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Your personalized starting point—because you deserve answers that actually lead to results.

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Join The Fertility Challenge™—A 4-week, clinician-led experience that’s helped
over 140,000 people in 111+ countries take real steps toward building their family.

Join The Fertility Challenge™—A 4-week, clinician-led experience that’s helped over 140,000 people in 111+ countries take real steps toward building their family.

Still No Answers After “Normal” Test Results
or Failed Treatments?

You’re not alone—and you’re not without options.

Most people never receive a complete fertility diagnosis. This free clinician-led program is here to change that.

Led by Harvard-awarded fertility specialist Gabriela Rosa, The Fertility Challenge™ helps uncover what’s really going on—so you can move forward with greater clarity.

It combines diagnostics, personalized recommendations, and foundational support into a clear, step—by—step plan so you know exactly what to do next.

You’re not alone—and you’re not without options.

Most people never receive a complete fertility diagnosis. This free clinician-led program is here to change that.

Led by Harvard-awarded fertility specialist Gabriela Rosa, The Fertility Challenge™ helps uncover what’s really going on—so you can move forward with greater clarity.

It combines diagnostics, personalized recommendations, and foundational support into a clear, step—by—step plan so you know exactly what to do next.

The Next Fertility Challenge™
Begins on July 17, 2025.

Days
Hours
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What Past Participants Say:
Real Stories, Real Results

Finally—Clarity. Direction. Hope.

Meet Gabriela Rosa, Creator and Host of The Fertility Challenge™ and Founder of The Rosa Institute

Hi, I’m Gabriela Rosa—a Harvard-awarded fertility specialist with over two decades of experience helping people overcome complex reproductive challenges.

I hold a Master’s in Reproductive Medicine and Human Genetics from the University of Sydney and a Master’s in Public Health from Harvard, where I’m also completing my doctorate.

Since 2001, I’ve supported couples around the world when everything else has failed—from IVF disappointments to unexplained infertility and recurrent miscarriages. And everything in between. I know firsthand: it doesn’t have to stay this way.

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Meet Gabriela Rosa,
Creator and Host

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Hi, I’m Gabriela Rosa—a Harvard-awarded fertility specialist with over two decades of experience helping people overcome complex reproductive challenges.

I hold a Master’s in Reproductive Medicine and Human Genetics from the University of Sydney and a Master’s in Public Health from Harvard, where I’m also completing my doctorate.

Since 2001, I’ve supported couples around the world when everything else has failed—from IVF disappointments to unexplained infertility and recurrent miscarriages. And everything in between. I know firsthand: it doesn’t have to stay this way.

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What We Help With
—And Who This Is For

Thousands of people have come to us after experiencing:

  • Years of trying without success
  • Failed IVF, ICSI, or donor cycles
  • Recurrent miscarriage or implantation failure
  • Infertility of unknown or complex causes

What they all had in common was this: they were ready to understand what’s really going on and finally move forward—with clarity, confidence, and a plan.

What We Help With —And Who This Is For

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Thousands of people have come to us after experiencing:

  • Years of trying without success
  • Failed IVF, ICSI, or donor cycles
  • Recurrent miscarriage or implantation failure
  • Infertility of unknown or complex causes

What they all had in common was this: they were ready to understand what’s really going on and finally move forward—with clarity, confidence, and a plan.

A Highly-Reproducible, Clinical Method That Changes Lives

The F.E.R.T.I.L.E. Method® is the foundation of our approach—a science-based, integrative framework that has contributed to a 78.8% live birth rate¹ in complex cases, even when other treatments have failed.

It combines precise diagnostics, personalized care, and whole-person support. This method removes the guesswork from your fertility journey, allowing you to focus on what matters most with clarity and confidence.

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A Highly-Reproducible, Clinical Method That Changes Lives

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The F.E.R.T.I.L.E. Method® is the foundation of our approach—a science-based, integrative framework that has contributed to a 78.8% live birth rate¹ in complex cases, even when other treatments have failed.

