Sperm donation is the provision by a man of his sperm with the intention that it be used in the artificial insemination or other "fertility treatment" of one or more women who are not his sexual partners in order that they may become pregnant by him. Where pregnancies go to full term, the sperm donor will be the biological father of every baby born from his donations. The man is known as a sperm donor and the sperm he provides is known as "donor sperm" because the intention is that the man will give up all legal rights to any child produced from his sperm, and will not be the legal father. Sperm donation may also be known as "semen donation".
Sperm donation should be distinguished from "shared parenthood" where the male who provides the sperm used to conceive a baby agrees to participate in the child's upbringing. Where a sperm donor provides his sperm in order for it to be used to father a child for a woman with whom he has little or no further contact, it is a form of third party reproduction.
Sperm may be donated by the donor directly to the intended recipient woman or through a sperm bank or fertility clinic. Pregnancies are usually achieved by using donor sperm in assisted reproductive technology (ART) techniques which include artificial insemination (either by intracervical insemination (ICI) or IUI (IUI) in a clinic, or intravaginal insemination at home). Less commonly, donor sperm may be used in in vitro fertilization (IVF). See also "natural insemination" below. The primary recipients of donor sperm are single women and lesbian couples, but the process may also be useful to heterosexual couples with male infertility.
Donor sperm and "fertility treatments" using donor sperm may be obtained at a sperm bank or fertility clinic. Sperm banks or clinics may be subject 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 (i.e. a de-identified donor).
In the past, it was considered that the method of insemination was crucial to determining the legal responsibility of the male as the father. A recent case (see below 'Natural Insemination') has held that it is the purpose, rather than the method of insemination which will determine responsibility.
Laws regulating sperm donation address issues such as permissible reimbursement or payment to sperm donors, rights and responsibilities of the donor towards his biological offspring, the child's right to know his/her father's identity, and procedural issues. Laws vary greatly from jurisdiction to jurisdiction. In general, laws are more likely to disregard the sperm donor's biological link to the child, so that he will neither have child support obligations nor rights to the child. In the absence of specific legal protection, courts may order a sperm donor to pay child support or recognize his parental rights, and will invariably do so where the insemination is carried out by natural, as opposed to artificial means.
Laws in many jurisdictions limit the number of offspring that a sperm donor can give rise to, and who may be a recipient of donor sperm.
One of the intentions of sperm donation is generally that there should be no direct physical or genital contact between the parties. The sexual and physical integrity of both parties is preserved and in this sense the introduction of donor sperm into a woman by artificial means may be seen as satisfying a social rather than a purely medical need. A woman who becomes pregnant by a sperm donor will be the recipient of his genetic material but the two may never even meet. Artificial insemination, which is the normal method of introducing donor sperm into a woman's body, thus becomes a substitute for sexual intercourse. If the woman becomes pregnant, the resulting pregnancy will be no different from one achieved by intercourse, and the sperm donor will be the biological father of her child in the same way as if intimate sexual relations between the donor and the woman had taken place. In this context, artificial insemination using donor sperm may also be referred to as 'assisted insemination
Donor sperm is prepared for use in artificial insemination in intrauterine insemination (IUI) or intra-cervical insemination (ICI). In most situations, the majority of women seeking sperm donation, being either single or women in a lesbian partnership, do not themselves have "fertility issues" in greater proportion to the rest of the female population although donor sperm is often prepared for use in other assisted reproductive techniques such as IVF and intracytoplasmic sperm injection (ICSI). Sperm banks and fertility clinics often offer, for example, donor sperm for use in IVF to facilitate treatments in which one lesbian partner will produce an egg which is fertilised by sperm from a donor, and the egg is then inserted into the other partner. A variation of this is when each partner carries the fertilised egg of the other, usually fertilised by sperm from the same donor, and often where the pregnancies run simultaneously. Donor sperm may be used in surrogacy arrangements either by artificially inseminating the surrogate (known as traditional surrogacy) or by implanting in a surrogate embryos which have been created by using donor sperm together with eggs from a donor or from the 'commissioning female' (known as gestational surrogacy). Spare embryos from this process may be donated to other women or surrogates. Donor sperm may also be used for producing embryos with donor eggs which are then donated to a female who is not genetically related to the child she produces.
