Questions from couples considering DI

What are the indications for donor insemination (DI)?

The discovery of ICSIFrom English "Intra-Cytoplasmic Sperm Injection." Assisted fertilization by microscope, where a single sperm is injected directly into the oocyte. ICSI is indicated in cases of male fertility problems, so if there are only very few normal sperm in the sperm or the fertilization capacity of sperm is extremely small. has reduced the number of couples to having to recourse to donor inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. (DI), but there are still many indications:

Why sperm donation?

Receiving a spermEjaculated spermatozoa and secretions during the male orgasm. donation is the only way for a couple where the man is permanently sterile to conceive, experience pregnancy, childbirth, to pass on part of its genetic heritage. It allows the legal father to experience his wife's pregnancy and the birth of the child. The couple is involved from the start in the child's development and education. It is clear that the use of inseminations by donor spermEjaculated spermatozoa and secretions during the male orgasm. (DI) is not an easy process and some couples prefer, despite other difficulties, the idea of adoption. 

Who can benefit from donor insemination (DI)?

Under the Swiss law on medically assisted procreation (LPMAThe Swiss Law on Medically Assisted Procreation (2001)., Art 3 al.3), only married couples may resort to spermEjaculated spermatozoa and secretions during the male orgasm. donation. Couples must clearly present a medical indication on the man's side to benefit from this treatment.

What is the procedure?

If a couple is concerned with donor inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. (DI), the partners can consult the woman's gynecologist or come directly to the CPMA. The attending gynecologist may, if desired, make the first examinations for the purpose of drawing up the file for the DI. Once these examinations are carried out the file is validated by a doctor in the CPMA. In the Centre, each couple also participates in a psychological interview to deepen the reflection on some specific aspects of the treatment and the emotional issues, on a personal level, within the couple and with family or friends.

If all these conditions are met, another interview with a doctor in the Centre will answer any remaining questions. A "contract" will be signed by both partners. With this signature they confirm that they are aware of the existence of the Swiss law (LPMAThe Swiss Law on Medically Assisted Procreation (2001).) and that they accept the terms. The donor will then be assigned and the inseminations can begin.

What tests have to be done?

In the woman

In the man

In the couple

Participation in a psychological interview is required for each couple wishing DI treatment. This interview is intended to help the spouses to deepen their reflection on the implications of this treatment and to answer any questions. For example, whether the couple has already reflected on the disclosure of information about the donor. The emotional aspects and management are also explored on a personal level, within the couple and family relationships. The couples also have the opportunity to participate in groups, where other couples concerned with DI share their experiences.

How is the donor attributed?

The donor is assigned according to his physical characteristics which are weight, height, skin, hair and eye colors. The donor's blood type is chosen according to those of the prospective parents.

What is the cost of a DI treatment?

The basic medical insurance covers the inherent costs of three inseminations (deductible and cost sharing excluded). Twelve cycles of stimulationOvarian stimulation. Medical treatment designed to stimulate the ovaries, the follicular growth and development. This treatment usually allows several oocytes to become mature. are theoretically at the charge of the insurances. However, in order to avoid misunderstandings, the doctor of the CPMA will write to the medical officer of the insurance in order to receive a confirmation that the treatment will be paid for while maintaining secrecy about the spermEjaculated spermatozoa and secretions during the male orgasm. origin. Mainly for reasons of confidentiality, you will receive at home an invoice for the straws of semen that you should pay without passing it on to the insurance. The straws are charged CHF 550.-. From the fourth inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. on, a flat rate of CHF 750 .- including costs exclusively related to the inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. will be charged separately from that for the straws.

What are the chances of success?

The pregnancy rate per inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. is between 10-15% per cycle depending on whether it is stimulated or not. It is clear that the presence of an additional female factor of subfertilityReduced fertility. would decrease the chances of conceiving.

How is donor insemination performed?

The principle involves placing the spermEjaculated spermatozoa and secretions during the male orgasm. in the uterusPear-shaped organ that contains and nourishes the fetus during pregnancy, which contracts in a powerful and rhythmic manner at birth to expel the fetus. through the cervixLower part of the uterus, adjacent to and reaching into the vagina, which secretes an alkaline mucus to protect the sperm from acidic environment of the vagina. a few hours before the woman's ovulationThe release of the egg from the ovary. A mature follicle bursts, expelling the egg it contains into the fallopian tube. This usually occurs around the middle of the menstrual cycle.. Your doctor will determine the time of ovulationThe release of the egg from the ovary. A mature follicle bursts, expelling the egg it contains into the fallopian tube. This usually occurs around the middle of the menstrual cycle. and therefore the day of inseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus.. For this purpose three methods are available: vaginalRelating to the vagina. ultrasound with measurement of the follicleFluid-filled sac in the ovary containing and nourishing the egg during its maturation. During ovulation, the follicle bursts and releases the egg.(s), a blood tests or urine tests. StimulationOvarian stimulation. Medical treatment designed to stimulate the ovaries, the follicular growth and development. This treatment usually allows several oocytes to become mature. pills or subcutaneousUnder the skin. daily injections may be prescribed depending on your medical situation. InseminationProcess to facilitate the meeting of spermatozoon and oocyte (egg). Using a catheter, semen prepared for this purpose is brought directly into the uterus. takes only a few minutes, it is done as a gynecological examination and causes no pain. After resting a few minutes, you can resume your normal activities.

How can I be sure that the semen used is without risk of transmission of sexually transmitted diseases?

Every precaution is taken to minimize the risk of contamination by sexually transmitted diseases. The Federal Ordinance on the Control of transplants lists all examinations to be performed. Practically, once ​​the spermEjaculated spermatozoa and secretions during the male orgasm. donation is made, the donor's spermEjaculated spermatozoa and secretions during the male orgasm. is immediately frozen and kept in sealed straws. The donor is checked every three months (for details of the tests performed go to the "donor") and it is only after two negative tests that the spermEjaculated spermatozoa and secretions during the male orgasm. can be used.

CPMA, Rue de la Vigie 5, 1003 Lausanne, tél: 021 321 15 80