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Source: The Conversation – UK – By Liz Breen, Professor of Health Service Operations, School of Pharmacy & Medical Sciences, University of Bradford

Over a fifth of people in the UK have tried to access a weight loss drug in the last year, according to a recent poll.

Weight loss jabs such as Mounjaro (tirzepatide) and Wegovy (semaglutide) are very effective in managing obesity. Clinical trials have shown that some people lose up to 26% of their body weight while using these drugs.

With this impact, it’s no wonder a growing number of people are seeking out these products – often buying them in private clinics or online. But with plans to expand access to these drugs through NHS prescriptions, there are concerns that supply may not meet demand – especially for those people in most need.

In the UK, NHS prescriptions for weight loss jabs are only approved for people who meet strict eligibility requirements. For example, to qualify early for Mounjaro from your GP, you must have health problems due to your weight and a body mass index greater than 40 (adjusted for ethnicity). People assessed by the NHS and given prescriptions will also have access to additional support – such as advice about diet and physical activity.

Weight loss drugs can be prescribed by specialist clinics and, increasingly, local GPs. But a lack of time and resources means even those who are eligible are left waiting. Consequently, people who can afford to do so are approaching private providers for access to these medicines – despite the potential risks to their health.

There’s also evidence that people who aren’t clinically eligible for weight loss jabs prescribed by the NHS are purchasing them from online pharmacies.

Supply issues

Demand for weight loss jabs is about to grow, as the provision of Mounjaro via GPs is imminent, pending the creation of an infrastructure to support safe local prescribing.

The number of monthly GP prescriptions in England for Mounjaro has already risen from under 3,000 in March 2024 (on introduction) to over 200,000 in May 2025. Mounjaro (also marketed in the US as Zepbound) is widely considered to be the best weight loss jab currently available and a great commercial success.

GP prescriptions of all forms of semaglutide (the active ingredient in Wegovy) are more stable, at around 130,000 items per month (including generics and products to treat diabetes).

While a number of GLP-1 drugs faced shortages last year (including Wegovy and Mounjaro), these shortages have now been resolved. Shortages were spurred by a spike in global demand for these drugs alongside stockpiling by private clinics to feed requests.

Still, there were reports early this year that certain strengths of Mounjaro were difficult to access. The reasons for this are not clear, but may be due to the novelty of access to this new medication or a lack of access to alternatives.

Around 220,000 people in England are due to be offered Mounjaro via the NHS over the next three years. However, it’s estimated that 3.4 million people in England could actually be eligible for Mounjaro.

Wider NHS access to this drug is being phased to manage staff workload and ensure good support for patients. Phased rollout may also help to ensure there is enough supply for those who need to be prescribed one of these medications.

Future access

It’s likely that demand for these weight loss drugs will only continue to grow in the UK, so it’s important that supply is readily available.

Regulatory agencies have taken some steps to tighten controls of online prescribing of weight loss drugs and prevent misuse. Registered online pharmacies must seek independent verification of key clinical information (such as from a GP or through a person’s medical records) instead of relying on questionnaires or phone calls.

However, weight loss products remain easy to access for people with money and savvy search skills, but who may be clinically ineligible. The scale of demand from this group is difficult to quantify, but it’s clear more needs to be done to keep patients safe and manage demand.

Several new weight loss drugs are undergoing trials in the UK. These drugs will work similarly to those already available but may be administered differently (such as an oral tablet). The trials for these and subsequent approvals will not only increase market competition, but also improve patient access and choice.

Key patents for the manufacture of semaglutide are also due to expire in 2026 and 2031. Once a pharmaceutical product is outside of its patented time frame, other companies can be approved to manufacture it as a generic product.

A generic product is approved on the basis that it works in the same manner and has equal benefits to the original product. The generics market allows new entrants and new versions of these very popular products onto the market.

Generic products are usually less expensive and so are bought (where still clinically safe and effective) by the NHS. This change could provide greater access to weight loss medications and save the NHS and patients money in the long term.

Generic semaglutide products will probably be available in the UK from 2032 but will be initially authorised to treat diabetes rather than weight loss. Still, this should have a positive impact on the availability of prescription drugs used for both diabetes and weight management.

Generic liraglutide is already available on the NHS for the treatment of diabetes. The liraglutide brand Saxenda is also marketed for weight management. However, liraglutide is less effective than Wegovy or Mounjaro and requires daily injections.

