Cross-cultural fertility and procreation is a major concern due to the importance of passing on heritage, family names, and values ​​to the next generation. Additionally, in many cultures, children are responsible for their parents' care when they become elderly. Infertility is a universal concern in Western and developing countries. It is estimated that up to 168 million people worldwide suffer from infertility. The majority of these cases reside in developing countries (Vayena & Rowe, 2002). When couples have difficulty conceiving a child, it is a source of distress for both partners (Helman, 2007, p. 176). This distress can manifest in a variety of ways that negatively affect family structure. To discuss the concept of infertility, one must understand it in the context of each individual culture. The World Health Organization advises that the definition of infertility is 24 months of unprotected sexual intercourse without conception (Whitehouse & Hollos, 2014, p.124). However, some cultures define infertility as having too few children, not conceiving soon after marriage, etc. It is evident that there is a gap between the medical definition and some cultural definitions of infertility. According to Whitehouse and Hollos (2014), social organization and kinship shaped the definition and experience of infertility within two of the Nigerian communities studied. For example, in the Amakiri community, the birth of a child is important for a woman's status among other women. Until a woman gives birth, she cannot participate in “women's association meetings,” a major social opportunity. Consequently, women deemed sterile by the community are socially isolated from the other world...... middle of paper ......inic. The couple explicitly stated that in vitro fertilization and adoption were against their beliefs. Although this left the doctor with few options, he acted as if they had said nothing and attempted to promote in vitro. I could see the confidence was gone. Therefore, I think clinicians need to learn more about other cultures' views on design and emphasize basic communication skills. Perhaps a seminar or workshop could be organized to explore cross-cultural beliefs. Also talk with them about the need to acknowledge the patient's opinions, explain their own, and compromise. Additionally, when speaking to the patient's doctors, they must remember to address the couple and not the woman. This was something I had witnessed even when the man was the one with the problem. By addressing only the woman, the clinician insinuates that it is the woman's responsibility..