Selection and Screening of Donors
Using anonymous donor sperm or sperm from a non-anonymous, also called known or identifiable sperm donor through a sperm bank is a safe and reliable method of achieving a pregnancy.
A sperm bank takes a number of steps to ensure the health and quality of the sperm which it supplies and it will inform customers of the checks which it undertakes, providing relevant information about individual donors. A sperm bank will usually guarantee the quality and number of motile sperm available in a sample after thawing. They will try to select men as donors who are particularly fertile and whose sperm will survive the freezing and thawing process. Samples are often sold as containing a particular number of motile sperm per millilitre, and different types of sample may be sold by a sperm bank for differing types of use, e.g. ICI or IUI.
A sperm bank recruits donors via advertising, often in colleges and in local newspapers, and also via the internet. A donor must be a fit healthy male, normally between 18 to 45 years of age, who is willing to undergo frequent and rigorous testing and who is willing to donate his sperm so that it can be used to impregnate women who are unrelated to, and unknown by, him. The donor must agree to relinquish all legal rights to all children which result from his donations. Where a man donates his sperm to a sperm bank, he will usually not be regarded as the legal father of children which are produced from his donations. The donor must produce his sperm at the sperm bank thus enabling the identity of the donor, once proven, always to be ascertained, and also enabling fresh samples of sperm to be produced for immediate processing.
Sperm is produced by way of masturbation. The sperm will be checked to ensure its fecundity and also to ensure that motile sperm will survive the freezing process. If a man is accepted onto the sperm bank's program as a sperm donor, his sperm will be constantly monitored, the donor will be regularly checked for infectious diseaes, and samples of his blood will be taken at regular intervals. A sperm bank may provide a donor with dietary supplements containing herbal or mineral substances such as maca, zinc, vitamin E and arginine which are designed to improve the quality and quantity of the donor's semen, as well as reducing the refractory time (i.e. the time between viable ejaculations). All sperm is frozen in straws or vials and stored for a minimum of 6 months before being released for sale and use to ensure that the donor remains healthy.
Donors are subject to tests for infectious diseases such as human immunoviruses HIV (HIV-1 and HIV-2), human T-cell lymphotropic viruses (HTLV-1 and HTLV-2), syphilis, chlamydia, gonorrhea, Hepatitis B virus, Hepatitis C virus, cytomegalovirus (CMV), Trypanosoma cruzi and Malaria as well as hereditary diseases such as cystic fibrosis, Sickle cell anemia, Familial Mediterranean fever, Gaucher's disease, Thalassaemia, Tay-Sachs disease, Canavan's disease, Familial dysautonomia, Congenital adrenal hyperplasia Carnitine transporter deficiency and Karyotyping 46XY. Karyotyping is not a requirement in either EU or the U.S. but some sperm banks choose to test donors as an extra service to the customer.
A sperm donor may also be required to produce his medical records and those of his family, often for several generations. A sperm sample is usually tested micro-biologically at the sperm bank before it is prepared for freezing and subsequent use. A sperm donor's blood group may also be registered to ensure compatibility with the recipient.
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