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aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Lääkäriltä tyly viesti miehille, jotka jonottavat sterilisaatiota jopa vuosia: ”Ehkäisyvälineet yleensä maksetaan itse”</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Vasektomiaan jonottaa yli 3 000 miestä. Hyvinvointialueet perustelevat pitkiä jonoja niukilla resursseilla ja priorisoinnilla. Taustalla on myös ministeriön ja hyvinvointialuieden välinen kiista.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20075350","@context":"https://web.archive.org/web/20240226065603/https://schema.org","image":{"@type":"ImageObject","description":"Urologi Juha Koskimäen mukaan 15–20 prosenttia miehistä saa vasektomian jälkeen pitkäkestoisia kiputiloja kiveksiinsä.","copyrightHolder":"Getty Images","url":"https://web.archive.org/web/20240226065603/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-124918465dc2111ec3d9","keywords":"Leikkaus,kuvituskuvat"}}</script><div class="aw-1a00tic xFA-da"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708925260/39-124918465dc2111ec3d9 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708925260/39-124918465dc2111ec3d9 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708925260/39-124918465dc2111ec3d9 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708925260/39-124918465dc2111ec3d9 1x"/><img alt="Hoitohenkilökunta valmistautuu leikkaamaan potilasta." src="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3159,w_5616,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708925260/39-124918465dc2111ec3d9" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Urologi Juha Koskimäen mukaan 15–20 prosenttia miehistä saa vasektomian jälkeen pitkäkestoisia kiputiloja kiveksiinsä.</span><span> Kuva: Getty Images</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Elli Sormunen</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-02-26T05:10:36+02:00">5:10</time></div></div><a href="https://web.archive.org/web/20240226065603/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20075350" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tällä hetkellä tuhannet miehet jonottavat päästäkseen sterilisaatioon. Odotusaika voi venyä vuosien mittaiseksi – esimerkiksi Pirkanmaan hyvinvointialueella vasektomiaan pääsyä joutuu odottamaan noin kolme vuotta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vasektomia eli miesten sterilisaatio on kirurginen toimenpide, jonka tarkoitus on aiheuttaa pysyvä hedelmättömyys. Itse toimenpide on varsin nopea ja vaivaton, silti urologien mielestä muut terveyshuolet ajavat sterilisaation ohi.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Ei ole eettisesti mitenkään perusteltua, että käytämme niukkoja resurssejamme vasektomioiden tekemiseen, toteaa Pirkanmaan kirurgian vastuualuejohtaja ja Suomen urologiyhdistyksen puheenjohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Juha Koskimäki</strong>.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hänen mukaansa kyse on priorisoinnista.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Potilaiden hoitoon varattu resurssimme on jouduttu kohdentamaan sairauksien hoitoon. Olemme joutuneet priorisoimaan erityisesti syöpää sairastavien hoidon, Koskimäki jatkaa.</p><div class="aw-1g97yui czCnKB"><svg class="highcharts-root" xmlns="http://www.w3.org/2000/svg" width="640" height="360" viewbox="0 0 640 360" aria-label="Interactive chart" aria-hidden="false" font-family="Yle, Arial, sans-serif" font-size="12" font-stretch="condensed"><desc>Sterilisaatioon jonottavien määrät hyvinvointialueittain.</desc><defs aria-hidden="true"><clippath id="highcharts-ezyvqlq-286-"><path fill="none" d="M0 0h583v141H0z"/></clippath><style type="text/css">@font-face{font-family:'Yle';font-stretch:condensed;font-style:normal;font-weight:400;src:url(/web/20240226065603im_/https://yle.fi/a/'https:/design-system.cdn.yle.fi/YleCondensed-Regular.woff&apos)format("woff");}@font-face{font-family:'Yle';font-stretch:condensed;font-style:normal;font-weight:700;src:url(/web/20240226065603im_/https://yle.fi/a/'https:/design-system.cdn.yle.fi/YleCondensed-Bold.woff&apos)format("woff");}</style></defs><rect fill="#fff" class="highcharts-background" width="640" height="360" rx="0" ry="0" aria-hidden="true"/><path fill="none" class="highcharts-plot-background" aria-hidden="true" d="M47 74h583v141H47z"/><g class="highcharts-grid highcharts-xaxis-grid" data-z-index="1" aria-hidden="true"><path fill="none" data-z-index="1" class="highcharts-grid-line" d="M88.5 74v141M129.5 74v141M171.5 74v141M213.5 74v141M254.5 74v141M296.5 74v141M338.5 74v141M379.5 74v141M421.5 74v141M462.5 74v141M504.5 74v141M546.5 74v141M587.5 74v141M629.5 74v141M46.5 74v141"/></g><g class="highcharts-grid highcharts-yaxis-grid" data-z-index="1" aria-hidden="true"><path fill="none" stroke="#E6E6E6" stroke-width="2" data-z-index="1" class="highcharts-grid-line" d="M47 215h583M47 145h583M47 74h583"/></g><path fill="none" class="highcharts-plot-border" data-z-index="1" aria-hidden="true" d="M47 74h583v141H47z"/><g class="highcharts-axis