3 Steps to Follow: #2 Select a physician who can manage your medical care
Typically these are obstetrician/gynecologists (OB/GYNs) or infertility specialists like Reproductive Endocrinologists (REs). Once you have selected a physician, you will meet with him/her to access your overall health issues involving a future pregnancy, the procedures that are best suited for your reproductive needs, and the timing of any attempts using Donor Insemination (DI).
3 Steps to Follow: #1 Choose your Donor
Choosing the ideal sperm donor typically takes several weeks as you review all your options. Your physician may have some recommended sperm banks for you to consider. Sperm Banks are often called ‘Cryobanks’ because they store frozen (cryopreserved) specimens. Cryogenic Laboratories, Inc has an online donor list
you can search and sort with your preferences. There are also personalized services that make the selection process easier that you can access by phone, email or chat.
Donors have detailed family and personal medical histories for your review. They undergo extensive screening
including thorough medical examinations and testing for genetic diseases and sexually transmitted diseases, including HIV. The FDA regulates the donor screening process and all sperm banks must comply and pass regular inspections. Testing standards between sperm banks differ, as some do more than the FDA requires so you may want to investigate this before choosing a sperm bank. We accept less than 1% of those who apply to become donors as we have exceptionally high standards for semen quality, healthy family and medical history and infectious and genetic disease testing.
For the donors that make it through the screening process, extensive donor information is available online. Not only can you select a donor based on physical characteristics and ethnic background, you can to listen to audio interviews, look at childhood and adult photographs, read personality profiles and essays, and even learn what our staff thinks of the donors they work with every day. Personal profiles include education, talents and many other unique aspects of the donor. Medical histories review health issues for the donor and his extended family. Donors who have been available for at least six months often have a history of a proven pregnancy.
Blog written by CLI Family Forum Moderator Desiree
Cytomegalovirus, commonly called CMV, is a member of the herpes virus family that includes chicken pox, cold sores, and infectious mononucleosis (mono). Most individuals are exposed to CMV in childhood and have a mild infection similar to a typical cold, while the immune system develops antibodies to fight the infection. The virus remains alive, but becomes dormant, or hides, inside certain cells for the rest of the person’s lifetime. Pregnant women who are infected for the first time during pregnancy usually recover completely with few or no symptoms. However, the unborn baby is at risk for congenital infection. Twenty percent of babies born with an infection develop medical complications over the first few years of life.
Many donors on the Cryogenic Laboratories catalog are CMV positive, because 50-85% of Americans have been exposed to the virus and therefore test positive. Some women on the forum discussion boards who have tested negative for CMV are frustrated by the lack of negative donors. Many have spent time searching for the perfect physical traits and personality characteristics, only to find out the donor has a positive CMV status. Although none of the vials sold by the cryobank have active infections of CMV, it is still a concern to women who are worried about having a healthy baby.
The CLI Family Forums have some interesting comments about this controversial topic. Some women have discussed this problem with their fertility specialist and were surprised to be given the green light on choosing a CMV positive donor. Some women have decided that the best donor features outweigh the minimal risk of contracting CMV. One user of the board joked light-heartedly on how she was grumpy she never contracted this mild disease prior. And one woman pointed out that you don’t get to test your partners in the field for CMV and people don’t seem too concerned about that. The CLI Family Forum discussion boards are a great way to find out more resources about common concerns that people utilizing donor sperm encounter.
Cryogenic Laboratories does highly recommend that women who are negative should use a CMV negative donor. However, the use of a CMV positive donor is allowed. While the risk is not zero, the chance of transmitting congenital CMV to a developing fetus from semen used at the time of conception is extremely low. This is, however, a medical issue that should be discussed with your physician prior to purchasing semen.
Blog written by Laboratory Staff JM
The last step in the donor insemination planning process is to place your semen order.
Either you or your health-care provider may place an order. Before placing the order, please check availability online or by calling Client Services. We recommend placing your first order over the phone. This allows us to work together placing the order and helps prepare you for subsequent orders. You may do so by contacting Client Services at 800-466-2796. We also provide online ordering for anonymous donor sperm and additional information through our Donor Search.
At the time of your order you will need the following information:
-Patient name, address, and phone number
-Medical Professional’s name and shipping address
-Number of units and preparation type (Pre-washed IUI, Standard ICI, IVF)
-Date the units need to arrive at the provider’s office
From the American Society for Reproductive Medicine (ASRM) fact sheet on Embryo Donation.
”What is embryo donation?
In the current practice of in vitro fertilization (IVF), some patients may create more embryos (fertilized eggs) than they need. The extra embryos may be cryopreserved (frozen) so that they can be transferred later. However, sometimes these embryos may not be used. These patients have the option to have their embryos discarded, donated to research or donated to another woman to achieve pregnancy.
Who receives donated embryos?
The use of donated embryos may be considered by women with untreatable infertility that involves both partners, untreatable infertility in a single woman, recurrent pregnancy loss thought to be related to the embryo, and genetic disorders affecting one or both partners.
What are the legal implications of donor embryo usage?
Recipients should seek legal counsel from a lawyer specializing in family issues. This lawyer should be familiar with state laws regarding parentage of transferred embryos during pregnancy and after birth. Where there is little legal precedent regarding the use of donor embryos, the American Society for Reproductive Medicine (ASRM) recommends that the recipient accept full responsibility for the transferred embryo(s) and resulting children.
ASRM also recommends that the recipient release the donors and the assisted reproduction program from any and all liability from any potential complications of the pregnancies, congenital abnormalities, heritable diseases, or other complications of the embryo donation.
How successful is embryo donation at achieving pregnancy?
Success rates with embryo donation depend on the quality of the embryos at the time that they were frozen, the age of the woman who provided the eggs and the number of embryos transferred.”
ASRM is an excellent resource for reproductive facts. Please check out their patient resources website at http://www.reproductivefacts.org/.
Picking the perfect donor can be stressful. The cost of medical bills for insemination can be overwhelming. The timing of cycles is often confusing. Try to relax and take a break by engaging in some fun things on the CLI website.
Blood Type Predictor: There are tables on this page that help determine the most likely blood types of offspring born to parents with the blood types listed.
Birthday Calculator: Enter the date of your insemination for the approximate birthday of your child.
Share Your Story: Take a few minutes to share your amazing journey into parenthood with CLI. We love to hear from you!
Resource List: Check out some great books suggestions for all different family dynamics.