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Patients should have gynecological examinations annually and be counseled to contact their healthcare provider if they experience any abnormal gynecological symptoms such as menstrual irregularities, abnormal vaginal bleeding, changes in vaginal discharge, or pelvic pain or pressure

doi: 10.1016/j.peptides.2017.07.011 218 ThompsonJSIyerKRDibaiseJKYoungRLBrownCRLangnasAN