{"id":4432,"date":"2020-03-03T17:50:47","date_gmt":"2020-03-03T17:50:47","guid":{"rendered":"http:\/\/localhost\/neww\/fertility-treatments-an-overview\/"},"modified":"2024-03-21T10:48:58","modified_gmt":"2024-03-21T10:48:58","slug":"fertility-treatments-an-overview","status":"publish","type":"post","link":"https:\/\/www.exseedhealth.com\/sv\/fertility-treatments-an-overview\/","title":{"rendered":"Fertilitetsbehandlingar - en \u00f6versikt"},"content":{"rendered":"<p>Andelen barn som f\u00f6ds med hj\u00e4lp av fertilitetsbehandlingar - eller artificiella reproduktionstekniker - varierar kraftigt i v\u00e4rlden. I USA \u00e4r det n\u00e4stan 2%, medan det i Danmark \u00e4r hela v\u00e4gen upp till cirka 10%. Vilken metod som anv\u00e4nds beror p\u00e5 orsaken till infertiliteten, men varierar ocks\u00e5 mellan l\u00e4nder och kliniker.<\/p>\n<p>I den h\u00e4r artikeln presenterar vi en \u00f6versikt \u00f6ver de viktigaste fertilitetsbehandlingarna. Konstellationerna och kostnaderna f\u00f6r behandlingarna kan variera fr\u00e5n klinik till klinik.<\/p>\n<h2><strong>Intrauterin insemination (IUI)<\/strong><\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-98408 size-full\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI.png\" alt=\"Intrauterin insemination (IUI)\" width=\"600\" height=\"531\" srcset=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI.png 600w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI-300x266.png 300w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI-14x12.png 14w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI-60x53.png 60w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intrauterine-Insemination-IUI-110x97.png 110w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p>Vid denna behandling samlar du spermier fr\u00e5n mannen (partner eller donator) och f\u00f6r in dem direkt i kvinnans livmoder p\u00e5 \u00e4gglossningsdagen genom en tunn, flexibel kateter. Den kvinnliga partnern kan beh\u00f6va ta hormoner f\u00f6r att \u00f6ka chanserna att inseminera kvinnan n\u00e4r hon har \u00e4gglossning.<\/p>\n<p>F\u00f6r att denna behandling ska fungera m\u00e5ste kvinnan ha fri passage i \u00e4ggledarna och inga andra st\u00f6rre fertilitetsproblem. Den erbjuds vanligtvis till par d\u00e4r mannen har suboptimala <a href=\"https:\/\/www.exseedhealth.com\/sv\/semen-analysis-what-is-measured\/\" target=\"_blank\" rel=\"noopener noreferrer\">Spermakvalitet<\/a>men fortfarande ett spermieantal p\u00e5 \u00f6ver 5 miljoner progressiva spermier per ml.<\/p>\n<p>Denna behandling \u00f6verv\u00e4gs oftast i fallet med:<\/p>\n<ul>\n<li>Problem med vaginalt samlag<\/li>\n<li>Personer i samk\u00f6nade relationer<\/li>\n<li>Personer som \u00e4r smittade av HIV<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\"><strong>In vitro-befruktning (IVF)<\/strong><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-98410\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF.png\" alt=\"In vitro-befruktning (IVF)\" width=\"600\" height=\"486\" srcset=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF.png 600w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF-300x243.png 300w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF-15x12.png 15w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF-60x49.png 60w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/In-Vitro-Fertilization-IVF-110x89.png 110w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p>IVF \u00e4r en process i flera steg. Vid IVF f\u00e5r kvinnan hormoner f\u00f6r att stimulera hennes omogna \u00e4gg (folliklar) att mogna. N\u00e4r folliklarna har mognat injicerar kvinnan ett \u00e4gglossningsfr\u00e4mjande l\u00e4kemedel i sig sj\u00e4lv. Detta s\u00e4kerst\u00e4ller att \u00e4gglossningen sker i r\u00e4tt tid och kontrolleras mycket exakt. D\u00e4refter tar laboratoriet ut \u00e4ggen fr\u00e5n \u00e4ggstockarna och blandar dem med spermier f\u00f6r att hj\u00e4lpa spermierna att befrukta \u00e4ggen. Efter n\u00e5gra dagar \u00e4r \u00e4ggen (embryona) redo att s\u00e4ttas in direkt i kvinnans livmoder. Graviditet intr\u00e4ffar om n\u00e5got av embryona implanteras i livmoderslemhinnan. Man m\u00e5ste vanligtvis v\u00e4nta i 2 veckor innan man kan g\u00f6ra ett graviditetstest f\u00f6r att se om behandlingen har fungerat.