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The rate of primary infertility in women under 30 years of age is 2.7%. Infertile couples are more than 10%.
Add infertility from partner incompatibility. That's about 15%, or 1 in 7 couples.
And the brother has to take care of his sisters and help them.
I grant that the effect is real, as many women on Lexapro have found, but its administration has to be subtle.