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However, severely distorted pelvic anatomy increases surgical risk, making assisted reproductive technologies (ART) like IVF preferable in such scenarios ( 3.4 Disruption of folliculogenesis and oocyte function by the endometriotic microenvironment The endometriotic microenvironment is characterized by elevated levels of reactive oxygen species (ROS), iron overload, pro-inflammatory cytokines, and altered immune cell infiltration

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Oxidative stress, resulting from an imbalance between the productions of reactive oxygen species (ROSs) and antioxidants, has long been associated with aging

I don't know if that's the case or not truly because we're dealing with an interesting population that has EDS

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