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baths resume after discharge stops and the cervix heals."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Cervix re-epithelializes within about 4-8 weeks; symptoms such as discharge settle by then."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine once bleeding is light and pain is controlled; clinic confirms."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":56,"unit":"days","qualifier":"Check of cervical healing, often done with a local doctor."},"requirement":"routine"}],"indications":["Benign cervical ectopy (ectropion) with symptomatic discharge","Chronic cervicitis not responding to medication","Contact bleeding from benign cervical ectropion","Small benign cervical lesions after cancer has been excluded"],"main_risks":["Infection","Delayed bleeding when the scab sheds","Cervical stenosis or scarring"],"pain":"Mild to moderate cramping during and for a few hours after; usually relieved by simple analgesics.","preparation":["Recent Pap smear and HPV test to exclude malignancy","Pregnancy test and infection screening","Schedule between periods, after bleeding stops","Avoid intercourse and vaginal products before procedure"],"recovery_timeline":[{"phase":"Days 0-3","description":"Cramping and watery or blood-tinged discharge begin.","restrictions":["No tampons","No intercourse"]},{"phase":"Days 4-14","description":"Scab forms and sheds; discharge may increase and then ease.","restrictions":["No tampons","No intercourse","No swimming or baths"]},{"phase":"Weeks 3-6","description":"Discharge settles as the cervix heals.","restrictions":["No swimming or baths until discharge stops","Avoid intercourse until cleared by clinician"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary daily activity; cervical healing continues for weeks."},"result_longevity":"Usually lasting; ectopy or symptoms can recur, especially with hormonal factors.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat cautery for persistent or recurrent ectopy or symptoms within 12 months."},"scars":"No external scars; internal cervical scarring is uncommon.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single treatment session is usual."},"stages":[{"code":"cautery","label":"Cervical cautery treatment","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of arrival or first visit."}}],"qualifier":"Repeat treatment only if lesion persists after healing."},"success":{"metric":"Symptom resolution (discharge or contact bleeding)","value":85,"unit":"percent of patients","horizon":"3 months","population":"Adult women with symptomatic benign cervical ectropion or chronic cervicitis, cancer excluded","evidence_status":"limited"},"techniques":[{"name":"Electrocautery (diathermy)","suits_whom":"Benign ectropion or chronic cervicitis after cancer excluded.","recovery":"Discharge for 2-4 weeks; healing 4-8 weeks."},{"name":"Cryocautery (cryotherapy)","suits_whom":"Small superficial benign lesions.","recovery":"Watery discharge 2-4 weeks; mild cramping."},{"name":"Chemical cautery (silver nitrate)","suits_whom":"Mild, small ectopy or bleeding points.","recovery":"Minimal; light discharge for a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.25,"unit":"hours","qualifier":"Procedure takes about 6-15 minutes; total visit up to 30 minutes."},"initial_assessment_documents":["Recent Pap smear report","HPV test result","Colposcopy or biopsy report (if available)","Pelvic ultrasound report (if available)","Gynecological history summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single short office procedure; stay 2-4 days. Healing check can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy vaginal bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/womens-outpatients-cervical-ectopy","host":"ncic.nhs.uk","quote":"· Heavy vaginal bleeding","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Severe abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/womens-outpatients-cervical-ectopy","host":"ncic.nhs.uk","quote":"· Severe abdominal pain","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Smelly vaginal discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/womens-outpatients-cervical-ectopy","host":"ncic.nhs.uk","quote":"· A smelly discharge","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Fever or high temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/womens-outpatients-cervical-ectopy","host":"ncic.nhs.uk","quote":"· Fever or high temperature","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your bleeding is linked to taking the combined contraceptive pill","name":"Changing contraceptive 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