In an American Infertility Association survey of more than 12,000 women, only one respondent answered all 15 questions about the reproductive lifecycle and basic fertility correctly. What women now need from their OB-GYNs is open discourse about fertility, its preservation, and its natural, inevitable decline. Discussion about lifestyle choices that may affect fertility should take place before a patient begins family-building, as insights into how the body functions may empower women to make sounder lifestyle judgments.