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The case of the California woman who gave birth to octuplets generated enormous media coverage and public discussion about infertility treatments. But in many ways the case is what researchers might call an "outlier" — one that is not typical — and as such it has done little to illuminate the far more common, but usually private, psychological challenges faced by the roughly 1. Experts once thought that only about half of all infertility cases had a physical origin, and that the rest were unexplained or the result of psychosomatic problems in women. But research indicates that most cases of infertility can be attributed to a physiological cause in the man or woman. About one-third of the time a physiological problem is identified in the woman, one-third of the time in the man, and about one-tenth of the time in both partners.

Wealthy Chinese are hiring American women to serve as surrogate mothers, creating a small but growing business in American babies for China's elite. Surrogacy agencies in China and the United States are catering to rich Chinese who either want a baby outside the country's restrictive one-child family planning policies, are unable to conceive themselves, or who are seeking U. Emigration as a family is another draw - U. While there is no data on the total number of Chinese who have sought or used U.