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Therefore, a thorough investigation is crucial, especially in patients experiencing significant pain or bleeding

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However, conflicting findings exist: a transcriptomic study using the endometrial receptivity array (ERA) test found no difference in receptivity gene signatures during the implantation window between endometriosis patients and controls, and a sibling oocyte study showed no difference in implantation rates in severe endometriosis patients undergoing IVF, suggesting context-dependent effects