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Additionally, In the limited head-to-head trials available, ALC demonstrated comparable effectiveness to commonly used antidepressants, especially, Selective Serotonin Reuptake Inhibitor (SSRI), Serotonin-Norepinephrine Reuptake Inhibitor (SNRI), Tetracyclic Antidepressant (TeCA), Noradrenergic and Specific Serotonergic Antidepressant (NaSSA), Atypical Antipsychotics like Amisulpride used at low doses for antidepressant effects in this meta-analysis

The uterosacral ligaments are also common implant sites (alternatively called the pelvic sites) ( Retrograde menstruation The most frequent accepted theory that explains the pathogenic process by which these lesions occur is the theory of retrograde menstruation, the theory that the backup of extrinsic menstrual tissues into the fallopian tubes, pelvis, and peritoneum is a driving force in the formation of endometriomal implants