In this important discussion with reproductive psychologist Dr. Julie Bindeman, we examine the issue of fertility and chasing parenthood. We review the current technology and options available to couples who desire to have a child, and very importantly, the psychological impact that is associated with difficulty in conceiving a child without intervention. Along with advanced reproductive technologies to assist couples come some very difficult choices, and the very real possibility that efforts may be unsuccessful. Often the inability to conceive is a grief that is not shared beyond the couple, sometimes because of a stigma associated with infertility, and a grief the depth of which is not fully appreciated.