There are many common challenges during infertility which are frequently written about, and these include the emotional, physical, financial and relationship issues. However, the one issue that I believe commands more attention is the spiritual and religious aspects of infertility. During the past two decades of working as an infertility counselor, I have learned the importance of asking couples if they are having any religious or spiritual struggles with their choice of infertility treatment. If I don’ ask this important question, couples may wrestle with issue and sit silently in pain.