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In women, these changes contribute to anovulation, menstrual irregularities, and subfertility
The authors have no conflicts of interest

Once a diagnosis is made, management of the condition is centered on optimizing blood glucose control, providing nutritional support including hydration, and in many cases using prokinetic and antiemetic medications
Rubino DM, Greenway FL, Khalid U et al
Why Are So Many Women Getting Pregnant Unexpectedly