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Follow-up semen analysis at 8-16 weeks can be done locally at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Have all your questions answered before signing any forms","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/4423-vasectomy-sterilization","host":"my.clevelandclinic.org","quote":"Before you sign any forms, make sure you don’t have any questions and are comfortable with your decision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm how your aftercare will be coordinated before you 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complications offered before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood, pus or liquid leaking from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/contraception/methods-of-contraception/vasectomy-male-sterilisation/complications","host":"nhs.uk","quote":"you notice blood, pus or liquid leaking from the wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Scrotal pain or swelling suddenly gets worse","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/contraception/methods-of-contraception/vasectomy-male-sterilisation/complications","host":"nhs.uk","quote":"the pain and swelling in your scrotum and testicles suddenly gets worse or shows no sign of getting better after a few days","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"New scrotal lump that keeps getting 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