{"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\/sv\/fertility-conception-and-hiv\/","title":{"rendered":"Fertilitet, befruktning och hiv"},"content":{"rendered":"<p class=\"wp-block-paragraph\">\u00c4r det m\u00f6jligt att f\u00e5 barn om man \u00e4r hiv-positiv? Generellt sett \u00e4r svaret ja. Tack vare medicinska framsteg lever m\u00e5nga hiv-positiva ett lyckligt och h\u00e4lsosamt liv och kan bli f\u00f6r\u00e4ldrar om det \u00e4r n\u00e5got de vill! Men p\u00e5verkar hiv din fertilitet? Och \u00e4r det s\u00e4kert att bli gravid p\u00e5 naturlig v\u00e4g eller \u00e4r det n\u00f6dv\u00e4ndigt att genomg\u00e5 assisterad befruktning? Vi har allt du beh\u00f6ver veta h\u00e4r.\u00a0\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">P\u00e5verkar hiv fertiliteten?<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Det finns <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3165097\/#:~:text=Sperm%20parameters%20that%20reflect%20fertility,affected%20(88%E2%80%9390).\">vissa bevis<\/a> som tyder p\u00e5 att hiv kan p\u00e5verka fertiliteten hos b\u00e5de m\u00e4n och kvinnor. F\u00f6r kvinnor kan viruset g\u00f6ra det sv\u00e5rare f\u00f6r kroppen att producera \u00f6strogen och progesteron - b\u00e5da viktiga hormoner f\u00f6r reproduktionen. Detta kan inte bara p\u00e5verka fertiliteten utan ocks\u00e5 leda till tidig menopaus.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">F\u00f6r m\u00e4n, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3165097\/#:~:text=Sperm%20parameters%20that%20reflect%20fertility,affected%20(88%E2%80%9390).\">studier<\/a> har visat att spermieparametrar som motilitet, koncentration och morfologi alla \u00e4r signifikant f\u00f6rs\u00e4mrade hos personer med HIV. Fertilitetsproblem f\u00f6r b\u00e5de m\u00e4n och kvinnor verkar korrelera med ett l\u00e5gt CD4-antal, vilket inneb\u00e4r att ju mer avancerad och aggressiv din hiv \u00e4r, desto mer sannolikt \u00e4r det att du har sv\u00e5rt att bli gravid.\u00a0\u00a0<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Vad \u00e4r ett CD4-tal?\u00a0<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">CD4-celler \u00e4r vita blodkroppar som har en viktig roll i att st\u00f6dja v\u00e5rt immunf\u00f6rsvar. Ett CD4-v\u00e4rde \u00e4r antalet av dessa celler i en kubikmeter blod.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">F\u00f6r en person som inte har HIV ligger CD4-v\u00e4rdet p\u00e5 mellan 500 och 1500. Om du har hiv men hanterar det med medicinering b\u00f6r dina CD4-celler vara \u00f6ver 500 - vilket inneb\u00e4r att du kan leva ett lyckligt och h\u00e4lsosamt liv! Men om du har hiv och ditt CD4-tal \u00e4r under 300 kan du riskera att utveckla allvarliga sjukdomar och under 200 kommer en l\u00e4kare sannolikt att diagnostisera att din hiv har utvecklats till aids.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Att bli gravid p\u00e5 ett naturligt s\u00e4tt med HIV<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u00c4ven om fertilitetsproblem inte \u00e4r ovanliga hos personer med hiv, \u00e4r det inte om\u00f6jligt att bli gravid p\u00e5 naturlig v\u00e4g om du \u00e4r ett heterosexuellt par! Lyckligtvis \u00e4r kondomer inte l\u00e4ngre det enda s\u00e4ttet att skydda sig mot hiv eller undvika att f\u00f6ra smittan vidare till en partner.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Om du lever i ett serodiskordant f\u00f6rh\u00e5llande - n\u00e4r en partner \u00e4r hivpositiv och en \u00e4r hivnegativ - tar du sannolikt redan mediciner f\u00f6r att skydda er b\u00e5da. Dessa mediciner hj\u00e4lper ocks\u00e5 till att skydda dig om du f\u00f6rs\u00f6ker bli gravid p\u00e5 naturlig v\u00e4g.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Om du \u00e4r hiv-negativ kan PrEP - ett dagligt piller - minska risken f\u00f6r att smittas av 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>om det tas enligt ordination. F\u00f6r personer som lever med hiv kan antiretroviral behandling minska virusbelastningen s\u00e5 mycket att den inte kan p\u00e5visas - vilket inneb\u00e4r att risken f\u00f6r att du ska f\u00f6ra viruset vidare i praktiken \u00e4r noll.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Efter att ha p\u00e5b\u00f6rjat antiretroviral behandling kommer din virusbelastning sannolikt att vara odetekterbar inom 6 m\u00e5nader. D\u00e4refter rekommenderas att du \u00e4r f\u00f6rsiktig i ytterligare 6 m\u00e5nader - och fortfarande tar din medicin enligt ordination - medan din kropp visar att den kan uppr\u00e4tth\u00e5lla en odetekterbar virusbelastning. Efter 12 m\u00e5nader, om du fortfarande har en icke detekterbar virusm\u00e4ngd och fortfarande tar din medicin, \u00e4r det n\u00e4stan ingen risk att du \u00f6verf\u00f6r hiv till en sexpartner. Om du vill f\u00f6rs\u00f6ka f\u00e5 barn p\u00e5 naturlig v\u00e4g rekommenderas att du ser till att din virusbelastning inte har kunnat p\u00e5visas under minst 12 m\u00e5nader.\u00a0\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">HIV och assisterad befruktning<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Det finns m\u00e5nga anledningar till att du v\u00e4ljer assisterad befruktning och dessa behandlingar \u00e4r fortfarande tillg\u00e4ngliga om du lever med hiv - om du lever i ett heterosexuellt par (men mer om det senare).