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Human reproduction is surprisingly inefficient. Even in young, healthy couples, the chance of conceiving in any given month is only about 20–25%. That means it’s normal for pregnancy to take time. But when months turn into years, deeper issues may be involved.
For women, fertility naturally declines with age, especially after 35. Egg quantity and quality decrease, and the risk of miscarriage rises. Conditions such as polycystic ovary syndrome (PCOS), endometriosis, thyroid disorders, or blocked fallopian tubes can also interfere with ovulation or implantation.
For men, sperm health plays an equally important role. Low sperm count, poor motility, or abnormal shape can make conception difficult. Hormonal imbalances, infections, varicoceles, and certain medical treatments can all affect sperm quality — and male factors account for roughly half of infertility cases.
Despite common assumptions, infertility is not “mostly a women’s issue.” It is very much a shared challenge.
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