Inability to conceive is identified as inability to conceive following one year of trying, or the incapacity to carry a pregnancy to a live childbirth. It has an effect on one out of six couples of childbearing age in the United States today - no less than ten million people. And in a career-oriented area similar to Washington, where many partners postpone options about childbearing awaiting professional goals could have been met, the ration of one in six is probably on the lower side. Yet it is rarely talked about, and understood even less.