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Disposal: Dispose of used needles and pens in a proper sharps container

Clinical implications: Recurrent bacterial vaginosis may indicate the need for microbiome assessment before ART Gut dysbiosis contributes to insulin resistance and inflammatory states, affecting ovulation Antibiotic exposure timing may impact fertility treatment outcomes Therapeutic considerations: Evidence supports treating confirmed infections before conception attempts, optimizing dietary fiber diversity, and considering targeted probiotic interventions for recurrent BV in fertility contexts

Ervin et al

MIS-C Multisystemic inflammatory syndrome COVID-19 Novel coronavirus disease SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 PICU Pediatric intensive care unit IVIG Human immunoglobulins ASA Acetylsalicylic acid