Donor Recruitment and Recipient Experience of a Newly Implemented Identity Release Donor Sperm Program

Abstract

Background: A shortage of donor sperm exists in Victoria. In combination with COVID-19 affecting cross border reproductive care, the lack of donor availability necessitates increased attention to factors affecting recipient decision making. Aim: Newlife IVF launched their Identity Release Donor (IR; previously known as clinic recruited) Sperm Program in September 2020. Our aim is to examine donor recruitment and key factors in donor selection in an IR donor sperm program. Method: Data collected through routine interactions with potential donors and recipients, including donor allocation and reasons for decision making were examined. Qualitative data collected through counselling sessions with recipients were analysed using thematic content analysis. Results: From September 2020 to May 2021, 308 men responded to an online advertisement requesting more information about our IR program. Of these, 41% (N=126) completed an intake phone call wishing to proceed, however only 7% (N=22) undertook investigative testing. Ultimately 2.5% (N=8) of the initial cohort completed all requirements to date. To date, 106 recipient women/couples completed the compulsory counseling session and accessed the IR profiles. Seventy-five percent (N=80) selected a donor. Also, 75% stated there was more information in donor profiles than expected, and valued interviewer impressions of donor (international donor profiles). Recipients referred to the ‘letter to the offspring’, a hand-written note by the donor for potential offspring, as providing the most insight and weighed heavily in decision making. Of the 25% (N=26) who have not selected a donor to date, the majority (N=16) were undecided, disliked profiles (N=5), delaying treatment (N=2), or changing clinics (N=3). Conclusion: A small proportion of men who express interest via an online advertisement, translate to sperm donors. A high proportion of recipients who view donor sperm profiles select a donor and proceed with treatment. Recipients are motivated to learn about a donor and value the donor’s personal connection to a potential donor conceived offspring.