The number of monthly NHS prescriptions for liraglutide has fallen from over 40,000 in July 2020 to 1,000 in May 2025. This fall was most likely influenced by the discontinuation of the Victoza brand for type 2 diabetes in late 2024. Shortages of all types of GLP-1 drugs, which lasted until the end of 2024, may also have impacted demand for liraglutide.

For now, NHS staff can report on known demand for these products to inform manufacturing quantities and procurement. What isn’t known is the future demand for online or private purchases of weight management drugs. It’s this “unknown” demand that may mean supply security is challenged and unsustainable.

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The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Weight loss drug demand continues to grow in the UK – here’s what’s being done to keep supplies readily available – https://theconversation.com/weight-loss-drug-demand-continues-to-grow-in-the-uk-heres-whats-being-done-to-keep-supplies-readily-available-262065

Source: The Conversation – UK – By Ioanna Stamataki, Senior Lecturer in Hydraulics and Water Engineering, University of Greenwich

In recent years, I have all too often found myself passing over an active wildfire when flying from London to my family home in Greece during the summer months. The sky glows an eerie, apocalyptic red, and the scent of smoke fills the cabin. Silence falls as we become unwilling witnesses to a tragic spectacle.

Now wildfires are again raging across the Mediterranean. But the flames themselves are only part of the story. As wildfires become more intense and frequent, they’re setting off a dangerous chain reaction – one that also includes a rising risk of devastating floods.

In January 2024, Nasa reported that climate change is intensifying wildfire conditions, noting that the frequency of the most extreme wildfires had more than doubled over the past two decades. While some of this is driven by natural weather variability, human-induced warming is clearly playing a major role. Decades of rising temperatures combined with longer and more severe droughts have created ideal conditions for wildfires to ignite and spread.

This year, another brutal Mediterranean wildfire season is unfolding right before our eyes, with numerous active wildfire fronts across the region. As of July 22 2025, 237,153 hectares have burned in the EU – an increase of nearly 78% from the same period last year. The number of fires rose by about 45%, and CO₂ emissions increased by 23% compared to 2024. These are terrifying statistics.

Climate phenomena are closely interconnected

The fires themselves are bad enough. But they’re also closely connected to other climate-related extremes, including floods.

Natural hazards often trigger chain reactions, turning one disaster into many. In the case of floods, wildfires play a big role both through weather patterns and how the land responds to rain.

On the weather side, higher temperatures lead to more extreme rainfall, as warmer air can hold more moisture and fuels stronger storms. Intense wildfires can sometimes get so hot they generate their own weather systems, like pyrocumulus clouds – towering storm clouds formed by heat, smoke and water vapour. These clouds can spark sudden, localised storms during or shortly after the fire.

The damage doesn’t end when the flames die down. Satellite data shows that burned land can remain up to 10°C hotter for nearly a year, due to lost vegetation and damaged soil.

As the world warms, the atmosphere is able to hold about 7% more moisture for every extra degree. Recent temperatures of 40°C or more in Greece suggest a capacity for more downpours and more flooding.

Wildfires also make the land itself more vulnerable to flooding. Burnt areas respond much faster to rain, as there is less vegetation to slow down the water. Wildfires also change the soil structure, often making it water-repellent. This means more water runs off the surface, erosion increases, and it takes less rain to trigger a flood.

Under these conditions, a storm expected once every ten years can cause the sort of catastrophic flooding expected only every 100 to 200 years. Water moves much faster across scorched landscapes without plants to slow it down. Wildfires also leave behind a lot of debris, which can be swept up by fast-moving floodwaters.

While EU-wide data on post-wildfire flood risk is still limited, various case studies from southern Europe offer strong evidence of the connection. In Spain’s Ebro River Basin, for example, research found that if emissions remain high and climate policy is limited, wildfires will increase the probability of high flood risk by 10%.

Nature’s ability to regenerate is nothing short of magical, but recovering from a wildfire takes time. Burnt soil takes years to return to normal and, during that time, the risks of extreme rainfall are higher. Beyond the impact of wildfires on soil and water, it is important not to overlook the devastating loss of plant and animal species or even entire ecosystems, making the natural world less biodiverse and resilient.

To reduce the frequency and severity of extreme events, we must focus on repairing climate damage. This means moving beyond isolated perspectives and adopting a multi-hazard approach that recognises how disasters are connected.

