A sperm bank or cryobank is a facility that collects and stores human sperm mainly from sperm donors, primarily for the purpose of achieving pregnancies through third party reproduction, notably by artificial insemination. Sperm donated in this way is known as donor sperm.
General
The development of sperm banks, whilst considered by some to be controversial, has enabled people to have greater control over their reproductive lives. By providing sperm from donors who are checked and screened, thousands of women every year are able to bear their own children in circumstances where this might otherwise not be possible. Controversy stems from the fact that donors effectively father children for others, often in considerable numbers, and usually take no part in the upbringing of such children, and also from the fact that single women and coupled lesbians frequently use sperm banks in order to have their own biological children.
The increasing range of services which is available through sperm banks nevertheless enables more and more people to have choices over the whole issue of reproduction. Women may choose to use an anonymous donor who will not be a part of family life, or they may choose known donors who may be contacted later in life by the donor children. Women may choose to use a surrogate to bear their children, using eggs provided by the woman and sperm from a donor. Sperm banks often provide services which enable a woman to have subsequent pregnancies by the same donor, but equally, women may choose to have children by a number of different donors. Sperm banks sometimes enable a woman to choose the sex of her child, enabling even greater control over the way families are planned. Sperm banks increasingly adopt a less formal approach to the provision of their services thereby enabling people to take a relaxed approach to their own individual requirements.
Men who choose to donate sperm through a sperm bank also have the security of knowing that they are helping women or childless couples to have children in circumstances where they, as the biological father, will not have any legal or other responsibility for the children produced from their sperm. Whether a donor is anonymous or not, this factor is important in allowing sperm banks to recruit sperm donors and to use their sperm to produce whatever number of pregnancies from each donor as are permitted where they operate, or alternatively, whatever number they decide.
However, in many parts of the world sperm banks are not allowed to be established or to operate. Sperm banks do not provide a cure for infertility in that it is the sperm donor who reproduces himself, not a partner of the recipient woman. Most societies are built upon the family model and sperm banks may be seen as a threat to this, particularly where a sperm bank makes its services available to unmarried women.
Where sperm banks are allowed to operate they are often controlled by local legislation which is primarily intended to protect the unborn child, but which may also provide a compromise between the conflicting views which surround their operation. A particular example of this is the control which is often placed on the number of children which a single donor may father and which may be designed to protect against consanguity: low limits are often provided which in reality appear more intended to placate those who would be opposed to sperm donors producing tens or scores of children as to provide a justifiable safeguard. However, such legislation usually cannot prevent a sperm bank from supplying donor sperm outside the jurisdiction in which they operate, and neither can it prevent sperm donors from donating elsewhere during their lives. There is an acute shortage of sperm donors in many parts of the world and there is obvious pressure from many quarters for donor sperm from those willing and able to provide it to be made available as safely and as freely as possible.
Storage
The sperm is stored in small vials or straws of holding between 0.4 and 1.0 ml and cryogenically preserved in liquid nitrogen tanks. It has been proposed that there should be an upper limit on how long frozen sperm can be stored, however a baby has been conceived in the UK using sperm frozen for 21 years. Before freezing, sperm may be prepared so that it can be used for intra-cervical insemination (ICI), intrauterine insemination (IUI) or for IVF(or assisted reproduction) (ART).
Use
Sperm supplied by a sperm bank may be used where a woman's partner is infertile or where he carries genetic disease. Increasingly, donor sperm is used to achieve a pregnancy where a woman has no male partner, including among lesbian and bisexual mothers-to-be. Sperm from a sperm donor may also be used in surrogacy arrangements and for creating embryos for embryo donation. Donor sperm may be supplied by the sperm bank directly to the recipient to enable a woman to perform her own artificial insemination which can be carried out using a needle-less syringe or a cervical cap conception device. The cervical cap conception device allows the donor semen to be held in place close to the cervix for between six to eight hours to allow fertilization to take place. Alternatively, donor sperm can be supplied by a sperm bank through a registered medical practitioner who will perform an appropriate method of insemination or IVF treatment using the donor sperm in order for the woman to become pregnant.
From a medical perspective, a pregnancy achieved using donor sperm is no different from a pregnancy achieved using partner sperm, and it is also no different from a pregnancy achieved by sexual intercourse.
Sperm banks may supply other sperm banks or a fertility clinic with donor sperm to be used for achieving pregnancies. Sperm banks may also supply sperm for research or educational purposes.
In countries where sperm banks are allowed to operate, the sperm donor will not usually become the legal father of the children he produces as the result of the use of the sperm he donates, but he will be the 'biological father' of such children. In cases of surrogacy involving embryo donation, a form of 'gestational surrogacy', the 'commissioning mother' or the 'commissioning parents' will not be biologically related to the child and may need to go through an adoption procedure.
As with other forms of third party reproduction, the use of donor sperm from a sperm bank gives rise to a number of moral, legal and ethical issues.
Men may also use a sperm bank to store their own sperm for future use particularly where they anticipate traveling to a war zone or having to undergo chemotherapy which might damage the testes.
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