{"id":94485,"date":"2022-09-23T12:43:32","date_gmt":"2022-09-23T11:43:32","guid":{"rendered":"https:\/\/www.exseedhealth.com\/?p=94485"},"modified":"2024-09-20T10:42:24","modified_gmt":"2024-09-20T09:42:24","slug":"fertility-conception-and-hiv","status":"publish","type":"post","link":"https:\/\/www.exseedhealth.com\/da\/fertility-conception-and-hiv\/","title":{"rendered":"Fertilitet, befrugtning og HIV"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Er det muligt at f\u00e5 et barn, hvis man er HIV-positiv? Generelt set er svaret ja. Takket v\u00e6re de medicinske fremskridt lever mange mennesker med hiv et lykkeligt og sundt liv og kan blive for\u00e6ldre, hvis det er noget, de \u00f8nsker! Men p\u00e5virker hiv din fertilitet? Og er det sikkert at blive gravid p\u00e5 naturlig vis, eller er det n\u00f8dvendigt at g\u00e5 gennem assisteret fertilitetsbehandling? Vi har alt, hvad du har brug for at vide, lige her.\u00a0\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Har hiv indflydelse p\u00e5 fertiliteten?<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Der er <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3165097\/#:~:text=Sperm%20parameters%20that%20reflect%20fertility,affected%20(88%E2%80%9390).\">nogle beviser<\/a> der tyder p\u00e5, at hiv kan p\u00e5virke b\u00e5de m\u00e6nds og kvinders fertilitet. For kvinder kan virussen g\u00f8re det sv\u00e6rere for kroppen at producere \u00f8strogen og progesteron - begge vigtige hormoner for reproduktion - og for kvinder kan virussen g\u00f8re det sv\u00e6rere for kroppen at producere \u00f8strogen og progesteron. Dette kan ikke kun p\u00e5virke fertiliteten, men kan ogs\u00e5 f\u00f8re til tidlig overgangsalder.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">For m\u00e6nd, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3165097\/#:~:text=Sperm%20parameters%20that%20reflect%20fertility,affected%20(88%E2%80%9390).\">unders\u00f8gelser<\/a> har vist, at s\u00e6dparametre, herunder motilitet, koncentration og morfologi, alle er v\u00e6sentligt forringet hos personer med HIV. Fertilitetsproblemer for b\u00e5de m\u00e6nd og kvinder synes at korrelere med et lavt CD4-tal, hvilket betyder, at jo mere fremskreden og aggressiv din hiv er, jo st\u00f8rre er sandsynligheden for, at du har sv\u00e6rt ved at blive gravid.\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Hvad er en CD4-t\u00e6lling?\u00a0<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">CD4-celler er hvide blodlegemer, som spiller en vigtig rolle i forbindelse med vores immunsystem. Et CD4-tal er antallet af disse celler i en kubikmeter blod.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">En person, der ikke har HIV, har et CD4-tal p\u00e5 mellem 500 og 1500. Hvis du har hiv, men h\u00e5ndterer det med medicin, b\u00f8r dine CD4-celler v\u00e6re over 500 - hvilket betyder, at du kan leve et lykkeligt og sundt liv! Men hvis du har hiv og dit CD4-tal er under 300, kan du v\u00e6re i risiko for at udvikle alvorlige sygdomme, og under 200 vil en l\u00e6ge sandsynligvis diagnosticere, at din hiv har udviklet sig til aids.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">At blive gravid p\u00e5 naturlig vis med hiv<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Selv om fertilitetsproblemer ikke er ualmindelige hos personer med HIV, er det ikke umuligt at blive gravid p\u00e5 naturlig vis, hvis du indg\u00e5r i et heteroseksuelt par! Heldigvis er kondomer ikke l\u00e6ngere den eneste m\u00e5de, hvorp\u00e5 du kan beskytte dig selv mod hiv eller undg\u00e5 at give det videre til en partner.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Hvis du er i et serodiskordant forhold - n\u00e5r den ene partner er hiv-positiv og den anden er hiv-negativ - er det sandsynligt, at I allerede tager medicin for at beskytte jer begge. Denne medicin vil ogs\u00e5 v\u00e6re med til at beskytte dig, hvis du fors\u00f8ger at blive gravid p\u00e5 naturlig vis.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Hvis du er hiv-negativ, kan du ved at tage PrEP - en daglig pille - reducere risikoen for at blive smittet med hiv med <a href=\"https:\/\/www.cdc.gov\/hiv\/prevention\/prep.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/hiv\/basics\/prep\/prep-effectiveness.html\">99%<\/a>, hvis det tages som foreskrevet. For personer, der lever med hiv, kan antiretroviral behandling reducere din viral belastning s\u00e5 lavt, at du ikke kan p\u00e5vises - hvilket betyder, at din risiko for at overf\u00f8re virussen er nul.