Recent research and theorizing about privacy management suggests a need to consider discursive dynamics and interpretations of meaning in conversations involving disclosure, topic avoidance, secret-keeping, and other privacy management processes. In the following study, I drew on a specific set of theoretical assumptions as the basis for an investigation of privacy management in the context of infertility. Based on in-depth interviews with 23 women coping with infertility, results reveal the varied ways that private topics arose in conversations (e.g., discloser initiated conversations, responses to requests for information), the diverse ways that women concealed or revealed their struggles with infertility, and the multiple dilemmas they faced in managing private information about their fertility problem. I discuss the results in light of the extant literature on managing private information about sensitive issues and suggest that scholars must continue to focus on conversational dynamics to understand fully how privacy management processes unfold in everyday conversations.