IVF is not the "only" alternative. There are many ways for women and their doctors to figure out what, precisely, is wrong, and thereby fix it. I don't know exact numbers, but from what I hear IVF is extremely expensive and still not guaranteed to work (sometimes multiple trials are needed). I've never understood how couples could spend tens of thousands of dollars to become pregnant. It does seem somewhat selfish to me, which I realize is an unpopular opinion. If they have TRULY tried everything else, then perhaps the couple needs to accept that some dreams in life are not fulfilled, and realize that this doesn't have to make their life any less meaningful. Pregnancy is not the only miracle or blessing in life.