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The combined approach of surgery followed by ART has been shown to enhance pregnancy chances in infertile women with endometriosis, though pelvic surgery for endometriosisparticularly for ovarian endometriomascarries risks of iatrogenic damage, including ovarian reserve loss, adhesion formation, and ischemic injury

Chen, X., Yang, J., Wang, L

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Anemia, characterized by pale or jaundiced skin, is another potential sign, as vitamin deficiency can affect red blood cell production

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