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These results are not replicated in large Western RCTs, however, and the quality of Russian clinical trial reporting varies

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Menorrhagia (Heavy menstrual bleeding) Metrorrhagia (Irregular bleeding between menstrual periods) Postmenopausal bleeding (Bleeding after menopause) Dysfunctional uterine bleeding (Abnormal bleeding unrelated to menstrual cycle) Menometrorrhagia (Heavy and irregular bleeding) Postcoital bleeding (Bleeding after sexual intercourse) Breakthrough bleeding (Bleeding while on hormonal contraceptives) Abnormal uterine bleeding (Any irregular bleeding from the uterus) Bleeding associated with pelvic inflammatory disease (Bleeding due to inflammation of reproductive organs) Hormonal imbalance: Fluctuations in estrogen and progesterone levels disrupt the menstrual cycle, leading to abnormal bleeding patterns