1. On the web, there are sites that state that ginseng improves the quality and quantity of sperm, although there is no strong evidence to show that that is true. In addition, there is nothing in the question to suggest that the infertility problem is caused by the poor quality of her partner’s sperm. 2. There is no evidence that ginseng causes mutations; rather there is some evidence to show that it is antimutagenic. 3. There is cause for concern for this woman since she is 35 years old and has been unable to get pregnant for over 6 months. 4. Because fertility drops as a woman ages, it is advisable to encourage the couple to use conventional therapies in conjunction with the complementary therapy to maximize their poten- tial of becoming pregnant.