I would say first take a pregnancy test (and maybe see your doctor). If you get a positive result, see your doctor right away. the tube was retained since it was unruptured. Having an early scan this week. Found inside1044 At the resumption of sexual activity Any time after 24 h postpartum Immediately postpartum or 6 wk ... risk of infection or previous ectopic pregnancy Future fertility not desired Requires surgery Transcervical sterilization is an ... Any ⦠Found inside â Page 632Must use effective contraception until her first period following ⢠sterilization. The commonest reason for failure is already being pregnant when the procedure is performed or in the same cycle! Reassure that there is no increased risk ... The second one two days later is 1873 so it did not double but both levels are really high. Pregnancy after tubal sterilization is uncommon. The possible side effects of surgery for ectopic pregnancy include bleeding, pain, fatigue, and infection . I got pregnant with another ectopic in the stub left over from that surgery, and had another emergency surgery when that one ruptured also. I was so excited the first time I cried happy tears when I found out. Found inside â Page 39My family was my first priority, and I did what I knew of at the time to be the best thing I could do. My first period after my surgery came on February 10, five weeks later. For me, this was very good. Only two more to go! �I0J�᧿����Ǔd�ި_� t�v�zdJ�\�9}�cU���*u�饪�.�_��Z|c�.�ċ�W��?ث���A�����F���7��F잮1"���jx�s$b*,1�+��0�ES�#�����//��ۥY�,/���RAV�~��n齴DJz�Z���=���;�D���['�y�I�}n��pͶᤣ����cEvg��b�8bĶ���ܷ�>9�ԋ;�n�wO� �͑�[�(���ݯ+H[~�7��2q �|�sK��2��t2lwN5t"I Found inside â Page 1432However, ectopic pregnancy remains the leading cause of pregnancy-related death in the first trimester. ... Possible causes of ectopic pregnancy include salpingitis, peritubal adhesions (after pelvic infection, endometriosis, ... I tend to start with some spotting that last for about 2 days, which is only when I wipe, then my period will normally start. Found inside â Page 4Complications can occur early or late in the post-operative period, and can be specific to the surgery performed, or more general, occurring after almost all operations. Landmarks for post-operative care and complications First 24 hours ... Learn more about contraception post ectopic pregnancy. I, too had an ectopic pregnancy (my first pregnancy) in 11/07. some women do not bleed a lot following treatment for ectopic pregnancy, it depends how much endometrium was built up and how high hCG levels became. At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, ... An ectopic pregnancy can be a distressing experience. i had an ectopic prgnancy just over three weeks ago and had my right tube removed, i started spotting today, very bright red and i have been very w... 4.9k views Reviewed >2 years ago. How long does surgery for an ectopic pregnancy take . sabmarci. Usually, the first symptom of an ectopic pregnancy is light bleeding or spotting. There is some hope. If you do have symptoms, they tend to develop between the 4th and 12th week of pregnancy. Symptoms can include a combination of: a missed period and other signs of pregnancy. tummy pain low down on 1 side. vaginal bleeding or a brown watery discharge. pain in the tip of your shoulder. Welcome to the Gynaecological Department. The purpose of this book is to prepare women for miscarriage before they go into it blindly and without preparation. I had a ruptured ectopic in December I lost my left tube. This is a ⦠You should also check the incision for signs of infection regularly. Babies: 0-3M; Babies: 3-6M; Babies: 6-9M; Toddlers: 12-24M; Toddlers: 24M+ View all; Sign up for The Bump! But that was before the surgery. I am now 8w pregnant. I had bleeding for about 2 days after the surgery, like a period, then absolutely nothing. Usually, the first period after an ectopic pregnancy has a heavier flow. It is likely you will be advised to wait for three months or two full menstrual cycles (periods), whichever is the soonest, before trying to conceive. As an ectopic pregnancy progresses, though, other symptoms may develop, including: Belly pain or pelvic pain that may get worse with movement or straining. It is advised by doctors that you should not get pregnant for two menstrual (period) cycles or three months after an ectopic pregnancy. Found inside â Page 72The patient was given morphine for two days following the operation , but this was discontinued because of ... far the most frequent cause of hæmorrhage in the first period , the necessity of ruling out ectopic pregnancy is emphasized . The responses help us to talk to the media, the medico nursing professions and the general public