Particularly fascinating, is that with modern medicine, where we explicitly know how much stress, poor diet, and other things can affect the viability of a pregnancy, women still capable of bearing children would be handled with the finest of velvet gloves.
On the flip side, for powerful men, large swathes of infertile women means there's a perpetual crop of low-liability concubines. One of the sad things about human power structures, is there's always powerful men who are willing to use their power to indulge their carnal desires, and not needing to worry about illegitimate offspring is often a plus, not a minus, for such things.
Now, I haven't read the book, but I rather strongly suspect that it also fails to address the kind of bleakness and despair that would set in for women who cannot ever have a child, and for the male parts of the population who have no chance either because of lack of fertile mates.