Couples can use donor sperm when the husband has a very poor semen analysis, or when there is a genetic problem which could be inherited from the male. Single women who want a biological child may also consider using donor sperm as a means to conceive. It is also crucial that both partners feel comfortable with the decision and be psychologically ready with contraception using donor sperm. It is recommended that all fears and questions have better clarity on various moral and ethical issues surrounding donation. The donor selection is to be openly discussed with a counselor who is skilled at clarifying feelings about infertility.
Contraception using donor sperm involves inseminating the woman as close to the time of ovulation as possible by monitoring their ovulatory cycles. It is carried out most commonly by intrauterine insemination. semen is released through a soft catheter that is passed through the speculum to the cervical opening. Intrauterine insemination is usually used to increase the success rate of fertilization. After the sperm is processed from its frozen form, it is injected into the uterus via the cervix using a syringe and thin catheter. This procedure is usually painless, and only some women who have a tight cervical opening experience cramping if an instrument (tenaculum) is used to open the cervix.
Higher success rates are reported in women who are under 35 years old and have no infertility problems. Success rates may also increase with two inseminations per cycle and correct timing of insemination.Authored By : DR RUCHI MALHOTRA, DGO DNB - Obstetrics & Gynecology