The randomness of infertility

In an ideal world healthy women who wish to reproduce, would do so effortlessly, and those who choose not to wouldn’t. Alas, in real life, it’s far more complex.

We are all familiar with idiopathic infertility and the heartache it brings. The enigma is that, so often, the infertile couple are young, fit and with no adverse lifestyle factors. In contrast, I have numerous patients who are morbidly obese, diabetic, well into their forties and smoke and drink to excess, but who pop out one baby after another.

Anne and Barry are a vibrant couple in their late 20s who have been