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Most evidence is indirect, based on animal models or observational studies, and suggests that sensitivity to fluctuations in ovarian hormones rather than hormonal concentrations per se trigger symptoms in people with a bio-psycho-social predisposition

Current evidence is inconclusive: while one systematic review reported a statistically significant advantage of robot-assisted RP over open retropubic RP in terms of 12-month potency rates [312], two RCTs demonstrated only marginal improvements in EF following robot-assisted RP or failed to identify any clinically meaningful difference between the two techniques [313,314]

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Hunger feels manageable