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Oh, so many reasons. First off, some women are genetically more disposed to being fertile than others. Then there are a variety of non-genetic, biological reasons. For instance, the size and shape of reproductive organs have some bearing. Shorter or wider fallopian tubes may increase fertility; scarring may be detrimental. Various medical conditions affect fertility: endometriosis, poly-cystic ovarian disorder, various stds, I could go on forever.... It's important to note that many of those conditions affect fertility even after the condition has been dealt with. Women of a certain shape are more fertile than others. The ideal waist-to-hip ratio is .7, meaning women whose waist is 70% the size of their hips are more fertile. Both too far under and too far over that number decreases fertility (meaning you can be too heavy or too thin). Various chemicals have some effect on fertility, from some medications to pesticides on food, and everything in between. Many are in such small doses that they are barely distinguishable. Same goes for exposure to radiation. Women who have orgasms during sex are also more likely to get pregnant. Part of the mechanism of orgasm draws semen towards the egg. So, in summation, many, many, many factors involved. Relatively few are within a woman's control. So, aside from trying for the .7 ratio and trying to have more orgasms, the best bet when dealing with fertility issues is to talk to a doctor.

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