Needing a sperm donor

You may need or prefer to use donor sperm for the following reasons:

^ Azoospermia: Very few sperm are needed for the embryologist to be able to create embryos with the intracytoplasmic sperm injection (ICSI) procedure (see Chapter 7), but if you have azoospermia and so have no sperm at all, you need donor sperm.

^ Genetic condition: If you know that you are a carrier of a severe genetic condition and don't want to risk passing this condition onto your child or children, you may prefer to use donor sperm.

^ HIV: People infected with HIV can live very healthy lives thanks to the new drugs that are available, but men who carry the virus can theoretically pass on the infection to their partner and/or to their baby if their partner conceives with their sperm. So if you're HIV-positive, you may prefer to use donor sperm to protect your partner and baby.

Some IVF clinics have developed specialised protocols for couples where the male partner is HIV-positive that allow his sperm to be used without risking passing on the infection to his partner or their baby. However, for the procedure to be safe the male partner has to have an undetectable or extremely low viral load.

^ Previously failed ICSI treatment: If you have a low sperm count or a high proportion of abnormal sperm (see Chapter 1), you can usually conceive with the ICSI procedure, but if this procedure doesn't work you need donor sperm.

Pregnancy Guide

Pregnancy Guide

A Beginner's Guide to Healthy Pregnancy. If you suspect, or know, that you are pregnant, we ho pe you have already visited your doctor. Presuming that you have confirmed your suspicions and that this is your first child, or that you wish to take better care of yourself d uring pregnancy than you did during your other pregnancies; you have come to the right place.

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