Procedures of any kind (e.g., artificial insemination or IVF) using donor sperm to impregnate a female who is not the partner of, nor related to the male who provided the sperm, may be referred to as "donor treatments".
The majority of sperm donors today are aware that their sperm will mainly be used to enable single women or coupled lesbians to have children by them.
Generally, a male who provides sperm as a sperm donor gives up all legal and other rights over the biological children produced from his sperm. Private arrangements may permit some degree of co-parenting, although this will not strictly be sperm donation, and the enforceability of those agreements varies by jurisdiction.
Donors may or may not be paid, according to local laws and agreed arrangements. Even in unpaid arrangements, expenses are often reimbursed. Depending on local law and on private arrangements, men may donate anonymously or agree to provide identifying information to their offspring in the future. Private donations facilitated by an agency often use a "directed" donor, when a male directs that his sperm is to be used by a specific person. Non-anonymous donors are also called "known donors", "open donors" or "identity disclosure donors".
A review of surveys among donors came to the results that the media and advertising are most efficient in attracting donors, and that the internet is becoming increasingly important in this purpose. Recruitment via couples with infertility problems in the social environment of the sperm donor does not seem to be important in recruitment overall.
The contract may also specify the place and hours for donation, a requirement to notify the sperm bank in the case of acquiring a sexual infection, and the requirement not to have intercourse or to masturbate for a period of usually two–three days before making a donation.
Sperm provided by a sperm bank will be produced by a donor attending at the sperm bank's premises in order to ascertain the donor's identity on every occasion. The donor masturbation to provide ejaculate or by the use of an electrical stimulator, although a special condom, known as a collection condom, may be used to semen collection during sexual intercourse. The ejaculate is collected in a small container, which is usually Semen extender in order to provide a number of vials, each of which would be used for separate inseminations. The sperm is frozen and quarantined, usually for a period of six months, and the donor is re-tested prior to the sperm being used for artificial insemination.
The frozen vials will then be sold directly to a recipient or through a medical practitioner or fertility center and they will be used in fertility treatments. Where a woman becomes pregnant by a donor, that pregnancy and the subsequent birth must normally be reported to the sperm bank so that it may maintain a record of the number of pregnancies produced from each donor.
A female chooses a donor and notifies the agency when she requires donations. The agency notifies the donor who must supply his sperm on the appropriate days nominated by the recipient. The agency will usually provide the sperm donor with a male collection kit usually including a collection condom and a container for shipping the sperm. This is collected and delivered by courier and the female uses the donor's sperm to inseminate herself, typically without medical supervision. This process preserves anonymity and enables a donor to produce sperm in the privacy of his own home. A donor will generally produce samples once or twice during a recipient's fertile period, but a second sample each time may not have the same fecundity of the first sample because it is produced too soon after the first one. Pregnancy rates by this method vary more than those achieved by sperm banks or fertility clinics. Transit times may vary and these have a significant effect on sperm viability so that if a donor is not located near to a recipient female the sperm may deteriorate. However, the use of fresh, as opposed to frozen, semen will mean that a sample has a greater fecundity and can produce higher pregnancy rates.
Sperm agencies may impose limits on the number of pregnancies achieved from each donor, but in practice this is more difficult to achieve than for sperm banks where the whole process may be more regulated. Most sperm donors only donate for a limited period, however, and since sperm supplied by a sperm agency is not processed into a number of different vials, there is a practical limit on the number of pregnancies which are usually produced in this way. A sperm agency will, for the same reason, be less likely than a sperm bank to enable a female to have subsequent children by the same donor.
Sperm agencies are largely unregulated and, because the sperm is not quarantined, may carry sexually transmitted diseases. This lack of regulation has led to authorities in some jurisdictions bringing legal action against sperm agencies. Agencies typically insist on STI testing for donors, but such tests cannot detect recent infections. Donors providing sperm in this way may not be protected by laws which apply to donations through a sperm bank or fertility clinic and will, if traced, be regarded as the legal father of each child produced.
Recipients may already know the donor, or if arranged through a broker, the donor may meet the recipients and become known to them. Some brokers facilitate contact that maintains semi-anonymous identities for legal reasons. Where a private or directed donation is used, sperm need not be frozen.
