Fertility and pregnancy across cultures are a major concern due to the importance of passing on heritage, family names, and values ​​to the next generation. Furthermore, in many cultures children are responsible for caring for their parents when they become elderly. Infertility is a universal concern in both Western and developing countries. It is estimated that up to 168 million people worldwide are affected by infertility. Most of these cases reside in developing countries (Vayena & Rowe, 2002). When couples have difficulty conceiving a child, this is a source of distress for both partners (Helman, 2007, p. 176). This distress can manifest itself in various ways that negatively affect the family structure. To discuss the concept of infertility, it is necessary to understand it in the context of each individual culture. The World Health Organization recommends that the definition of infertility is 24 months of unprotected sex 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 to a woman's status among other women. Until the moment of giving birth, the woman cannot participate in the "meetings of women's associations", a great social occasion. Therefore, women deemed sterile by the community are socially isolated from other women...... middle of paper ......inic. The couple explicitly stated that IVF and adoption are against their beliefs. Although this leaves the doctor with few options, he acted as if they had said nothing and attempted to promote in vitro. I could see that the trust was gone. Therefore, I think doctors need to learn about other cultures' views on conception and emphasize basic communication skills. Perhaps a seminar or workshop could be organized to explore cross-cultural beliefs. Also, talk to them about acknowledging the patient's opinions, explaining theirs, and compromising. Furthermore, when talking to the patient, doctors must remember to address the couple and not the woman. This was something I had witnessed even when it was the man who had the problem. By addressing the woman exclusively, the clinician insinuates that it is the woman's responsibility.