It combines precise diagnostics, personalized care, and whole-person support. This method removes the guesswork from your fertility journey, allowing you to focus on what matters most with clarity and confidence.

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What You’ll Get Inside
The Fertility Challenge™

The Fertility Challenge™ is a free, 4-week online program that gives you:

  • Guidance to achieve deep, accurate diagnoses
  • Deep dive into personalized supplement and lifestyle approaches based on your test results
  • Support to optimize your timing and choose the most suitable path for your unique case

What feels overwhelming today can become a clear, step-by-step plan to finally hold your baby. That’s what this program is for—and yes, it’s completely free.

What You’ll Get Inside The Fertility Challenge™

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The Fertility Challenge™ is a free, 4-week online program that gives you:

  • Guidance to achieve deep, accurate diagnoses
  • Deep dive into personalized supplement and lifestyle approaches based on your test results
  • Support to optimize your timing and choose the most suitable path for your unique case

What feels overwhelming today can become a clear, step-by-step plan to finally hold your baby. That’s what this program is for—and yes, it’s completely free.

Trusted by Thousands, Recognized by Leaders.

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Clarity Before Cost: The Right First Step
Shouldn’t Be Out of Reach

The Fertility Challenge™ is free, offering over $12,000 in expert tools, resources, and clinical guidance. We provide this experience to give you real answers and the best start on your path to parenthood. By participating, you’ll also be eligible to win a

$9,999 scholarship toward our signature Fertility Breakthrough Program™.

Here’s what’s waiting inside…

The Fertility Challenge™ is free, offering over $12,000 in expert tools, resources, and clinical guidance. We provide this experience to give you real answers and the best start on your path to parenthood. By participating, you’ll also be eligible to win a

$9,999 scholarship toward our signature Fertility Breakthrough Program™.

Here’s what’s waiting inside…

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Imagine Becoming a Parent
—Without the Cost, Strain, or Need for IVF.

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Here’s What You’ll Experience
in Just 4 Weeks

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About The Host

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Gabriela Rosa is the founder of The Rosa Institute and the creator of The F.E.R.T.I.L.E. Method®—a highly reproducible clinical framework that helps people overcome fertility challenges, even after years of failed treatments or “unexplained” diagnoses.

Since 2001, Gabriela and her team have supported over 140,000 couples across 111+ countries. Many came to us feeling lost, discouraged, or out of options. Today, thousands hold healthy babies—because our paths crossed.

Gabriela’s method is a tailored system that considers every aspect of health—clinical results, medical history, lifestyle, and family-building goals—to guide decisions that improve outcomes. This personalized approach has contributed to a 78.8% live birth rate¹ in treating difficult and complex cases of infertility, recurrent miscarriages, and previously failed treatments.

Her background blends science, precision care, and strategy. Gabriela holds a Master’s in Reproductive Medicine and Human Genetics and a Master’s in Public Health from Harvard. She brings deep expertise in reproductive medicine, clinical research, naturopathy, nutrition, and herbal medicine, and is currently completing her doctorate at Harvard.

What drives her work—and our entire team—is a simple belief: People deserve real answers, not more guesswork. And that’s exactly what we’re here to deliver.

Gabriela Rosa is the founder of The Rosa Institute and the creator of The F.E.R.T.I.L.E. Method®—a highly reproducible clinical framework that helps people overcome fertility challenges, even after years of failed treatments or “unexplained” diagnoses.

Since 2001, Gabriela and her team have supported over 140,000 couples across 111+ countries. Many came to us feeling lost, discouraged, or out of options. Today, thousands hold healthy babies—because our paths crossed.

Gabriela’s method is a tailored system that considers every aspect of health—clinical results, medical history, lifestyle, and family-building goals—to guide decisions that improve outcomes. This personalized approach has contributed to a 78.8% live birth rate¹ in treating difficult and complex cases of infertility, recurrent miscarriages, and previously failed treatments.

Her background blends science, precision care, and strategy. Gabriela holds a Master’s in Reproductive Medicine and Human Genetics and a Master’s in Public Health from Harvard. She brings deep expertise in reproductive medicine, clinical research, naturopathy, nutrition, and herbal medicine, and is currently completing her doctorate at Harvard.