Private donations may be free of charge — avoiding the significant costs of a more medicalised insemination - and fresh rather than frozen semen is generally deemed to increase the chances of pregnancy. However, they also carry higher risks associated with unscreened sexual or body fluid contact. Legal treatment of donors varies across jurisdictions, and in most jurisdictions (e.g., Sweden) personal and directed donors lack legal safeguards that may be available to anonymous donors. However, the laws of some countries (e.g., New Zealand) recognize written agreements between donors and recipients in a similar way to donations through a sperm bank.
Kits are available, usually on-line, for artificial insemination for private donor use, and these kits generally include a collection pot, a syringe, ovulation tests and pregnancy tests. A vaginal speculum and a Menstrual cup may also be used. STI testing kits are also available but these only produce a "snap-shot" result and, since sperm will not be frozen and quarantined, there will be risks associated with it.
Traditionally, a woman who becomes pregnant through natural insemination has always had a legal right to claim child support from the donor and the donor a legal right to the custody of the child. Conceiving through natural insemination is considered a natural process, so the biological father has also been seen as the legal and social father and was liable for child support and custody rights of the child.
The law therefore made a fine distinction based on the method of conception: the biological relationship between the father and the child and the reason for the pregnancy having been achieved will be the same whether the child was conceived naturally or by artificial means, but the legal position has been different. In some countries and in some situations, sperm donors may be legally liable for any child they produce, but with NI the legal risk of paternity for a donor has always been absolute. Natural insemination donors will therefore often donate without revealing their identity.
A case in 2019 in the Canadian province of Ontario has, however thrown doubt on this position. That case held that where the parties agreed in advance of the conception that the resulting child would not be the legal responsibility of the man, the courts would uphold that agreement. The court held that the method of conception was irrelevant: it was the purpose of it which mattered. Where an artificial means of conception is used, the reproductive integrity of the recipient woman will not be preserved, and the purpose of preserving sexual integrity by employing artificial means of insemination will not over-ride this effect.
Many private sperm donors now offer both natural and artificial insemination, or they may offer natural insemination after attempts to achieve conception by artificial insemination have failed. Some sperm donors are influenced by the fact that a woman who is not the donor's usual sexual partner will carry his child whatever the means of conception, and that the actual method by which his sperm is introduced into the woman's body is of a lesser consideration than this fact. Women may seek natural insemination for various reasons including the desire by them for a "natural" conception.
Natural insemination by a donor usually avoids the need for costly medical procedures that may require the intervention of third parties. It may lack some of the safety precautions and screenings usually built into the artificial insemination process but proponents claim that it produces higher pregnancy rates. A more 'natural' conception does not involve the intervention and intrusion of third parties. However, it has not been medically proved that natural insemination has an increased chance of pregnancy.
NI is generally only carried out at the female's fertile time, as with other methods of insemination, in order to achieve the best chances of a pregnancy.
A variation of NI is PI, or partial intercourse, where penetration by the donor takes place immediately before ejaculation, thus avoiding prolonged physical contact between the parties.
Because NI is an essentially private matter, the extent of its popularity is unknown. However, private online advertisements and social media comments indicate that it is increasingly used as a means of sperm donation.
For intracervical insemination:
With these numbers, one sample would on average help giving rise to 0.1–0.6 children, that is, it actually takes on average two to five samples to make a child.
For intrauterine insemination, a centrifugation fraction ( f c) may be added to the equation:
Only five million motile sperm may be needed per cycle with IUI ( n r=5 million)
Thus, only one to three samples may be needed for a child, if used for IUI.
Using ART treatments such as IVF can result in one donor sample (or ejaculate) producing on average considerably more than one birth. However, the actual number of births per sample will depend on the actual ART method used, the age and medical condition of the female bearing the child, and the quality of the embryos produced by fertilization. Donor sperm is less commonly used for IVF treatments than for artificial insemination. This is because IVF treatments are usually required only when there is a problem with the female conceiving, or where there is a 'male factor problem' involving the female's partner. Donor sperm is also used for IVF in surrogacy arrangements where an embryo may be created in an IVF procedure using donor sperm and this is then implanted in a surrogate. In a case where IVF treatments are employed using donor sperm, surplus embryos may be donated to other women or couples and used in embryo transfer procedures. When donor sperm is used for IVF treatments, there is a risk that large numbers of children will be born from a single donor since a single ejaculate may produce up to 20 straws for IVF use. A single straw can fertilise a number of eggs and these can have a 40% to 50% pregnancy rate. 'Spare' embryos from donor treatments are frequently donated to other women or couples. Many sperm banks therefore limit the amount of semen from each donor which is prepared for IVF use, or they may restrict the period of time for which such a donor donates his sperm to perhaps as little as three months (about nine or ten ejaculates).
