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Traditional approaches to evaluate female fertility rely primarily on hormonal measurements (anti-Mllerian hormone [AMH], follicle-stimulating hormone [FSH], luteinizing hormone [LH]), ultrasound-based assessments (antral follicle count [AFC], endometrial thickness), and limited molecular functional assays (e.g., endometrial receptivity array [ERA]-based receptivity testing) [2, 5]

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In our microbiological testing, we measure the aerobic mesophilic plate count (total plate count), as well as the levels of Escherichia coli (E

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