<\/p>\n<p>L\u00e4karen implanterar sedan embryona i livmodern.<\/p>\n<p>IVF \u00e4r aktuellt i f\u00f6ljande fall:<\/p>\n<ul>\n<li>L\u00e5gt antal spermier.<\/li>\n<li>Problem med \u00e4gglossningen p\u00e5 grund av tillst\u00e5nd som polycystiskt ovariesyndrom (PCOS)<\/li>\n<li>Problem med \u00e4ggledarna<\/li>\n<li>Endometrios<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\"><strong>Intracytoplasmatisk spermieinjektion (ICSI)<\/strong><\/h2>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-98411\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI.png\" alt=\"Intracytoplasmatisk spermieinjektion (ICSI)\" width=\"600\" height=\"409\" srcset=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI.png 600w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI-300x205.png 300w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI-18x12.png 18w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI-60x41.png 60w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Intracytoplasmic-Sperm-Injection-ICSI-110x75.png 110w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p>ICSI \u00e4r en specialiserad form av IVF. I st\u00e4llet f\u00f6r att l\u00e5ta spermierna befrukta ett \u00e4gg i en sk\u00e5l suger en liten n\u00e5l, en s\u00e5 kallad mikropipett, upp en enda spermie som ser frisk ut och injicerar den i mitten av \u00e4gget. P\u00e5 samma s\u00e4tt som vid IVF v\u00e4xer det befruktade \u00e4gget (embryot) under n\u00e5gra dagar i laboratoriet innan det f\u00f6rs in i livmodern.<\/p>\n<p>ICSI \u00f6verv\u00e4gs i f\u00f6ljande fall:<\/p>\n<ul>\n<li>Mycket l\u00e5gt antal spermier.<\/li>\n<li>Misslyckade IVF-f\u00f6rs\u00f6k, d\u00e4r \u00e4ggen inte har befruktats<\/li>\n<li>Donator\u00e4gg eller tidigare frysta \u00e4gg anv\u00e4nds<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\"><strong>Hur framg\u00e5ngsrika \u00e4r fertilitetsbehandlingarna?<\/strong><\/h2>\n<p>N\u00e4r ett par f\u00e5r en remiss till en fertilitetsbehandling fr\u00e5gar de ofta l\u00e4karen hur sannolikt det \u00e4r att en enda behandlingscykel kommer att resultera i en lyckad graviditet.<\/p>\n<p>Detta \u00e4r mycket sv\u00e5rt att svara p\u00e5 eftersom det beror p\u00e5 m\u00e5nga faktorer. Det kan handla om kvinnans \u00e5lder, spermiekvalitet, svar p\u00e5 hormonbehandling, tidigare resultat av fertilitetsbehandling etc.<\/p>\n<p>Specifikt f\u00f6r IUI kommer \u00f6ver 50% av kvinnor i \u00e5ldern under 40 \u00e5r att bli gravida inom 6 cykler av IUI <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg156\/evidence\/full-guideline-pdf-188539453\">(NICE riktlinjer f\u00f6r fertilitet)<\/a>.<\/p>\n<p>F\u00f6r IVF visade en nyligen genomf\u00f6rd analys av 20.000 danska par som genomg\u00e5tt fertilitetsbehandling att under 3 \u00e5rs fertilitetsbehandling hade 65% haft lyckade graviditeter. Under loppet av 5 \u00e5r hade 71% lyckade graviditeter.<\/p>\n<p><strong>\u00c5lder<\/strong>\u00a0p\u00e5verkar\u00a0<strong>fertilitet<\/strong>\u00a0av b\u00e5de m\u00e4n och kvinnor.\u00a0<strong>\u00c5lder<\/strong>\u00a0\u00e4r den enskilt st\u00f6rsta faktorn som p\u00e5verkar en kvinnas chans att bli gravid och f\u00e5 ett friskt barn. Faktum \u00e4r att en kvinnas fertilitet b\u00f6rjar minska redan i b\u00f6rjan av 30-\u00e5rs\u00e5ldern och att minskningen g\u00e5r snabbare efter 35. Se en illustration av detta i tabellen nedan. Ju h\u00f6gre kvinnans \u00e5lder \u00e4r, desto mindre \u00e4r chansen att lyckas med IVF.