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Also, I was not seeing a high level of change in my shoulder pain & movement

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This in turn alters downstream testosterone, estradiol, and progesterone levels, which impact ovulation timing and sperm production

In such cases, no treatment is generally required Cryotherapy or laser surgery with an appropriate wavelength laser can be performed to attempt to restore normal pigmentation If required, a surgical excision and complete removal of the macule, primarily to address cosmetic issues might be performed Treatment of the underlying associated genetic disorder, if any Follow-up care with regular screening and check-ups are encouraged How can Penile Melanotic Macules be Prevented