In the UK, most donors are anonymous at the point of donation and recipients can only see non-identifying information about their donor (e.g., height, weight, ethnicity, etc.). Donors need to provide identifying information to the clinic and clinics will usually ask the donor's GP to confirm any medical details they have been given. Donors are asked to provide a pen portrait of themselves which is held by the HFEA and can be obtained by the adult conceived from the donation at the age of 16, along with identifying information such as the donor's name and last known address at 18. Known donation is permitted and it is not uncommon for family or friends to donate to a recipient couple.
Qualities that potential recipients typically prefer in donors include the donors being tall, college educated, and with a consistently high sperm count. A review came to the result that 68% of donors had given information to the clinical staff regarding physical characteristics and education but only 16% had provided additional information such as hereditary aptitudes and temperament or character.
There is no limit to the number of offspring which may be produced from private donors.
Despite laws limiting the number of offspring, some donors may produce substantial numbers of children, particularly where they donate through different clinics, where sperm is onsold or is exported to different jurisdictions, and where countries or jurisdictions do not have a central register of donors.
Sperm agencies, in contrast to sperm banks, rarely impose or enforce limits on the number of children which may be produced by a single donor partly because they are not empowered to demand a report of a pregnancy from recipients and are rarely, if ever, able to guarantee that a female may have a subsequent sibling by the donor who was the biological father of her first or earlier children.
In the media, there have been reports of some donors producing anywhere from over 40 offspring to several hundred or in one case, possibly over 1000. One Sperm Donor, 150 Offspring
Same sex couples looking to conceive with donor sperm also oftentimes use the same donor for multiple children in order to foster a greater biological connection between their children. In cases where both parents feel that pregnancy is appealing to them, they may decide to take turns getting pregnant in which case the siblings are only biologically related on the donor side.
Sperm banks rarely impose limits on the numbers of second or subsequent siblings. Even where there are limits on the use of sperm by a particular donor to a defined number of families (as in the UK) the actual number of children produced from each donor will often be far greater.
Since 2000, donor conceived people have been locating their biological siblings and even their donor through web services such as the Donor Sibling Registry as well as DNA testing services such as Ancestry.com and 23andMe. By using these services, donors can find offspring despite the fact that they may have donated anonymously.
Equipment to collect, freeze and store sperm is available to the public notably through certain US outlets, and some donors process and store their own sperm which they then sell via the Internet.
The selling price of processed and stored sperm is considerably more than the sums received by donors. Treatments with donor sperm are generally expensive and are seldom available free of charge through national health services. Sperm banks often package treatments into three cycles, and in cases of IVF or other ART treatments, they may reduce the charge if a patient donates any spare embryos which are produced through the treatment. There is often more demand for fertility treatment with donor sperm than there is donor sperm available, and this has the effect of keeping the cost of such treatments reasonably high.
There are certain circumstances where the child very likely should be told:
The parents' decision-making process of telling the child is influenced by many intrapersonal factors (such as personal confidence), interpersonal factors, as well as social and family life cycle factors. For example, health care staff and support groups have been demonstrated to influence the decision to disclose the procedure. The appropriate age of the child at disclosure is most commonly given at between seven and eleven years.
Single mothers and lesbian couples are more likely to disclose from a young age. Donor conceived children in heterosexual coupled families are more likely to find out about their disclosure from a third party.
A review came to the result that a minority of actual donors involved their partner in the decision-making process of becoming a donor. In one study, 25% of donors felt they needed permission from their partner. In another study, however, 37% of donors with a partner did not approve of a consent form for partners and rather felt that donors should make their own decisions. In a Swedish study, donors reported either enthusiastic or neutral responses from their partners concerning sperm donation.
It is considered common for donors to not tell their spouses that they are or have been sperm donors.
Within heterosexual couples, many men report resisting or having difficulty accepting sperm donation from another man, as it is often viewed as being akin to being Cuckold.
