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The high incidence of purulent vaginal discharge (PVD) in the first three weeks postpartum is significantly associated with early vaginal microbial features, characterized by enrichment of Trueperella pyogenes , Fusobacterium necrophorum , and Porphyromonas levii

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Over time, this can lead to: Altered cortisol rhythms Increased muscle tension Impaired circulation Reduced immune surveillance Slower tissue repair In a persistent threat state, physiologic resources are diverted away from healing and toward short-term survival