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A large population-based study found females with a history of lower genital tract infections were at a 2.01 times higher risk of endometriosis than those without this history 74 , while another population-based retrospective cohort found a 3.02 times greater risk of being diagnosed with endometriosis in females who had previously had pelvic inflammatory disease (pathogenic bacteria spreading from vagina to upper genital tract) 75

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Also, Zayni et al