Studies have indicated that donor insemination fathers express more warmth and emotional involvement than fathers by natural conception and adoption, enjoy fatherhood more, and are less involved in disciplining their adolescent. Some donor insemination parents become overly involved with their children.
Adolescents born through sperm donation to lesbian mothers have reported themselves to be academically successful, with active friendship networks, strong family bonds, and overall high ratings of well-being. It is estimated that over 80% of adolescents feel they can confide in their mothers, and almost all regard their mothers to be good role models.
Reluctance to donate may be caused by a sense of ownership and responsibility for the well-being of the offspring.
In one Danish study, 40% of donors felt happy thinking about possible offspring, but 40% of donors sometimes worried about the future of resulting offspring.
A review came to the result that one in three actual donors would like counselling to address certain implications of their donation, expecting that counselling could help them to give their decision some thought and to look at all the involved parties in the donation.
A systematic review in 2012 came to the conclusion that the psychosocial needs and experiences of the donors, and their follow-up and counselling are largely neglected in studies on sperm donation.
Non-anonymous sperm donors are, to a substantially higher degree, driven by altruistic motives for their donations.
Even in the case of anonymous donation, some information about the donor may be released to recipients at the time of treatment. Limited donor information includes height, weight, eye, skin and hair colour. In Sweden, this is the extent of disclosed information. In the US, however, additional information may be given, such as a comprehensive biography and sound/video samples.
Several jurisdictions (e.g., Sweden, Norway, the Netherlands, Britain, Switzerland, Australia and New Zealand, etc.) only allow non-anonymous sperm donation. This is generally based on the principle that a child has a right to know his or her biological origins. In 2013, a German court precedent was set based on a case brought by a 21-year-old woman. Generally, these jurisdictions require sperm banks to keep up-to-date records and to release identifying information about the donor to his offspring after they reach a certain age (15–18). See Sperm donation laws by country.
The popularity of personal DNA testing has brought into question the possibility of assuring a donor's anonymity. Even sperm donors who have chosen anonymity and not to contact their offspring through a registry are increasingly being traced by their children. It has become relatively easy to identify one's sperm donor using inexpensive testing services and their databases. Even DNA matches at a third or fourth cousin level can provide clues which enable one to identify their biological father. It has become common practice for people who were conceived via an anonymous sperm donor to ascertain who their biological father is via this method. For example, at least one child found his biological father using his own DNA test and internet research and was able to identify and contact his anonymous donor.
New Scientist article about a 15-year-old who found his donor using a DNA test
For children conceived by an anonymous donor, the impossibility of contacting a biological father or the inability to find information about him can potentially be psychologically burdensome. One study estimated that approximately 67% of adolescent donor conceived children with an identity-release donor plan to contact him when they turn 18.
Some people point out that parents who opt to use a sperm donor to conceive rather than adopting children do so because they value a biological connection to their children. At the same time, because the donation is anonymous they deny their children the opportunity to connect with half of their biological tree. This can be viewed as hypocritical of the parents, and is an argument against anonymity for donors.
The same review indicated that up to 37% of donors reported changes in their attitude towards anonymity before and after donation, with one in four being prepared to be more open about themselves after the donation than before (as a "potential donor"). Among potential donors, 30–46% of potential donors would still be willing to donate even if anonymity could not be guaranteed. Still, more than 75% of these potential donors felt positive towards releasing non-identifying information to offspring, such as physical characteristics and level of education. Single or homosexual men are significantly more inclined to release their identity than married, heterosexual men. Potential donors with children are less inclined to want to meet offspring than potential donors without children (9 versus 30% in the review). Potential donors in a relationship are less inclined to consider contact with offspring than single potential donors (7 versus 28% in the review). From US data, 20% would actively want to know and meet offspring and 40% would not object if the child wished to meet but would not solicit a meeting themselves. From Swedish data, where only non-anonymous donation is permitted in clinics, 87% of potential donors had a positive attitude towards future contact with offspring, although 80% of these potential donors did not feel that the donor had any moral responsibilities for the child later in life. Also from UK data, 80% of potential donors did not feel responsible for whatever happened with their sperm after the donation. With variation between different studies, between 33% and 94% of potential donors want to know at least whether or not the donation resulted in offspring. Some of these potential donors merely wanted to know if a pregnancy had been achieved but did not want to know any specific information about the offspring (e.g. sex, date of birth). Other potential donors felt that knowing the outcome of the donation made the experience more meaningful. In comparison, a German study came to the result that 11% of donors actually asked about the outcome in the clinic where they donated.
