Infertility is a medical condition shaped by biology, timing, and access to care. But in the U.S., reproductive health education has largely been focused on preventing pregnancy, not helping people become pregnant. Male factors contribute to nearly half of infertility cases, but as Cosmopolitan revealed in an exclusive survey, men are already much less likely to be talking to doctors about their fertility until it’s too late. Now, shifts in federal policy, especially around the Title X program, risk widening this gap.

When it comes to infertility, our system doesn’t just fall short; it often fails to show up at all. Many health plans don’t cover infertility. Medicaid coverage is inconsistent and often minimal.…