highcharts-xaxis" data-z-index="2" aria-hidden="true"><path fill="none" class="highcharts-axis-line" data-z-index="7" d="M47 215h583"/></g><g class="highcharts-axis highcharts-yaxis" data-z-index="2" aria-hidden="true"><path fill="none" class="highcharts-axis-line" data-z-index="7" d="M47 74v141"/></g><g class="highcharts-series-group" data-z-index="3" aria-hidden="false"><g class="highcharts-series highcharts-series-0 highcharts-column-series highcharts-color-0" data-z-index="1" transform="translate(47 74)" clip-path="url(#highcharts-ezyvqlq-286-)" aria-hidden="false"><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="1. HUS, 900." style="outline:0" d="M8 15h26v127H8z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="2. Pirkanmaa, 715." style="outline:0" d="M50 41h26v101H50z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="3. Pohjanmaa, 290." style="outline:0" d="M91 101h26v41H91z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="4. Pohjois-Pohjanmaa, 200." style="outline:0" d="M133 114h26v28h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="5. Pohjois-Karjala, 170." style="outline:0" d="M175 118h26v24h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="6. Etelä-Karjala, 149." style="outline:0" d="M216 121h26v21h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="7. Satakunta, 144." style="outline:0" d="M258 122h26v20h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="8. Kanta-Häme, 139." style="outline:0" d="M300 122h26v20h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="9. Kainuu, 105." style="outline:0" d="M341 127h26v15h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="10. Pohjois-Savo, 100." style="outline:0" d="M383 128h26v14h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="11. Päijät-Häme, 78." style="outline:0" d="M425 131h26v11h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="12. Etelä-Savo, 50." style="outline:0" d="M466 135h26v7h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="13. Kymenlaakso (KOKS), 38." style="outline:0" d="M508 137h26v5h-26z"/><path fill="#00b4c8" class="highcharts-point highcharts-color-0" tabindex="-1" aria-label="14. Etelä-Pohjanmaa, 25." style="outline:0" d="M550 138h26v4h-26z"/></g></g><text x="10" class="highcharts-title" data-z-index="4" y="32" aria-hidden="true" color="#000" font-size="26" font-weight="bold">Jonotustilanne sterilisaatioon</text><text x="10" class="highcharts-subtitle" data-z-index="4" y="67" aria-hidden="true" color="#000" font-size="18" transform="translate(0 -10)">Jonottajien määrä 2/2024 | Lähde: Hyvinvointialueet</text><g class="highcharts-data-labels highcharts-series-0 highcharts-column-series highcharts-color-0" data-z-index="6" aria-hidden="true"><text x="5" data-z-index="1" y="19" color="#FFF" font-size="14" font-weight="bold" fill="#FFF" transform="translate(52 90)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">900</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(94 86)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">715</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(135 146)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">290</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(177 159)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">200</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(219 163)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">170</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(260 166)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">149</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(302 167)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">144</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(344 167)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">139</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(385 172)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">105</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(427 173)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">100</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(473 176)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">78</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(514 180)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">50</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(556 182)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">38</text><text x="5" data-z-index="1" y="19" color="#000" font-size="14" font-weight="bold" transform="translate(598 183)" class="highcharts-label highcharts-data-label highcharts-data-label-color-0">25</text></g><g class="highcharts-axis-labels highcharts-xaxis-labels" data-z-index="7" aria-hidden="true" text-anchor="end" color="#000" cursor="default" font-size="18"><text x="71.828" transform="rotate(-45 71.828 245)" y="245">HUS</text><text x="113.471" transform="rotate(-45 113.471 245)" y="245">Pirkanmaa</text><text x="155.114" transform="rotate(-45 155.114 245)" y="245">Pohjanmaa</text><text x="196.757" transform="rotate(-45 196.757 245)" y="245">Pohjois-Pohjanmaa</text><text x="238.4" transform="rotate(-45 238.4 245)" y="245">Pohjois-Karjala</text><text x="280.043" transform="rotate(-45 