American culture does not know what to do about natal issues. Because the vast majority of correct answers are politically incorrect. There are a lot of causes

American culture does not know what to do about natal issues. Because the vast majority of correct answers are politically incorrect. There are a lot of causes of infertility, but the two main ones in the developed world are delayed pregnancy and obesity (mediated most often by PCOS) - both of which are personal choices. And it's simply not an option to tell a woman the medical reality that career-before-kids or eating too many calories is guaranteed to reduce your chances of having children. We have collectively decided that sparing others' feelings and indulging in others' have-it-all fantasies is the pinnacle of moral behavior. On the mens' side, we also contend with sperm counts halving in 40 years and virtually nobody caring beyond half-hearted "hey look at this scary stat lol" level commentary. Motility and morphology have also seen dramatic declines. For whatever reason, we simply don't care.