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If you're not ovulating , you won't be able to get pregnant. Other possible causes include being over or underweight , primary ovarian insufficiency , a thyroid dysfunction, hyperprolactinemia, and excessive exercise. However, not all women with endometriosis have these symptoms. While it's not well understood, depression is associated with infertility. Conception takes place inside the fallopian tube, where the sperm and egg finally meet. It requires diagnostic laparoscopic surgery. Another 40 percent find infertility factors on both sides. Because of this, proper diagnosis takes an average of 4.

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