about the experience of those who adjust to a life after ectopic pregnancy. Lets take this opportunity to share our stories and questions and support each other. MD. They may not find out they have an ectopic pregnancy until an early scan shows the problem or they develop more serious symptoms later on. On average, 1 in 100 pregnancies in Australia is an ectopic pregnancy. The book offers an immersion into non-tubal ectopic pregnancy and the reader is invited, chapter after chapter, to visit the most important aspects of non-tubal ectopic pregnancies. The #1 app for tracking pregnancy and baby growth. I had a healthy pregnancy in 2017, got pregnant on the first try and had little to no complications. stream Comment. Abdominal soreness and swelling are common after surgery. Amber ⢠Mar 28, 2017. Found insideShe is very tender in the lower abdomen and a pregnancy test is positive. Her vital signs are stable. I suspect that she may have an ectopic pregnancy. ... They have always been like this since your first period at the age of 13 years. It might have been his expression or the joy of realizing Iâm awake, or maybe it was both, but I felt so happy and bubbly in that moment. I lost my baby and right tube just over three weeks ago. The ectopic was my first pregnancy, I have had 3 since then and each time I feel aching in my left side that makes me completely paranoid. Found inside â Page 401Tampons should not be used for the first period after treatment, to reduce the risk of infection. ... It is useful in confirming the presence of an early intrauterine or ectopic pregnancy, and a missing intrauterine contraceptive device ... Found inside â Page 183... I recalled a difficult period decades earlier, after a significant event in our livesâmy ectopic pregnancy and our ... We got pregnant on the first cycle. ... I awoke from surgery and the physician's words sounded oddly misplaced. I starting spotting few days ago, and that's when this app said my period would start. i know doctors want ur best intrests at heart but i phoned the 111 service up for advice because i was bleeding in. Sometimes it can take women up to 8 weeks to get a period after their miscarriage. Last week I found out im pregnant again so soon after and after a visit to the doctor im more scared than ever. It is possible to have a normal pregnancy even if you have a history of ectopic pregnancy. You can get pregnant after an ectopic pregnancy tube is removed as long as you have one fallopian tube. Laparotomy to remove the ectopic pregnancy If the pregnancy is advanced or there has been significant associated haemorrhaging (bleeding) then your doctor may perform a laparotomy, a type of surgery involving a much larger incision. Surgery for Ectopic Pregnancy. They had to remove my left tube. Except, it doesn't feel right, my periods are now different. An ectopic pregnancy is a pregnancy that happens outside of the uterus. A pregnancy canât survive outside of the uterus, so all ectopic pregnancies must end. Your Pregnancy and Childbirth: Month to Month is a resource for informational purposes. Again this is nothing to be concerned about, unless the bleeding is very heavy in which case, contact your GP or the A 37-year-old female asked: 2.5 wks post ectopic pregnancy surgery. Its just all really soon. Patients can generally resume normal activities within a week after undergoing laparoscopic ectopic pregnancy surgery. If you have these symptoms, speak with your healthcare provider. Hi babe, Im so sorry you had to go through this. You had treatment to end your ectopic pregnancy. First, hysteroscopic evaluation revealed the cesarean scar dehiscence and the posterior pole of the ectopic pregnancy. Hi, i underwent ectopic pregnancy surgery around 50 days ago (aug 5th). Information on surgery for ectopic pregnancy. It happens when an embryo develops outside the womb (uterus). They may seem very similar to a normal pregnancy. How long does it take to recover from an ectopic pregnancy? The recovery period from ectopic pregnancy is different for each woman affected. In most cases, the woman gets discharged home from the hospital the same day. Every woman is different regarding how soon after an ectopic pregnancy to expect a period, however sometime in the next 6 weeks is considered usual. Found inside â Page 268A raised temperature (< 37.9°C) in the first 24-hour period is usually a postoperative reactive pyrexia but a rise > 38°C is suspicious of a urinary tract infection (UTI) that was pre-existing but flared up after urinary catheterization ... Tubes burst, had internal bleeding, lost my left tubes, the whole nine yards. It is likely you have been advised to wait for three months if you have had methotrexate, or for two full menstrual cycles (periods) after surgery, before trying to conceive. Home Care After Surgery. Ectopic pregnancy is a unique form of loss, because not only do we have to grieve the loss of our pregnancy we have to deal with the aftermath of nearly dying ourselves. 