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">N\u00e5r du er begyndt p\u00e5 antiretroviral behandling, vil din viral belastning sandsynligvis v\u00e6re uopdagelig inden for 6 m\u00e5neder. Det anbefales derefter at v\u00e6re forsigtig i yderligere 6 m\u00e5neder - og stadig tage din medicin som foreskrevet - mens din krop viser, at den kan opretholde en ikke p\u00e5viselig viral belastning. Efter 12 m\u00e5neder, hvis du stadig registrerer en ikke p\u00e5viselig viral belastning og stadig tager din medicin, er der n\u00e6sten ingen risiko for, at du videregiver hiv til en seksuel partner. Det anbefales, at hvis du \u00f8nsker at fors\u00f8ge at f\u00e5 et barn p\u00e5 naturlig vis, skal du sikre dig, at du har v\u00e6ret uefterviselig i mindst 12 m\u00e5neder.\u00a0\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">HIV og assisteret fertilitetsbehandling<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Der er mange grunde til, at du kan beslutte dig for at v\u00e6lge assisteret fertilitetsbehandling, og disse behandlinger er stadig tilg\u00e6ngelige, hvis du lever med hiv - hvis du er i et heteroseksuelt par (men mere om det senere).\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Hvis du er hiv-positiv, er der m\u00e5der at sikre, at du ikke giver virussen videre til din partner, surrogat eller dit barn under assisteret fertilitetsbehandling. For det f\u00f8rste anbefales det, at du altid gennemg\u00e5r antiretroviral behandling for at reducere din viral belastning, f\u00f8r du g\u00e5r i gang med behandlingen - det er faktisk en foruds\u00e6tning for mange fertilitetsklinikker.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Uanset om du er i gang med IVF, ICSI eller IUI, er det ogs\u00e5 n\u00f8dvendigt at gennemg\u00e5 en s\u00e6dvask. Dette er en proces, der adskiller s\u00e6dceller fra s\u00e6d og giver l\u00e6gerne mulighed for at identificere og fjerne virus fra din s\u00e6d.<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4779710\/\"> Unders\u00f8gelser<\/a> har vist, at s\u00e6dvask er utroligt effektivt til at reducere risikoen for overf\u00f8rsel til n\u00e6sten nul - s\u00e5 det er en meget sikker l\u00f8sning. Du kan ogs\u00e5 bruge vasket s\u00e6d til <a href=\"https:\/\/www.exseedhealth.com\/da\/iui-vs-ici\/\">ICI-behandling<\/a> (at-<a href=\"https:\/\/www.exseedhealth.com\/da\/where-to-find-a-sperm-donor-in-the-uk\/\">hjemmeinsemination<\/a>).\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Assisteret Fertilitetsbehandling, IVF og par af samme k\u00f8n\u00a0<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Mens assisteret fertilitetsbehandling i \u00f8jeblikket er tilg\u00e6ngelig for heteroseksuelle par, hvor den ene partner eller begge er HIV-positive, er det samme desv\u00e6rre ikke tilf\u00e6ldet for par af samme k\u00f8n. I Det Forenede Kongerige er det ikke tilladt at v\u00e6re s\u00e6d- eller \u00e6gdonor, hvis man er hiv-positiv - og for par af samme k\u00f8n er dette et problem.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Hvis I er to m\u00e6nd, der \u00f8nsker at blive gravide, skal I levere s\u00e6d til en surrogat. I denne situation er den person, der leverer s\u00e6d, teknisk set klassificeret som \"donor\", hvilket betyder, at hvis du har HIV, kan du ikke gennemg\u00e5 processen. Hvis I begge er kvinder, og I \u00f8nsker at bruge den ene partners \u00e6g, men at f\u00e5 dem implanteret i en anden partner til at b\u00e6re graviditeten, betragtes dette ogs\u00e5 som \u00e6gdonor (selv om den person, som I \"donerer\" \u00e6ggene til, er jeres partner) - og heri ligger problemet.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Hvis kun den ene af jer er hiv-positiv, er det naturligvis muligt at gennemg\u00e5 assisteret fertilitetsbehandling udelukkende ved hj\u00e6lp af s\u00e6d eller \u00e6g fra den hiv-negative partner. Dette begr\u00e6nser dog mulighederne for par, hvor begge er hiv-positive, og det betyder ogs\u00e5, at partnere, der er hiv-positive, ikke har nogen mulighed for at blive biologisk forbundet med deres barn.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">I betragtning af de medicinske fremskridt, der kan reducere risikoen for at overf\u00f8re hiv til praktisk talt nul, f\u00f8les denne lovgivning for\u00e6ldet og uretf\u00e6rdig og har en negativ indvirkning p\u00e5 livet for utallige mennesker, der har hiv og \u00f8nsker at blive for\u00e6ldre. National Aids Trust er i \u00f8jeblikket i gang med<a href=\"https:\/\/www.nat.org.uk\/equal-hiv-fertility-rights-now-faq\"> at gennemf\u00f8re et andragende<\/a> for at f\u00e5 denne lov omst\u00f8dt.