fertility
Male Infertility: What You Should Know
From genetic screening to personal preferences, here's what a fertility specialist recommends considering when selecting a sperm donor.
3 min read
Choosing a sperm donor can be overwhelming. The process opens a world of possibilities for starting or growing your family. As someone who has guided countless patients through this journey, I want to share what to expect and what to consider, so you can make your decision with clarity and confidence.
The first thing my patients often ask me: Should I choose an anonymous donor or a known donor? Both options have their unique benefits and challenges—it all depends on your personal goals and circumstances.
Known donors, like a friend or family member, offer a sense of connection and familiarity. But this choice isn’t without its complexities. Not every person can be a good donor match. Both you and the donor candidate will need medical and genetic screenings to ensure compatibility and a good outcome. It’s crucial to have open discussions about boundaries and expectations. Psychological counseling and legal agreements are also essential to make sure everyone is on the same page.
By providing your email address, you agree to receive email communication from The Well.
Anonymous donors, on the other hand, are typically selected through commercial sperm banks. These donors undergo extensive screening, and you can view detailed profiles that include everything from medical history and genetics to education, interests, and even the ability to view photos and hear your donor’s voice.
Genetic screening is one of the most important steps in this process. Whether you’re choosing a known or anonymous donor, testing ensures the donor isn’t carrying any conditions that could be passed to your child.
At our clinic, we screen for hundreds of genetic conditions. If a donor is a carrier for any condition, we compare their results with yours to ensure there’s no overlap. This meticulous process reduces the risk of inherited conditions, giving you peace of mind as you move forward.
When it comes to narrowing down your choices, I always tell my patients to start with what matters most to them. Some prioritize health history or genetic traits, while others focus on shared characteristics or interests. There’s no one-size-fits-all approach here. The goal is to find a donor who “speaks to you.”
If you’re working with a sperm bank, the logistics are pretty straightforward. Once you select a donor, the sperm is shipped to your fertility clinic. From there, we take care of the next steps, whether that’s intrauterine insemination (IUI) or in vitro fertilization (IVF).
Choosing a sperm donor is a big decision, and it’s normal to go through a roller coaster of feelings. That’s why emotional support is such a vital part of this journey. At our clinic, we connect you with counselors who can help address concerns—whether it’s about talking to your child in the future about their origins or navigating family dynamics right now.
Yes, selecting a sperm donor can feel daunting at first. But it’s also an incredible opportunity to take control of your fertility journey. With the right tools, guidance, and support, as well as your own gut instinct, you’ll find a donor who feels like the right fit for you and your future family.
The Well is Northwell Health’s commitment to the future of health care. In this time of information overabundance, much of which is inaccurate, unhelpful, or even difficult to understand, Northwell Health is on a mission to make a difference as an honest, trusted, and caring partner. The site connects with consumers to provide them with personalized content that reduces their stress, makes them laugh, and ultimately feel more confident and capable on their healthcare journey.