5. Contraception All women who suffer an ectopic pregnancy are advised to refrain from becoming pregnant during no less than two appropriate menstrual cycles after their treatment, which is regularly around three months. %PDF-1.5 Found inside â Page 116In some cases excision of the granuloma recommended for the first days after surgery , is required to relieve pain and ... is a higher risk that the pregnancy will be tive semen samples are produced two to four ectopic . weeks apart . At the time, my heart was broken and it felt like I would never be with child. The Surgeon said we can start trying after my first period (which was around Xmas) however I am still very traumatized and nervous. The tube was retained since it was unruptured. C_�y��/����������̠n��$���fnH���XKّe �s*��>�Sƫ��=`/�f Hi, I took Clomid 100mg for two months and ended up pregnant! <> However, some women who have an ectopic pregnancy have the usual early signs or symptoms of pregnancy â a missed period, breast tenderness and nausea. Low back pain. First period after Ectopic / Methotrexate: Hi All, Just wondering if anyone can share their experience in how long it took to get your period after an ectopic pregnancy and treatment with methotrexate injection. This case convinced him that it might be possible to operate on a woman with an ectopic pregnancy and save her life. Found inside â Page 116last pregnancy ; or the patient has been married a number of on the pelvic floor , the isthmial end extending somewhat ... or is still enthe same the first period had been delayed somewhat , it had not velopt in an amniotic sac , is an ... Found inside â Page 220Coitus: After straightforward tubal anastomosis, unprotected intercourse may be permitted in the cycle after the first menstrual period following operation. 2. Pregnancy: It is safest to suspect ectopic pregnancy whenever gestation ... ]�ݨ�2�4ZmK��il��R�j����yM�+mu)����D55���R�@����8����as��9`��������r�y�����o���_W�����m;4>�P?�B�����a,dU�&�V� [U���/��}Y������O�g�~���8fY4e�Cܺl-�e�_�?-/��by�v�j)�����,��d0�q[��1 Hi, I underwent ectopic pregnancy surgery around 50 days ago (Aug 5th). Be aware that the bleeding experienced in the first week of treatment for an ectopic pregnancy is not your first period, but a response to hormone changes resulting from the lost pregnancy. All contents copyright © BabyCenter, L.L.C. Follow the doctorâs instructions to take care of the incision site at home. endobj Most of them are diagnosed early, some of them aren't diagnosed and the result is deadly. Im going for a scan on Thursday so will see what happens. I was on my cycle the day of surgery. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. VD��;��O7K�j�7�!�M�O��wr@�G���4��q����E�U��p�K`˄۲��j�;�{^/EE< s�X�Je:��7d�*�M٪�ѧ�8�ׄ�-B8�MWmY�$lp����AȞ�����T� VW�*=Xg���o�7�G����7�T�&W. 1 doctor answer ⢠1 doctor weighed in. Forum rules. The first 48 hours after surgery were the worst. However, if you have been trying to get pregnant for more than 6 months after having an ectopic pregnancy, you should go and see your doctor as you may need fertility treatment. My first pregnancy in January 2021 ended up being ectopic. Different women have different recovery times. The primary goal is to keep it dry and clean as it heals. Found insidePregnancy may be diagnosed for the first time at presentation. Transmitting this fact must be handled with ... A UPT would be expected to become positive on the day after the next missed period, i.e. on day 29 of a 28-day cycle. I had no pain but I did have a lot of brown discharge from the minute I found out I was pregnant. Im not sure if they removed that or not. The surgery may involve removing your fallopian tube (salpingectomy) or opening your fallopian tube (salpingostomy) to remove the ectopic pregnancy tissue. I had to have surgery January 21st for an ectopic pregnancy and my right tube was also removed. Thanks. However, I also normally have 5 week cycles and I had 2 unsuccessful doses of methotrexate and had to have surgery, so I might not be the best person to compare to. about 5 weeks ago. Shoulder pain with an ectopic pregnancy is a sign that it may have ruptured and youâll need emergency treatment. Three Approaches to Treating Irregular Periods. Feb 27, 2012 7:57AM. 3 0 obj If an ectopic pregnancy is left to develop, there is a risk that the fertilised egg could continue to grow and cause the fallopian tube to split open (rupture), which can cause life-threatening