Some couples are faced with the fact that either the man’s sperm is inadequate to fertilize an egg, or the woman’s eggs are unsuccessful in the ability to produce a viable pregnancy. When this arises, there is still hope. Donor eggs and donor sperm make it possible for patients in this situation to still achieve pregnancy.
Donor SpermDonor sperm is commonly used by same-sex female couples, trans* couples and single women, and is occasionally required by heterosexual couples where there is a severe sperm factor or cases where there is a risk of transmitting a genetic disease from the male partner. To help you understand the process of assisted conception using donor sperm in Canada please review the following.
Preparing for the processPrior to starting any treatment using donor sperm at PCRM, medical testing is required to ensure there are no undetected physical or hormonal barriers to conception. These tests consist of hormonal and obstetrical blood tests, as well as screening tests for Hepatitis B and C, HIV, and syphilis. As well, it is strongly recommended that an evaluation of your Fallopian tubes through a specialized X-ray (hysterosalpingogram or HSG) be performed before beginning any treatment. This test ensures your Fallopian tubes are not blocked, as this would interfere with conception. Additionally, patients using donor sperm will require testing for cytomegalovirus (CMV). If you are CMV negative, you should select sperm from donors who are CMV negative. Based on the recommendation of your PCRM physician, there may be additional testing required. You are also required by law to meet with a counselor with an expertise in reproductive health prior to embarking on treatments using donor sperm. (see below).
Considerations regarding the use of donor spermUsing donor sperm to assist in creating your family can have an impact on future family dynamics, and will be a part of your child’s genetic reality, and personal identity to varying degrees. As per the Human Reproduction Act (2004), in Canada, whenever third party reproduction is used in a clinical setting, counselling by a mental health professional with an expertise in reproductive medicine is required. The counselling session is important to help those planning to use donor sperm think about and plan for these issues, as well as to satisfy the law. Counselling will likely help clarify which source (known donor or unknown donor) and type of sperm (ID-release or anonymous) is the best fit for your family (see below).
Sourcing Donor SpermOnce the decision to use donor sperm has been made, it needs to be sourced. Donor sperm for use at PCRM can be obtained in two ways: it can be obtained from a sperm bank (unknown donor), or it can be sourced from a friend or relative (known donor). Acquiring sperm from an unknown donor via a sperm bank requires the choice between ID-Release or Anonymous Sperm. Most donor sperm used in Canada is imported from the United States and Europe from ID-release donors, meaning that at the time of sperm donation, the donor had consented to have information about himself released to his offspring once reaching the age of majority, should they so request. The specifics of what information is made available vary between banks. It is important to understand that ID-release donors can, at any time, rescind their consent to have information released, so choosing an ID-release donor is not an absolute guarantee of future access or contact. Anonymous donors, on the other hand, choose to withhold consent at the time of the donation to the future release of information; thus additional information is not, and will not be available for future access. If you wish to use donor sperm from someone you know, the known donor would need to travel to Toronto to participate in Repromed’s Known Donor Program, which includes donor screening and sperm testing. Samples are quarantined for 6 months to assure its quality and safety. After that process is successfully completed, sperm can be released to PCRM for your use, as per the process noted below. For more information, click here: http://www.repromed.ca/known_sperm_donor
Securing Donor SpermThe use of unknown donor sperm is complicated in Canada. As the Assisted Human Reproduction Act (2004) prohibits the sale of reproductive material (gametes, sperm and eggs) it is most commonly obtained through banks in the United States and Europe with the assistance of brokers. PCRM is neither an exporter nor a processor of donor semen - PCRM is a distributor of donor semen. This means that you will need to select the donor sperm from one of the sperm brokers below:
Donor Sperm Bank Phone Numbers & WebsitesOutreach Health Services: 1-866-785-4709 www.creatingcanadianfamilies.ca Repromed Ltd: 1-877-249-4282 www.repromed.ca/sperm_bank_canada.html Can-Am Cryo: 1-888-245-3471 www.canamcryo.com Once you are a confirmed client of PCRM and wish to proceed with a cycle, it is your responsibility to contact the sperm bank(s) above to start the process of selection and purchase of a donor sperm sample. Once this has been done, you must contact the clinic, and ask for the donor sperm nurse. When you call, you must provide the following information: a. Your physician b. The distributor and contact information from where you have ordered the donor sperm c. The donor number and the number of vials you have ordered Once this has been completed, PCRM will coordinate the transfer of the donor sperm samples to PCRM. Prior to transfer of donor sperm samples to our facility, you will be responsible for prepayment of the fees associated with counseling, nursing orientation, and transfer and storage of sperm samples. These fees are as follows:
Donor sperm orientation (includes teaching and counselling session) $400
Donor sperm handling fee (fee required for arranging transport of specimens) $100
Annual storage fee (fee for annual storage of samples, or portion thereof) $262.50