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This procedure allows patients to address several areas at once with a single surgical experience and concurrent recovery rather than multiple, separate procedures

Pregnancy should be excluded as a priority, followed by assessment for other causes of amenorrhoea, including premature ovarian insufficiency, thyroid dysfunction, or hyperprolactinaemia

If it helps manage and prevent those life-threatening risks, then for that patient it is probably better to continue it. The TGA said it first became aware of the link to NAION in 2024 after a study published in a peer-reviewed medical journal raised concerns, and further evidence of the potential links has since been closely monitored

10.1016/j.exger.2003.12.009 39 LeeS