280.043 245)" y="245">Etelä-Karjala</text><text x="321.686" transform="rotate(-45 321.686 245)" y="245">Satakunta</text><text x="363.328" transform="rotate(-45 363.328 245)" y="245">Kanta-Häme</text><text x="404.971" transform="rotate(-45 404.971 245)" y="245">Kainuu</text><text x="446.614" transform="rotate(-45 446.614 245)" y="245">Pohjois-Savo</text><text x="488.257" transform="rotate(-45 488.257 245)" y="245">Päijät-Häme</text><text x="529.9" transform="rotate(-45 529.9 245)" y="245">Etelä-Savo</text><text x="571.543" transform="rotate(-45 571.543 245)" y="245">Kymenlaakso (KOKS)</text><text x="613.186" transform="rotate(-45 613.186 245)" y="245">Etelä-Pohjanmaa</text></g><g class="highcharts-axis-labels highcharts-yaxis-labels" data-z-index="7" aria-hidden="true" text-anchor="end" color="#000" cursor="default" font-size="18"><text x="43" y="221">0</text><text x="43" y="151">500</text><text x="43" y="80">1000</text></g><g class="highcharts-plot-lines-10" data-z-index="10" aria-hidden="true"><path fill="none" class="highcharts-plot-line" stroke="#000" stroke-width="2" d="M47 215h583"/></g></svg></div><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Epäselvyys johtuu laintulkinnasta</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vasektomiajonojen kasvun taustalla on kiista siitä, kuuluuko sterilisaation tekeminen hoitotakuun piiriin ja ylipäätään verovaroin kustannettaviin terveyspalveluihin. Hoitotakuun perusteella ihmisen pitäisi saada tarvitsemansa hoito puolen vuoden kuluessa hoidon tarpeen toteamisesta.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075350","@context":"https://web.archive.org/web/20240226065603/https://schema.org","video":{"@type":"VideoObject","name":"Vasektomia ei kuulu julkiseen terveydenhuoltoon","thumbnailUrl":"https://web.archive.org/web/20240226065603/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2024-02-22T14:07:47+02:00"}}</script><div class="aw-1a00tic ircCun"></div></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Urologien mukaan sterilisaatio ei kuulu hoitotakuun piirin. Sosiaali- ja terveysministeriö näkee asian aivan toisin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Vasektomia kuuluu hoitotakuun piiriin, lääkintöneuvos <strong class="aw-ak79eh hgoSon yle__article__strong">Tapani Hämäläinen</strong> sosiaali- ja terveysministeriöstä toteaa ykskantaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Epäselvä tilanne johtuu laintulkinnan eroista, tunnustaa lääkintöneuvos.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Sterilisaation osalta lainsäädännössä on epätarkkuuksia, jotka vaatisivat tarkennuksia. Urologit ovat tarttuneet todennäköisesti tähän epätarkkuuteen, Hämäläinen kertoo.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075350","@context":"https://web.archive.org/web/20240226065603/https://schema.org","video":{"@type":"VideoObject","description":"Lääkintöneuvos Tapani Hämäläisen mielestä ei ole perusteltua asettaa vastakkain sterilisaation jonottajia ja syöpäpotilaita.","name":"Vastakkainasettelu sterilisaation ja syöpäleikkauksien välillä","thumbnailUrl":"https://web.archive.org/web/20240226065603/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2024-02-23T10:54:29+02:00"}}</script><div class="aw-1a00tic gdpqjP"></div><figcaption class="aw-kr26k0 iEoONW"><span>Lääkintöneuvos Tapani Hämäläisen mielestä ei ole perusteltua asettaa vastakkain sterilisaation jonottajia ja syöpäpotilaita.</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Suomen urologiyhdistyksen laintulkinnan mukaan vasektomian ei kuulu julkisen terveydenhuollon palveluihin, eikä myöskään hoitotakuun piiriin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Vasektomia ei ole sairaus, eikä se ole terveydenhoitoa, vaan se on ehkäisykeino. Siksi se rajautuu lain ulkopuolelle, toteaa urologiyhdistyksen puheenjohtaja Juha Koskimäki.</p><aside class="aw-hvvcsw iWkivn yle__article__aside" aria-label="Faktalaatikko"><div class="aw-x2e1x8 cpdveM"><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Terveydenhuoltolaki 7 a §</h2><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Terveydenhuollon palveluvalikoima</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><em class="aw-18vh2pl bZqHKZ yle__article__emphasis">Terveydenhuollon palveluvalikoimaan kuuluvat lääketieteellisesti ja hammaslääketieteellisesti perusteltu sairauksien ennaltaehkäisy, sairauden toteamiseksi tehtävät tutkimukset sekä taudinmääritys, hoito ja kuntoutus.</em></p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lähde: <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240226065603/https://www.finlex.fi/fi/laki/ajantasa/2010/20101326" role="link">Finlex</a></p></div></aside><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sosiaali- ja terveysministeriö on saanut hyvinvointialueilta kyselyitä siitä, kuuluvatko vasektomiat hoitotakuuseen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Ministeriön tulkinta on, että palveluvalikoimaan kuuluu myös muita sosiaalisin perustein tarjottavia lääketieteellisiä toimenpiteitä ja palveluita, kuten raskauden keskeytykset. Sterilisaatiot ovat kuuluneet julkisesti rahoitettuun palveluvalikoimaan jo vuosikymmeniä. Pitäisi olla hyvät perusteet tai lainsäädännön tulisi muuttua, että sterilisaatiot nyt rajattaisiin palveluvalikoiman ulkopuolelle, toteaa palveluvalikoimaneuvoston pääsihteeri <strong class="aw-ak79eh hgoSon yle__article__strong">Hanna-Mari Jauhonen</strong> sosiaali- ja terveysministeriöstä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Terveydenhuoltolaki velvoittaa hyvinvointialueita järjestämään ehkäisyneuvontaa ja muita seksuaaliterveyttä edistäviä palveluita.