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Although the benefits of behavioral counseling interventions and pharmacotherapy in nonpregnant adults and the benefits of behavioral counseling interventions in pregnant adults are well established, additional research on effective components of behavioral counseling and who to target specific interventions to would be informative

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17 While surgical excision is the treatment of choice in the presence of moderate or severe OED, 10-35% of cases demonstrate recurrence post excision, particularly if there is dysplasia present at the excision margins or persistence of risk factors