Flooding after wildfires is just one example of how one crisis can trigger another. We need to recognise these cascading risks and focus on long-term resilience over short-term fixes.

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

Ioanna Stamataki currently receives funding from the Leverhulme Trust and the Royal Society for ongoing flood research. Previous research has been supported by the EPSRC and the Newton Fund (via the British Council) for career development and international collaboration.

– ref. Flames to floods: how Europe’s devastating wildfires are fuelling its next climate crisis – https://theconversation.com/flames-to-floods-how-europes-devastating-wildfires-are-fuelling-its-next-climate-crisis-262204

Source: The Conversation – UK – By Stefan Wolff, Professor of International Security, University of Birmingham

In yet another twist in his unpredictable decision making, US president Donald Trump has dramatically shortened his original 50-day ultimatum to Vladimir Putin to call a ceasefire in Ukraine to a mere ten days. It’s an unmistakable sign of Trump’s frustration with the Russian leader who he now appears to view as the main obstacle to ending the war.

Progress has been similarly limited on another of Trump’s flagship foreign policy projects: ending the war in Gaza. As a humanitarian catastrophe engulfs the territory, Trump and some of his Maga base are finally challenging Israel’s denials that, after almost two years of war, many Gazans now face a real risk of starvation.

In neither case have his efforts to mediate and bring an end to the violence borne any fruit. But not all of Trump’s efforts to stop violence in conflicts elsewhere in the world have been similarly futile. The administration brokered a ceasefire between Rwanda and the Democratic Republic of Congo (DRC), which the two countries’ foreign ministers signed in Washington on June 27.

The US president has also claimed to be behind the ceasefire between India and Pakistan in May after the two sides had engaged in several days of fierce combat following a terror attack in Indian-administered Kashmir by a Pakistan-backed rebel group. And, drawing a clear parallel between this conflict and the border clashes between Cambodia and Thailand in July, Trump announced he had pushed both countries’ leaders to negotiate a ceasefire.

All of these ceasefires, so far, have held. By contrast, the ceasefire in the war between Israel and Hamas in Gaza, to which Trump contributed in January, even before he was inaugurated for his second term, broke down in March and fighting has escalated ever since. A short-lived ceasefire in Ukraine in April was barely worth its name given the countless violations.

Mixed record

Three factors can explain Trump’s mixed record of peacemaking to date. First, the US president is more likely to succeed in stopping the fighting where he has leverage and is willing to use it to force foreign leaders to bend to his will. For example, Trump was very clear that there would be no trade negotiations with Thailand or Cambodia “until such time as the fighting STOPS”.

The crucial difference, so far, with the situation in the war against Ukraine is that Trump has, and has used, similar leverage only with the Ukrainian president, Volodymyr Zelensky. This led to a US-Ukraine agreement on a 30-day ceasefire proposal just two weeks after the now-notorious row between Trump and Zelensky in the Oval Office.

The mere threat of sanctions against Russia, by contrast, has done little to persuade Putin to accept whatever deal might Trump offer him. Trump’s threats – which he has never followed through on – did not work in January or May. The Kremlin’s initial reactions to the latest ultimatum from the White House do not indicate a change in Putin’s attitude.

A second factor that may explain why Trump has had peacemaking success in some cases but not others is the level of complexity of US interests involved. When it comes to US relations with Russia and Israel, there is a lot more at stake for Trump.

The US president still appears keen to strike a grand bargain with Russia and China under which Washington, Beijing and Moscow would agree to recognise, and not interfere in, their respective spheres of influence. This could explains his hesitation so far to follow through on his threats to Putin.

Similarly, US interests in the Middle East – whether it’s over Iran’s nuclear programme or relations with America’s Gulf allies – have put strains on the alliance with Israel. Trump also needs to weigh carefully the impact of any move against, or in support of, Israel on his domestic support base.

In the deal Trump brokered between Rwanda and the DRC, the issues at stake were much simpler: access for US investors to the mineral riches of the eastern DRC. Just days into his second term, Trump acknowledged that the conflict was a “very serious problem”. Congo’s president, Felix Tshisekedi, responded by offering the US access to minerals in exchange for pushing Rwanda to a deal to end the invasion and stop supporting proxy forces in the DRC.

This leads to the third factor that has enabled Trump’s peace-making success so far: simpler solutions are easier to achieve. Thailand and Cambodia and India and Pakistan can go back to the situation before their recent fighting. That does not resolve any of the underlying issues in their conflicts, but returns their relations to some form of non-violent stability.