internal bleeding. Pregnancy. At 6 weeks, I went to the ER for bleeding & cramping, and it turns out I had an ectopic pregnancy. Found insideExpulsion occurs most often during your first period after the device is inserted. If you're worried about expulsion, you may want to see your care provider to make sure the IUD is still in place. The overall risk of ectopic pregnancy ... How long should you wait to try to conceive after an ectopic pregnancy? This happens when a fertilized egg implants in a structure that cant support its growth. Morbidity and mortality. This is your body expelling the thickened lining of the uterus because you are, sadly, no longer pregnant. Found inside â Page 373Tampons should not be used for the first period after treatment, to reduce the risk of infection. ... It is useful in confirming the presence of an early intrauterine or ectopic pregnancy, and a missing intrauterine contraceptive device ... I had what I thought was ovulation pain (it felt worse than normal) a few days ago, and I've had symptoms similar to what I used⦠Posts: 4 Joined: Wed Oct 20, 2021 4:34 am. No matter what type of surgery is used, the main aim is to remove the ectopic pregnancy and the risk it is posing on your health. My periods were regular. But this is rare. Found inside â Page 583The need for adequate contraception prior to sterilization Effective contraception should be used until the first period following the procedure. An IUCD in situ can be removed at the time of operation only if this is carried out in the ... Found inside â Page 2232009;361:379-87. Shapiro H, Adler DH. Excision of ectopic pregnancy through the laparoscope. Am J Obstet Gynecol. 1973:117:290-1. Korolio D, Sauerland S, Wood Dauphinee, et al. Evaluation of quality of life after laparoscopic surgery: ... I am pregnant now after clomid and hcg therapy. Mild pain in the abdomen or pelvis. Found inside â Page 158They are also used for evaluation of ectopic pregnancy, failing pregnancy, and for follow-up of gestational trophoblastic ... The test becomes positive 7 days after the first missed menstrual period, when urine hCG is >25 mIU/mL. Women who wish to treat irregular periods can choose from among three approaches: (1) Lifestyle Changes, (2) Alternative Medicine, and (3) Medications and Surgery, starting from the least risky options and only moving to more risky conventional treatments if necessary. This was done to prevent dangerous problems. Usually, the first period after an ectopic pregnancy has a heavier flow. Ectopic Pregnancy: With tubal ligation reversal, there is a chance of ectopic. Hello Everyone I'm so very sorry for your loss I truly understand. I'm new to this EP thing but not loss. I had a previous miscarriage at 8weeks 4... The bleed that occurs in the first week or so of treatment for an ectopic pregnancy is not your first period. An ectopic pregnancy can feel like a typical pregnancy at first, with symptoms like a missed period, tender breasts, and stomach upset, but as an ectopic pregnancy ⦠Your doctor will discuss these before the procedure. You may have an ectopic pregnancy if you miss a period, have a positive pregnancy test and/or have other signs of pregnancy, in addition to any of the symptoms listed below. Up to 10% of women with ectopic pregnancy have no symptoms, and one third have no medical signs. It might be heavier or lighter and it may be more painful than expected. It is likely you have been advised to wait for three months if you have had methotrexate, or for two full menstrual cycles (periods) after surgery, before trying to conceive. The bleed that occurs in the first week or so of treatment for an ectopic pregnancy is not your first period. Found inside â Page 2Ectopic pregnancies (a pregnancy outside of the uterus) have occurred, although clinical studies have shown no increase in the ... Symptoms include spotting and cramping pain, which usually begin shortly after the first missed period. after that i had a little bleeding for almost 10 days. Information about the procedure and the time after the surgery. But you may have a higher risk for more ectopic pregnancies. However, you will have a normal period from the second period. However, you will have a normal period from the second period. Recovery time of discomfort or pain after ectopic pregnancy surgery depends on the type of treatment received. Found inside â Page 602Surgical abortion in the first trimester Vacuum aspiration is the recommended method of surgical abortion in the first ... pregnancy tests, many women now present at very early gestations, shortly after a first period has been missed. A pregnancy that develops outside the uterus is called ectopic pregnancy. Start by selecting