“Let Even the Enemy itself not be Childless”

Marriage and social life present significant challenges for couples without children in developing countries. This study aims to explore the psychological and social difficulties faced by both primary and secondary infertile couples in Ethiopia. Conducted as a qualitative research, the study involved 18 participants -12 individuals from couples experiencing primary infertility and 6 individuals from couples dealing with secondary infertility. Participants were selected using purposive maximum variation sampling. The results revealed that infertile couples faced marital challenges, negative comments, and harsh criticism from family members and the community. Women, in particular, bore a disproportionate share of this burden. Key issues included communication breakdowns, the availability and accessibility of infertility treatment, and financial hardships, all of which contributed to adverse emotional experiences for the couples. Furthermore, there was a notable lack of formal counseling services and psychosocial support at infertility treatment centers. The study underscores the urgent need for psychosocial interventions that incorporate comprehensive support services to improve the well-being of infertile couples at the community level.