What drives her work—and our entire team—is a simple belief: People deserve real answers, not more guesswork. And that’s exactly what we’re here to deliver.

Still have questions? We’ve got you!

Tap on a question to uncover the answer.

We are offering The Fertility Challenge™ program completely free because we believe everyone deserves access to the answers and support they need to overcome fertility challenges.

For over two decades, we have seen the impact of incomplete, costly, and often ineffective treatments on couples struggling to conceive. Too many people say, “I wish we had known about you sooner.” By making this program free, we are removing financial barriers and helping as many people as possible take the right first step—one grounded in science, clarity, and proven success.

We also want to challenge the status quo. Expensive, invasive fertility treatments should not be the first option for couples trying to conceive—or a cycle that couples endlessly repeat after failed attempts.

Proper diagnosis and actionable solutions are critical. This program provides clear, evidence-based steps to uncover the root causes of reproductive challenges for both male and female fertility.⁴⁻⁵ From there, you will have the knowledge and confidence to take meaningful actions that bring you closer to holding your baby.

This is not just about providing tools; it is about delivering real, lasting results. By offering this program for free, we are also honoring our commitment to support families and help you take charge of your fertility journey with clarity and confidence.

At the end of each Fertility Challenge™ program, we give away a $9,999 scholarship to our signature program.

To be eligible, all you need to do is fully participate in the challenge. Throughout the 4 weeks, you’ll have plenty of opportunities to engage, take action, and get the absolute most out of this experience—and increase your chances of winning this scholarship.

But here’s the real win: The challenge itself delivers thousands of dollars in treatment value. Many participants tell us that, regardless of the scholarship, they’ve already won simply by joining and participating. You’ll get insights, strategies, and the tools to overcome infertility, miscarriage, and failed treatments. Through this program, you will gain knowledge that other clinics would charge thousands for.

So whether you win the scholarship or not, you walk away enriched with life-changing skills and knowledge.

But don’t worry—we’ll guide you every step of the way to help you maximize your chances.

👉 Step 1: Register now.
👉 Step 2: Show up, engage, and take action.
👉 Step 3: Stay tuned for the winner.

No matter what, when you participate—you win. Let’s get started!

In this program, you will gain the essential knowledge and tools to overcome infertility and recurrent miscarriages, even when other treatments have failed. Best of all, it is free.

The Fertility Challenge™ program is built on the proven framework developed at The Rosa Institute, the foundation of beautiful babies and families we have helped create since 2001. Originally offered from 2011 to 2021 in a different format, this program is back—more effective than ever—designed to provide clarity and actionable solutions for those facing fertility challenges.

The program addresses one of the biggest barriers to holding your baby: insufficient or unclear diagnoses. Many patients feel frustrated by unexplained infertility or miscarriage diagnoses, and rightly so. You deserve clear answers and a personalized path forward, which is exactly what this program delivers.

What you will receive:

  • Guidance to ensure you and your partner have the correct, essential diagnostic tests to ensure a complete and accurate understanding of your fertility and the exact possible obstacles hindering it.
  • Detailed recommendations tailored to your laboratory diagnostic test results to help you make informed treatment decisions.
  • Actionable solutions to address gaps and identify opportunities for effective intervention, ensuring no stone is left unturned.

We believe fertility is a team sport, so the program includes tailored recommendations for both partners. Focusing on clarity and actionable steps, it is designed to transform your results and help you take precise steps to achieve your dream of having a baby—even if previous treatments or attempts have been unsuccessful.

Why it works:

The Fertility Challenge™ program leverages the F.E.R.T.I.L.E Method® framework, which has achieved a 78.8% live birth rate for our clinic patients.¹ Through live and pre-recorded sessions, workshops, handouts, medical referral letters, and more, you will receive the tools and support needed to conceive, carry a healthy pregnancy to term, and hold your baby.

