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Repeat cycles need extra trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Whether the facility and the health professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check whether donor sperm is screened for infections and inherited conditions","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"Donor sperm is frozen and checked for infections and inherited conditions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the partner's fertility is tested when partner sperm is used","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"If you’re using your partner’s sperm, they will also need tests to check their fertility.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be 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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":"Severe cramping after insemination","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/pregnancy/cramping-after-iui","host":"healthline.com","quote":"Contact your doctor if your cramping is severe or accompanied by other symptoms like fever or abnormal vaginal discharge.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Abnormal vaginal discharge after 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must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are having difficulty getting pregnant","name":"In vitro fertilization (IVF)","source":{"url":"https://www.nhs.uk/conditions/intrauterine-insemination-iui/","host":"nhs.uk","quote":"In vitro fertilisation (IVF) treatment is usually recommended for people who are having difficulty getting pregnant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":158},{"id":"A2","text":"You do not ovulate regularly","name":"Clomifene tablets","source":{"url":"https://www.nhs.uk/conditions/infertility/treatment/","host":"nhs.uk","quote":"clomifene – encourages the monthly release of an egg (ovulation) in women who do not ovulate 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