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If that doesn't work please follow these herbal combinations for complete cure sootshekhar ras 1 tablet twice a day gulmkalanal avleh 10 gm twice a day rajah pravartini avleh 10 gms twice a day send your reports.
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There's no contraindication for prolonged novelon use but at your age it can predispose to gallstones and clotting. You can instead continue dienogest and if your symptoms are controlled. There is no need for mirena.
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Yes it is high time to use merina or you should go for injections like lupride to suppress the hormones or otherwise you might have a risk of another laparoscopic surgery before you reach menopause.
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your ca125 is on higher side better to follow doctors advice.
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