• * The center of assisted medical procreation of the CHU St Pierre is specialised in reproductive medicine. Reference center: quality label ISO 9001 obtained in 2008 and accredited by the AFMPS (Agence Fédérale des Médicaments et Produits de Santé).

Care for patients requiring donor sperm

Donor sperm may be recommended in various situations.

 

Recourse to donor sperm

  • when the male partner has no sperm (azoospermia) or very severe sperm abnormalities (very severe oligoasthenoteratospermia)
  • when the male partner carries a serious transmissible genetic disorder and cannot undergo pre-implantation diagnosis
  • when the male partner has the human immunodeficiency virus (HIV) and is seropositive, and the couple doesn’t wish to run any risk of contamination
  • when the male partner is found to have untreatable sexual dysfunction making sperm collection impossible
  • when there is no male partner, i.e. single women or lesbian couples

 

Care for patients requiring donor sperm

Patients for whom donor sperm is recommended will have a consultation with one of the gynaecologists specialising in fertility as well as with our centre’s psychiatrist/psychologist. These meetings will allow the patient’s or the couple’s family history to be discussed, the specifics of the wish to have children, questions and information concerning the child’s conception, etc.

At the end of these meetings, the case will be discussed in a team meeting.

If accepted, the patient or the couple will see the gynaecologist again in order to compile the medical file, prescribe the fertility assessment and to sign the informed consent form.

 

Choice of donor

The choice of donor is made according to a series of physical characteristics (ethnicity, eye colour, hair colour, height) and biological characteristics (blood and rhesus group). The donors are available either through our internal sperm bank or through a Danish sperm bank owing to the lack of Belgian sperm donors.

If you would like more information on the selection of sperm donors, please read our chapter on sperm donation.

 

Anonymity

InBelgium, recourse to a sperm bank involves strict anonymity. This means that the donor won’t have access to the identity of the receiving party and neither will the receiving party, nor the children resulting from the donation, have access to the donor’s identity.

Nevertheless, Belgian law allows non-anonymous donation as long as there is a direct agreement between the donor and the receiving couple. This is referred to as known sperm donation.

 

Treatment

If no infertility factors have been diagnosed in the woman, the treatment consists of intrauterine insemination (IUI-D: intrauterine insemination with donor sperm).

In the case of female infertility factors or repeated failed inseminations, the patient may have recourse to in vitro fertilization or even ICSI with donor sperm.

 

Results

The chances of insemination with donor sperm succeeding are close to the chances of natural fertility, i.e. 60% at 6 months and approximately 80% at 1 year.

Female infertility factors or advanced age may have a negative influence on these figures.

 

Legislation

Belgian law recognises the legitimacy of donor sperm, establishes the rules of filiation and defines certain limits. You can read this law on our website (Ref).

In the case of a married heterosexual couple, the child resulting from donor sperm is the couple’s legitimate child.

In the case of an unmarried heterosexual couple, legally acknowledging the child before birth is strongly recommended.

In the case of homosexual couples (married or not), a legal consultation with a lawyer specialising in family law is strongly recommended before starting the procedure. 

 

Cost

The cost of treatment with donor sperm is the same as that for the AR technique that will be used (insemination or in vitro fertilization) and the added cost of the sperm straws. Currently, health insurance funds don’t cover the costs relating to sperm straws.

 



 

Plan du site CHU Saint Pierre - Bâtiment 200, 5è étage . Département de Gynécologie-Obstétrique

Centre de Fécondation In vitro - 322, Rue Haute - Bruxelles Tel +32(0)2 535 3406 Fax +32(0)2 535 3409