A 39-year-old patient with a history of amenorrhea, is recentlymarried for the first time to a man who has two children from aprevious marriage. Currently, her periods are irregular. She statesthat she wants to have a baby “before it’s too late” and that sheand her husband have been having unprotected sex for about a year.They present to the fertility clinic wanting to know will she beable to have IVF performed. Discuss factors that can be consideredas contributing to her infertility.

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