Fertility testing can also help doctors diagnose the causes of infertility in a couple. Tests used to diagnose the causes of infertility include laboratory, imaging, and other tests that provide information about a couple’s reproductive organs and the process of becoming pregnant. Infertility is a term that describes an inability to reproduce by natural means. It is defined as not getting pregnant after one year of sex without contraception. Infertility is often due to a problem with one or more steps in the process of becoming pregnant. Infertility is diagnosed after a couple has tried to get pregnant for 12 months without success, or after 6 months if the woman is over age 35. Infertility affects around 9% of men and 11% of women of reproductive age in the United States. Although a couple’s infertility can sometimes be traced back to one partner, in around one-third of couples, both partners are responsible for infertility. In 10-20% of infertile couples, no specific cause can be found. Some types of fertility testing can help women know when they’re most fertile and plan for a pregnancy. A woman is most likely to get pregnant if she has sex during a window starting five days before ovulation to around 24 hours after. This is sometimes referred to as the fertile period. There are many methods of tracking ovulation and the menstrual cycle. Ovulation tracking can help women who are trying to become pregnant and may help some women who wish to avoid becoming pregnant. Ovulation tracking as a form of birth control is called fertility-based awareness. For most women, fertility-based awareness is around 75% effective.
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