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075350","@context":"https://web.archive.org/web/20240226065603/https://schema.org","image":{"@type":"ImageObject","description":"Lääkintöneuvos Tapani Hämäläinen kertoo, että terveydenhuoltolakia ollaan juuri päivittämässä. Samalla olisi mahdollisuus selkeyttää sterilisaation asema julkisessa terveydenhuollossa.","copyrightHolder":"sosiaali- ja terveysministeriö","url":"https://web.archive.org/web/20240226065603/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-124844365d87ae71664f","keywords":"sosiaali- ja terveysministeriö,Lääkintöneuvos"}}</script><div class="aw-1a00tic xFA-da"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708686134/39-124844365d87ae71664f 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708686134/39-124844365d87ae71664f 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708686134/39-124844365d87ae71664f 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708686134/39-124844365d87ae71664f 1x"/><img alt="Lääkintöneuvos Tapani Hämäläinen nojaa lasiseinään." src="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2531,w_4500,x_0,y_458/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708686134/39-124844365d87ae71664f" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Lääkintöneuvos Tapani Hämäläinen kertoo, että terveydenhuoltolakia ollaan juuri päivittämässä. Samalla olisi mahdollisuus selkeyttää sterilisaation asema julkisessa terveydenhuollossa.</span><span> Kuva: sosiaali- ja terveysministeriö</span></figcaption></figure><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Urologi Juha Koskimäki: ”Ehkäisyvälineet yleensä maksetaan itse”</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Urologiyhdistyksen puheenjohtaja Juha Koskimäen mielestä vasektomiaa toivovat voisivat hakeutua omakustanteisesti yksityiselle puolelle toimenpiteeseen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Julkisella puolella vasektomian hinta on muutamia satoja euroja, yksityisellä hinta voi kivuta yli tuhanteen euroon.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Ehkäisyvälineet yleensä maksetaan itse, ei niitä yhteiskunta kustanna, toteaa Koskimäki.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075350","@context":"https://web.archive.org/web/20240226065603/https://schema.org","image":{"@type":"ImageObject","description":"Naisten sterilisaatiot ovat vähentyneet jyrkästi 1990-luvun huippuvuosista. Nykyään valtaosa vuotuisista sterilisaatioista tehdään miehille. ","copyrightHolder":"Venla Tirkkonen / Yle","url":"https://web.archive.org/web/20240226065603/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-107363963edfcd03b416","keywords":"sterilisaatio,Naisten sterilisaatio,Sterilointi"}}</script><div class="aw-1a00tic jvbQDA"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_624,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_624,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 1x"/><img alt="Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. " src="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/c_crop,h_630,w_1121,x_0,y_67/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Naisten sterilisaatiot ovat vähentyneet jyrkästi 1990-luvun huippuvuosista. Nykyään valtaosa vuotuisista sterilisaatioista tehdään miehille. </span><span> Kuva: Venla Tirkkonen / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vapaaehtoisesti lapsettomien yhdistyksen mukaan terveydenhuollossa vähätellään sterilisaation tarvetta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Sterilisaatio ja vasektomia ovat paljon enemmän kuin pelkkää ehkäisyä. Kyse on kokonaisvaltaisesta hyvinvoinnista ja vapautumisesta raskautumisen pelosta, toteaa puheenjohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Soile Rajamäki</strong> Vapaaehtoisesti lapsettomat -yhdistyksestä.