Assisted reproductive treatment takes enormous energy and commitment. For those who are not achieving a pregnancy and birth easily, each round of treatment requires decision making with the uncertainty regarding outcomes.

Most couples who fall pregnant easily with their first child, are surprised when they encounter problems conceiving a second time. But secondary infertility – difficulty falling pregnant or carrying a pregnancy to full-term when you have already had a child – is actually quite common.

Whether you are coming through treatment with your female partner, as a single man, or undergoing treatment as a same sex couple using a surrogate, this article is for you.