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Post Treatment Fertility For Men

For Men Who Produce No Sperm

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© American Cancer Society 2010

A new procedure called microdissection testicular sperm extraction (TESE) allows surgeons to locate and remove individual sperm from testicular tissue. The sperm can then be injected into eggs that have been clinically removed.

Using donor sperm (donor insemination) is the most simple and least expensive way to become a parent for men who are infertile after cancer treatment. Major sperm banks in the United States collect sperm from young men who go through a detailed screening of their physical health, family health history, educational and emotional history, and even some genetic testing. Sperm donors are chosen for their high sperm counts and motility. They are also tested for sexually transmitted diseases, including the human immunodeficiency virus (HIV) that causes AIDS and the hepatitis viruses B and C. Couples may be able to choose a donor who will remain anonymous or one who will be willing to have contact with a child later in life. Anonymous donor sperm usually costs less.

Insemination usually is done in the doctor's office. The purified sperm sample is placed directly into the woman's uterus through a tiny, flexible tube. If needed, the woman's doctor might prescribe hormones to ripen more than one egg, which will increase the chance of a pregnancy. Success rates are good, and most women under age 35 without fertility problems get pregnant in an average of 3 to 6 cycles. The cost of donor sperm varies, but averages about $500 to $600 a cycle, and includes the cost of the insemination. This cost does not include the cost of hormones for the woman. Be sure to ask for a list of all fees and charges before insemination, since these differ from one sperm bank to another.


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