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== Fertility and timing of ovulation == Most women who are able to conceive are fertile for an estimated five days before ovulation and one day after ovulation.<ref name=":0">{{Cite journal |last1=Gibbons |first1=Tatjana |last2=Reavey |first2=Jane |last3=Georgiou |first3=Ektoras X |last4=Becker |first4=Christian M |date=2023-09-15 |editor-last=Cochrane Gynaecology and Fertility Group |title=Timed intercourse for couples trying to conceive |journal=Cochrane Database of Systematic Reviews |language=en |volume=2023 |issue=9 |pages=CD011345 |doi=10.1002/14651858.CD011345.pub3 |pmc= 10501857|pmid=37709293 }}</ref> There is some evidence that for couples who have been trying to conceive a child for less than 12 months, and the female is under 40 years old, practicing timed intercourse (timing intercourse with ovulation using urine tests that predict ovulation) may help improve the rate of pregnancy and live births.<ref name=":0" /> The role that stress plays in ovulation, fertility, and understanding the biological basis for stress-induced anovulation and the role of cortisol is not entirely clear.<ref>{{Cite journal |last1=Karunyam |first1=Bheena Vyshali |last2=Abdul Karim |first2=Abdul Kadir |last3=Naina Mohamed |first3=Isa |last4=Ugusman |first4=Azizah |last5=Mohamed |first5=Wael M. Y. |last6=Faizal |first6=Ahmad Mohd |last7=Abu |first7=Muhammad Azrai |last8=Kumar |first8=Jaya |date=2023 |title=Infertility and cortisol: a systematic review |journal=Frontiers in Endocrinology |volume=14 |pages=1147306 |doi=10.3389/fendo.2023.1147306 |issn=1664-2392 |pmc=10344356 |pmid=37455908 |doi-access=free }}</ref>
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