</p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 3 linkkiä</h2><h2 class="sc-eqUAAy ctFUoD yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226065603/https://yle.fi/t/18-214112/fi" aria-label="Lisää artikkeleita aiheesta Vanhemmuus" class="aw-l7odld jXfkxq">Vanhemmuus</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226065603/https://yle.fi/a/74-20018818" class="aw-3ocnud eBKakF">Niina Hirvimäki, 29, tiesi jo hiekkalaatikolla, ettei halua lapsia – ilman ehkäisyongelmia laki pakottaisi hänet yhä odottamaan sterilointia</a></h3><time class="aw-4gocmc guzJZN">2023</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-107521663f34fb69a70e 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-107521663f34fb69a70e 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" 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href="/web/20240226065603/https://yle.fi/t/18-6547/fi" aria-label="Lisää artikkeleita aiheesta Lait" class="aw-l7odld jXfkxq">Lait</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226065603/https://yle.fi/a/74-20019467" class="aw-3ocnud eBKakF">Oikeusoppinut pitää Suomen sterilisaatiolakia holhoavana – perusteita 30 vuoden ikärajalle on vaikea löytää</a></h3><time class="aw-4gocmc guzJZN">2023</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-6189155de765031b634 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6189155de765031b634 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-6189155de765031b634 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6189155de765031b634 1x"/><img alt="Ehkäisyvälineitä: e-pillereitä, kierukoita, ehkäisyrengas, kondomi, ehkäisykapseli" src="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6189155de765031b634" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226065603/https://yle.fi/t/18-17727/fi" aria-label="Lisää artikkeleita aiheesta Sterilisaatio" class="aw-l7odld jXfkxq">Sterilisaatio</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226065603/https://yle.fi/a/3-12576390" class="aw-3ocnud eBKakF">"Mitä jos vielä rakastut mieheen, joka haluaa lapsia?" kysyi lääkäri – moni on törmännyt sterilisaatiota hakiessaan asiattomiin kommentteihin</a></h3><time class="aw-4gocmc guzJZN">2022</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-99662662ff58cb0431a 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-99662662ff58cb0431a 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-99662662ff58cb0431a 2x, https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-99662662ff58cb0431a 1x"/><img alt="Alavutelainen Niina Laitio katselee järvelle." src="https://web.archive.org/web/20240226065603im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-99662662ff58cb0431a" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div></div><div><div class="aw-1n3c5tg lkXQTI"><a href="/web/20240226065603/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-1viu5l0 ihpQdr">Terveydenhuolto</a><a href="/web/20240226065603/https://yle.fi/t/18-327171/fi" aria-label="Lisää artikkeleita aiheesta Hyvinvointialueet" class="aw-1viu5l0 ihpQdr">Hyvinvointialueet</a><a href="/web/20240226065603/https://yle.fi/t/18-17727/fi" aria-label="Lisää artikkeleita aiheesta Sterilisaatio" class="aw-1viu5l0 ihpQdr">Sterilisaatio</a><div class="aw-cf4nb3 caaAug"><button aria-label="Näytä kaikki aiheet" aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 bcVPDV kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-1933nkp cwQFrH"><path fill-rule="evenodd" clip-rule="evenodd" d="M13 5a1 1 0 1 0-2 0v6H5a1 1 0 1 0 0 2h6v6a1 1 0 1 0 2 0v-6h6a1 1 0 1 0 0-2h-6V5Z" fill="currentColor"></path></svg></span></button></div></div></div></footer></article></div></div><div class="RecommendedPostArticleHeadlines__Container-sc-f3daa24e-0 bKAWml"><section aria-label="Suosittelemme" class="no-print"><h2 class="Group__SrHeading-sc-641af73e-3 iIDyXA sr-only">Suosittelemme</h2><div class="Group__Container-sc-641af73e-0 kBWooC"><div class="GridSystem__GridCell-sc-39885cb3-0 dyvGJs"><div class="GroupHeader__Header-sc-127387d3-0 jTXvbo"><div aria-hidden="true" class="GroupHeader__BrandLogoAndTitle-sc-127387d3-1 knYucC"><h2 aria-hidden="true" class="Typography-sc-8c75a913-0 cJlDxH"><span>Suosittelemme</span></h2></div></div><div class="GridItem__HorizontalLineContainer-sc-fb5dddd6-0 gwYktw"><div class="HorizontalLine__Container-sc-4e2b487d-0 kIuphP auto-detect-ukko-theme"><div class="HorizontalLine__Line-sc-4e2b487d-1 gEWsCT"></div></div></div><div data-analytics-headline-link="true"><div 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MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Perheet</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20075553" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Kalle, 10, joutui pakkohoitoon ja erotettiin koulusta – lastensuojelun piti auttaa, mutta kävikin päinvastoin</a></h3></div></li></ol></div></aside><aside class="GridSystem__GridCell-sc-39885cb3-0 SidebarLayout__SidebarItemContainer-sc-3eb74ea9-1 cLQCdE jHMrFX"><h2 id="sb-most-recent" class="Typography-sc-8c75a913-0 bULHrI SidebarLayout__SidebarItemHeader-sc-3eb74ea9-0 cQMpdn SidebarLayout__SidebarItemHeader-sc-3eb74ea9-0 cQMpdn">Tuoreimmat</h2><div class="MinimalHeadlines__Container-sc-50e5ed09-0 iOwQHi"><ol aria-labelledby="sb-most-recent"><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T08:41:34+0200">8:41</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-212055/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Elinkeinoelämä</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076001" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Varakas sijoituskonserni Finda jättämässä kymmenet tuhannet pienosakkaat ilman osinkoa – varoja olisi satoja miljoonia