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Infertility is the inability to become pregnant or carry a pregnancy to term after one year of regular, unprotected intercourse, or after six months if the woman is over 35. It can be caused by issues in the male or female reproductive systems, or it can be unexplained. Lifestyle factors, medical conditions like hormonal imbalances or STIs, and age can all contribute. Diagnosis involves medical history, exams, and tests to identify the cause, and treatments can range from lifestyle changes and medication to surgery and assisted reproductive technologies such as IVF.