Start with a fertility test.
To optimize the chance of success of IUI with donor sperm, you would first need to undergo fertility testing. The female evaluation usually includes a thorough history and physical exam, diagnostic imaging to check the tubes and ovaries, and assessment of ovarian reserve. These tests can be completed within one cycle. Once you have chosen a sperm donor, you can reserve the sperm samples and have them shipped to our clinics during the first 5 days of your treatment cycle.
What to Consider When Ordering Donor Sperm
If you’ve chosen to order anonymous sperm from a sperm bank, here are some things to consider:
Washed or Unwashed Sperm
Washed sperm cost more than unwashed sperm and are best suited for clinics that don’t have the means to prepare sperm for intrauterine insemination (IUI). Washed sperm are frozen twice and may yield fewer motile sperm after the second thaw before IUI. The costs to prepare washed and unwashed sperm for IUI are the same at IVFMD fertility clinics in Irving, Grapevine and Arlington.
The FDA requires screening the sperm donor and the recipient for cytomegalovirus (CMV) which can cause birth defects in the developing fetus. If you are not immune to CMV, you should choose a CMV negative donor in order to minimize the risk of CMV transmission.
When do I order?
Sperm can be ordered during the first 5 days of the treatment cycle or at the initial baseline sonogram during menses. Waiting until the last minute to order might incur higher shipping cost.
How many samples do I order?
Sperm are shipped in a cryostorage container filled with liquid nitrogen and transportation cost can add up. To save on the shipping costs, you might want to order up to 3 samples and have the unused ones stored at our facility for a nominal fee.
Guarantee on Sperm Viability
The chance of pregnancy with IUI using donor sperm is optimized when there are at least 3 million motile sperm after thawing. A refund or credit might be available in cases of poor sperm survivability.
What are the pregnancy rates of donor sperm IUI cycles?
Many studies have found that the average live birth rate from donor sperm IUI is about 15% per attempt, varying from 10% per cycle with one dominant follicle to 20% with 2-3 dominant follicles. Success with IUI depends on many factors including the woman’s age and whether there are other infertility factors such as endometriosis, tubal disease, or pelvic adhesions. In general, a cumulative pregnancy rate of about 50-60% is expected after 5 IUI attempts in uncomplicated cases.
What happens if IUI is unsuccessful?
If IUI is unsuccessful, it might make sense to proceed to IVF. Our fertility specialists will work closely with you to determine the appropriate route of care.