Not the only option
Most couples who are ttc don't need in vitro fertilization
(ivf) or icsi (intracytoplasmic sperm
injection) - if cheaper and easier treatment is appropriate we try other things first.
Sometimes ivf is the right answer: if inseminations aren't working, for severe disease of the fallopian tubes or diminished ovarian reserve, or severe sperm problems needing icsi. See rei specialist for options.