Men and women experiencing fertility difficulties with and without medical experience were sampled from one fertility clinic in Australia, Canada, New Zealand, UK and two clinics from the USA. Patient advocacy websites in these countries (i.e. ACCESS, American Fertility Association, Resolve, Infertility Awareness Association of Canada, International Consumer Support for Infertility, Infertility Network UK) hosted the online survey. The clinic sample consisted of 291 women and 75 men, and the online sample consisted of 1014 women and 34 men. The Ethics Committee of the School of Psychology, Cardiff University approved the online study and the Internal Review Board of each clinic approved the clinic studies.