euroja</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T08:19:44+0200">8:19</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-211945/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Energia</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20075971" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Vihreän siirtymän pioneerin autotallissa humisee älykäs energiavarasto, joka seuraa itsekseen säätietoja ja sähkönhintaa</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T08:09:54+0200">8:09</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-213160/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Eläimet</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076198" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Valkoisia koe-eläinmarsuja ei huolita lemmikeiksi – Tesyyn toimitetuista 12 marsusta neljä etsii yhä kotia</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T08:03:28+0200">8:03</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-212557/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Koulutus</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20075799" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Näillä seitsemällä vinkillä pärjäät, kun haet kesätyötä</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T08:00:36+0200">8:00</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-215754/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Koripallo</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076307" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Susijengin illan vastustaja Tanska pyysi apua suomalaisvalmentajalta – ”Minulle tultiin naureskelemaan”</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T07:28:11+0200">7:28</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-340121/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Rikosepäilyt</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076352" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Poliisi ei aloita tutkintaa ilotulituksesta käydystä somekeskustelusta</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T07:18:02+0200">7:18</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-215754/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Koripallo</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076354" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Utahille ensimmäinen voitto siirtorysäyksen jälkeen – Jazzin pistekunkku Markkanen jälleen superlupausta tehokkaampi</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T07:15:36+0200">7:15</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-35057/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Media</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20073445" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">On aika luopua sadasta kravatista ja taskuliinoista – Matti Rönkä sanoo jäähyväiset tv-uutisille</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T07:01:20+0200">7:01</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-209306/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Terveys</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20075747" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Säät ovat niin karmeat, että liukastumisia on tavallista enemmän – Milsa Malin mursi nilkkansa ja päätti hankkia jääpiiskan</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T06:45:36+0200">6:45</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-217946/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM 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dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076340" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Katso aamun pääuutiset</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T06:25:36+0200">6:25</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-216363/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Terveydenhuolto</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20075886" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Pienten sairaaloiden vähentämistä perustellaan potilasturvallisuuden parantamisella, vaikka näyttöä siitä ei ole</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T06:05:36+0200">6:05</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-218737/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Työelämä</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20074898" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Etäpalaverit ovat mainettaan parempia – Ville Talvitie käy työpaikallaan vain kerran kuussa</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T06:00:41+0200">6:00</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-219772/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Hiihto</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076344" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Kalle Lassila kaipasi Iivo Niskaselta hiihtolegendan mukaista käytöstä – ”Oli lähinnä lapsellista ja noloa”</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-26T05:20:36+0200">5:20</time><div class="MinimalHeadlines__ListLine-sc-50e5ed09-4 bKztAQ"></div></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 bFUWKB"><a href="/web/20240226065603/https://yle.fi/t/18-354470/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Gazan