A sperm bank, semen bank, or cryobank is a facility that purchases, stores, and sells human semen. The semen is produced and sold by men who are known as sperm donors. The sperm is purchased by other persons for the purpose of achieving a pregnancy other than by a sexual partner. Sperm sold by a sperm donor is known as donor sperm.
A sperm bank may be a separate entity supplying donor sperm to individuals or to fertility clinics, or it may be a facility which is run by a clinic for their customers.
A pregnancy may be achieved using donor sperm for insemination with similar outcomes to sexual intercourse. By using sperm from a donor rather than from the sperm recipient's partner, the process is a form of third party reproduction. In the 21st century artificial insemination with donor sperm from a sperm bank is most commonly used for individuals with no male partner, such as single women and coupled lesbians.
A sperm donor must generally meet specific requirements regarding age and screening for adverse medical history. In the United States, sperm banks are regulated as Human Cell and Tissue or Cell and Tissue Bank Product (HCT/Ps) establishments by the Food and Drug Administration. Many states in the U.S. also have regulations in addition to those imposed by the FDA. In the European Union a sperm bank must have a license, according to the EU Tissue Directive. In the United Kingdom, sperm banks are regulated by the Human Fertilisation and Embryology Authority.
General The first sperm banks began as early as 1964 in Iowa, the United States, and Tokyo, Japan, and were established to support individuals who were infertile. As a result, over 1 million babies were born within 40 years.
Sperm banks provide individuals who otherwise would not be able to conceive naturally the opportunity to have a child. This includes, but is not limited to, single women, same-sexed couples, and couples where one partner is infertile.
In many parts of the world sperm banks are not allowed to be established or to operate. 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 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, which may be designed to protect against consanguinity. However, such legislation usually cannot prevent a sperm bank from supplying donor sperm outside the jurisdiction in which it operates, nor can it prevent sperm donors from donating elsewhere. There is a shortage of sperm donors in many parts of the world, and there is pressure from quarters for donor sperm from those willing and able to provide it to be made available as safely and as freely as possible.
Recruitment Finding a potential sperm donor, and motivating him to donate sperm, is referred to as recruitment. A sperm bank can recruit donors by advertising—-often in colleges, in local newspapers, and on the internet.
A donor must be a fit and healthy male, normally between 18 and 45 years of age, willing to undergo frequent rigorous testing. The donor must also be willing to donate his sperm so that it can be used to impregnate people who are unrelated to him whom he does not know. Some sperm banks require two screenings and a laboratory screening before a donor is eligible. The donor must agree to relinquish all legal rights to all children who result from his donations. The donor must produce his sperm at the sperm bank, thus enabling the identity of the donor, once proven, to be ascertained. Some sperm banks have been accused of heightism due to minimum height requirements.
Screening of donors
A sperm bank will aim to provide donor sperm that is safe by screening donors and their semen. A sperm donor must generally meet specific requirements regarding age and medical history. Requirements for sperm donors are generally strictly enforced; in a study of 24,040 potential sperm donors, only 5,620 (23.38%) were eligible to donate their sperm.
Sperm banks typically screen potential donors for a range of diseases and disorders, including genetic diseases, chromosomal abnormalities, and sexually transmitted infections that may be transmitted through sperm. Donors are generally subject to tests for infectious diseases such as human immunoviruses HIV (HIV-1 and HIV-2), human T-cell lymphotropic viruses (HTLV-1 and HTLV-2), syphilis, chlamydia, gonorrhea, hepatitis B virus, hepatitis C virus, cytomegalovirus (CMV), Trypanosoma cruzi and malaria as well as hereditary diseases such as cystic fibrosis, sickle cell anemia, familial Mediterranean fever, Gaucher's disease, thalassaemia, Tay–Sachs disease, Canavan's disease, familial dysautonomia, congenital adrenal hyperplasia, carnitine transporter deficiency. Some sperm banks may also use karyotyping to ensure donors are 46XY.
Some sperm banks disallow sexually active gay men from donating sperm due to the population's increased risk of HIV and hepatitis B.
The screening procedure generally also includes a quarantine period, in which the samples are frozen and stored for at least six months after which the donor will be re-tested for the STIs. This is to ensure that no new infections have been acquired or have developed during the period of donation. Providing the result is negative, the sperm samples can be released from quarantine and used. Common reasons for sperm rejection include suboptimal semen quality and STDs. Chromosomal abnormalities are also a cause for semen rejection, but are less common. Children conceived through sperm donation had a birth defect rate of almost a fifth compared with the general population in a 1983 study.
