Reply: Iatrogenic breaching of the junctional zone: the unintended path to placenta accreta spectrum?

Our study concerns a highly selected group of patients with longstanding infertility and recurrent implantation failure, all of whom had exhausted conventional treatment strategies before referral.The article does not present any of the described interventions -such as gonadotropin releasing hormone suppression, platelet-rich plasma, or adjuvant medications-as validated therapies; these were clearly documented as part of patients' prior management.We fully agree that such approaches currently lack robust evidence and should be confined to research settings.