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">HIV og graviditet\u00a0<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Det er muligt at overf\u00f8re hiv til et barn under graviditet, f\u00f8dsel og amning. Men igen, hvis du tager medicin, der betyder, at din viral belastning er uopdagelig, er risikoen for, at dette sker, meget lille. Nogle l\u00e6ger kan anbefale kejsersnit for at reducere risikoen yderligere, og nogle mennesker v\u00e6lger at give deres barn flaskefodring, n\u00e5r det kommer til verden, for yderligere at reducere risikoen for overf\u00f8rsel. Hvis du er gravid og hiv-positiv, vil dit l\u00e6geteam kunne r\u00e5dgive dig om den bedste fremgangsm\u00e5de for at sikre, at du og dit barn holdes sikre og sunde.<\/p>","protected":false},"excerpt":{"rendered":"<p>Is it possible to have a baby if you are HIV positive? Generally speaking, the answer is yes. Thanks to medical advancements, many people with HIV lead happy, healthy lives and can go on to become parents if that\u2019s something they want! But does HIV impact your fertility? And is it safe to conceive naturally [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":98726,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[198,202],"tags":[],"class_list":["post-94485","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-fertility","category-womens-fertility"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Fertility, Conception and HIV<\/title>\n<meta name=\"description\" content=\"Delve into the intersection of fertility, conception, and HIV. Learn about reproductive health for couples facing the challenges of HIV\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.exseedhealth.com\/da\/fertility-conception-and-hiv\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fertility, Conception and HIV\" \/>\n<meta property=\"og:description\" content=\"Delve into the intersection of fertility, conception, and HIV. Learn about reproductive health for couples facing the challenges of HIV\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.exseedhealth.com\/da\/fertility-conception-and-hiv\/\" \/>\n<meta property=\"og:site_name\" content=\"ExSeed Health\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ExSeedHealth\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-23T11:43:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-20T09:42:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2022\/09\/Fertility-Conception-And-HIV.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Coni Longden-Jefferson\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ExSeed_Health\" \/>\n<meta name=\"twitter:site\" content=\"@ExSeed_Health\" \/>\n<meta name=\"twitter:label1\" content=\"Skrevet af\" \/>\n\t<meta name=\"twitter:data1\" content=\"Coni Longden-Jefferson\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimeret l\u00e6setid\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/\"},\"author\":{\"name\":\"Coni Longden-Jefferson\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#\\\/schema\\\/person\\\/f9b370c483652437beba94d28562cb3b\"},\"headline\":\"Fertility, Conception and HIV\",\"datePublished\":\"2022-09-23T11:43:32+00:00\",\"dateModified\":\"2024-09-20T09:42:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/\"},\"wordCount\":1118,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.exseedhealth.com\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/Fertility-Conception-And-HIV.webp\",\"articleSection\":[\"Men\u2019s Fertility\",\"Women\u2019s Fertility\"],\"inLanguage\":\"da-DK\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/\",\"url\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/\",\"name\":\"Fertility, Conception and HIV\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-conception-and-hiv\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.exseedhealth.com\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/Fertility-Conception-And-HIV.webp\",\"datePublished\":\"2022-09-23T11:43:32+00:00\",\"dateModified\":\"2024-09-20T09:42:24+00:00\",\"description\":\"Delve into the intersection of fertility, conception, and HIV. 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