Therapeutic Donor Insemination (TDI) is a treatment used for treating severe male factor infertility in heterosexual couples, for single women and same sex (lesbian) couples. This treatment involves purchasing frozen sperm samples from a sperm bank, thawing the sample and placing it high in the uterus (intrauterine insemination – IUI) just before ovulation. This procedure is performed by our nurses and normally is not painful or difficult.
Sperm samples are purchased by patients directly from any of these sperm banks: Outreach Health Services (Xytex Corporation), Repromed Ltd. (Toronto, Canada) and Can-Am Cryoservices (Virginia, USA). Counselors at the sperm banks assist patients with the selection of a suitable sperm donor. Once purchased, the sperm bank will ship the selected donor cryopreserved sample(s) to our clinic for storage and future use. The collection, processing, storage, distribution and use of donor sperm in Canada are regulated by federal semen regulations. The Regional Fertility program is licensed by Health Canada to perform donor sperm procedures.
Sperm donors are volunteers who are carefully screened for genetic, psychological and infectious diseases. To qualify for the program they must also have high quality sperm samples that survive the freezing and thawing process in good condition. Please note that the Regional Fertility Program cannot guarantee the validity of the data obtained from the sperm donors as this is the responsibility of the commissioning sperm bank screening process.
Most patients select an anonymous sperm donor from one of the above sperm banks. However, it is also possible to use a donor known to you (directed donation). Federal sperm regulations mandate that known donors undertake the same screening process that anonymous donors do. The only sperm bank in Canada that provides the screening and processing of known donors is Repromed Ltd in Toronto. Samples appropriately prepared by Repromed may be transferred to our clinic for use.
All patients/couples using sperm donation meet with our clinical psychologist to discuss the unique issues encountered when considering third party reproduction.