sota</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226065603/https://yle.fi/a/74-20076193" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Yhteen Gazan kaupunkiin on pakkautunut yli 1,5 miljoonaa ihmistä – Israelin maahyökkäys olisi katastrofi</a></h3></div></li><li 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Hyvinvointialueet perustelevat pitkiä jonoja niukilla resursseilla ja priorisoinnilla. Taustalla on myös ministeriön ja hyvinvointialuieden välinen kiista.","type":"text"},{"text":"Tällä hetkellä tuhannet miehet jonottavat päästäkseen sterilisaatioon. Odotusaika voi venyä vuosien mittaiseksi – esimerkiksi Pirkanmaan hyvinvointialueella vasektomiaan pääsyä joutuu odottamaan noin kolme vuotta.","type":"text"},{"text":"Vasektomia eli miesten sterilisaatio on kirurginen toimenpide, jonka tarkoitus on aiheuttaa pysyvä hedelmättömyys. Itse toimenpide on varsin nopea ja vaivaton, silti urologien mielestä muut terveyshuolet ajavat sterilisaation ohi.","type":"text"},{"text":"– Ei ole eettisesti mitenkään perusteltua, että käytämme niukkoja resurssejamme vasektomioiden tekemiseen, toteaa Pirkanmaan kirurgian vastuualuejohtaja ja Suomen urologiyhdistyksen puheenjohtaja **Juha Koskimäki**.","type":"text"},{"text":"Hänen mukaansa kyse on priorisoinnista.","type":"text"},{"text":"– Potilaiden hoitoon varattu resurssimme on jouduttu kohdentamaan sairauksien hoitoon. 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Hoitotakuun perusteella ihmisen pitäisi saada tarvitsemansa hoito puolen vuoden kuluessa hoidon tarpeen toteamisesta.","type":"text"},{"type":"video","id":"1-68174873","programResponse":{"series":{"title":{"main":{"swe":"Yle Kaakkois-Suomen videot","fin":"Yle Kaakkois-Suomen videot"}},"image":{"cover":{"fin":{"type":"Image","id":"39-1083628640b36a36969d","version":1708778637}},"main":{"fin":{"type":"Image","id":"39-1083628640b36a36969d","version":1708778637}}}},"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2024-02-22T14:07:47+02:00","geoRestriction":"None","type":"Publication","id":"4-68174874","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"videoTrack":{"format":"HD","aspectRatio":"16:9","type":"VideoTrack","duration":"PT38S"},"captionTracks":[{"type":"CaptionTrack","language":"fin","kind":"hardOfHearing"}],"downloadable":false,"type":"Video","duration":"PT38S","id":"67-506628b608c5472e957eac37a337ab89","available":true}}],"title":{"main":{"fin":"Vasektomia ei kuulu julkiseen terveydenhuoltoon"}},"id":"1-68174873","image":{"main":{"fin":{"type":"Image","id":"13-67-506628b608c5472e957eac37a337ab89","version":1708613115}}}}},{"text":"Urologien mukaan sterilisaatio ei kuulu hoitotakuun piirin. Sosiaali- ja terveysministeriö näkee asian aivan toisin.","type":"text"},{"text":"– Vasektomia kuuluu hoitotakuun piiriin, lääkintöneuvos **Tapani Hämäläinen** sosiaali- ja terveysministeriöstä toteaa ykskantaan.","type":"text"},{"text":"Epäselvä tilanne johtuu laintulkinnan eroista, tunnustaa lääkintöneuvos.","type":"text"},{"text":"– Sterilisaation osalta lainsäädännössä on epätarkkuuksia, jotka vaatisivat tarkennuksia. Urologit ovat tarttuneet todennäköisesti tähän epätarkkuuteen, Hämäläinen kertoo.","type":"text"},{"caption":"Lääkintöneuvos Tapani Hämäläisen mielestä ei ole perusteltua asettaa vastakkain sterilisaation jonottajia ja syöpäpotilaita.","type":"video","id":"1-68176299","programResponse":{"series":{"title":{"main":{"swe":"Yle Kaakkois-Suomen videot","fin":"Yle Kaakkois-Suomen videot"}},"image":{"cover":{"fin":{"type":"Image","id":"39-1083628640b36a36969d","version":1708778637}},"main":{"fin":{"type":"Image","id":"39-1083628640b36a36969d","version":1708778637}}}},"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2024-02-23T10:54:29+02:00","geoRestriction":"None","type":"Publication","id":"4-68176300","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"videoTrack":{"format":"HD","aspectRatio":"1:1","type":"VideoTrack","duration":"PT23S"},"captionTracks":[{"type":"CaptionTrack","language":"fin","kind":"hardOfHearing"}],"downloadable":false,"type":"Video","duration":"PT23S","id":"67-7ec152e294484437991c508a661dfeb3","available":true}}],"title":{"main":{"fin":"Vastakkainasettelu sterilisaation ja syöpäleikkauksien välillä"}},"id":"1-68176299","image":{"main":{"fin":{"type":"Image","id":"39-124827065d843d005270","version":1708680213}}}}},{"text":"Suomen urologiyhdistyksen laintulkinnan mukaan vasektomian ei kuulu julkisen terveydenhuollon palveluihin, eikä myöskään hoitotakuun piiriin.","type":"text"},{"text":"– Vasektomia ei ole sairaus, eikä se ole terveydenhoitoa, vaan se on ehkäisykeino. Siksi se rajautuu lain ulkopuolelle, toteaa urologiyhdistyksen puheenjohtaja Juha Koskimäki.","type":"text"},{"content":[{"text":"Terveydenhuoltolaki 7 a §","level":2,"type":"heading"},{"text":"Terveydenhuollon palveluvalikoima","level":2,"type":"heading"},{"text":"*Terveydenhuollon palveluvalikoimaan kuuluvat lääketieteellisesti ja hammaslääketieteellisesti perusteltu sairauksien ennaltaehkäisy, sairauden toteamiseksi tehtävät tutkimukset sekä taudinmääritys, hoito ja kuntoutus.