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In light of the above unexpected findings that HRT could actually aggravate cardiovascular dysfunction and causes cancer, there is accumulative evidence that the alternative therapies appear to be a critical factor in determining the overall outcome of HRT

Adhesions can also obliterate normal pelvic angles and induce abnormal uterine flexion, while nodularity and thickening of pelvic ligaments (uterosacral ligaments) with fibrotic reactions further disrupt pelvic anatomy ( Mechanically, these changes impair fertility through multiple pathways: extensive adhesions can occlude the tubal ostium and embed ovaries, blocking sperm passage and oocyte release

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FASEB Journal