How much sperm should I reserve?
For vaginal/cervical insemination
We recommend to use 2 x MOT20 straws or higher qualities per treatment.
For Intrauterine Insemination
If the sperm is prepared by swim-up method, we recommend to use 2 x MOT20 straws or higher qualities per treatment. If the sperm is prepared by gradient-centrifugation method all ICI-unwashed qualities can be used because the concentration is a result of concentration/dilution after the preparation. After preparation there should be a minimum of 2 million motile spermatozoa per ml. for IUI.
For intrauterine insemination
We recommend using 1 or 2 x IUI-MOT5 straws or 1 x IUI-MOT10 straw per treatment. IUI-MOT20 or higher quality can also be used. Intra-uterine treatment may only be performed by the authorised fertility doctor.
Do you provide ICSI unwashed or IUI-ready?
We provide both ICI-unwashed and IUI-ready. Some call it raw semen or prepared semen or just washed or unwashed. IUI means "Intra Uterine Insemination" or "insemination directly in the uterus cavity". ICI means "insemination in the cervical channel" but the expression is not totally correct, but it has gained acceptance as such. The sperm is just raw or unwashed. Raw semen (or unwashed) can only be used for vaginal or cervical insemination as it contain prostaglandins and bacteria which may not be inseminated into the uterus. IUI-ready semen has been treated by a so called gradient centrifugation method where prostaglandins and bacteria have been removed from the plasma. IUI-ready semen can be inseminated directly into the uterus or used for IVF.
Raw semen can also be used for IUI or IVF, but not until after thawing and following a preparation - either by use of swim-up or by gradient centrifugation. Both raw semen and IUI-ready is provided in different qualities from MOT5 to MOT50+ (raw semen) and MOT5 to MOT20+ (IUI).
What does MOT mean?
MOT means motility (ability to move or swim) and 20 means 20 million per ml. The term states that there are a minimum of 20 million motile spermatozoa per ml in the sample after thawing according to the WHO-standard. We operate with following qualities:
MOT5, MOT10, MOT20, MOT30 MOT40 and MOT50+.
What are IVM straws?
IMV straws were the standard straws before CBS high security straws were developed in the late 1990'ties. IMV straws were originally developed for the animal reproductive industry but were also used for freezing of human sperm and egg for about 50 years. The standard straws used are clear or yellow colour 0.5 ml. In year 2000 special manufactured 0.4 ml CBS high security straws were used as standard. The stock of IMV straws will decrease after year 2000, but it will take decades before the last IMV straws is gone.
What characteristics are important in finding a sperm donor?
The goal is to match, as far as the circumstances permit, the genetic characteristics of the social father. Traits considered might be race, complexion, colour of eyes, and colour of hair, height and weight. People have two genes for eye colour: Blue and brown, and the gene for brown is the dominant gene. Green and grey colours are caused by genetic mixing and belong to the blue group. Hair colour/type is genetically more complicated. Our hair colour categories are: Blond, brown, dark brown, black and red. There might be indications for choosing a specific blood type.
How can you know the post-thaw quality semen?
A sample of each specimen is analyzed after first being frozen and thawed.
How many DI-treatment cycles are expected per pregnancy?
This varies greatly from patient to patient and also depends on the semen preparation technique, the insemination technique, hormone stimulation, timing etc. The average number of cycles is around five to six per pregnancy. Our clients report an average pregnancy rate (PR) of about 15 - 40% per cycle.
What methods of payment do you accept?
Cash, check, credit card payment and standard bank transfer. Bank and account number may be given on request.
Are the sperm donors anonymous?
Yes, according to Greek legislation doctors are only allowed to treat with semen from anonymous donors. The identity of anonymous donors is registered. Recipient and children’s ID or pregnancy information is never passed on to our donors. Any recipient identity registered will be kept strictly confidential.
Should the child have the right to know the identity of the sperm donor?
Many surveys show that the recipients (especially the social fathers) do not want the child to have the opportunity of finding the genetic father. Recipients prefer anonymous donors. These surveys also show that few of the DI-children (0-14%) are actually told about their DI-origin, and this is mainly important to lesbian couples and singles where there is no obvious father.
We do not know much about how DI-children feel and think. There is very little literature about this issue. One is from “The Australian Donor Conception Support Group” who have published a book "Let the offspring speak". It is interesting to read the testimonies from adult DI-children, who are usually of the opinion that anonymous DI should be forbidden. Many of the people describe traumatic lives with communication difficulties and problems of interpersonal relations with their (social) father. Later in life when they are told about their DI-origin, most of them are suddenly able to see why they have had such a traumatic life, and they now have an explanation to their problems, which are due to the “false” father etc. However, there is nothing special about this problem that might just as well be characteristic of other individuals. Other people can also have a traumatic life with communication difficulties and problems with interpersonal relations with their father. The only difference is that other people do not have this “explanation” to their problems. Moreover, these DI-children, who plead injustice to their person, would not have existed at all had it not been for the anonymous donor. Their demand is thus self-contradictory. The alternative is not to exist. Anyone can have problems concerning not being born under optimum circumstances and with ideal parents. Nothing can be done about this. Many of the DI-offspring also express their problems with their life-lie (truth has been kept from them). At the other end of the scale with DI-offspring who have not experienced trauma or problems with their origins or (social) father, nor - indeed - with anonymity, only are a few cases known. Some of them do not even express curiosity about the donor. But the voice of the discontented few carries much more weight as it is regarded as being representative of all DI-children. Who represents the great, happy, (uninformed), silent majority?
Should semen donors be paid?
From society’s point of view it is usually considered unethical to pay for donated human tissue. Donation should be mainly altruistic and only the donor’s travel expenses should be covered. But recipients generally feel that sufficient economic compensation to the donor should be provided to secure an adequate supply of donor semen. A questionnaire among our donors in 1992 and 2002 showed that nobody would continue without payment. Consequently "Fertility Tourism" and the "Grey Market" will arise if no adequate payment. Donors are usually paid a compensation fee to cover transport and inconvenience. The compensation fee was approximately EUR 35.
Raising your Pregnancy Chance above the Average
Normally, it is recommended that at least 6 x MOT40, 12 x MOT20, 24 x MOT10 or 48 x MOT5 straws - eventually 12 x IUI-MOT5, 6 x IUI-MOT10 or IUI-MOT20 straws are reserved. These numbers correspond to the average consumption of straws per pregnancy. If you wish to have a higher pregnancy chance than "the average", you should reserve more straws. But if you were treated by IVF or if you became pregnant very easily the first time, you may reserve less straws, and vice versa. If you cannot afford to reserve the recommended number of straws, some straws are better than none. Even though it is very difficult to do so, you should also consider whether you want more than one more child in the future. If you want five children the above recommended number of straws is certainly not enough. You can always contact us for guidance and discussion concerning this question. Should the actual donor be sold out you can be registered on a waiting list. Then you will be contacted if there is later sperm free of quarantine or if other with a reservation expires. For the moment hundreds of people are registered on the waiting list which is a clear signal that it is a good idea to make reservation in due time.
Ask Dr Thanos Paraschos anything you need to know about IVF with donor sperm