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This paper expands on a short talk presented at APsA (2025) covering seven key psychic conflicts to consider with regard to infertility and the use of artificial reproductive technologies (ART): (i) fragility of the ego in infertility; (ii) the existential threat of infertility and childlessness; (iii) shame; (iv) masochism and the repetition compulsion; (v) ambivalence; (vi) unconscious knowing; and (vii) generativity and generative function in failed ART. In addition, this paper explores the psyche at the intersection of infertility and the politicization of pregnancy from a psychoanalytic perspective. Infertility and in vitro fertilization (IVF) are difficult, painful, and often intrapsychically challenging. When the terror of the politicization of pregnancy and the criminalization of pregnancy loss, abortion, miscarriage, and stillbirth enter an already heartbreaking experience, further psychic breakdown occurs. In some way these pregnant people become the perfect victims as they desperately want a child. It is important to contextualize and humanize their experiences, both for themselves and for others to understand their struggle.