What it Means to Be a Woman

One important approach is to focus on preventing, rather than curing, infertility. A major cause of infertility is untreated reproductive tract infections such as chlamydia and gonorrhea. In places like Africa, the cost of condoms, and taboos against them, contribute to the STD problem. Infection from female genital mutilation adds to the problem. And in some countries, 90 percent of women do not deliver in hospitals, which can also cause complications. And the hospitals they use for birth or abortions aren't always sanitary. Some doctors also believe sperm quality has suffered from toxins like lead, high in Mexico City and Cairo, and dioxin sprayed on crops.

In the developed world, there's sometimes little sympathy for the problem, since the common view is that developing countries are suffering from overpopulation and don't need any more babies. The United Nations projects that the world population will balloon from its current 6.7 billion to 9.1 billion by 2050. But the picture is more complicated than it seems. "We have a fertility paradox in Africa—high fertility rates, and high infertility rates," says Dr. Silke Dyer, an Ob-Gyn in Cape Town and a member of the European Society for Human Reproduction and Embryology task force on developing countries and infertility. (Infertility treatment proponents note that IVF doesn't contribute to overpopulation any more than saving lives with vaccinations does. And both alleviate suffering.)

The good news is that interest in treating infertility around the globe is growing. In 2004, the World Health Organization said people should have access to high-quality services for family planning, including infertility services. Doctors hope to provide $200 to $500 IVF cycles, with cheaper drugs and simplified laboratories, by the end of the year in places like Cape Town and Cairo. Their goal: more happy birth stories, like Wala's.

© 2008