It is ultimately also in the interests of the conflict parties. They have had a chance to make their violent statements and reinforce what they will and won’t tolerate from the other side. The required investment by an external mediator to end battles that have achieved what the warring sides want anyway – to avoid further escalation – is consequently quite limited.

Complex conflicts

Getting to any kind of stability in Ukraine or the Middle East by contrast requires prolonged engagement and attention to detail. These conflicts are at a stage in which a return to how things were before is not in the interests of the parties or their external backers. Nudging warring parties along on the path to agreement under such conditions requires a well-designed process, which is absent in Ukraine and failing in Gaza.

Thanks to funding and personnel cuts, the US secretary of state, Marco Rubio, is now required to perform multiple roles. Trump relies on personal envoys with at best limited foreign policy expertise, while insisting he makes all the decisions. This ultimately suggests that the White House simply may not have the bandwidth for the level of engagement that would be necessary to get to a deal in Ukraine and the Middle East.

This is a self-inflicted opportunity lost, not only for the United States but also for the long-suffering people of Ukraine and the Middle East.

Stefan Wolff is a past recipient of grant funding from the Natural Environment Research Council of the UK, the United States Institute of Peace, the Economic and Social Research Council of the UK, the British Academy, the NATO Science for Peace Programme, the EU Framework Programmes 6 and 7 and Horizon 2020, as well as the EU’s Jean Monnet Programme. He is a Trustee and Honorary Treasurer of the Political Studies Association of the UK and a Senior Research Fellow at the Foreign Policy Centre in London.

– ref. Why Donald Trump has stopped some conflicts but is failing with Ukraine and Gaza – https://theconversation.com/why-donald-trump-has-stopped-some-conflicts-but-is-failing-with-ukraine-and-gaza-262241

Source: The Conversation – UK – By Ian Main, Professor of Seismology and Rock Physics, University of Edinburgh

The earthquake in Russia’s Kamchatka peninsula on July 30 2025 may have been one of the most severe on record, with a magnitude of 8.8. But innovations in science and technology gave governments vital time to warn and evacuate their people from the resulting tsunami.

Millions of people escaped to higher ground before the tsunami hit.

The 2004 Boxing Day 9.3 magnitude earthquake and tsunami in Sumatra, which caused approximately 230,000 deaths, some as far away as Somalia on the other side of the Indian Ocean, shows how important these warnings are.

Early warning systems were not in place for the Indian Ocean in time for the 2004 disaster. But there is now a system in place, with 27 countries participating in the group effort.

The 2004 tsunami was particularly tragic because tsunami waves travel at a steady speed in the open ocean, about as fast as a jet plane. This means they can take several hours to reach shore across an ocean, with plenty of time for warning.

An early warning system for the Pacific Ocean, based in Hawaii, was created in 1948 following a deadly tsunami two years before. On April 1 1946, the magnitude 8.6 Aleutian Islands earthquake in the northern Pacific Ocean generated a tsunami that devastated parts of Hawaii hours later, leading to 146 fatalities.

The death toll was exacerbated by the leading wave being downwards. This happens in around 50% of tsunamis, and exposes the seashore in a similar way to when the tide goes out, but exposing a larger area than normal. People sometimes investigate out of curiosity, bringing them closer to the danger.

The accuracy and response times of early tsunami warnings have significantly improved since 1948.

How tsunamis happen

To understand the work involved in protecting coastal communities, first you need to understand how tsunamis are generated.

Tsunamis are caused by displacement of mass on the sea floor after an earthquake, landslide or volcanic eruption. This provides an energy source to set off a wave in the deep sea, not just near the surface like in the ocean waves we see whipped up by the wind and storms. Most are small. The Japanese word tsunami translates somewhat innocuously as “harbour wave”.

Detailed global mapping of the sea floor, pioneered by US geologist Marie Tharpe between 1957 and 1978, helped establish the modern theory of plate tectonics. It also improved the physical models for how the tsunami will travel in the ocean.

Wave height increases as it approaches the shore, and the topography of the sea floor can result in a complicated pattern of wave interference and concentration of the energy in stream-like patterns. The establishment of sea-floor observatories led to better data for the pressure at the sea floor (related to wave height) and satellite networks now directly monitor wave height globally using radar signals from space.

