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I think the harms have been underplayed

Additional Risk Factors Previous ectopic pregnancy (increases recurrence risk) History of tubal surgery or ligation Use of intrauterine devices (IUDs) Assisted reproductive technology (ART) treatments like IVF Smoking (affects tubal motility and ciliary function) Advanced maternal age Congenital tubal anomalies Conclusion Ectopic pregnancy mainly results from tubal pathology that disrupts normal embryo transportation, but poor embryo quality and uterine abnormalities such as adenomyosis and a thin endometrium can also be contributing factors

Risk perception is strongly related to knowledge of the products

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