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However, there is no NICE or NHS recommendation for adolescents aged 12-17

Surgical excision of ovarian endometriomas further exacerbates this impairment by frequently causing unintentional removal of healthy ovarian tissue, leading to a sustained decline in serum AMH levels for at least 69 months and diminished ovarian response to controlled ovarian hyperstimulation (COH), particularly when cyst size exceeds 4 cm (44)

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