which of these best describes you! Having ectopic pregnancy may affect future fertility and increases your chances of having another ectopic pregnancy. This is a welcoming place for you to ask your questions and share your knowledge and experiences of ectopic pregnancy. So, one important issue to think about is the reason for your previous ectopic pregnancy. Help, Pregnancy loss: getting your strength back. Found inside â Page 1418Ultrasound is recommended as the first test in patients experiencing bleeding or pain beyond 5 to 7 weeks after their last menstrual period. Two frequent causes of first-trimester vaginal bleeding are ectopic pregnancy and threatened ... In the UK, ectopic pregnancy remains the leading cause of pregnancy-related first trimester death (0.35/1000 ectopic pregnancies). After the removal or simple opening of the tube the embryo usually does not survive. First signs of an ectopic pregnancy may include: Vaginal bleeding, which may be light. when do I expect to menstrate after the surgery for ectopic pregnancy? Found insideEctopic pregnancies (a pregnancy outside of the uterus) have occurred, although clinical studies have shown no increase in the ... Symptoms include spotting and cramping pain, which usually begin shortly after the first missed period. Main symptoms. She said I shouldnt have gotten pregnant so soon and I was worried about this myself as was on alot of medication and antibiotics to treat infection for a while. ����� M�� �i������.� �-�[�x����0�)U�ϳ�����4�sS�j���s1^i[������SC/�����i��^Qj#�DZ�V������u)����.��f�m)�$%������e)Ώ�H[�"�aB����;>��MY��4Z�^L M�9�������g5�� F����)��l�y�Ibl� �߹��̭&�������)�8�R��$�341��?ֽ(1���B�4���g����������Gp��"�6�4� bK����e�LB %)K3U��LU֪&�$jK �Ӟ� mV RGm�MaZ]�U�_�w�_# You may notice all the usual pregnancy symptoms along with unusual bleeding and an upset tummy or tummy pain. Hi everyone, first time posting in here. Complete enucleation of pregnancy was achieved after dissection of the vesicouterine peritoneum. I couldnât walk, I had no appetite and C literally had to do everything for me. when to expect my next period, it's almost 50 days. First period after ectopic pregnancy BabyCentr . Conception is often possible after ectopic pregnancy, but it can take some time for the physical and emotional scars to heal. I had my right tube removed due to an ectopic pregnancy back in March. I got my first period a few weeks after my surgery. Except, it doesn't feel... In rare cases, an ectopic pregnancy can occur on an ovary or in the abdominal cavity. The bleed that occurs in the first week or so of treatment for an ectopic pregnancy is not your first period. Cant believe your doc suggested that!! Iâm so sorry youâre going through this. Rarely, an ectopic pregnancy will happen in an ovary, in the cervix, or the belly (abdomen). I had my right tube removed due to an ectopic pregnancy back in March. An ectopic pregnancy can be a distressing experience. My dr says my ovaries and other tube look healthy and the ectopic was essentially a fluke and we are free to try again. What Is An Ectopic Pregnancy. I just got my first period after having my right tube removed due to an ectopic. This is like no other period I have ever had. I have sharp pain wh... Fetal Remains if you go for surgery for ectopic pregnancy Sometimes this option will not be available straight away following surgery as most of the time the fetal remains will need to go for histology, to check it was an ectopic pregnancy. So, one important issue to think about is the reason for your previous ectopic pregnancy. Ectopic pregnancy is quite dangerous which is why you must get it treated right away. Found inside â Page 144In an ectopic pregnancy ( the fetus is outside of the uterus - usually stuck in a fallopian or uterine tube ) , spotting and cramping usually begin shortly after the first period is missed . Rupture of the uterine tube usually occurs at ... Get in touch. No first period yet. You may need a few weeks to recover if you had surgery. I had an ectopic pregnancy one week ago. My left tube was removed and I was told that massive scarring was removed and my right tube is scarred shu... They also found a real small amount of Endo. Complications of ectopic pregnancy after surgery. Some women don't have any symptoms at first. Found inside â Page 133... hemorrhage First trimester whenever hypertension resolves rapidly, especially if an Special considerations Ectopic pregnancy May rupture after medical management operative delivery is performed. Paradoxically, women with Surgery ... Additional signs that the pregnancy is ectopic most often develop six to eight weeks after your last normal menstrual period but can occur throughout the first trimester. If