At the 6-month visit, women randomized to DMPA-IM also had lower Shannon diversity than women randomized to LNG implant, although this did not reach statistical significance (ANCOVA adjusted P = 0.16; Fig. 1c ).
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Copper intrauterine device increases vaginal concentrations of inflammatory anaerobes and depletes lactobacilli compared to hormonal options in a randomized trial.
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0.1600
0.1600