Patients struggle to cope with ethical, social, and psychological challenges in several ways, from trying to manage expectations to seeking various forms of support from family, friends, and others. Shame, stigma, and disappointment lead many patients to disclose their infertility and treatment to few, if any, family members; and consequently, they derive little support from them. Abortion or embryo screening due to a mutation, for instance, can be difficult to reveal because outsiders may be pro-life. Patients respond to perceived shortcomings of families and friends in several ways—from trying to educate these individuals or limit interactions to seeking new supports, whether from fellow patients or psychotherapists. Patients frequently seek new social supports—from formal to informal, from in person to online, and from individual psychotherapy to support groups and large organizations. Many prospective parents, who might benefit from mental health treatment, resent the cost as insurance commonly covers little, if any, of the expense. Face-to-face and online groups each offer pros and cons.