{"id":314,"date":"2022-09-05T15:00:14","date_gmt":"2022-09-05T15:00:14","guid":{"rendered":"https:\/\/www.carthage-medical.com\/blog\/?p=314"},"modified":"2022-09-05T15:00:14","modified_gmt":"2022-09-05T15:00:14","slug":"les-differences-entre-linsemination-artificielle-et-la-fecondation-in-vitro","status":"publish","type":"post","link":"https:\/\/www.carthage-medical.com\/blog\/les-differences-entre-linsemination-artificielle-et-la-fecondation-in-vitro\/","title":{"rendered":"Les diff\u00e9rences entre l’ins\u00e9mination artificielle et la f\u00e9condation in vitro"},"content":{"rendered":"
\n

L’ins\u00e9mination artificielle est une technique simple pratiqu\u00e9e par des couples ayant des probl\u00e8mes de fertilit\u00e9 tr\u00e8s concrets.<\/p>\n

Les conditions id\u00e9ales seraient un jeune \u00e2ge, des trompes perm\u00e9ables, une p\u00e9riode d’infertilit\u00e9 de moins de 3 ans et un partenaire avec des caract\u00e9ristiques s\u00e9minales normales.\u00a0Dans ces couples, l’ins\u00e9mination artificielle a son utilit\u00e9.\u00a0Pas plus de 4 tentatives sont effectu\u00e9es, avec un taux de r\u00e9ussite cumul\u00e9 de 25\u00a0% \u00e0 30\u00a0%.<\/p>\n

Quant \u00e0 la f\u00e9condation in vitro, c’est une technique de procr\u00e9ation m\u00e9dicalement assist\u00e9e<\/a> totalement diff\u00e9rente : la f\u00e9condation des gam\u00e8tes est r\u00e9alis\u00e9e en laboratoire de reproduction. Elle a un taux de r\u00e9ussite plus \u00e9lev\u00e9 et permet d’obtenir plus d’informations, en pouvant observer le comportement des embryons<\/a> en laboratoire pendant plusieurs jours.<\/p>\n

Chaque technique a donc ses indications, il est tr\u00e8s important de poser un bon diagnostic pour recommander le traitement adapt\u00e9 \u00e0 chaque couple<\/a>.<\/p>\n

\"fiv\"<\/a><\/p>\n

Ci-dessous, nous expliquerons en termes simples les principales diff\u00e9rences entre ces traitements :<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/td>\nINS\u00c9MINATION ARTIFICIELLE<\/strong><\/td>\nLA F\u00c9CONDATION IN VITRO<\/strong><\/td>\n<\/tr>\n
1.<\/td>\nIntroduire le sperme pr\u00e9alablement s\u00e9lectionn\u00e9 dans l’ut\u00e9rus de la femme qui a \u00e9t\u00e9 pr\u00e9par\u00e9 en stimulant l’ovulation.<\/td>\nElle consiste \u00e0 extraire les ovules de la patiente pour les f\u00e9conder en laboratoire et \u00e0 introduire ensuite les embryons obtenus dans son ut\u00e9rus.<\/td>\n<\/tr>\n
2.<\/td>\nLa f\u00e9condation (l’union de l’ovule et du spermatozo\u00efde) se produit \u00ab\u00a0in vivo\u00a0\u00bb, \u00e0 l’int\u00e9rieur du corps de la femme, concr\u00e8tement dans le tuba.<\/td>\nLa f\u00e9condation se fait \u00ab in Vitro \u00bb, hors du corps de la femme, en laboratoire.<\/td>\n<\/tr>\n
3.<\/td>\nC’est une technique tr\u00e8s simple, o\u00f9 il n’est pas n\u00e9cessaire d’extraire les \u0153ufs.<\/td>\nC’est une technique complexe, qui n\u00e9cessite une intervention chirurgicale pour obtenir les ovules et les f\u00e9conder en laboratoire.<\/td>\n<\/tr>\n
4.<\/td>\nLa stimulation ovarienne doit \u00eatre minimale pour \u00e9viter le risque de grossesses multiples. La croissance de plus de 2 ou 3 personnes devra nous alerter et \u00e9ventuellement annuler le traitement.<\/td>\nLe but de la stimulation ovarienne est d’obtenir un nombre ad\u00e9quat d’ovules que l’on peut quantifier entre 6 et 15.<\/td>\n<\/tr>\n
5.<\/td>\nC’est moins cher. Compte tenu du co\u00fbt du traitement.<\/td>\nL’effort \u00e9conomique est plus \u00e9lev\u00e9 m\u00eame s’il est moins cher compte tenu du co\u00fbt par enfant n\u00e9.<\/td>\n<\/tr>\n
6.<\/td>\nLes chances sont moindres. Environ 15% par tentative en consid\u00e9rant des patients avec un bon pronostic.<\/td>\nC’est le traitement avec le plus de chance par tentative. Dans certains cas, la probabilit\u00e9 de succ\u00e8s atteint 60 %.<\/td>\n<\/tr>\n
7.<\/td>\nElle n’offre aucune r\u00e9elle chance de succ\u00e8s en cas de trompes obstru\u00e9es ou de facteurs masculins s\u00e9v\u00e8res.<\/td>\nLes chances de succ\u00e8s, sauf cas extr\u00eames, sont ind\u00e9pendantes des modifications tubaires ou de la s\u00e9v\u00e9rit\u00e9 du facteur masculin.<\/td>\n<\/tr>\n
8.<\/td>\nElle offre de mauvais r\u00e9sultats lorsque la dur\u00e9e de st\u00e9rilit\u00e9 d\u00e9passe 3 ans, pr\u00e9sente un facteur masculin mod\u00e9r\u00e9 ou que la femme souffre d’endom\u00e9triose.<\/td>\nIl est consid\u00e9r\u00e9 comme la premi\u00e8re option pour les couples avec une longue p\u00e9riode d’infertilit\u00e9, un facteur masculin mod\u00e9r\u00e9 et les femmes atteintes d’endom\u00e9triose<\/td>\n<\/tr>\n
9.<\/td>\nOffre peu d’informations pendant le traitement.<\/td>\nAu cours du traitement, des informations importantes sont obtenues sur des facteurs tels que la r\u00e9ponse ovarienne \u00e0 la stimulation, la qualit\u00e9 des ovocytes, la f\u00e9condation et l’\u00e9volution des embryons<\/a>.<\/td>\n<\/tr>\n
10.<\/td>\nC’est une option \u00e0 envisager chez les couples de bon pronostic (jeunes, peu de temps \u00e0 la recherche d’un enfant, sans alt\u00e9rations s\u00e9minales graves, et sans alt\u00e9rations des trompes ni endom\u00e9triose).<\/td>\nC’est le traitement le plus efficace en procr\u00e9ation assist\u00e9e, \u00e9tant la premi\u00e8re option dans la plupart des cas.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

L’ins\u00e9mination artificielle est une technique simple pratiqu\u00e9e par des couples ayant des probl\u00e8mes de fertilit\u00e9 tr\u00e8s concrets. Les conditions id\u00e9ales…<\/p>\n","protected":false},"author":1,"featured_media":317,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-314","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe"],"yoast_head":"\nIns\u00e9mination artificielle ou FIV : diff\u00e9rences<\/title>\n<meta name=\"description\" content=\"Tableau r\u00e9capitulatif pour les principales diff\u00e9rences entre ins\u00e9mination artificielle et f\u00e9condation in vitro pour concevoir une grossesse.\" \/>\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.carthage-medical.com\/blog\/les-differences-entre-linsemination-artificielle-et-la-fecondation-in-vitro\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta 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