One of the factors that has helped scientists predict the range of a tsunami includes the setting up of the worldwide standard station network of seismometers in 1963, which allowed better estimations of earthquake location and magnitude.

These were superseded by the digital broadband global network of seismometers in 1978, which allowed more detail on the source to be calculated quickly. This includes a better estimate of earthquake size, the source rupture area and orientation in three dimensions.

It also tells scientists about the slip, which controls the pattern of displacement on the sea floor. This data is used to forecast the time of landing, the amplitude of the wave on the shoreline, and its height in areas where the wave travels further inland.

The Pacific Ocean warning system now has 46 countries contributing data. It also uses physical and statistical models for estimating tsunami height. The models developed as scientists learnt more about earthquake sources, mapped features on the sea floor and tested model forecasts against outcomes.

Today’s technology

The early warning systems we have today are due to a decades-long commitment to global research collaboration and open data. Scientists have also improved their forecast methods. Recently they started using trained AI algorithms which could improve the timeliness and accuracy.

Pioneered by the US Geological Survey, rapid data sharing is now used routinely to estimate earthquake parameters and make them available to the public soon after the rupture stops. This can be within minutes for an initial estimate then updated over the next few hours as more data comes in.

However, the forecast wave height is inherently uncertain, variable from place to place, and may turn out to be more or less than expected. Similarly, large earthquakes are rare, making it hard to estimate how likely they are on average, and therefore to design appropriate mitigation measures.

The 2011 Tohoku earthquake and tsunami in Japan destroyed or overtopped the eight-metre high protective sea walls that had been put in place based on such hazard estimates. There were over 19,000 fatalities. As a consequence, their height has been increased to 12-15 metres in some areas.

Early warning systems also rely on rapid communication to the public, including mass alerts communicated by mobile phone, coordination by the relevant authorities across borders, clear advice, and advance evacuation plans and occasional alarm tests or drills. Although tsunami waves slow down to the speed of a car as they approach the shore, it is impossible to outrun one, so it is better to act quickly and calmly.

The effectiveness of warnings also means accepting a degree of inconvenience in false alarms where the tsunami height is less than that forecast, because this is inevitable with the uncertainties involved. For good reason, authorities issuing alerts will err on the side of caution.

To give an example, nuclear power plants on Japan’s eastern seaboard were shut down on July 30.

So far it looks like the Pacific early warning system – combined with effective levels of preparedness and action by service providers and decision makers – has worked well in reducing the number of casualties that might have happened without it.

There will always be a level of uncertainty we will have to live with. On balance, it is a small price to pay for avoiding a catastrophe.

Ian Main is professor of Seismology and Rock Physics at the University of Edinburgh. He receives funding from UK Research and Innovation Research Council, a member of the UK Office for Nuclear Regulation Expert panel on external hazards, and acts as an independent reviewer for the Energy Industry-funded SeIsmic hazard and Ground Motion Assessment research program SIGMA3.

– ref. Pacific tsunami: modern early warning systems prevent the catastrophic death tolls of the past – https://theconversation.com/pacific-tsunami-modern-early-warning-systems-prevent-the-catastrophic-death-tolls-of-the-past-262283

Source: The Conversation – UK – By Kevin Pimbblet, Professor and Director of the Centre of Excellence for Data Science, AI and Modelling, University of Hull

Vasectomy has long been regarded as a permanent, safe and effective form of contraception. Its benefits are often summarised as minimally invasive and largely risk-free.

But that may not be the full story.

In recent years, vasectomy rates in the UK have declined significantly. It’s a puzzling trend, given that the procedure’s efficacy hasn’t changed. What has arguably shifted is how men talk about it. Not in doctors’ offices, but online.

As an AI researcher working with large-scale public data, I led a 2025 study using natural language processing (NLP) – a branch of artificial intelligence that analyses patterns in human language – to examine thousands of posts from r/vasectomy and r/postvasectomypain, which are subreddits (topic-specific discussion forums) on Reddit, a social media platform where users share and comment on content in themed communities.

My goal wasn’t to weigh in on urology (I’m not that kind of doctor), but to explore the emotional tone and self-reported outcomes in digital spaces where users speak candidly and in real time.

The findings are revealing and raise important questions about informed consent, online health discourse and the growing influence of social data on healthcare communication.

Fear, regret and pain?

