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leave.","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 prefer a nonsurgical option to surgery","name":"Herbal vaginal creams","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4564506/","host":"pmc.ncbi.nlm.nih.gov","quote":"Nonsurgical methods like creams containing herbal extracts and hydroxyethyl cellulose substances have been tried.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a reported alternative to surgery","name":"Pelvic floor exercises","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10565202/","host":"pmc.ncbi.nlm.nih.gov","quote":"Fake blood capsules and pelvic floor exercises have been reportedly used as potential alternatives to 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