\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Om du \u00e4r hiv-positiv finns det s\u00e4tt att se till att du inte \u00f6verf\u00f6r viruset till din partner, surrogatmamma eller ditt barn under assisterad befruktning. F\u00f6r det f\u00f6rsta rekommenderas att du alltid genomg\u00e5r antiretroviral behandling f\u00f6r att minska din virusbelastning innan du p\u00e5b\u00f6rjar behandlingen - det \u00e4r faktiskt en f\u00f6ruts\u00e4ttning f\u00f6r m\u00e5nga fertilitetskliniker.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Oavsett om du genomg\u00e5r IVF, ICSI eller IUI \u00e4r det ocks\u00e5 n\u00f6dv\u00e4ndigt att genomg\u00e5 spermatv\u00e4tt. Detta \u00e4r en process som separerar spermier fr\u00e5n sperma och g\u00f6r det m\u00f6jligt f\u00f6r l\u00e4kare att identifiera och ta bort viruset fr\u00e5n dina spermier.<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4779710\/\"> Studier<\/a> har visat att spermatv\u00e4tt \u00e4r otroligt effektivt f\u00f6r att minska risken f\u00f6r \u00f6verf\u00f6ring till n\u00e4stan noll - s\u00e5 det \u00e4r ett mycket s\u00e4kert alternativ. Du kan ocks\u00e5 anv\u00e4nda tv\u00e4ttad sperma f\u00f6r <a href=\"https:\/\/www.exseedhealth.com\/sv\/iui-vs-ici\/\">ICI-behandling<\/a> (at-<a href=\"https:\/\/www.exseedhealth.com\/sv\/where-to-find-a-sperm-donor-in-the-uk\/\">heminsemination<\/a>).\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Behandlingar med assisterad befruktning, IVF och par av samma k\u00f6n\u00a0<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Medan assisterad befruktning f\u00f6r n\u00e4rvarande \u00e4r tillg\u00e4nglig f\u00f6r heterosexuella par d\u00e4r den ena partnern eller b\u00e5da \u00e4r hiv-positiva, \u00e4r detsamma tyv\u00e4rr inte fallet f\u00f6r samk\u00f6nade par. I Storbritannien \u00e4r det inte till\u00e5tet att vara spermie- eller \u00e4ggdonator om man \u00e4r hiv-positiv - och f\u00f6r samk\u00f6nade par inneb\u00e4r detta ett problem.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Om ni \u00e4r tv\u00e5 m\u00e4n som vill bli gravida kommer ni att beh\u00f6va leverera spermier till en surrogatmamma. I den h\u00e4r situationen klassas den person som levererar spermierna tekniskt sett som en \"donator\", vilket inneb\u00e4r att om du har hiv kan du inte genomg\u00e5 processen. Om ni b\u00e5da \u00e4r kvinnor och ni vill anv\u00e4nda den ena partnerns \u00e4gg men f\u00e5 dem inplanterade i den andra f\u00f6r att b\u00e4ra graviditeten, klassas detta ocks\u00e5 som att vara \u00e4ggdonator (\u00e4ven om den person du \"donerar\" \u00e4ggen till \u00e4r din partner) - och h\u00e4r ligger problemet.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Om bara en av er \u00e4r hivpositiv \u00e4r det naturligtvis m\u00f6jligt att genomg\u00e5 assisterad befruktning med enbart spermier eller \u00e4gg fr\u00e5n den hivnegativa partnern. Detta begr\u00e4nsar dock alternativen f\u00f6r par d\u00e4r b\u00e5da \u00e4r hiv-positiva - och inneb\u00e4r ocks\u00e5 att hiv-positiva partners inte har n\u00e5got s\u00e4tt att bli biologiskt kopplade till sitt barn.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Med tanke p\u00e5 de medicinska framsteg som kan minska risken f\u00f6r att f\u00f6ra hiv vidare till praktiskt taget noll k\u00e4nns denna lagstiftning f\u00f6r\u00e5ldrad och or\u00e4ttvis och p\u00e5verkar livet negativt f\u00f6r otaliga m\u00e4nniskor som har hiv och vill bli f\u00f6r\u00e4ldrar. National Aids Trust \u00e4r f\u00f6r n\u00e4rvarande<a href=\"https:\/\/www.nat.org.uk\/equal-hiv-fertility-rights-now-faq\"> driva en namninsamling<\/a> f\u00f6r att f\u00e5 denna lag upph\u00e4vd.\u00a0<\/p>\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">HIV och graviditet\u00a0<\/h2>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Det \u00e4r m\u00f6jligt att \u00f6verf\u00f6ra hiv till ett barn under graviditet, f\u00f6rlossning och amning. Men \u00e5terigen, om du tar mediciner som inneb\u00e4r att din virusbelastning inte kan uppt\u00e4ckas \u00e4r risken f\u00f6r att detta ska h\u00e4nda mycket liten. Vissa l\u00e4kare kan rekommendera kejsarsnitt f\u00f6r att minska risken ytterligare och en del v\u00e4ljer att flaskmata barnet n\u00e4r det kommer f\u00f6r att ytterligare minska risken f\u00f6r \u00f6verf\u00f6ring. Om du \u00e4r gravid och hiv-positiv kommer ditt medicinska team att kunna ge dig r\u00e5d om hur du b\u00e4st ska g\u00e5 tillv\u00e4ga f\u00f6r att se till att du och ditt barn h\u00e5lls s\u00e4kra och friska.<\/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\/sv\/fertility-conception-and-hiv\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\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\/sv\/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=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Coni Longden-Jefferson\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuter\" \/>\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\":\"sv-SE\",\"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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