The urge and drive to be a mother is the most beautiful and basic desire of every woman. It is said to have strong genetic undercurrents which is manifested by the strong desire to have a baby. Science has not been able to pinpoint the exact mechanism of this phenomenon , but it is like the most fundamental basic desires of humans and animals as well.
Although it is not incorrigible to understand this behaviour of humans, what is perplexing and often shocking to see is the extent to which your patients will go to achieve the aim. This is often done to the extent of endangering one's own life.
As a clinician you are also part of the dream of the couple to have a little one and guide them and help them in reaching their destination. You are also frustrated like them when the results are negative, and painstakingly continue the fight. But when things go wrong and at times horribly wrong to the extent of putting the lady in grave danger, you have to convince them out of this dangerous journey. It is in those moments that you have to sit back and think. Think about the desperation these couples are going through and the amount of risk they are willing to take !!
I then think, is this really needed ? To what extent should you as a human being go towards achieving this goal. There are lots and lots of examples wherein people stay out of marriage by choice and don't nurture these feelings. Then there are those who sacrifice and put this issue away to pursue their dream career. Then we also have plenty of people who are caught in the patriarchal mindset and the desire for having a boy makes them resort to sex determination and female foeticide.
Whatever may be the genesis of these desires....maybe biological, genetical, societal, material,philosophical, religious or purely psychological, it is really intimidating and disturbing to witness this brut force of nature at work from such a close distance !!