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This mechanism influences the hypothalamic-pituitary-gonadal axis, which controls reproductive hormones like estrogen and progesterone

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Although pain scores are lower with stapled hemorrhoidopexy than with excisional hemorrhoidectomy, this procedure is not superior in terms of recurrences.34,35 Also, practitioners should be careful about specific complications of stapled hemorrhoidopexy, such as rectovaginal fistula, anal stenosis or sphincter injuries