WHO IS A CANDIDATE FOR SPERM DONATION?
Sperm Donation is necessary for males who have zero sperm count or have poor sperm morphology that prevents them from producing viable sperm. (You can look at our article about Azospermia)
Males from a young age, who have had the mumps, or illnesses involving very high temperatures, can lead to many different problemsin their fertility. New born males who are born with ascended testicles are in need of an operation as the testicles develop in the abdomen during pregnancy, they then drop down into the scrotum. Sometimes part of the fetal structure fails to detach from the abdomen, resulting in an upward pull on the testicle. This then requires surgery in order to return the testicle.
Cancer patients who have undergone chemotherapy, radiotherapy or surgery on the testicles may have Sperm Donation as only option. Anabolic medication such as steroids can also lead to the deterioration of sperm. The reason for that, it can affect the tissue in the testicles vulnerably.
“There is unfortunately no treatment to improve sperm quality or quantity.”
All that patients can do is seek the help in the form of donated Sperm.
Before deciding however whether Sperm donation is the only option, there are techniques to try to gain better quality of sperm.
Masturbation is the first option when obtaining a viable sperm sample. The sperm sample may show no sperm or low motility sperm.
In that case, within the guidance of an Urologist, who can perform a prostate massage, we collect sperms and check under a microscope for viable cells. If this is not successful, surgery is necessary. There are different techniques available such as TESE, micro TESE, TESA, MESA and PESA. We have applied these techniques within our clinic and have succeeded in obtaining viable sperm samples.
HOW DO WE APPLY THE TREATMENT?
When couples under Sperm donation treatment, we first provide them information about the donor sperm details. These involve blood tests and the risks involved with treatment. Before beginning treatment, couples are obliged to sign that they are both consenting and they are satisfied with the information.
In the first instance, we give more detailed information to the couples about sperm donation and the donor sperm. Details of the donor sperm are the screening results and the quality of the sperm. Before the process begins, couples must accept the term and conditions as well as sign a consent form.Afterwards,we prepare them for the treatment.
The two treatments available is standard IVF or Intrauterine Insemination (IUI).
1. Intrauterine insemination (IUI) with donated Sperm. It involves a laboratory procedure to separate fast moving sperm from more sluggish or non-moving sperm After that, we inseminate it into the women during once ovulation begins. IUI carries a success of 20%.
2. IVF is more detailed. We lead the female’s hormone stimulation to increase the number of eggs. Once the eggs are ready, we collect them. Afterwards, we carry out ICSI with the donor sperm to prepare the embryos for the transfer.
When sperm donation was introduced to the Turkish Republic of Northern Cyprus, our collaboration with Cryos International Sperm bank in Denmark began. Cryos are an accredited sperm bank that provides not only a wide choice of sperm and work to European standards.
Sperm banks are not sanctioned within the TRNC, so only accredited companies such as Cryos that are recognised by the Government can be used.
TESTS CARRIED OUT ON SPERM DONORS
Sperm donor candidates are screened for genetic diseases and detailed tests for the screening of sexual transmitted diseases. Also carried out are psychological tests, family characteristics and traits are also recorded, once these are successfully passed only then can the candidate become a sperm donor.
TESTS DONORS UNDERGO
- Medical history of family
- Psychological Profiling
- HIV risk screening and Drug use
- Hepatitis B and C
- CMV Cytomegalovirus
- Cystic Fibrosis
- Chromosome Test
Once these tests are performed and they meet the necessary criterion, we take the sperm sample from the donor, wash and separate into vials. Then we freeze the sample. We ask the donors to undergo the same blood tests again after 6 months. If the testing confirms again that all is clear, the sperm bank can then sell the sperm samples. Cryos have a particular criterion with their sperm donors producing good quality sperm, but a successful pregnancy is also dependant on the female also. If the female is also a good candidate with a positive response to treatment then the chances of successful pregnancy is 60%.