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Fertility Questionnaire

Have you been trying to get pregnant for at least one year? Are you having difficulty getting pregnant? If so, you are not alone. According to the Centers for Disease Control and Prevention, approximately 10 percent of women (6.1 million) in the United States, ages 15–44 years, have difficulty getting pregnant or staying pregnant. There are many different factors that affect both male and female fertility. Complete the following questionnaire and a healthcare professional will contact you about your fertility options

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