Is Waterford sterile?
We also know that both men and women are affected by infertility. When it becomes apparent that Commander Waterford (Joseph Fiennes) is infertile, Serena Joy (Yvonne Strahovski) forces June to shack up with Nick (Max Minghella) and get pregnant, which she does.
The Waterfords were previously believed to both be infertile. Fred had failed to get their previous handmaid pregnant, despite having sex with her outside of the Gilead-approved "ceremony," and similarly failed to get June pregnant.
Serena Joy may be infertile because she took a bullet to the ovary, but in reality, most women are just fine. A small surgery could give her a child of her own. It's the men who have been rendered infertile.
Offred in The Handmaid's Tale is forced to become a so-called Handmaid due to her status as a fertile woman in a world with plummeting fertility rates.
Serena Waterford gives birth to Noah in a barn in No Man's Land, with the help of June Osborne. Noah is born in good health and eventually is taken to a hospital in Canada to receive treatment in the Newborn ICU. After Noah's mother, Serena, gets detained, he gets moved into Child Protective Services.
In the fictional country of Gilead, an environmental disaster has caused infertility amongst women.
It is explained in a flashback that pollution and other factors caused infertility on most women so that only very few could get children.
Following the pregnancy announcement, some Handmaid's Tale fans wondered whether Mrs. Waterford cheated on Fred. But it's likely Fred is the father of Serena's baby. In an interview with The Hollywood Reporter, showrunner Bruce Miller explained why Fred and Serena were finally able to conceive.
Does Waterford know the baby isn't his? Serena Joy reveals Offred's pregnancy to her husband and tells him the baby isn't his because he is weak.
Answer and Explanation: No, Offred doesn't get pregnant in the novel. Nick arranges for her to be taken from Fred's household after some of the members of the underground resistance are caught.
Are all the Wives in Gilead infertile?
Standing (somewhat) faithfully behind (not next to) their husbands who rank as Commanders, the Wives are generally infertile women tasked with expanding the population of Gilead through the help of an assigned handmaid. Their infertility, however, isn't always confirmed.
First Glass Making Factory
The Penrose brothers opened the first glassmaking factory in Waterford in 1783, where their crystal was immediately recognized for its clarity and purity of color. They enjoyed success well into the 1800s.

The Marthas serve as domestic servants to the Wives, and are clad in dull grayish green. They are low-ranking, infertile women who cook, clean, and help take care of the ruling class's offspring.
References
- https://www.womanandhome.com/life/news-entertainment/does-offred-get-pregnant-in-the-handmaids-tale-and-how-many-children-does-she-have/
- https://screenrant.com/handmaids-tale-serena-pregnancy-when-fred-father/
- https://www.calendar-canada.ca/faq/who-impregnated-mrs-waterford
- https://www.thecut.com/2018/04/women-in-the-handmaids-tale-a-comprehensive-taxonomy.html
- https://www.quora.com/Why-cant-the-wives-have-babies-in-The-Handmaids-Tale
- https://www.waterford.com/en-us/discover-waterford/the-waterford-story/heritage
- https://news.un.org/en/story/2020/12/1079082
- https://the-handmaids-tale.fandom.com/wiki/Noah_Waterford
- https://www.refinery29.com/en-us/2018/04/197236/infertility-cause-handmaids-tale-pollution-virus
- https://www.calendar-canada.ca/faq/who-did-serena-joy-sleep-with-to-get-pregnant
- https://homework.study.com/explanation/does-offred-get-pregnant-in-the-handmaid-s-tale.html
- https://www.amny.com/entertainment/women-roles-handmaid-s-tale-1-18656550/
- https://www.elitedaily.com/p/why-is-there-infertility-crisis-in-gilead-heres-your-the-handmaids-tale-breakdown-9549511