An Australian study concluded that potential donors who would still be willing to donate without a guarantee of anonymity were not automatically more open to extended or intimate contact with offspring.
Despite the shortage, sperm exports from the UK are legal and donors may remain anonymous in this context. However, the HFEA does impose safeguards on the export of sperm, such as that it must be exported to fertility clinics only and that the result of any treatment must be traceable. The number of pregnancies obtained from an individual donor in each country where his sperm is exported will be subject to any local or national rules which apply. In addition, UK sperm banks may apply their own global maximum for the number of pregnancies obtained in respect of each donor.
Since 2009, the import of sperm via registered clinics for use in the UK has been authorised by the HFEA. The sperm must have been processed, stored and quarantined in compliance with UK regulations. The donors have agreed to be identified when the children produced with their sperm reach the age of eighteen. The number of children produced from such donors in the UK will, of course, be subject to HFEA rules (i.e. currently a limit of ten families,) but the donors' sperm may be used worldwide in accordance with the clinic's own limit, subject to national or local limits which apply. By 2014 the UK was importing nearly 40% of its sperm requirements, up from 10% in 2005. In 2018 it was reported that almost half of the imported sperm into Britain came from Denmark (3,000 units).
The growth of sperm banks and fertility clinics, the use of sperm agencies and the availability of anonymous donor sperm have served to make sperm donation a more respectable, and therefore a more socially acceptable, procedure. The intervention of doctors and others may be seen as making the whole process a respectable and merely a medical procedure which raises no moral issues, where donor inseminations may be referred to as "treatments" and donor children as "resulting from the use of a donor's sperm", or "born following donation" and subsequent children may be described as "born using the same donor" rather than as biological children of the same male.
A 2009 study has indicated that both men and women view the use of donor sperm with more skepticism compared with the use of donor eggs, suggesting a unique underlying perception regarding the use of male donor gametes.
Some donor children grow up wishing to find out who their fathers were, but others may be wary of embarking on such a search since they fear they may find scores of half-siblings who have been produced from the same sperm donor. Even though local laws or rules may restrict the numbers of offspring from a single donor, there are no worldwide limitations or controls and most sperm banks will and export all their remaining stocks of vials of sperm when local maxima have been attained (see 'onselling' above).
One item of research has suggested that donor children have a greater likelihood of substance abuse, mental illness and criminal behavior when grown. However, its motivation and credibility have been questioned.
Coming forward publicly with problems is difficult for donor-conceived people as these issues are very personal and a public statement may attract criticism. Additionally, it may upset their parents if they speak out. A website called Anonymous Us has been set up where they can post details of their experiences anonymously, on which there are many accounts of problems.
Since then, a few doctors began to perform private donor insemination. Such procedures were regarded as intensely private, if not secret, by the parties involved. Records were usually not maintained so that donors could not be identified for paternity proceedings. Technology permitted the use of fresh sperm only, and it is thought that sperm largely came from the doctors and their male staff, although occasionally they would engage private donors who were able to donate on short notice on a regular basis.
In 1945, Mary Barton and others published an article in the British Medical Journal on sperm donation. Barton, a gynecologist, founded a clinic in London which offered artificial insemination using donor sperm for women whose husbands were infertile. This clinic helped conceive 1,500 babies of which Mary Barton's husband, Bertold Wiesner, probably fathered about 600.
The first successful human pregnancy using frozen sperm was in 1953.
"Donor insemination remained virtually unknown to the public until 1954". In that year the first comprehensive account of the process was published in The British Medical Journal.
Donor insemination provoked heated public debate. In the United Kingdom, the Archbishop of Canterbury established the first in a long procession of commissions that, over the years, inquired into the practice. It was at first condemned by the Lambeth Conference, which recommended that it be made a criminal offence. A Parliamentary Commission agreed. In Italy, the Pope declared donor insemination a sin, and proposed that anyone using the procedure be sent to prison.
Sperm donation gained popularity in the 1980s and 1990s.
