Introduction Fertility struggles bring emotional and medical challenges, but for observant Jewish couples, they also raise Halachic concerns. What does Jewish law say about fertility treatments like IVF? Is genetic screening allowed? This article explores how Halacha guides couples through fertility treatments. Is Fertility Treatment a Halachic Obligation? Jewish law places great value on “Pru U’rvu” (the commandment to be fruitful and multiply). Many rabbis consider it a mitzvah to pursue medical intervention when natural conception is not possible. IVF & IUI: What’s Allowed? 1. Permitted when necessary, but often requires Halachic supervision to ensure the husband’s sperm is used and Jewish lineage is preserved. 2. Preimplantation Genetic Testing (PGT) may be allowed for preventing serious illnesses but raises ethical questions. Halachic Questions on Donor Eggs & Surrogacy 1. Is a child born via egg donation Jewish? Many rabbis hold that Jewish identity follows the birth mother, but some require both the donor and mother to be Jewish. 2. Is surrogacy allowed? Some authorities permit it under specific conditions, but others raise concerns about maternal identity. For personalized guidance, couples should consult a fertility rabbi who specializes in reproductive ethics.