FAQ for the doctor
First step
We always start with a medical interview, where we review the examinations already carried out and any previous treatments. Prior to the visit, the customer must have completed the electronic journal, which is on our website. We perform gynecological ultrasound scanning. If we believe that additional investigations need to be carried out, we will do so as far as possible in connection with the interview. Treatment types and options are reviewed.
We always make a completely individual plan that takes into account age, previous attempts, test results and the customer’s wishes. It is very important to us that the customer is at the center and is guided in the best possible and honest way.
Donor sperm
It is different from sperm bank to sperm bank how they define the different donor types, but here at the clinic we have the following designations:
ID-release donor – covers open donor, contactable donor depending on the sperm bank
No ID-release donor – covers anonymous, uncontactable donor dependent on sperm bank
Known donor: A “known” sperm donor is a donor whom the woman/couple knows themselves and who has agreed to donate sperm to the woman, even if the woman and donor are not married or forming a couple.
The law requires a very special examination of ‘known’ donors, which must ensure examination for infectious diseases and hereditary diseases.
Treatment cannot take place with fresh semen, as the law requires freezing because it is a response to infection markers incl. Night test.
Test tube treatment
Test tube treatment is used as primary treatment if, after investigation, it is obvious that the chances of achieving pregnancy through ‘home work’ or insemination are poor. This may be due to closed fallopian tubes, severely reduced sperm quality or the woman’s advanced age.
Test tube treatment is also used if pregnancy has not been achieved after 3-6 insemination treatments (depending on the cause of infertility).
Stimulation can be done in a short protocol (stimulation with FSH from cycle day 3) or a long protocol (downregulation with GnRH agonist from cycle day 21 for 2 weeks and then stimulation with FSH)
IVF (without microinsemination) is used when the quality of the sperm sample is considered suitable for fertilizing the eggs.
ICSI (microinsemination) is used for severely reduced sperm quality, where the sperm cannot directly fertilize the eggs based on experience. This method is also used for egg donation.
Egg donation
Used if the woman’s own eggs are not suitable for achieving pregnancy (several unsuccessful IVF treatments) or other disease or hereditary diseases in the woman.
Double donation
In this treatment, both donor eggs and donor sperm are used and can be used by both couples and single women. One donor must be open and there must be a medical reason. It cannot therefore be used for lesbians who want to carry each other’s child.
Egg retrieval
Performed on an outpatient basis under local anaesthetic. The egg retrieval itself usually lasts 10-15 minutes and is practically painless, as the woman receives an injection of a fast-acting morphine-like preparation during the procedure.
In the laboratory
IUI: The sperm sample is delivered in the morning. The sperm cells are purified by gradient centrifugation and made ready for insemination. Guided up into the uterus with a small catheter.
IVF: 100,000-150,000 sperm cells are added to each unfertilised egg, then stored in an incubator with carefully regulated temperature, CO2, O2 and humidity.
ICSI: A single sperm is injected into each unfertilized egg. The fertilized eggs are then also stored in an incubator.
Transfer/egg retrieval
Usually takes place on day 5 (blastocyst) after egg retrieval. As a rule, a transfer of one blastocyst is recommended.
Pregnancy chances
IUI: The chance of pregnancy with insemination is approx. 18-20% when the woman is under 40. If the woman is over 40, the chance of pregnancy is approx. 10-14% per treatment.
IVF/ICSI: The chance of pregnancy with test tube treatment depends on the woman’s age, the number of eggs laid and how long the eggs have been cultured. Here you will find our results for IUI and IVF/ICSI.
Which samples do we recommend?
The woman: as well as TSH, TPO and AMH Analysis for the viruses; HIV 1+2, Anti-HBc, HBsAg, Anti-HCV (from an iso-certified laboratory; ISO certification 15189 or 17025).
- Cell sample from the cervix
- Inoculation for chlamydia (not home test)
- Rubella immunity
- Ultrasound scan of uterus and ovaries with AFC (antral follicle count)
If you have previously undergone fertility treatment, we would like a copy of your old medical records.
If you have a male partner, we recommend a sperm analysis before the interview. This can be done at the clinic. In addition, there must be an analysis for the viruses; HIV 1+2, Anti-HBc, HBsAg, Anti-HCV (from an iso-certified laboratory; ISO certification 15189 or 17025). The blood samples can be taken at the clinic or via your own doctor.
MRSA (Methicillin Resistant Staphylococcus Aureus)
In order to be able to treat you, if you have previously tested positive for MRSA, you must be able to show at least 3 sets of negative MRSA inoculations after completing treatment against MRSA. The last vaccination must be taken at least 6 months after the end of treatment.
If within the last 6 months you have been in contact with an MRSA-positive person or have received treatment at a hospital or clinic outside the Nordic region, the risk of infection and the possibility of treatment will be assessed by the clinic’s doctors.
Before the interview, we will ask you to fill in an electronic journal.
Our Danish clients can have the tests done here at the clinic. For foreign clients, we want answers to the tests before treatment.