Alternative means of conception (in vitro fertilization, surrogate mothers, donor sperm, cloning, and other emerging technology) are not respectful of the marriage covenant, and are not an option for Catholic couples.

Some acceptable drug and surgical therapies are available, however.

Natural family planning methods can assist couples wishing to conceive. By working with a trained instructor and physician, many couples have reported success in having a child.

When this is not possible, the couple should be reassured that their marriage can be fruitful when they are open to life. Anything that is life-giving and life-supporting is open to life.