Searching for answers to "Where are we going?" 10 predictions for the coming decade follow: 1. Recombinant agents. 2. Preimplantation genetic diagnosis and gene therapy. 3. Advances in basic science research. 4. Disappearance of gynecologic surgery for infertility. 5. Development of artificial organs: tubes, womb, and spermatoceles. 6. Investigation of male factors: identification of specific defects in spermatogenesis and functions of the epididymis. 7. Central nervous system manipulation through drugs. 8. Computer systems to diagnose and treat infertility. 9. Ethical issues will be resolved and managed more readily. 10. The electronic journal. I have speculated broadly and humbly apologize for my myopia, which will be far more evident with the inevitable arrival of many other important advances in the coming decade.
