Nearly 2.5 million American couples are infertile. They have been unable to conceive despite a year or more of trying. Among women 20-24 years old, the group that delivers one third of this country's babies, the infertility rate has tripled since 1965. The reproductive process is so intricate that even the most fertile couple has only a one in four chance of conceiving each month. Since fertility naturally declines with age, a fertility evaluation is recommended for couples over the age of 30 who have not conceived after six months of unprotected intercourse. From our extensive experience, we know that this fertility evaluation, to be complete, must take place in more than one phase of the cycle. The complete fertility evaluation begins with a thorough personal history, a physical examination, and a laboratory evaluation, with particular attention to conditions which might cause problems during pregnancy.
In the process of discovery, we may find more than one problem contributing to infertility - this is often the case. However, some infertile couples may be diagnosed, given simple drug therapy, and become expectant parents shortly thereafter. On the other hand, known problems, such as endometriosis, may not be the only source of a couple's inability to
conceive. When pregnancy does not occur within three to six months of treatment, other causes must be sought.
Therapeutic donor insemination is indicated when semen quality is too poor to permit pregnancy by artificial insemination with husband sperm (AIH), in vitro fertilization (IVF), or
intracytoplasmic sperm injection ((ICSI)) (MALE INFERTILITY); when a male portion is absent; or when an acquired or inheritable disease make his sperm unsuitable.
Donor Sperm Source
Donor specimens may be obtained from any licensed sperm bank, at the patient's request.
All donor sperm initially prepared or imported by FINO has been cryopreserved for a minimum of six months and is used only after the sperm donor has tested negative for the HIV virus. Extensive testing for other infectious diseases is also performed before donors are accepted. Genetic screening is done if the donor has any history of possible inherited disease.