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Common signs of infertility include irregular or missed periods, very painful or heavy cycles, hormonal symptoms like acne or excess hair growth, repeated miscarriages, or difficulty conceiving after 12 months (or 6 months if over age 35)

doi: 10.3389/fimmu.2022.843712 85 Czesnikiewicz-GuzikMD'AiutoFDeanfieldJE