Some Couples Opt for I.V.F. Over Natural Conception I.V.F. procedures faced legal challenges in Alabama after a court ruling. Despite the high cost and physical demands, couples in their 30s and 40s are choosing I.V.F. over natural conception due to time constraints, travel schedules, and health concerns. Insurance coverage is limited, leading many to pay out of pocket or manipulate natural conception timelines. While I.V.F. offers hope, success rates vary by age and pose emotional and financial burdens. Couples express relief in choosing I.V.F. for genetic screening and gender selection, but experts caution about the need for informed decision-making. For some, I.V.F. serves as a backup plan, while others advocate using the science available.