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What is the medical reason why some women can't conceive?

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Ovarian cists can cause a woman not to conceive. As can a tilted uterus or certain sexually transmitted diseases left untreated. Cervical & uterine cancer left untreated can also cause this. (To name just a few)

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There are many reasons why they could be infertile like a infection or injury

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Too much testosterone, and not enough estrogen, to produce eggs that can be fertilized.

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There are many different reasons which is partially why there are drs who specialize in this field of study.

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I believe taking birth control for so many years but thats not a fact

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