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The treatment consists of a few sessions (usually 3-5) combined with other conservative treatment measures mentioned above and a specific physiotherapy program
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While its exact mechanisms are still being elucidated, research suggests it may work through modulation of calcium channels, influence on cyclic nucleotide levels, and interaction with various neurotransmitter receptors
Key candidates include HOMA-IR to assess insulin resistance, serum testosterone and sex hormonebinding globulin (SHBG) for androgen excess, anti-Mllerian hormone (AMH) to reflect ovarian reserve and follicular activity, and inflammatory cytokines such as TNF- and IL-6
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