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It works through different central nervous system pathways and does not directly inhibit COX enzymes in the same way, making it a less disruptive choice for pain management in this context

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Medical Conditions and Medications Several other medical issues and certain medications can cause missed or infrequent periods: Hormonal Contraceptives: Birth control pills, patches, injections, implants, and hormonal IUDs can intentionally alter your cycle, often making periods lighter, less frequent, or even absent
