INFERTILITY RELATED ISSUES There may be several reasons why the infertility rates are high, including poor nutrition, environmental factors and lack of access to proper medical care Primary infertility occurs when a a female is never able to conceive. Secondary infertility is the inability to conceive after having done so in the past. As science and technology have advanced. There are more alternatives now which are accessible to couples struggling with infertility or partners who want to have children later in life . One of the most promising solutions is IVF - invitro fertilization or also known as assisted reproductive technology ART.