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These include mitochondrial dysfunction, apoptosis, and inflammation, as well as indirect effects on neurotransmitters such as glutamate and dopamine [9, 10]

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doi: 10.1007/s00018-019-03011-w

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The persistent inflammation and repetitive tissue injury associated with cyclical bleeding from endometriotic lesions possibly provide the chronic stimuli that drive sustained myofibroblast activation and progressive fibrosis [88]

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