In many western countries, sperm donation is now a largely accepted procedure. In the US and elsewhere, there are a large number of . A sperm bank in the US pioneered the use of on-line search catalogues for donor sperm, and these facilities are now widely available on the websites of sperm banks and fertility clinics.
Recent years have also seen sperm donation become relatively less popular among heterosexual couples, who now have access to more sophisticated fertility treatments, and more popular among single women and lesbian couples — whose access to the procedure is relatively new and still prohibited in some jurisdictions.
However, the following year, Georgia became the first state to pass a statute legitimizing children conceived by donor insemination, on the condition that both the husband and wife consented in advance in writing to the procedure.
In 1973, the Commissioners on Uniform State Laws, and a year later, the American Bar Association, approved the Uniform Parentage Act. This act provides that if a wife is artificially inseminated with donor semen under a physician's supervision, and with her husband's consent, the husband is legally considered the natural father of the donor inseminated child. That law was followed by similar legislation in many states.
The Warnock Committee's report was published on July 18, 1984. and led to the passing of the Human Fertilisation and Embryology Act 1990. That act provided for a system of licensing for fertility clinics and procedures. It also provided that, where a male donates sperm at a licensed clinic in the UK and his sperm is used at a UK clinic to impregnate a female, the male is not legally responsible for the resulting child.
The 1990 Act also established a UK central register of donors and donor births to be maintained by the Human Fertilisation and Embryology Authority (the 'HFEA'), a supervisory body established by the Act. Following the Act, for any act of sperm donation through a licensed UK clinic that results in a living child, information on the child and the donor must be recorded on the register. This measure was intended to reduce the risk of consanguinity as well as to enforce the limit on the number of births permitted by each donor. The natural child of any donor has access to non-identifying information about their donor, starting at the child's eighteenth birthday.
The emphasis of the 1990 Act was on protecting the unborn child. However, a general shortage of donor sperm at the end of the 20th century, exacerbated by the announcement of the removal of anonymity in the UK, led to concerns about the excessive use of the sperm of some donors. These concerns centered on the export and exchange of donor sperm with overseas clinics, and also the interpretation of the term "sibling use" to include donated embryos produced from one sperm donor. Successive births by surrogates using eggs from different women but sperm from the same sperm donor were also counted as donations to a single recipient. Donors were informed that up to ten births could be produced from their sperm, but the words "other than in exceptional circumstances" in the consent form could potentially lead to many more pregnancies. These concerns led to the SEED Report commissioned by the HFEA, which was in turn followed by new legislation and rules meant to protect the interests of donors. Subsequent changes to legislation are designed to protect donors and recipients so that where a man donates his sperm through a UK clinic, that sperm is not permitted to give rise to more than ten families in the UK, but the donor may give express consent for more families to be created worldwide. However, the export of donor sperm is subject to the European Tissues Directive or the application of the effects of the Directive where exports are outside the EU which relate to traceability and record-keeping.
Films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s (decade), although the techniques have been available for decades. Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.
A 2012 Bollywood comedy movie, Vicky Donor, was based on sperm donation. The film release saw an effect; the number of men donating sperm increased in India.
A 2017 Tamil Cinema movie Kutram 23 is also a movie based on sperm donation.
In the 2018 life simulator video game Bitlife, the player can donate sperm; however, they will never meet the child who is born as a result.
Laws
Lawsuit over donor qualification
Uses
Provision
Sperm banks
Sperm agencies
Private or "directed" donations
Natural insemination
Sperm bank processes
Preparing the sperm
Medical issues
Screening
Samples required per donor offspring
The pregnancy rate increases with increasing number of motile sperm used, but only up to a certain degree, when other factors become limiting instead.
Choosing donors
Information about donor
Other screening criteria
Number of offspring
Siblings
Donor payment
Onselling
Psychological issues
Informing the child
Families sharing same donor
Other family members
Mother–child relation
Motivation vs reluctance to donate
Support for donors
Ethical and legal issues
Anonymity
Attitudes towards anonymity
Among donors and potential donors
Donor tracking
Tracking by registries
Fertility tourism and international sperm markets
Sweden
United Kingdom
Korea
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United States
Social controversy
Religious responses
Catholicism
Eastern Orthodoxy
Protestantism
Latter-day Saints movement
Islam
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History
United States
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International comparison
Fictional representation
See also
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