With decades of experience in addressing even the most challenging fertility cases, our expert team provides evidence-based strategies and unwavering support to help you achieve real, lasting results.

By the end of this program, you will have the knowledge and tools you need to take meaningful action and transform your fertility outcomes once and for all.

The F.E.R.T.I.L.E. Method® is a science-based, integrative approach created by Harvard University-awarded fertility specialist Gabriela Rosa. The F.E.R.T.I.L.E. Method® is the foundational framework for The Fertility Challenge™ program and all the signature programs delivered at The Rosa Institute.

The results observed through the application of this method have been consistently reproducible. This method enables us to guide our patients on a comprehensive journey, addressing every aspect of fertility with precision and care. Combining diagnostics, personalized treatments, and foundational support, it turns what can feel like a confusing and overwhelming process into a clear, step-by-step path toward achieving your dream of parenthood.

The method focuses on:

  1. Diagnostics: Comprehensive testing to uncover the root causes of infertility and recurrent miscarriage or fertility treatment failure. This includes evaluating obstacles to optimum fertility while addressing physical and biochemical imbalances.
  2. Treatment: A holistic, personalized approach integrating epigenetic science to enhance reproductive health, targeting egg and sperm quality, hormonal balance, and overall wellbeing for optimal outcomes.
  3. Foundations: Strengthening vital fertility pillars—nutrition, movement, mindset, relationships, emotional health, and intimacy—while preparing for parenthood ensures a strong, supportive foundation for both partners on the journey to a healthy pregnancy and family.

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Here is how the F.E.R.T.I.L.E. Method® works to empower you on your journey:

F – Fact-find
We begin by identifying the factors blocking your path to parenthood. Our experts provide a clear, supportive, and proven approach to uncovering what is holding you back.

E – Educate
We teach you about your fertility using focused, evidence-based methods. Our team reviews your test results, biochemistry, lifestyle, environment, and diet to craft a treatment plan. Through effective interventions that leverage epigenetic science, we focus on increasing your chances of a healthy pregnancy and baby, even after past setbacks.

R – Recommend
We analyze gaps and opportunities in your unique biochemistry to develop a personalized treatment plan. These custom recommendations, grounded in integrative, evidence-based science, ensure that your care is tailored to your specific needs and challenges.

T – Treat
We continuously refine our treatment methods to reflect the latest advancements in reproductive medicine and science. This evidence-based approach enables our clinicians to address each patient’s unique challenges with personalized solutions, delivering consistently reproducible outcomes. This approach maximizes efficiency and effectiveness, providing the best chance of success on your journey to parenthood.

I – Incubate
This phase is about providing unwavering support, guidance, and ongoing accountability. We address the physical, biochemical, and emotional factors contributing to your success, ensuring you stay on track to create your dream.

L – Liberate
At this stage, we continue to focus on freeing you from the root causes of any remaining challenges. We address any lingering barriers with targeted support—biochemical, physical, and emotional—to eliminate what may still hold you back. This phase involves moving you through past limitations, restoring balance, and building a strong foundation for lasting reproductive and overall health.

E – End Result
This journey concludes with a new beginning. For most, this means finally holding a healthy baby after years of struggle. For all, it marks the start of a life enriched by clarity, better health, and renewed strength. The F.E.R.T.I.L.E. Method® ensures no stone is left unturned, equipping you with the tools and resilience to move confidently into your next chapter.

Unlike other treatments, The Fertility Challenge™ program is not tied to any specific method or approach to conception. Whether you are pursuing natural conception, IVF/ICSI, donor eggs, surrogacy, or another path, we remain impartial. Our focus is on uncovering the root causes of any existing challenges and addressing them effectively so you can achieve your ultimate goal and hold your baby sooner.

