Less confusing terminology in reproductive medicine was the goal of a recent proposal the basis of which was to drop the term 'infertility' and replace it with a description. It also contained a prognostic grading system. The present article, arguing against most of these proposals, should not be regarded as nihilism but as constructive criticism to attain more clarity and common understanding. A counter proposal is suggested and includes retention of the term 'infertility', disposal of the terms 'subfertility' and 'sterility' with practical suggestions of when difficulties in conceiving should be investigated and treated.