 
Our Free-Sperm-Donations.com site was created
by
Emma Hartnell-Baker - also known as The Child Listener - in 2004.
Fertility Choices is an expansion- bringing you information and
message boards also relating to adoption, surrogacy and
egg donation around the world. Fertility Choices will also offer more
helpful resources to help you with your subsequent pregnancy and journey into parenthood - we hope you enjoy our new
'A Focus on the Children' Section
Fertility Information
Defintion: Fertility is a measure of reproduction: the number of children born per couple, person or population. This is different to fecundity, which is defined as the potential for reproduction (influenced by gamete production, fertilisation and carrying a pregnancy to term). ...
en.wikipedia.org/wiki/Fertility
A woman under 35 is considered infertile if she fails to become
pregnant after 12 months of regular unprotected sex. But for those over 35, the threshold is six months instead of 12.
There are degrees of infertility. The majority of infertile couples are actually sub fertile – they produce eggs and sperm but have difficulty conceiving due to disorders such as hormone imbalances and problems of the reproductive tract. Cases of total infertility – where no eggs or sperm are produced – are rare.
After 12 months of trying to conceive you should consult your GP or gynaecologist for a referral to a fertility specialist. You and your partner will undergo a series of tests – sometimes your GP may conduct these tests. The test results will give clues to the type of infertility and ultimately a treatment plan to overcome the problem.
Firstly, the specialist will look at the couple's medical history. For the woman, this includes information on any previous pregnancies, the regularity of her periods; and whether she has had painful periods, pelvic pain, infections, or surgery. A specialist will want to know if the man has previously fathered children, suffered a testicular injury; or had any developmental problems, infections, surgery; or if he has been exposed to certain environmental factors.
Next there will be a physical examination, which may include:
Blood tests. A series of tests will establish if there is a hormonal basis for the couple's infertility – this may be corrected by hormonal supplements. Other tests will check for rubella, blood group, sperm antibodies and sexually transmitted diseases such as HIV, Hepatitis B and C.
Ultrasound examination. This gives information on what the ovaries and uterus look like. Your doctor will look at the growth of eggs, the thickness of the lining of the uterus (if thin, it can indicate hormonal problems), the presence of fibroids or polyps on the uterus, as well as signs of endometriosis or ovarian cysts. Surgical laparoscopy may also be used to identify endometriosis or blocked fallopian tubes.
Semen analysis. Men need to provide a semen sample this allows specialists to assess the number of sperm, how well they swim (known as 'motility') and the presence of sperm antibodies.
Still Having Problems?
Treatments
Identifying the cause of your infertility is important as it may affect the choice of treatment.
Ovulation induction
A series of hormone injections will be given to the woman in order to stimulate egg growth and ovulation. If ovulation can be successfully induced, conception may occur naturally.
Artificial insemination
Artificial insemination is used in cases where the male has a low sperm count, a high number of abnormal sperm or the woman has sperm antibodies present in her cervical mucus. Sperm is treated in the laboratory to increase the chances of fertilisation. Large numbers of sperm are then inserted directly into the uterus for easy access to the fallopian tubes.
IVF (In vitro fertilisation)
IVF is used to treat infertility that arises from blockages of the fallopian tubes, endometriosis, abnormal sperm, and some cases of unexplained infertility.
The woman is treated with hormones over a number of weeks to stimulate the growth of several eggs in the ovary. When ripe, the eggs are removed from the ovary and put into a dish with the partner's (or donor's) sperm. The fertilised eggs are then grown in the laboratory for a few days before being placed into the uterus.
GIFT (Gamete intrafallopian transfer)
This procedure is the same as that for IVF except that fertilisation takes place inside the body of the woman. The eggs and sperm are collected and placed directly into the fallopian tubes for fertilisation to occur. GIFT is used for cases of endometriosis, cervical disorders, and some types of male infertility. GIFT is suitable only for women with no abnormalities in the fallopian tubes.
ZIFT (Zygote intrafallopian transfer)
The same procedure as IVF except the very early embryo (zygote) is placed directly into the fallopian tube. This procedure is undertaken when there are abnormal sperm and/or problems with the ability of the sperm to fertilise the eggs.
ICSI (Intracytoplasmic sperm injection)
This is a technique in which a single sperm is inserted directly into the egg. Eggs are obtained the same way as for IVF and then fertilised by injecting a single sperm into them. The fertilised eggs can be transferred to the woman's fallopian tubes or grown in the laboratory for a couple of days and then transferred to the uterus.
Epididymal and testicular sperm extraction
Sperm are removed from the epididymis or directly from the testis using a needle. Fertilisation is performed by ICSI (see above). This treatment is used in cases of male infertility (azoospermia), and spermatic cord abnormalities. Usually enough sperm can be collected so that samples can be frozen for later use if required.
Freezing of sperm and embryos
If more embryos are produced through IVF than are needed for transfer into the uterus of the patient, the extra embryos can be frozen. The stored embryos can be used later if the patient fails to become pregnant or if the couple wishes to have more children through IVF at a later date.
There is a limit to the number of years embryos can be stored frozen and laws governing this may differ in each state (see Costs & legal issues).
Similarly, sperm can be frozen for use in subsequent IVF cycles or as insurance against infertility due to procedures such as cancer therapies, vasectomy or prolonged absence from a partner (such as men in military service may experience). Sperm can also be frozen and kept in sperm donor banks.
Donor eggs, embryos and sperm
For women who have ovarian failure, men who do not produce sperm, or couples whose eggs fail to fertilise, the use of donor eggs, embryos or sperm may be an option. Older women may also wish to use donor eggs from younger women to overcome the problems of ageing.
Each state has its own laws relating to the use of donor eggs, embryos and sperm (see Costs & legal issues).
Egg donation is a big business in the United States. Women advertise the sale of their eggs in magazines, over the internet and in college newspapers, with price tags of US$6,000 upwards. For a larger fee, there are also 'egg brokers' who can arrange to recruit, screen and collect eggs from donors
Fertility Choices- Connecting women and infertile couples with fertility specialists and organisations offering help and advice regarding egg donation, surrogacy, sperm donation and adoption around the world |