Indian Council and Medical Research (ICMR) Guidelines for Sperm Donation

sperm donation

Sperm donation is a method in which a man donates sperm via semen, the fluid released during ejaculation to help infertile couples and individuals to become parents of healthy baby. Donor sperm can be used either for intrauterine insemination or in vitro fertilization.

Donor sperm is often used by:

  • A couple experiencing male infertility (little or no sperm, produces unhealthy sperm, male suffering from some genetic disease and vasectomy)
  • A single woman who want to be mother.

Donor sperm may be obtained at a sperm bank or fertility clinic. Sperm banks or clinics may be subjected to state or professional regulations, including restrictions on donor anonymity and the number of offspring that may be produced, and there may be other legal protections of the rights and responsibilities of both recipient and donor. Some sperm banks, either by choice or regulation, limit the amount of information available to potential recipients.A desire to obtain more information on donors, is one reason why recipients may choose to use a known donor or private donation. However, conception is achieved, the nature and course of the pregnancy will be the same as one achieved by sexual intercourse, and the male donor will be the biological father of any child born from his donations.

Before starting the infertility treatment, infertility experts evaluate ethical, legal, mental and emotional aspects of utilizing donor sperm.They also help to make couples mentally and emotionally strong enough to hassles free fertility treatment.

Indian Council and Medical Research directs the following requirements to become sperm donor:

  • Donor age must not be below 21 or above 45 years.
  • Donor blood group and Rh status must be determined and placed on record.
  • Donor must be free from HIV, Hepatitis B/C, Infections, Hypertension, Diabetes, STD and common genetic disorders such as Thalassemia.
  • Donor semen analysis of the individual must be carried out using a semen analyzer according to WHO method.
  • Other relevant information of the donor, such as height, weight, age, educational qualifications, profession, color of the skin and the eyes, record to major diseases including any psychiatric disorder and the family background in respect of history of any familial disorder, must be recorded in an appropriate Performa.

Apart from sperm donor guidelines, ICMR also recommends other screening guidelines for sperm donation (PDF):

  • To keep all information about sperm donors, recipients and couples confidential and secure.
  • Use of sperm donated by relative or a known friend of either the wife or the husband shall not be permitted.
  • It will be the responsibility of the clinic to obtain sperm from appropriate bank.

Sperm should be donated only in government authorized sperm bank. After sperm donation and screening process sperm either frozen in liquid nitrogen for future use in bank till 180 days or used by infertility clinics for treatment.

Higher success rate getting pregnant by donor sperm reported in women, who have no infertility problems, are under 35 years old. Lower success rates are reported where there is a female factor (ovulation problem, endometriosis, DES, etc.) or the women is over 35.

Surrogacy: Moral and Ethical View

Dr. Shivani Sachdev Gour, who runs a surrogacy clinic in Delhi. CBS News
Dr. Shivani Sachdev Gour, who runs a surrogacy clinic in Delhi / CBS News

Dr Shivani Sachdev Gour Explains, why surrogacy is ethically and morally correct?

Surrogate parenthood is an emotionally charged topic that both reflects and has implications for our concepts of parenthood and family. Surrogacy is a promising treatment for infertility. It can potentially solve many intolerable difficulties that the infertile couples and their families face.

There are various views regarding Surrogacy. Some criticize it as morally and ethically incorrect; while some explains it an honorable method that based on the unselfish belief of doing good to others, where one woman helping another woman to conceive.

Surrogacy Types and Comparison

There are various aspects that make surrogacy ethically correct and morally transparent:

  1. Helping an Infertile Couple

In this universe, the most amazing feeling for a couple it to having their own baby. But for some couples having this feeling is not that easy because of infertility. Through Surrogacy they can achieve that pleasure of parenthood. So, there is nothing unethical in helping a couple to reach that pleasure and Surrogate mother does that selflessly.

  1. Features for Surrogate Mother in Legal Contract

Becoming a Surrogate mother is not just a job but involves a great responsibility. Though no money can compensate Surrogate mothers’ emotions and boding with child that she carries in her womb for nine months. Still, the legal contract involved in this process, has many beneficiary clauses for surrogate mother.

A legal contract describes following features in favour of a surrogate mother.

  • Surrogate mother gets financial aid in response of her deed.
  • Surrogate mother gets a full healthy diet and environment during pregnancy and prenatal period.
  • Surrogate gets proper health monitoring during pregnancy and after delivery.
  • All her expenses during pregnancy and in later care are managed by the intended parents.

There is nothing morally wrong towards a surrogate mother if all the above points are followed properly.

