In Nepal infertility is bio-psychosocial
problem therefore counseling is the most important part of infertility
assessment before any medical intervention.
In
western part of Nepal some men prefer remarriage easier & cost-effective
than going through the diagnostic & therapeutic line in female infertility.
Similarly,
in male infertility, some men prefer to remain infertile than getting donor
inseminated children.
It is also widely believed that sons “open the gates
of heaven” by carrying out the last rites of parents. Daughters are “given
away” in marriage. These explain, to an extent, the prevalence of sayings like
“let it be later but let it be a son.”