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American sex doll manufacturers face a complex legal and regulatory environment, which presents both advantages and challenges. Strict safety standards and quality regulations raise the bar for the industry, protecting the market position of established companies. However, these compliance requirements also increase production costs, making American full size sex dolls less price competitive in the international market. Furthermore, import regulations vary significantly across countries, requiring American sex dolls to adapt to various market access requirements. The EU's new environmental directive, cultural censorship in Asian countries, and strict restrictions in the Middle East all pose challenges to the global expansion of the American sex doll. Companies need to develop more flexible international compliance strategies.