu Valley were included in the cross-sectional research design. Purposive sampling was used to choose these clinics based on pre-established criteria to guarantee that the sample was relevant to the study’s objectives. The factors influencing ART treatment outcomes (conceived or not) and treatment cycles were examined using binary logistic and multinomial regression. The independent variables contained both categorical and continuous predictors. Results: Those who identified as Hindu were more likely to undertake many treatment cycles [AOR: 3.019, 95% CI: 1.118-8.150]. Participants from nuclear families were more likely to go through several treatment cycles [AOR: 3.019, 95% CI: 1.118-8.150]. Furthermore, those who decided to use ART on the advice of friends and family were more likely to go through several cycles [AOR: 3.471, 95% CI: 1.189-10.133]. The likelihood of going through several treatment cycles was considerably greater for those who were uneasy with other ART options [AOR: 2.721, 95% CI: 1.136-6.518]. Additionally, those who took public transportation were more likely to go through several treatment cycles [AOR: 1.971, 95%CI: 1.111-3.499]. Conclusion: Primary infertility, often due to female causes, is the most common reason for contemplating ART. Despite the growing demand for ART services, money remains a significant barrier, as more than half of the respondents said that these therapies are expensive. The fact that many customers must drive long distances to see reproductive clinics further highlights geographic differences in service availability and suggests persistent accessibility problems.