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October 7, 1992

Not Yet Pregnant: Infertile Couples in Contemporary America

Author Affiliations

Chapel Hill (NC) Fertility Center

JAMA. 1992;268(13):1778-1779. doi:10.1001/jama.1992.03490130166052

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Not Yet Pregnant, written by a sociologist with personal experience of infertility and adoption, provides a useful perspective for physicians, nurses, and counselors.

The introductory chapters review sociologic thinking about infertility in various cultures and in contemporary America. As a clinician, I found them more difficult to read and less interesting than the rest of the book, which draws on interviews with couples who have undergone treatment for infertility. The emphasis is on the emotional and interpersonal difficulties described by husbands and wives, with their different perspectives, related to infertility. Major issues include the impact on the couple's marital relationship and their interactions with friends, families, coworkers, and others in the "fertile world." These are important issues to understand for health care professionals who treat individuals and couples dealing with infertility.

With respect to the couple's interactions with physicians, the author describes power imbalances and what he views as the