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It is well known that there is a significant decline in fertility after age 35. The standard of care for women 35 and older who are having difficulty achieving pregnancy is to consult a fertility specialist if, after six months of trying (i.e. unprotected intercourse), pregnancy has not been achieved. Based upon the increasing number of patients in this age group who are being seen earlier in the treatment process, it is clear to us at RMA that the general OBGYN community has become increasingly sensitive to the needs of these patients and the benefits of seeing a specialist sooner rather

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