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Besides hormonal imbalance, other causes of abnormal uterine bleeding include uterine fibroids , polyps, a thickening of the uterine wall, bleeding disorders, and infections of the cervix or uterus

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The onset of pain usually begins on one side of the head and may transition to the other side

Recent studies have indicated that during mating, males introduce multiple components into hermaphrodites, including sperm, seminal fluid and its associated biomolecules, as well as pheromones, all appear to contribute to substantial physiological changes and MID in the mated hermaphrodites 21,57,58,67

1 Instruction manual to guide proper use of the device