In-vitro possible?

No your right, she was suffering from tubular blockage of the Fallopian tubes which could not be rectified by surgery, so I think in-vitro fertilization would have worked, but I guess the director gave that solution a skip to make the premise of the film more melodramatic and it also gave them an opportunity to meet/adopt one of Vickys many kids..basically that solution would've sacrificed the plot line. The other thing I can think of is that IVF therapy is still unfortunately considered a taboo area by conservatives from numerous religions, so they may have avoided it for that reason...although the Ashima/Yami's family in the movie was quite progressive so I dont see how they would've had a problem with it..nor should have Vickys family had an issue with it, after all he was a sperm donor himself..lol. Hope that helps.

I thought exactly the same thing, but also surrogates. This movie is a "now" movie. They could have tried to take her eggs and his sperm, do the petrie dish thing and implant it. If her body couldn't handle it, there are women who acts as surrogates taking the baby to term for the parents. But yes, it was much more melodramatic that he one child that lost his mother and father was Vicky's natural child. Of course, I think it could have been just as great if the Sperm doctor was able to help her conceive as well, getting them in touch with a kick-but* doctor to do the invetro.