Here is what differentiates us:

  1. Uncovering the root cause
    Traditional treatments often skip critical diagnostic steps, leaving unanswered questions about the underlying factors affecting fertility. Our program prioritizes comprehensive testing to identify and address the root causes of infertility and recurrent miscarriage, ensuring no stone is left unturned.
  2. Tailored, personalized care
    Grounded in the F.E.R.T.I.L.E Method®, we provide custom recommendations based on your diagnostic test results, health history, and personal circumstances. Each step is designed to meet your unique needs and optimize your fertility potential while addressing any complicating factors.
  3. Whole-person approach
    Beyond medical procedures, we evaluate key factors such as lifestyle, environmental exposures, emotional health, relationships, and other elements that impact fertility.⁴⁻⁷ That is why we place such a strong emphasis on optimizing overall health while addressing infertility and recurrent miscarriages—especially when the journey has not been straightforward. These are often signs of potentially hidden or silent health challenges later in life.⁸⁻⁹ This comprehensive view helps improve both short-term outcomes and long-term quality of life and wellbeing.
  4. Fertility is a team sport.
    Fertility is a shared journey, and our program ensures both partners are actively involved in assessments and treatments. By working together as a team, couples can maximize their chances of success, leaving nothing to chance on their path to holding a healthy baby.¹⁰⁻¹¹
  5. Proven success and expertise
    With a 78.8% live birth rate, even in cases where other treatments have failed, The Fertility Challenge™ program is backed by decades of experience, evidence-based methods, and a team led by a Harvard-awarded fertility specialist.¹ We focus not just on helping you conceive but also on maintaining the health and vitality needed to raise your baby or babies.

This program is not some well-marketed “fertility solution.” It is a robust, science-based journey designed to provide clarity, build confidence, and offer actionable insights to help you create your dream of parenthood. For those seeking answers—whether starting now or after a long road of previous challenges—The Fertility Challenge™ program delivers the support and tools needed to make real progress toward a successful outcome.

The Fertility Challenge™ program is designed for couples or individuals who have been struggling to conceive or maintain a healthy pregnancy to term. It is especially suited for those who have experienced failed treatments—or for those looking to prevent going down the path of failed attempts and unsuccessful treatments altogether.

We specialize in addressing complex cases, including unexplained infertility, recurrent miscarriage, failed IVF/ICSI or donor cycles, immunological factors, and both male and female factors affecting fertility or the ability to deliver a healthy baby.

This program focuses on achieving deep and accurate diagnoses, prescribing the right evidence-based supplementation and lifestyle-as-medicine strategies tailored to your diagnostic test results, and optimizing conception timing and methods specific to your circumstances.

The goal is to leave nothing to chance and no stone unturned. With our help, you will identify and address the obstacles holding you back, especially if you feel like you have tried everything but have yet to succeed.

At worst, The Fertility Challenge™ program will provide fresh, actionable ideas to help you finally hold your baby—as long as you are willing to invest the energy and effort needed to transform your results.

Delivering large-scale programs in a personalized way is an art—and one we have mastered. Having successfully delivered public health interventions to hundreds of thousands of people across 111 countries, we know it is possible to create an intimate and impactful experience, even for large groups.

Currently, we are limiting enrollment to ensure couples receive a level of support comparable to our signature Fertility Breakthrough Program™, which delivers a 78.8% live birth rate.¹

At The Rosa Institute, we pride ourselves on rolling out the red carpet for the couples we treat one-on-one, and we aim to bring that same level of care to the scope we will address in this program.

With over two decades of experience delivering fertility treatments since 2001, we know exactly what it takes to achieve real results and meet the unique needs of the couples who seek our support.

What you can expect:

  1. Expert guidance and support
    Each week, you will join live (or access recorded) sessions with Harvard-awarded fertility specialist Gabriela Rosa and our expert team. These sessions will establish the foundations of your fertility journey, offering opportunities to ask questions, receive advice, and address your concerns in a supportive environment. You will also benefit from weekly check-ins and 24/7 access to the program’s private community group, ensuring you stay on track and receive ongoing help when needed.

  2. Personalized recommendations
    You will learn which laboratory diagnostic tests are essential to gain clear answers on your journey to parenthood. Based on your test results, we will provide tailored advice on diet, supplements, and exercise to improve egg and sperm quality. Every recommendation is designed to enhance both your fertility and overall health.

