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For research design, this supports the need to systematically verify cycle phase with hormonal or ovulatory markers, explicitly report cycle characteristics, andwhere feasiblestratify or adjust for phase, rather than excluding women or treating the menstrual cycle as statistical noise. It also highlights the need for multi-system study designs that incorporate endocrine, immune, microbiome, and behavioral readouts, and for sex-specific analyses that recognize that female vs

Luteolin is reported to mitigate these fibrotic responses by downregulating fibronectin and other fibrosis-associated markers, likely through modulation of the AMPK/NLRP3/TGF- axis [159]

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However, this is typically a last resort for women who no longer wish to retain their fertility