When the husband/partner lack any sperm or have a very poor semen analysis (azoospermia, oligospermia, poor motility), Couples go for donor sperm (DI). Sperm donation is also an option when there is a genetic problem which is inherited. Single women who want a child biologically also go for DI. You should be psychologically ready to go for DI. it is highly recommended that any patient who is seriously considering DI should see a counsellor who is experienced giving the right counselling infertility, and about trying DI. It is necessary that both partners should be comfortable to openly discuss the fears and questions. For many, it might mean dealing with certain questions of moral and ethical importance. for others it may be searching for questions about donor selection and whether to let the child conceived to know how they were conceived.
- Donor selection includes information relating to a donor’s physical characteristics, which may be educational qualifications, career history, race, ethnic background, and overall health. Many banks give written profiles about the donors and some sperm banks are even provides non-identifiable knowledge about the donor (including photographs) as well as gives a service for adult offspring to get the information about the donor.
- Everyone who is a donor must go for certain tests for infections such as gonorrhoea, chlamydia, streptococcal species, syphilis, hepatitis B, cytomegalovirus (CMV), and trichomonas. All these infections can easily spread via semen to a woman. Some of these infections have a great effect on the fetus; while others affect the woman greatly. The donor’s semen needs to be checked for the appearance of white blood cells which can symbolise an underlying infection within the reproductive tract.
- Certain types of donors are excluded from a donor program when he or his sexual partner are experiencing any of the following: a history of homosexual activity, a blood transfusion within one year, having various sexual partners, a history of drug use through IV use or a history of genital herpes.
- Before starting DI, a thorough medical and reproductive history needs to be taken on the woman and other tests blood type, rubella titer, an antibody test for CMV also should be carried out. If the woman’s tests come out for negative for CMV, then a CMV-negative donor should only be used for such procedure.
- The DI procedure requires insemination of the woman closer to the time of ovulation as possible
- The highest success rates for this procedures are found in women suffering from no infertility issues and are below 35 years of age and only the partner/husbands have azoospermia (no sperm). The success rates become much lower where there is a female factor like ovulation problem, endometriosis, DES is involved or the woman is above the age of 35.
- Success rates range from 60-80% for this procedure but getting pregnant may take many cycles.