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This pattern reflects the time required for tissue repair processes to manifest as functional improvements

The most concerning aspect is that certain EMS patients are unable to generate qualifying eggs, which reduces the success rate of natural conception and assisted reproduction ( 2 Ovarian reserve and oocyte quality are reduced in EMS patients The essence of EMS is that endometrial cells occur in places other than the uterine cavity, with the most common locations being the surface of tissues or organs such as the ovary, utero-rectal pouch, sacral ligament, bladder, and ureter

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All oestrogen receptor positive cases received adjuvant hormonal treatment

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