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Stage I represents normal mobility of the ovaries, absence of non-bowel and bowel deep infiltrating endometriosis, normal Pouch of Douglas(POD), and the presence or absence of site-specific tenderness

Neuron 80, 415428

OS not only directly damages endometrial decidualization, but also indirectly damages endometrial decidualization through the indirect mechanisms mentioned above, including endometrial cellular dysfunction, abnormal angiogenesis, and disturbance of hormonal metabolism