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Patients with inflammatory bowel disease, diverticular disease, haemorrhoids, recent colorectal surgery, cardiovascular conditions, pregnancy, severe renal or cardiac impairment, coagulopathy, or recent pelvic radiotherapy face heightened risks

They trigger an inflammatory response that activates macrophages and neutrophils ( and H 2 O 2 during the pathogenesis of endometriosis ( and H 2 O 2 produced by these inflammatory responses in the peritoneal, ovarian and oviductal environments of endometriomal implants are significantly higher than those which are generally encountered in their healthy counterparts ( Pernicious effects of refluxed blood and the balance of pro-oxidant and antioxidant forces: the fenton reaction In addition to inflammatory components, accumulated refluxed menstrual blood contains numerous lysed erythrocytes

These efforts aim to establish a more robust scientific foundation for the future development of immunomodulatory drugs

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E.VardanegaR.Salinas-FuentesF.RamrezJ