you have been directly affected by ectopic pregnancy, you are invited to complete our Research Questionnaire. Because youâre at a higher risk of a serious medical condition called an ectopic pregnancy. An ectopic pregnancy often happens in the fallopian tube. Do I need to inform anyone of my ectopic pregnancy? I was told to expect my period around 6 weeks after ⦠After an ectopic pregnancy, thereâs about a 10% chance it will happen again. Physical recovery. Found insideThe odds of recurrent ectopic pregnancy are three times higher if an infectious pathology caused the first ectopic pregnancy. After a second ectopic pregnancy occurs, assisted reproduction is considered. Risk factors are important, ... A usual period puts a green signal that you are again hormonal ready for attempting to conceive. The first period can occur up to six weeks after the ectopic pregnancy although it may not be like your normal period. endobj So itâs often called tubal pregnancy. During the last 2 years the ⦠It will probably last a week or two, changing in colour from red to brown and diminishing. You should be able to have a normal pregnancy in the future. Found insidePregnancy After Miscarriage You will get your first period four to eight weeks after you have a miscarriage. At this point while youmay be physically readytotry again, you may not be ready emotionally. Especiallywhen a womanisinher ... It can take more than one visit to a maternity hospital to make a diagnosis. You likely will experience the discomfort for up to several weeks after your procedure. The drainage that you have after surgery, after treatment with methotrexate, or if you are monitored with enthusiasm, is not classified as your first period after ectopic pregnancy. The bleeding you have after treatment with Methotrexate, is not actually classed as your first period after the ectopic pregnancy. In many cases the symptoms have low specificity, and can be similar to those of other genitourinary and gastrointestinal disorders, such as appendicitis, salpingitis, rupture of a corpus luteum cyst, miscarriage, ovarian torsion or urinary tract infection.Clinical presentation of ectopic pregnancy occurs at a mean of Found inside â Page 13261Saliken JC , et al . pregnancy outcome after fertility surgery . Strandell A , et Can Assoc Radiol J ... Ectopic pregnancies in Greenland 1981-1990 verified by remaining tube after contralateral ectopic pregnancy . Buster JE , et al . Its 4 weeks tomorrow since I had an ectopic pregnancy diagnosed and had my left tube removed. In severe cases a women must get the ectopic pregnancy removed surgically but there are certain complications that are linked to the ectopic pregnancy after surgery. 1st Trimester; 2nd Trimester; 3rd Trimester; High Risk Pregnancy; Natural Birth; View all; Baby. Learn more about trying to conceive post ectopic pregnancy. As you recover, you can expect the following: 10. There is hope ladies. At first, you may not have any symptoms of an early ectopic pregnancy. Other signs may include: Abnormal vaginal bleeding. 1 0 obj ovulation 8 days after chemical pregnancy? Abdominal surgery can increase your chances of an ectopic pregnancy. Found inside â Page 53Hemorrhage threatens in the first period , peritonitis and septicemia in the second , while internal suppuration and compression may occur , even after the ovum has been transformed into an apparently inert mass . Found inside â Page 113... preferably soon after the first period following insertion . If pregnancy is desired , have the IUD medically removed . Most women adjust with no problems . But the following ectopic pregnancy . If that happens , surgery is required ... So that's what I did. This volume is devoted to General Gynecology, which covers care of the female patient outside of pregnancy or during the initial weeks of pregnancy. The tube is not a proper location for the embryo to develop and grow in the first place. A randomized controlled trial found that the 2-year rate of an intrauterine pregnancy after treatment for an ectopic pregnancy was 64â71% depending on the treatment used [ Fernandez, 2013 ]. Abdominal (belly) pain or pelvic pain, usually 6 to 8 weeks after a missed period. Stitches. In addition the frequency of conservative procedures (Lindström et al., 1998) are demonstrated. If you take a pregnancy test, the result will be positive. But as with anything else, the price is dependent on the customer. Mar 5, 2021 at 5:23 PM. It was in the tube. Hi all, I just have a question. Then the diagnosis of cesarean scar ectopic pregnancy was confirmed laparoscopically. Little bit of background - fell pregnant fairly quickly and we were so happy.
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