Doctor to doctor

First step

We always start with a medical consultation, where we review any tests already done and any previous treatments. Prior to the visit, the client must have completed the electronic medical record, which is available on our website. We carry out gynaecological ultrasound scanning. If we consider that additional examinations are necessary, we will do so as far as possible during the consultation. Types of treatment and options are reviewed.  

We always draw up a completely individual plan, considering your wishes, your age, any previous tests and the results from any tests we perform. It is very important to us that the client is the centre of attention and is guided as honestly as possible.  

Donor sperm  

It varies 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 and contactable donor, depending on sperm bank  

• No ID-release donor - Covers anonymous and non-contactable donor, depending on sperm bank  

• Known donor - A "known" sperm donor is a donor known to the woman/couple themselves who has agreed to donate sperm to the woman, even if the woman and donor are not married or in a relationship.   

The law requires a very specific report on the 'known' donor, which must ensure screening for infectious diseases as well as hereditary diseases.  

Treatment cannot take place with fresh semen, as the law requires freezing to respond to markers of infection incl. NAT test.  

Test tube treatment

Test tube treatment is used as primary treatment if, after investigation, it is obvious that the chances of achieving pregnancy naturally or through insemination are poor. This may be due to age, closed fallopian tubes or severely reduced sperm quality.  

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 day 3 of the menstrual cycle) 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 deemed suitable to fertilise the eggs.  

ICSI (microinsemination) is used in cases of severely reduced sperm quality, where experience has shown that the sperm cannot directly fertilise the eggs. This method is also used for egg donation.  

Egg donation is used if the woman's own eggs are not suitable for pregnancy (several failed IVF treatments), for medical reasons or if the woman is a carrier for a hereditary disease. 

Double donation uses both donor eggs and donor sperm and can be used by both couples and single women. One donor must be open, and there must be a medical reason. So, it cannot be used for lesbians who want to carry each other's child.  

Egg collection  

Egg retrieval is performed on an outpatient basis under local anaesthetic. The egg retrieval itself usually lasts 10-15 minutes and is virtually painless, as the woman is injected with a fast-acting morphine-like drug during the procedure.

In the laboratory  

IUI: The sperm sample is delivered in the morning, purified by gradient centrifugation and prepared for insemination. Sperm is then passed into the uterus through a small catheter.  

IVF: 100,000-150,000 sperm are added to each unfertilised egg, then stored in incubator with carefully regulated temperature, CO2, O2 and humidity.  

ICSI: A single sperm cell is injected into each unfertilised egg. The fertilised 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 about 18-20% when the woman is under 40. If the woman is over 40, the chance of pregnancy is about 10-14% per treatment.  

IVF/ICSI: The chance of pregnancy with IVF depends on the woman's age, the number of eggs transferred and what stage of growth the embryo was at before transfer. Here, you will find our results for IUI and IVF/ICSI.   

What tests we recommend  

For women:  

• TSH, TPO and AMH  

• Analysis for the viruses: HIV 1+2, Anti-HBc, HBsAg, Anti-HCV (from an isocertified laboratory; ISO certification 15189 or 17025) 

• Cervical cell test   

• Inoculation for chlamydia (not home test)  

• Rubella immunity  

• Ultrasound scan of uterus and ovaries with AFC (antral follicle count) 

If you have had fertility treatment in the past, we would like a copy of your old records.  

If you have a male partner, we recommend a semen analysis before the consultation. This can be done in the clinic. In addition, there must be an analysis for the viruses: HIV 1+2, Anti-HBc, HBsAg, Anti-HCV (from an isocertified laboratory; ISO certification 15189 or 17025). The blood tests can be taken at the clinic or via your own doctor. 

MRSA (Methicillin Resistant Staphylococcus Aureus)  

In order to be treated, if you have previously tested positive for MRSA, you must be able to show at least 3 sets of negative MRSA results after completing treatment for MRSA. The last inoculation must have been taken at least 6 months after completing treatment.  

If you have been in contact with an MRSA-positive person or have received treatment in a hospital or clinic outside the Nordic countries in the last 6 months, 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 medical record via our website.  

Our Danish clients can have the tests done here at the clinic. For foreign clients, we would like to have the tests performed before treatment.