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For example, if the root cause of your amenorrhea is kidney disease, many common herbal ingredients in supplements should be avoided due to the risk of dangerous complications or worsening kidney health.27 Endometriosis Endometriosis is, as stated by researchers, an estrogen-dependent gynecological condition, defined as the presence and growth of endometrial-like tissue outside the uterine cavity.28 It affects roughly 10% of menstruating women in the United States and is considered a benign gynecological disease (meaning the tissue growth is noncancerous).28 29 However, for many women with endometriosis, this benign condition is anything but that, as several common symptoms include some form of (in some cases debilitating) pain that may worsen over time, such as painful periods, pain during or after sex, and painful bowel movements or urination.30 The Endometriosis Foundation of America explains that endometriosis is a disease of menstruation and that managing monthly hormone fluctuations may, in turn, help some people manage their symptoms.31 Menopause All AFAB women will eventually go through the hormonal changes of menopause, whether its natural, surgical (oophorectomy), or premature (primary ovarian insufficiency).2 There are three stages of nonsurgical menopause: perimenopause, menopause, and postmenopause

Additionally, macrophages regulate the immune microenvironment by secreting cytokines, such as IL-12 and TNF-, which help amplify the immune response (78, 79)