<\/p>\n<p>I enlighet med <a href=\"https:\/\/www.nhs.uk\/conditions\/ivf\/\">NHS-statistik<\/a>Detta \u00e4r procentandelen IVF-behandlingar som resulterade i levande f\u00f6dda barn per \u00e5ldersgrupp:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-98412\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births.png\" alt=\"NHS statistik \u00f6ver IVF som leder till f\u00f6dslar\" width=\"895\" height=\"593\" srcset=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births.png 895w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-300x199.png 300w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-768x509.png 768w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-18x12.png 18w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-60x40.png 60w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-110x73.png 110w, https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/NHS-stats-in-IVF-resulting-in-births-600x398.png 600w\" sizes=\"(max-width: 895px) 100vw, 895px\" \/><\/p>\n<p>F\u00f6r dina individuella chanser till graviditet, b\u00e5de naturligt eller med fertilitetsbehandling, b\u00f6r du tillsammans med din partner konsultera en fertilitetsexpert.<\/p>","protected":false},"excerpt":{"rendered":"<p>The percentage of children born with the help of fertility treatments &#8211; or artificial reproduction techniques &#8211; varies greatly in the world. In the United States, it&#8217;s nearly 2%, while in Denmark, it&#8217;s all the way up to around 10%. The method used depends on the cause of the infertility, but also varies between countries [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":98407,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[198,202],"tags":[90,91,92,93,94,95,96,97,57],"class_list":["post-4432","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-fertility","category-womens-fertility","tag-art","tag-fertility-treatment","tag-icsi","tag-in-vitro-fertilization","tag-intracytoplasmic-sperm-injection","tag-intrauterine-insemination","tag-iui","tag-ivf","tag-male-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 Treatments for Infertility - an Overview<\/title>\n<meta name=\"description\" content=\"In this article we present an overview of the main fertility treatments offered to couples suffering from subfertility or infertility: IUI, IVF and ICSI.\" \/>\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\/sv\/fertility-treatments-an-overview\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fertility Treatments for Infertility - an Overview\" \/>\n<meta property=\"og:description\" content=\"In this article we present an overview of the main fertility treatments offered to couples suffering from subfertility or infertility: IUI, IVF and ICSI.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.exseedhealth.com\/sv\/fertility-treatments-an-overview\/\" \/>\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=\"2020-03-03T17:50:47+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-21T10:48:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2020\/03\/Fertility-Treatments-\u2013-An-Overview.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Dr. Fatin Willendrup\" \/>\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=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Fatin Willendrup\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-treatments-an-overview\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/fertility-treatments-an-overview\\\/\"},\"author\":{\"name\":\"Dr. Fatin Willendrup\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#\\\/schema\\\/person\\\/1271d866a2f1d6a65076a4cd1efb6c23\"},\"headline\":\"Fertility Treatments &#8211; 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