The most common emotional response to vasectomy, whether being considered or already undergone, is fear. To assess this, we used a tool called NRClex, a crowd-trained emotion classifier. This is an AI model trained on thousands of labelled examples to detect emotional tone in text. It found that “fear” dominated more than 70% of user-generated content.

This isn’t surprising. Men on Reddit ask questions like “How bad is the pain?” “How long does it last?” and “Will I regret this?” These are not rare concerns: they’re central to the conversation.

While overall sentiment analysis shows that most users report positive outcomes, a significant minority express deep regret and ongoing pain – sometimes lasting for years after surgery.

This pain is often described as post-vasectomy pain syndrome (PVPS), a relatively little-known condition defined by new or chronic scrotal pain that continues for more than three months after the procedure.

PVPS is poorly understood and may have multiple causes, some anatomical, some neurological and some still unclear. Though some health authorities describe it as “rare,” our Reddit data suggests it could be more common, or at least more disruptive, than currently acknowledged.

We analysed more than 11,000 Reddit posts and found that the word “pain” appeared in over 3,700 of them; roughly one-third. In many cases, the pain described persisted well beyond the expected recovery period. The word “month” appeared in nearly 900 pain-related posts, while “year” appeared in over 600.

This is noteworthy. Post-surgical pain is typically expected to resolve within days or weeks. Yet our dataset suggests that 6%–8% of Reddit users discussing vasectomy report longer-term discomfort – a rate that aligns with the upper estimates in the urological studies. More recent research, including a large-scale postoperative study, argues that the incidence is likely much lower, perhaps under 1%.

Of course, we must emphasise that these are self-reported experiences. Not all mentions of “pain” equate to a formal PVPS diagnosis. It’s also important to acknowledge that people who are dissatisfied with a medical procedure are generally more likely to post about it online – a well-recognised bias in social data. Even so, the volume, consistency and emotional intensity of these posts suggest the issue warrants closer attention from clinicians and researchers alike.

Even more strikingly, around 2% of posts mention both “pain” and “regret”, implying serious, potentially life-altering consequences for a small but significant group of people.

On r/postvasectomypain – a subreddit specifically dedicated to discussing PVPS – the tone is even more sobering. Unsurprisingly, 74% of posts describe persistent, long-term pain. Additionally, 23% mention pain during sex and 27% report changes in sensitivity.

Posts on this forum also frequently reference vasectomy reversal surgery far more often than more specialised interventions such as microsurgical denervation: a complex nerve-removal procedure used in severe cases of chronic testicular pain, typically when other treatments have failed.

From AI to andrology: an ethical crossroads

Why is a professor of AI and physics analysing pain in urology forums?

Because in today’s digital world, people increasingly turn to online platforms like Reddit for health advice, peer support and decision-making – often before speaking to a clinician. As an AI researcher, I believe we have a responsibility to examine how these discussions shape public understanding, and what they can teach us about real-world healthcare challenges.

In this case, it’s possible that the drop in vasectomy uptake is linked, at least in part, to the open and emotional sharing of negative outcomes online. These posts are not scaremongering. They’re detailed, candid and often highly specific. They represent a type of real-world evidence that clinical trials and formal studies don’t always capture.

So, what should we take from all this?

Terms like “rare”, often used in consent forms and clinical conversations, can obscure the complexity and variability of patient outcomes. Pain following vasectomy, whether mild, temporary, chronic or debilitating, appears common enough to warrant more transparent and nuanced communication.

This is not an argument against vasectomy. It remains a safe, effective, and empowering option in reproductive planning. But truly informed consent should reflect both the clinical literature and the experiences of those who undergo the procedure, especially when such experiences are now publicly available in large volumes.

In a world where online forums double as health diaries, support networks and informal research registries, we must take them seriously. Medical language matters. Terms like “rare”, “uncommon” or “low risk” carry real emotional and moral weight. They shape expectations and influence decisions.

If even a small percentage of men experience long-term pain after vasectomy, that risk should be communicated clearly, in plain English – ideally with a range of percentages drawn from published studies.

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

Kevin Pimbblet currently receives funding from STFC, EPSRC, The British Academy, The Royal Astronomical Society, The British Ecological Society, and The Office for Students. None are in direct relation to this work.

– ref. Vasectomy, pain and regret: what online forum Reddit reveals about men’s experiences – https://theconversation.com/vasectomy-pain-and-regret-what-online-forum-reddit-reveals-about-mens-experiences-261633