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ICMR guidelines for Semen banking and IUI donor


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ICMR guidelines for Semen banking and IUI donor

  1. 1. ICMR guidelines for Semen banking and IUI donor
  2. 2. *A sperm bank, semen bank or cryobank is a facility or enterprise that collects and stores human sperm from sperm donors for use by women who need donor-provided sperm to achieve pregnancy. **Either an ART clinic or a law firm or any other suitable independent organization may set up a semen bank. If set up by an ART clinic it must operate as a separate identity.
  3. 3. ** On request for semen by an ART clinic, the bank will provide the clinic with a list of donors (without the name or the address but with a code number) giving all relevant details **The semen bank shall not supply semen of one donor for more than ten successful pregnancies. It will be the responsibility of the ART clinic or the patient, as appropriate, to inform the bank about a successful pregnancy. The bank shall keep a record of all semen received, stored and supplied, and details of the use of the semen of each donor. This record will be liable to be reviewed by the accreditation authority
  4. 4. An ART bank shall not supply the sperm of a single donor for use more than seventy five times. One sample of semen supplied by an ART bank shall be used by the assisted reproductive technology clinic only once on only one recipient.
  5. 5. * The bank must be run professionally and must have facilities for cryopreservation of semen, following internationally accepted protocols. Each bank will prepare its own SOP (Standard Operating Procedures) for cryopreservation. **Semen samples must be cryopreserved for at least six months before first use, at which time the semen donor must be tested for HIV and hepatitis B and C. **The bank must ensure confidentiality in regard to the identity of the semen donor. **The identity of the recipient shall not be made known to the donor.
  6. 6. Freezing of semen Men that are likely to suffer from psychological stress at the time of ovum pick-up or those who cannot be present at the time of ovum pickup, are recommended to have their semen frozen for use at the appropriate time The safety of using frozen sperm has been abundantly proven, both by experimental work and the actual results in humans.
  7. 7. **A semen bank may store a semen preparation for exclusive use on the donor’s wife . An appropriate charge may be levied by the bank for the storage **In the case of non-payment of the charges when the donor is alive, the bank would have the right to destroy the semen sample **All semen banks will require accreditation.
  8. 8. Artificial insemination with donor semen (AID) AID involves placing of donor’s semen obtained from an accredited ART bank inside the vagina or the cervix
  9. 9. Indications Of AID 1) Non-obstructive azoospermia 2) The husband has a hereditary genetic defect 3) The couple has Rh incompatibility 4) The man has severe oligozoospermia and the couple does not wish to undergo any of the sophisticated ART such as ICSI.
  10. 10. No treatment should be given without the written consent of the couple to all the possible stages of that treatment A standard consent form recommended by the accreditation authority should be used by all ART clinics. Specific consent must be obtained from couples who have their gametes frozen , in regard to what should be done with them if he/she dies.
  11. 11. Requirements for sperm Donor *The age of the donor must not be less than 21 or more than 35 years. *The individual must be free of HIV and hepatitis B and C infections, hypertension, diabetes, sexually transmitted diseases. ** The blood group and the Rh status of the individual must be determined and placed on record. **Other relevant information in respect of the donor, such as height, weight, age, educational qualifications, profession, colour of the skin and the eyes, and the family background in respect of history of any familial disorder, must be recorded in an appropriate proforma.
  12. 12. Questions . thank You