Even as a small group of women in cardiology, we have collectively experienced infertility, miscarriage, stillbirth, low birth weight, preterm birth, and other pregnancy-related complications that affected both our health and the health of our children. Our experiences are unfortunately common among our peers. Prior research has shown that clinical surgical trainees are at increased risk of both infertility/subfertility and pregnancy-related complications.1 Yet, delaying pregnancy until after training confers its own risks, due to both age-related fertility decline and increased risk of complications with older maternal age.