*","type":"text"},{"text":"Lähde: [Finlex](https:\u002F\u002Fwww.finlex.fi\u002Ffi\u002Flaki\u002Fajantasa\u002F2010\u002F20101326)","type":"text"}],"type":"aside"},{"text":"Sosiaali- ja terveysministeriö on saanut hyvinvointialueilta kyselyitä siitä, kuuluvatko vasektomiat hoitotakuuseen.","type":"text"},{"text":"– Ministeriön tulkinta on, että palveluvalikoimaan kuuluu myös muita sosiaalisin perustein tarjottavia lääketieteellisiä toimenpiteitä ja palveluita, kuten raskauden keskeytykset. Sterilisaatiot ovat kuuluneet julkisesti rahoitettuun palveluvalikoimaan jo vuosikymmeniä. Pitäisi olla hyvät perusteet tai lainsäädännön tulisi muuttua, että sterilisaatiot nyt rajattaisiin palveluvalikoiman ulkopuolelle, toteaa palveluvalikoimaneuvoston pääsihteeri **Hanna-Mari Jauhonen** sosiaali- ja terveysministeriöstä.","type":"text"},{"text":"Terveydenhuoltolaki velvoittaa hyvinvointialueita järjestämään ehkäisyneuvontaa ja muita seksuaaliterveyttä edistäviä palveluita.","type":"text"},{"displayStyle":"normal","alt":"Lääkintöneuvos Tapani Hämäläinen nojaa lasiseinään.","source":"sosiaali- ja terveysministeriö","aspect":1.5,"caption":"Lääkintöneuvos Tapani Hämäläinen kertoo, että terveydenhuoltolakia ollaan juuri päivittämässä. Samalla olisi mahdollisuus selkeyttää sterilisaation asema julkisessa terveydenhuollossa.","id":"39-124844365d87ae71664f","type":"image","alts":[{"language":"fin","value":"Lääkintöneuvos Tapani Hämäläinen nojaa lasiseinään."}],"blurhash":"LXLqnXxax]_3~qjs9GogM|axofRj","tags":[{"label":[{"language":"fin","value":"sosiaali- ja terveysministeriö"},{"language":"swe","value":"social- och hälsovårdsministeriet"}],"extId":"18-197020"},{"label":[{"language":"eng","value":"Medical Counsellor"},{"language":"fin","value":"Lääkintöneuvos"},{"language":"swe","value":"Medical counsellor"}],"extId":"18-45917"}],"copyright":[{"language":"und","value":"sosiaali- ja terveysministeriö"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":458,"width":4500,"height":2531}}],"height":3000,"licence":{"id":"4","name":[{"language":"eng","value":"Other external source"},{"language":"fin","value":"Muu ulkoinen lähde"},{"language":"swe","value":"Annan extern källa"}],"properties":[]},"version":"1708686134","width":4500,"recommendedFormat":"jpg"},{"text":"Urologi Juha Koskimäki: ”Ehkäisyvälineet yleensä maksetaan itse”","level":2,"type":"heading"},{"text":"Urologiyhdistyksen puheenjohtaja Juha Koskimäen mielestä vasektomiaa toivovat voisivat hakeutua omakustanteisesti yksityiselle puolelle toimenpiteeseen.","type":"text"},{"text":"Julkisella puolella vasektomian hinta on muutamia satoja euroja, yksityisellä hinta voi kivuta yli tuhanteen euroon.","type":"text"},{"text":"– Ehkäisyvälineet yleensä maksetaan itse, ei niitä yhteiskunta kustanna, toteaa Koskimäki.","type":"text"},{"displayStyle":"normal","alt":"Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. ","source":"Venla Tirkkonen \u002F Yle","aspect":1.0190217391304348,"caption":"Naisten sterilisaatiot ovat vähentyneet jyrkästi 1990-luvun huippuvuosista. Nykyään valtaosa vuotuisista sterilisaatioista tehdään miehille. ","id":"39-107363963edfcd03b416","type":"image","alts":[{"language":"fin","value":"Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. "}],"blurhash":"L46k;x?v9ZM|~V?HE1Rj_N-;MxIU","tags":[{"label":[{"language":"eng","value":"Sterilization (Surgical Procedure)"},{"language":"fin","value":"sterilisaatio"},{"language":"swe","value":"sterilisering (medicinska åtgärder)"}],"extId":"18-17727"},{"label":[{"language":"eng","value":"Sterilization of Women"},{"language":"fin","value":"Naisten sterilisaatio"},{"language":"swe","value":"Sterilization of women"}],"extId":"18-73978"},{"label":[{"language":"fin","value":"Sterilointi"},{"language":"swe","value":"Sterilisering"}],"extId":"18-268963"}],"copyright":[{"language":"und","value":"Venla Tirkkonen \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":67,"width":1121,"height":630}},{"name":"1:1","aspect":1,"coordinates":{"x":12,"y":0,"width":1104,"height":1104}}],"height":1104,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1676543912","width":1125,"recommendedFormat":"png"},{"text":"Vapaaehtoisesti lapsettomien yhdistyksen mukaan terveydenhuollossa vähätellään sterilisaation tarvetta.","type":"text"},{"text":"– Sterilisaatio ja vasektomia ovat paljon enemmän kuin pelkkää ehkäisyä. Kyse on kokonaisvaltaisesta hyvinvoinnista ja vapautumisesta raskautumisen pelosta, toteaa puheenjohtaja **Soile Rajamäki** Vapaaehtoisesti lapsettomat -yhdistyksestä.","type":"text"},{"type":"links","links":[{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240226065603\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20018818"},"internal":{"id":"74-20018818"},"title":"Niina Hirvimäki, 29, tiesi jo hiekkalaatikolla, ettei halua lapsia – ilman ehkäisyongelmia laki pakottaisi hänet yhä odottamaan sterilointia","datePublished":"2023-02-23T05:20:34+0200","subject":{"description":{"fi":"biologinen vanhemmuus, isyys tai äiteys; sosiaalinen vanhemmuus, esim. sijaisvanhemmuus. 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