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10.1001/jama.2017.18391 JAMA
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Whereas ablation of a segment of the uterosacral ligament has not proved effective, randomized, controlled trials have shown the superiority of laparoscopic ablation of endometriotic tissue combined with presacral neurectomy (removal of the nerve bundle within the boundaries of the interiliac triangle) over laparoscopic ablation alone in improving dysmenorrhea and reducing severe midline pain (20)
Staying consistent with your injection day becomes even more important during dose escalations because it allows you and your provider to accurately assess how your body responds to each new level
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