I was drawn to read and review Walking Through Infertility: Biblical, Theological, and Moral Counsel For Those who are Struggling by Matthew Arbo because my wife and I have a number of friends who are experiencing infertility. Furthermore, for the short time that I have been in ministry, I have come to discover that this is not uncommon problem among God’s people.

The book is primarily written for couples who are not able to have their own biological children and secondarily for those who desire to minister to them. Its main purpose is “to address biblical, theological, and moral questions surrounding infertility. The aim is to instruct and inspire the church, especially, those couples with personal experience with infertility” (p. 21).

Walking Through Infertility is divided into four main chapters. The first chapter surveys the biblical stories of infertility and how God proved his faithfulness to his people. The second chapter focuses on following Christ despite the trial of not being able to have your own biological children. The third chapter centers on the church and how a childless couple can find help and comfort from fellow believers. The last chapter analyses various ethical and moral considerations regarding modern methods of helping infertile couples to conceive and give birth.

I would say that the book’s greatest strength lies in the last chapter. Arbo goes into detail to explain the modern reproductive technologies and the ethical dilemmas they pose to Christians. In as much as we should thank God for the advancements in modern medicine and medical innovations, we also need to be aware that not all of them are without moral quandaries. Arbo’s discussion of intrauterine insemination (IUI), intro vitro fertilization (IVF), and surrogacy is outstanding. I would greatly recommend any Christian who might have questions or considering these reproductive technologies to prayerfully read this section.

IUI involves a medical expert taking a man’s sperm and inserting it into a woman’s uterus during ovulation to increase chances of conception while IVF is very complex and involves a medical expert taking a man’s sperm and woman’s eggs and fertilizing them in a laboratory and later implanting the embryo in the woman’s uterus.  Surrogacy entails a couple contracting with a woman to carry their biological child to term and surrender it back to them at birth. As you might see these methods raises a number of ethical and theological concerns. Should or can a Christian use any of these methods with a clear conscience?

Arbo does not leave the couple struggling with infertility to answer this question on their own. Instead he biblically and pastorally challenges them “to consider whether the relation between conception and sex is sacred and the manner of procreation as designed by God is open to amendment?” Towards the very end of the book, he encourages a couple experiencing infertility to consult, do the hard work of listening, thinking and praying for God’s wisdom. “Speak with others you trust—family, friends, pastors—and do the hard work of listening and thinking and praying. Wise is the one who heeds a sound word of instruction. In Christ are the riches of wisdom, and if anyone lacks wisdom, ‘let him ask God, who gives generously to all without reproach, and it will be given him’ (James 1:5).”

This is why I say that the last chapter is the best part of the book. Not only because of its biblical and pastoral approach to these ethical issues but also because it explains very complex reproductive technologies in an easier to understand language for less scientifically sophisticated Christians like me.

Disclosure: Crossway has given me a courtesy copy of the book for this review.