Sperm donation

 

 

Donor sperm bank

 

The donor sperm bank is designed to treat the severe forms of male infertility, removal of risks of transfer of hereditary diseases and for lonely women. In any case the donor sperm is a subject to freezing and storage in the liquid nitrogen during six months and more with a view to decrease the risk of transfer of donor infections to recipient.

 

Selection of this treatment method, as a rule, has serious influence on married couples as their future baby won’t have any genetic connection with the husband. It’s very important for the both spouses to experience the impossibility of having genetically common babies and to try to understand all aspects connected to the upbringing of the child conceived with the donor sperm.

 

Patients, who have decided to resort to the services of the donor sperm bank, are usually interested how the selection and examination of potential donors is carried out. Before including the donor in the sperm bank he undergoes broad medical and genetic examination. He will surely be examined for detecting HIV infection, syphilis, hepatitis B and C and series of sexually transmitted diseases (gonorrhea, clamidya, cytomegalovirus, herpes, ureaplasmosis and mycoplasmosis). The donor undergoes examination by therapist, urologists, genetic consultancy, as well as additional genetic examinations. Besides that the donor should by all means be examined by the psychologist.

 

The donor sperm is frozen and stored during six months (so called “quarantine”) after which it’s again examined to detect HIV infection, syphilis and hepatitis, as these diseases can be detected several months after the contagion. Use of unfrozen donor sperms is permitted only after the repeated negative results of donor’s tests 6 months later.

 

The donor sperm can be used for the intrauterine insemination (IUI) or IVF cycle. “The sperm donorship” program includes the same phases as the standard IVF or insemination program. The difference is that donor sperm is used for the fertilization after 6 months quarantine.

 

In general, the use of the sperm after the cryopreservation doesn’t decrease the efficiency of the treatment.

 

The sperm donors can be:

 

• patient’s relatives and friends,
• anonymous professional donors.

 

The sperm bank data contains information on the donor’s appearance, nationality, education, profession, marital status, availability of babies. Information of the donor’s identity is confidential and the donor doesn’t receive any information of patients whom his sperms are designed for. The donor signs an agreement which indicates that his sperm and resulted embryos will be the property of patients.

 

Requirements for the sperm donor:

 

• aged between 18-35;
• lack of abnormalities in the appearance (the right figure and physiognomy);
• physical and psychological health.

 

Requirements for the donor sperm:

 

• the volume of the sperm more than 20 ml;
• concentration of more than 80 million spermatozoa in 1 ml of ejaculate;
• the lobe of mobile forms more than 60%;
• the lobe of normal forms more than 60%;
• cryotolerance (survival potential of spermatozoa after freezing).

 

The volume of examination for the sperm donor:

 

• Examination and conclusion by therapist (annually);
• Examination and conclusion by urologist (annually);
• Examination and conclusion by psychologist (one-time);
• Examination for infections – gonorrhea, clamidya, cytomegalovirus, herpes, ureaplasmosis, mycoplasmosis (valid for 6 months);
• Consultation by genetics (one-time);
• Blood test to detect syphilis, HIV, hepatitis B and C (valid for 3 months),
• Identification of blood grouping and rhesus factor;
• Cytogenetic screening

 

Indication for IVF with donor sperms:

 

From the husband’s side:

 

• male infertility;
• ejaculate and sexual abnormalities,
• unfavorable medico-genetic forecast.

 

From the wife’s side

 

• lack of sexual partner.

 

Contraindications:

 

• Somatic and psychological diseases which has contraindications for pregnancy;
• Innate development abnormality or acquired deformations of the uterine cavity, which makes it impossible to implant embryos;
• Ovary tumors;
• Hyper-plastic processes in the endometrium,
• Benign uterine tumors requiring operative treatment
• Sever inflammatory diseases of any localization,
• Malignant neoplasms in any localization, including anamnesis.