  1. Helping Surrogate Mother Financially

A lady who carries a child in behalf of another woman is called a surrogate mother. A surrogate mother offers her physical services and time in response of money that she may require for an important deed. So, helping a surrogate mother financially is not anyway ethically wrong in response of her services.

  1. Ownership of Intended Parents on Child

Sometimes it is also observed that the process of surrogacy involving in-vitro fertilization results in birth of triplets or quadruplets. This may harm the interest of the child, but a proper legal agreement contains a clause that all the number of children through surrogacy is a responsibility of intended parents only. This feature eliminates burden of responsibility from surrogate mother and describes ownership of intended parents on born children, no matter if these are twins or triplets.

Why Surrogacy is Getting Popular These Days?

Surrogacy: Cost Overview

Surrogacy Cost Overview

Surrogacy is one of the most viable options for people who cannot conceive naturally. Although it is a complex process but considered to be most promising for infertile couples who need to have their own genetic baby. Surrogacy is a process in which a woman carries a child in his womb on behalf of another couple.

Surrogacy is not a standalone treatment; it is a series of steps combined to make a complete process. Each step of surrogacy process involves some expenses.The actual cost of surrogacy process varies country to country. A detailed analysis and payment schedule for surrogacy process is explained below.

  1. Expenses in Diagnostic Process

Prior to opting surrogacy as an option to fulfill a dream of parenthood, consulting a doctor is must. From counseling of intended parents to surrogate’s health tests are done under the supervision of medical practitioners. Some certain diagnostic tests are done related to the gynaecological, physical as well as the psychological status of the intended couples. Pelvic ultrasound of surrogate, a semen analysis for the man and combined couple consultation needs a certain cost that varies around the world.

  1. Expenses in Finding a Surrogate Mother

In a process of surrogacy, intended parents need to search for the surrogate mother who will bear their child for the next nine months. Nowadays, a surrogacy centres or agencies help couples to find a surrogate mother. Surrogacy centers or agencies help to select a suitable surrogate according to their profiles, medical evaluations, physiological test and legal background check. This whole process done by agency urges certain cost for helping intended parents.

Also, most surrogates are compensated by intended parents for their time, energy and sacrifices they make throughout the pregnancy.

  1. Cost involved in Legal Documentation

A clear legal document must keep intact between intended parents and surrogate mother to avoid any dispute in future. Various countries have their own laws for surrogacy. In some countries, laws are so complex to understand without any legal aid. Legal aid involves cost involving fees of legal expert, cost of registration process and expenses in legal documentation.

  1. Expenses in IVF Process

IVF (In-vitro Fertilization) process is widely used for eggs implantation. In addition to the fees of IVF specialist, the following cost involves in IVF process.

  • Anaesthetist fees.
  • Operating theatre & recovery room charges.
  • Laboratory charges (ICSI/IMSI, Blastocyst culture) and cost involved in freezing and storage of embryos for 90 days.
  • Cost for embryo thawing (if necessary) and assisted hatching.
  • Cost involved in embryo transfer in uterus of surrogate.
  1. Expenses in Surrogate Care and Delivery

A routine of regular check-ups and ultrasound of the surrogate mother is required time to time. The health of baby depends on proper growth of the foetus and lifestyle of the surrogate mother during the pregnancy tenure. To create a healthy lifestyle for surrogate, intended parents need to spend money on healthy diet, some stress relief sessions such as concealing, yoga and exercise, and timely check-up of surrogate.

The final expense covers the cost of the delivery of the baby and the post-natal care of the surrogate.

Fertility Test for Men

Male infertility is the situation where reproductive problems have been found in the male. Reproduction is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive. A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperms a man ejaculates is low or the sperm is of a poor quality, it will difficult for him to cause a pregnancy. Males born with hormonal problems or undescended testes can become infertile. Some men, who have both the testes but are not able to produce sperm, also suffer from infertility, Moreover, stress can cause decreased libido and the couple can end up in having infertility.

 Some causes recognized  of infertility in male are following:

  • Low numbers and quality of sperm production.
  • Obstruction of sperm transport
  • Sexual problems
  • Hormonal problems
  • Sperm antibodies

Fertility Test for Men

In all cases of infertility, one-third of males are found infertile. Couples, who are wishing to have their own baby, also need to consult a doctor for treatment of infertility in the male partner. For treatment of male infertility, doctors diagnose patient using different fertility tests. Some important fertility tests for men are following:

