Difficulties becoming pregnant may occur as a result of issues with any of the steps in the process of becoming pregnant: the release of the egg, the joining of egg and sperm, the egg’s passage through the fallopian tube, or implantation. Fertility issues affect both men and women. When a couple is affected by fertility issues, couples therapy can help improve communication and may make it easier for the couple to make decisions that work for both partners. Sometimes partners may disagree about the best course of treatment or one partner may feel hesitant to seek medical help, and a therapist can help a couple navigate these concerns. Therapy may also be a useful place to discuss how long infertility treatments should be pursued or the amount of money that should be spent on attempting treatment. The high cost of fertility treatments may be a barrier to some. But most treatments are far more expensive, and insurance may not cover much or any part of the cost of some procedures. Furthermore, the treatments may not be immediately successful, and several months of treatment may be necessary.