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Donor Sperm Insemination

Donor insemination is the oldest form of infertility treatment with reports of this therapy dating much earlier than the advent of reproductive endocrinology as a specialty.   Historically, fresh donors were used, whereby the donor came to the gynecologist’s office at the time of the procedure to donate a specimen.  More recently, with the development of successful sperm freezing techniques and the concern of communicable disease transmission such as HIV and Hepatitis, frozen sperm has replaced the use of fresh donor sperm.

The most common use for donor sperm is intrauterine insemination (IUI).  This is a technique where donor sperm is placed into a catheter and delivered though the cervix directly into the uterus.  The female partner is followed in the office using pelvic ultrasound.  When a follicle is felt to have completely developed, a hormone injection of hCG is given which will cause ovulation 30 to 48 hours later.  In general, two intrauterine inseminations will be scheduled during one pregnancy attempt.  Inseminations cause no discomfort, and the visit takes approximately 30 minutes.  At the conclusion of the procedure, the patient is free to leave the office and has no limitations.  The use of donor sperm requires that you and your husband (where applicable) sign a legal document accepting paternity of the potential child resulting from therapy.  The appropriate consent forms will be provided to you prior to scheduling your cycle.
 
As sperm donor availability changes daily, we ask that you contact the sperm banks directly and request the appropriate information and donor lists (many are online).  These lists provide a wealth of information including age, height, weight, hair color, eye color, education status, blood type, and ethnic origin where appropriate, allowing you to tailor your choice.  Once you have decided to pursue donor insemination, careful coordination with our office is necessary to have the specimen arrive at the proper time.  Please contact the nurse coordinator at 904-493-BABY (2229) to coordinate your treatment.
 
The success rates of donor insemination vary with the clinical situation.  If the female partner has no infertility problems, the pregnancy rate ranges between 8 and 15 percent per cycle of therapy.  This is compared to the normal fertile couple’s chances of 20-22% per month.  Total cycle costs also vary depending on circumstances and number of inseminations per cycle and range from $500 – $1000.
It is important that both partners be comfortable with the emotional and practical considerations involved. If at any time you have questions or concerns, we will be happy to discuss them with you.  As always, it is our hope to make you comfortable during the often complicated and frustrating diagnosis and treatment of infertility.