  • Semen Analysis: Semen analysis forms the basis of important decisions concerning appropriate treatment for male infertility. Semen analysis should be performed in a laboratory adhering to national quality control standards. Sperm is collected into a specimen jar and presented to a lab technician who examines the sperm under a microscope in order to evaluate the count, shape, appearance, and mobility of the sperm.
  • Sperm Agglutination:Sperm agglutination refers to the percentage of sperm stuck together in the provided sample. Sperm can stick together at the head, tail or head-to-tail. Sperms are not supposed to stick together, they cannot swim that way. Sperms are supposed to be free moving, straight swimming with a healthy shape.
  • Sperm Penetration Assay: A laboratory test utilizing hamster eggs to evaluate a sperm’s capability of penetrating the egg. This test is rarely used. The test is scored by calculation of the percentage of ova that are penetrated or the average number of sperm penetrations per ovum. The sperm penetration assay identifies those couples that will have a high likelihood of success with in-vitro fertilization.
  • Vasography: An x-ray exam is used to determine if there is blockage or leakage of sperm in the vas deferens to avoid performing an extra operation, vasography is encouraged to be done at the time of correction of the obstruction.
  • Ultrasonography: This assessment used to detect damage or blockages in the male reproductive tract, including the prostate, seminal vesicles, and ejaculatory ducts. It plays an important role for evaluation of pathologic conditions of the testes.

Acrosome Reaction: Laboratory test that helps to determine if sperm heads are able to go through the chemical changes necessary to dissolve an egg’s tough outer shell. The Acrosome Reaction is the reaction that occurs in the acrosome of the sperm as it approaches the egg.

Boost Sperm Count & Motility with Male Fertility Medications

Men’s fertility totally depends on the quantity and quality of sperm that he generates. It is man’s sperm quantity and quality that can make a woman pregnant or he will not be able to do it at all. As per the study, around one in every 20 men has fertility problems and it is mainly due to a low sperm count. A condition that is called as secondary hypogonadism, which affects around 2% of men, which makes them infertile.It is the only condition that mainly causes infertility in men and to treat it, he has to take fertility medication. Below mentioned are few male fertility medications that can be helpful to boost sperm count and motility.

  • A man who is suffering from infertility can take Clomiphene, which is one of the non-steroid medication that helps in boosting the production of pituitary hormones. It can also help in increasing the follicle stimulating hormone (FSH), and the luteinizing hormone (LH). Taking this medication can direct the testicles to secrete testosterone and produce healthy sperm.
  • The next is Gonadotrophins (hCG and hMG) that can stimulate the testes to produce testosterone and sperm. Popular brands like Pregnyl and Novarel comes with few medications that can assist the reproductive technologies.
  • Letrozole is another male fertility medication that can be used to treat sperm issues. Taking this drug can increase the testosterone levels in the body and bring up the sperm count.
  • There are synthetic testosterone pills, injections and even gels that can be used to boost the low levels of natural testosterone in the body. The gel form is said to be safer than the pill form. You can take transdermal testosterone applications.
  • Those males who are suffering from fertility problem can take bromocriptine. This can prevent the release of prolactin hormone in the body, which causes a reduction in testosterone levels. The medication is useful for men who have sperm impairment due to hyperparathyroidism.
  • Imipramine is another medication that is currently used for treating retrograde ejaculation. The drug reverts the abnormal ejaculation of sperm.

How Fertility Medications Work?

  • It can stimulate the hormone production by increasing testosterone.
  • The drugs can improve the semen production, making it healthy and independently moving semen
  • It can keep the blood sugar levels under control, thereby preventing infertility as well as diabetes.
  • Stimulate the blood flow in the genital area and restore the activity
  • The drugs can increase the libido and boost the sexual drive of the man

The Bottom Line

For those who are suffering from infertility need not worry about it because there are medications that can treat it. Besides, you need to follow a healthy lifestyle as well.

IVF Success Rates and the Cost of IVF Outlined

IVF is one of the best and effective processes to curb infertility. If any couple is unable to get pregnant after regular intercourse for around a year, it is high time to consult the doctor and get yourself diagnosed. Both male and female need to go for the diagnosis in order to find the root cause of infertility. With the success rate of IVF being very high, more and more couples are now turning towards IVF as a brilliant solution.

Though the success rate depends on a number of factors but still few attempts of IVF can result into success. A lot depends on the way IVF process is carried out in your case, the health of your sperms and eggs, age factor and many other things. Your doctor will be able to guide you in the proper direction after studying your case and seeing how IVF is showing the results. Following the advice of the doctor is the best thing to get the desired outcomes. 

IVF success rate

As already discussed above that IVF caters to several aspects. First and foremost being the age. As you tend to get older the chances go down. It is because the body becomes weak and it is difficult to have a safe and healthy pregnancy. If you consume too much of alcohol or smoke then too the chances are quite low. Unhealthy lifestyle, stress and being overweight are other factors that influence the rate of success. That is why it is really important to prepare yourself for the process in advance. This can definitely boost your chances and you will be able to achieve the results too. 