The sperm will be checked to ensure its fecundity and also to ensure that motile sperm will survive the freezing process. If a man is accepted as a sperm donor, his sperm will generally be constantly monitored, and samples of his blood will be taken at regular intervals. A sperm bank may provide a donor with dietary supplements containing herbal or mineral substances such as maca, zinc, vitamin E, and arginine which are designed to improve the quality and quantity of the donor's semen, as well as reduce the refractory time.
Failures
In 1995, the largest sperm bank in New York State was ordered to close (and no longer operate semen banks and blood banks), over the objections of its owner the Daxor Corporation and its president, CEO, and majority shareholder Joseph Feldschuh, by New York State Supreme Court Justice Harold Tompkins."https://www.nytimes.com/1992/08/16/business/wall-street-a-strange-few-months-for-daxor.html," The New York Times, August 16, 1992. The Justice found that Daxor had repeatedly endangered the public health over several years."Sperm Bank Ordered To Cease Operations," The New York Times, August 23, 1995. A 1993 inspection had documented 517 violations by the sperm bank, including its failure to screen sperm donors properly for sexually transmitted diseases. Rather, the inspection showed that Daxor had, in fact, made available semen from men who had tested positive for hepatitis, chlamydia, and gonorrhea. Daxor employees told government investigators that Feldschuh had instructed them to make false entries on business records and to lie to investigators.Amy Clyde (April 3, 1995). "The Sperm King," New York Magazine. Feldschuh claimed New York State Health Department officials were conspiring to shut down his business, sued them three times, appealed three times, and lost each of the six times.Beechwood Restorative Care Center v. Leeds, 317 F. Supp. 2d 248 (W.D.N.Y. 2004)."Sperm Bank Is Ordered Closed And Denied a License Hearing," The New York Times, July 19, 1995.
The Daxor sperm bank was sued for negligence by customers. In one case, a White mother sued the sperm bank because though her White terminally ill husband's sperm had been stored at the sperm bank, when she asked for the sperm and used it to artificially inseminate her, she ended up giving birth to a Black baby."SPERM-BANK BABY OF DIFFERENT RACE PROMPTS LAWSUIT," Roanoke Times, March 11, 1990."White Woman Files Lawsuit Charging Sperm Bank Mixup Left her With Black Child," Jet, March 26, 1990.
In 2007 another mother settled her own claims against Daxor for $250,000, which she said was a fraction of the estimated $7 million in care that will be needed for both of her children.Laurie Rosenow (March 6, 2020). "Autism Spectrum Disorders in Children Conceived with Donor Sperm: How Should the Law Respond?" ISLAT. She said the Daxor donor of the sperm that she used had lied significantly about his education, and had failed to disclose that he was diagnosed with ADHD, did not speak until age 3, and attended a special school for children with learning and emotional disabilities; she said using his sperm led to both of her children being diagnosed with autism.
Donor payment Most sperm donors who donate their sperm through a sperm bank receive some payment, though this is rarely a significant amount. A 2012 review of 29 studies from nine countries found that the amount of money donors received varied from $10 to €70 per donation.
Collection
A sperm donor will usually be required to enter into a contract with a sperm bank to supply his semen, typically for a period of six to 24 months depending on the number of pregnancies which the sperm bank intends to produce from the donor.
The contract may also specify the place and hours for donation, a requirement to notify the sperm bank in the case the donor acquires a sexual infection, and a requirement not to have intercourse or to masturbate for a period of usually 2–3 days before making a donation.
A sperm donor generally produces and collects sperm at a sperm bank or clinic by masturbation in a private room or cabin, known as a 'men's production room' (UK), 'donor cabin' (DK), or a masturbatorium (US). Many of these facilities contain pornography such as videos/DVD, magazines, and/or photographs which may assist the donor in becoming aroused in order to facilitate production of the ejaculate, also known as the "semen sample" but the increasing usage of porn in the U.S. has dulled many men to its effects. Often, using any lubricant, saliva, oil, or anything else to lubricate and stimulate the genitals is prohibited, as it can contaminate the semen sample and have negative impacts on the quality and health of sperm. In some circumstances, it may also be possible for semen from donors to be collected during sexual intercourse with the use of a collection condom which results in higher sperm counts.
Processing sperm
After collection, sperm must be processed for storage. According to the Sperm Bank of California, sperm banks can use the 'unwashed' or 'wash' method to process sperm samples. The 'wash' method includes removing unwanted particles and adding buffer solutions to preserve viable sperm. However, this approach can contribute to further stress on the sperm cells and decrease the survival of sperm after freezing. The 'unwashed' approach allows for more flexibility to freeze the semen sample, and increases the number of sperm that survive.