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Unlike animals, who know when to have sex in order to conceive (because the female is in heat or estrus when she ovulates), most couples have no idea when the woman ovulates. The window of opportunity during which a woman can get pregnant every month is called her fertile phase – and is about 4-5 days before ovulation occurs. Timing intercourse during the fertile period ( before ovulation) is important and can be easily learnt . Careful laboratory evaluation is essential. Infertility caused by documented congenital adrenal hyperplasia is treatable with corticosteroids. Physicians have used corticosteroids in individuals with idiopathic infertility, but unless these abnormalities can be documented, steroid therapy has no place.
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