  3. Clear, actionable steps
    We simplify complex fertility concepts into step-by-step actions. From adjusting your diet to managing stress, you will receive practical, easy-to-follow guidance to help you make real progress. If you are ever unsure about anything, we will be there to provide clarity and direction every step of the way.

By the end of the program, you will feel confident, supported, and equipped with the tools and a clear plan to improve your fertility and overall health, bringing you closer to your dream.

The Fertility Challenge™ program is completely free of charge.

This program includes access to:

  • Expert-led guidance and support.
  • Comprehensive education on the critical steps to uncover and address fertility challenges.
  • Evidence-based recommendations tailored to help you take meaningful steps toward your dream of parenthood.

Our mission is to provide clarity, support, and actionable insights at no cost, helping you to make informed decisions and progress confidently on your fertility journey.

You will gain access to the Pre-Program Portal (Introductory Portal) when you register for The Fertility Challenge™ program AND complete the two quick steps to finalize your enrollment:

  1. Sign the consent form electronically and
  2. Complete the entry questionnaire.

This immediate access gives you time to explore helpful preparatory content before the four-week program begins. However, if spots are still available on the start date (which is rare, as the program usually fills up months in advance), you won’t be at a disadvantage.

One day before the program’s Introductory session, you will be moved and enrolled into the Official Program Portal to ensure a smooth transition from preparation to full participation. 

Our team has designed the portal platform (hosted on Teachable) to be simple, convenient, and easy to use—so your journey is as seamless as possible.

Over two decades, our proprietary and widely reproducible F.E.R.T.I.L.E. Method® has delivered a 78.8% live birth rate for the patients in our clinic.¹ These outcomes are a testament to the power of high-quality, personalized, science-backed care. We published our initial results in 2022, as shown in the infographic below. Based on our latest analysis, we are now preparing a manuscript for peer review and scientific publication in 2025.

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References:
  1. Fertility 2022 Rising to global challenges 5–8th January 2022: Online The joint conference of the Association of Reproductive & Clinical Scientists, British Fertility Society, and the Society for Reproduction & Fertility. Hum. Fertil. 25, 776–802 (2022).
  2. Carson, S. A. & Kallen, A. N. Diagnosis and Management of Infertility. JAMA 326, 65–76 (2021).
  3. Garolla, A. et al. Practical Clinical and Diagnostic Pathway for the Investigation of the Infertile Couple. Front. Endocrinol. 11, 591837 (2021).
  4. Emokpae, M. A. & Brown, S. I. Effects of lifestyle factors on fertility: practical recommendations for modification. Reprod. Fertil. 2, R13–R26 (2021).
  5. Sakali, A.-K. et al. Environmental factors affecting female fertility. Endocrine 86, 58–69 (2024).
  6. Ramsay, J. M. et al. Environmental exposure to industrial air pollution is associated with decreased male fertility. Fertil. Steril. 120, 637–647 (2023).
  7. Sharma, A. & Shrivastava, D. Psychological Problems Related to Infertility. Cureus 14, e30320.
  8. Del Giudice, F. et al. The Association between Mortality and Male Infertility: Systematic Review and Meta-analysis. Urology 154, 148–157 (2021).
  9. Murugappan, G., Li, S., Alvero, R. J., Luke, B. & Eisenberg, M. L. Association of Infertility and All-Cause Mortality: Analysis of US Claims Data. Am. J. Obstet. Gynecol. 225, 57.e1-57.e11 (2021).
  10. Lukish, D. A., Cross, C. I., Gornet, M. E. & Christianson, M. S. Teaming in the contemporary fertility clinic: creating a culture to optimize patient care. Fertil. Steril. 117, 15–21 (2022).
  11. Grande, G., Colesso, W., Gava, S., De Conto, U. & Cusinato, M. A Multidisciplinary Quality of Care Path For Couple Infertility: Development of An Integrated Approach Founded on A Multidisciplinary, Personalistic, and Ecological Model For Couple Fertility. Linacre Q. 89, 165–177 (2022).

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