Donor sperm - what do you recommend?
The use of donor sperm is on the rise worldwide for single women, same-sex couples, and heterosexual couples. In many cases, these are patients who have not ever attempted to conceive, and do not, actually meet the accepted criteria for infertility. Besides pure medical considerations, other specific financial factors are involved including the cost of both donor sperm and fertility treatments.
Is sperm donation available in your country?
- Yes
- No
Yes
Please specify your profession
- Clinician
- Nurse
- Embryologist
- Other
Is your practice private or public?
- Only private
- Only public
- Both, equally
How many patients utilize sperm donation in your practice per year?
- Less than 10 patients
- 10-50 patients
- 51-100 patients
- More than 100 patients
How many natural IUI cycles with donor sperm would you recommend to a 32-year-old patient with normal ovarian reserve assessment and no history of infertility?
- Up to 3 cycles
- Up to 6 cycles
- Up to 9 cycles
- Up to 12 cycles
- I would not recommend a natural IUI cycle for this patient
What treatment would you recommend to a 32-year-old patient who did not conceive after natural cycle donor insemination?
- Clomiphene or letrozole +IUI
- Gonadotrophins + IUI
- IVF
- Other
How many natural IUI cycles with donor sperm would you recommend to a 37-year-old patient with normal ovarian reserve assessment and no history of infertility?
- No more than 3 cycles
- Up to 6 cycles
- Up to 9 cycles
- I would recommend gonadotropin / IUI treatment as first line treatment
- I would recommend IVF as first line treatment
- Other
How many gonadotropin - donor-IUI cycle would you recommend to a 37-year-old patient before proceeding to IVF?
- Up to 3 cycles
- 3-6 cycles
- More than 6 cycles
- None – I would recommend IVF as first line treatment
- Other
How many natural IUI cycles with donor sperm would you recommend to a 40+-year-old patient with normal ovarian reserve assessment and no history of infertility?
- No more then 3 cycles
- Up to 6 cycles
- Up to 9 cycles
- I would recommend GT / IUI treatment as first line treatment
- I would recommend IVF as first line treatment
A 37-year-old woman wants to conceive using donor sperm. She has no history or sonographic findings suggestive of tubal pathology. Would you refer for assessment of tubal patency, such as hysterosalpingography or hydrosonography?
- Yes
- No
How many inseminations per cycle do you recommend to 37-year-old women using donor sperm?
- One
- Two
How many inseminations per cycle do you recommend to a 37 year old whose partner has normal sperm parameters?
- One
- Two
To what extent do you agree with the following statements (1 = completely disagree and 5 = completely agree agree)
- Patients seeking treatment with donor sperm should be offered identical treatment protocols to women attempting to conceive with a partner.
- In women aged 40 and above who wish to conceive with donor sperm, natural cycle IUI is a "waste of precious time".
- the cost of donor sperm vials should be an important consideration in the clinical management of women seeking treatment with donor sperm.
- The efficacy of donor insemination is lower compared with intercourse among couples with normal sperm parameters.