Cost of the IVF process

IVF is definitely a costly affair and it becomes difficult for the couples to avail the same. If you are using your own sperms and eggs, then the cost is a bit low but in case you are getting it from the donor the cost can go up. Usually the cost of one cycle of IVF varies from $10, 000 to $12, 000 and can increase depending on the other treatments integrated with your IVF. So a better way out is to consult your infertility expert regarding the amount of money that you will have to invest in the process. In this way you can plan your budget and expect the right outcomes you have been looking for.

Nowadays there are a lot of infertility clinics which run different kinds of IVF programs to help the couples. You can take help from them as you get a lot of financial help. You can even compare the cost of the process at different clinics and then choose the best one. So this is how you can go about finding the infertility centre which is reputed, has a good team of qualified doctors and is able to perform the process in the right manner. Hope IVF works for you and get successful to have your baby. Do try IVF as there is no better choice to extend your family.

Choosing Between IUI and IVF

IVF and IUI are two different ways through which a woman gets pregnant. It entirely depends on the health of the couple as which treatment will be best suited for them. But the guidance of the doctor is very necessary in this concern as they will be able to guide you in a better way. They can tell you about both the options in detail, the results of the treatment and how useful can it be in your case. So all this really helps as couples find the right solution to their problem and are able to benefit from the same.

If you too are struggling between IVF and IUI, here is a little more information about both of them. So let us get started. 

IUI – This is the process wherein the male sperms are extracted and then inserted into the woman’s uterus for fertilization. Now this timing is very crucial. That is why the sperms are transferred during the ovulation only as the chances of getting pregnant are very high in this condition. The best thing about this process is that quality sperms are transferred into the body and therefore fertilization takes place properly. In case the male partner is not healthy enough, donors can be used for the sperms. In total you can say that it is a beneficial process and works well if the eggs are in good condition and quality sperms are inserted into the body. 

IVF – On the other hand, IVF is quite different from IUI. This is the process in which both eggs and sperms are allowed to fuse outside the body. The woman is given fertility drugs to boost the production of the eggs and the same is extracted and then fused in the Petri dish. The adequate atmosphere is created in the lab so that cell division takes place. When fertilization is done, the same is transferred into the uterus where it grows like a normal pregnancy. In this case both the male and female donors can be used in case the couple eggs and sperms are not healthy.

This is definitely a very good process and does wonders for infertile couples. Sometimes IVF and IUI can be alternate treatments for the couples depending on their physical health. Only correct diagnosis can help in this condition as which of the two treatments will be beneficial. It is your doctor or expert who can best tell you about the benefits of IVF and IUI. Based on their advice you can decide which one you feel makes a better option.

The ultimate motive of any couple is to have a baby and both these treatments are really good. IVF and IUI are really effective in treating infertility and that is why couples wish to give it a try at least once. So what are you waiting for, if you are unable to conceive due to one or more reasons it is high time to consult a good specialist who can tell you which option is a better one. Hope the decision proves helpful to you.

After The IVF: Success Tips By Dr. Shivani Sachdev Gour

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A Heart Touching Thankyou Card for Dr Shivani Gour & SCI IVF Centre

Can you read the handwriting on the card. This is a thank you card from an almost 4 year old for her baby brother born after IVF at Our Clinic SCI IVF Centre. One of our most adorable cards! To read more reviews, visit- http://drshivanisachdevgourdelhi.blogspot.in/

dr shivani with little baby

thankyou card for sci team

 

sci ivf team celebrating successful treatment

Long-Awaited Child

Long-Awaited Child is the story of my 8 year journey to have a family of my own. Our journey began with trying to fall pregnant naturally, to trying IVF several times, to seeking foster care and adoption as an option & finally to surrogacy to have our long-awaited babies. I aspire to make the journey easier for others.

In my story I cover my personal emotions knowing the only option for me to have a baby was to use a donor egg and surrogate. Dealing with infertility can be a lonely and very sad time, I hope my story helps those going through a similar journey to not feel so alone plus to consider other options and not rely on IVF as the only answer. If we had given up after IVF failed in Australia we would not have our gorgeous twins and we are so thankful for your clinic and especially our Surrogate Mother for giving us our family. In my book I have also included some information and research we had done to make our journey easier to hopefully help others.

Below is the link to my website. My book can be purchased worldwide by paperback or downloaded on e-book versions:

https://longawaitedchild.com/

Note: For SCI clients, there is a special discount of 15% who purchases this book. Code SCI15 needs to be entered on the discount box on checkout.

Author Kellie Harriden

Kellie Harriden

Twins by Surrogacy