What’s in the Shape: Sperm Morphology (Part I)

Blog written by Laboratory Staff C.O.

The term morphology refers to the form and structure of an object or thing. Sperm morphology is the term used to describe the appearance (size and shape) of sperm. Morphologically normal human sperm will have a smooth, oval shaped head with a long tail attached at the distal aspect of the head. Sperm is described as normal if it has an oval-shaped head that is 5 to 6 micrometers long and about 3 micrometers wide with a well-defined acrosome (cap) covering 40 to 70 percent of the head. There should be no visible vacuoles in the head, midpiece or tail, and no cytoplasmic droplets larger than half the size of the sperm head.

There are many abnormalities a sperm may exhibit, such as head and tail defects including crooked or double tail. The whip like motion of the tail is what propels the sperm forward to swim through the passages of the female reproductive system towards the egg. If abnormal sperm has a defective tail it will have a very difficult time reaching the egg and fertilizing it. The egg is enclosed in a glycoprotein coat called the zona pellucida (ZP). The ZP can be viewed as a selector or filter for morphologically normal sperm because it has been shown that sperm with abnormal head morphology attach to the ZP in lower frequencies than sperm that have normal head morphology.

Stay tuned for our future blog on how morphology is determined in the laboratory.

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Countdown to Trying to Conceive

Blog written by Laboratory Staff JM

Trying to conceive (TTC on all those forums and message boards), whether you’re trying by insemination, IVF, or the old-fashioned way, can be an exciting and overwhelming process. All sorts of thoughts are going through your head, like “will I/we conceive right away?” or “I hope it’s a boy/girl” or “we’ve been trying for so long, I hope it works this time”. Though this can be a stressful time, there are some things you can do in the months and weeks before trying to conceive that will help get your body and mind ready!

1. Consider having a preconception consultation with your doctor.

2. Take prenatal vitamins with a sufficient amount of folic acid BEFORE trying to conceive, and then throughout your pregnancy. Folic acid helps prevent certain birth defects!

3. Get into shape! Being at your ideal weight can make it easier to conceive. Check with your physician to tailor a fitness routine to your personal needs.

4. Evaluate your lifestyle. Making changes such as quitting smoking and avoiding alcohol can improve your chances of conceiving, and, if you’re successful, improve your baby’s health outlook!

5. Make time for you! Keep a positive attitude and do things that help you relax. Stress can reduce your chances of getting pregnant. So, relax!

A healthy body and mind can increase your chances of getting pregnant.

“Chance favors the prepared mind.” Louis Pasteur

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Donor Motivation

Blog written by CLI Director of Operations Michelle Ottey, PhD

I am often asked about what motivates men to become a sperm donor. In my experience, over the past five years, I have found the answer to that question to be as diverse as the donors themselves.

Sperm donors are compensated for their time and travel, this compensation is a motivator for many men. The ability to help people build families when they are challenged with social or medical infertility is by far the biggest motivator. Countless donors have shared stories of their friend or family member’s struggle with infertility and spoke of how it touched them and inspired them to want to help. I have had donors tell me that someone they know used donor sperm to conceive and that seeing the joy when they were pregnant was enough to get them to apply.

It is challenging to be a sperm donor. The screening process is intense and very few men make it through to become sperm donors (less than 1% of initial applicants become sperm donors.) Signing the required agreements, discussing something very personal with lab staff and interviewing can be stressful for some men in the process. But those who make it are always happy to be a part of the program and find satisfaction knowing that they are helping to build families.

I read an email this morning from a man who was rejected from participating in the program that made an impression on me. He was rejected because of family medical history and the high incidence of cancer, and though he understood why he was not able to participate in the program he was very disappointed. He shared that his aunt had issues with infertility and struggled for years to have a child and that was why participating had been so important to him. He was grateful that sperm donor programs exist and was sorry to not contribute; though he is referring friends to apply.

I believe that many of these men are making the choice to participate knowing that they are providing an opportunity for others to create families that would otherwise not exist. It is a beautiful and selfless thing that they are doing.

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Why we love our jobs at Cryogenic Laboratories: Walk you through every step

We recently asked our client service reps what makes them love their jobs at CLI. Overwhelmingly, it was the ability to help someone along their journey to parenthood. Enjoy these little glimpses into the days of our fabulous customer service team and how they each make a difference in the lives of our clients!

Blog written by Client Services Staff JeanMarie

A few weeks ago I assisted a new patient who felt a little confused and overwhelmed by the donor selection process and order process. I was able to guide her through the necessary paperwork and contact her physician’s office as necessary. When I looked up the donor she had selected, I found that the donor was very limited and only had a few samples remaining. The patient was understandably worried about the samples running out, so the first thing I did was put those samples on hold for her. She was unaware this was even an option and was so grateful when I told her we could hold them for ten business days.

Over the course of the next couple of weeks, I worked with this patient multiple times because she decided to change clinics and also decided that her partner would now be the patient. I was happy to help her and her partner through the entire process until the order was completed and shipped. It was a very overwhelming process for the patient and her partner, but they were so happy to have someone walk them through every step. They promised to tell me when they are pregnant and I can’t wait to hear from them!

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Why we love our jobs at Cryogenic Laboratories: Confident about decisions

We recently asked our client service reps what makes them love their jobs at CLI. Overwhelmingly, it was the ability to help someone along their journey to parenthood. Enjoy these little glimpses into the days of our fabulous customer service team and how they each make a difference in the lives of our clients!

Blog written by Client Services Staff Justinn

I find it gratifying when I am able to help a patient who begins the call very anxious and nervous. When I work with a patient who is having difficulty with the donor selection process, by the end of the call when their order is complete, they have usually calmed down and are incredibly grateful for my help. I am very happy to be able to help someone through what can be an overwhelming process. I can tell by the end of the call that they feel much more confident about their selection and decision to purchase donor sperm. It feels good that my assistance is enough to make them feel much better about this life changing process.

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What are the chances?

By Amy Erickson Hagen GIVF Compliance Officer

I’m a science person. My brain just thinks better with facts and figures than it does with abstracts. So I thought it may be nice to provide some facts about success rates. SART is an organization that ART clinics report their statistics to. These statistics tell the number of cycles nationally per year as well as factors such as number of embryos transferred and live birth rate based on maternal age.

Below is a table summarizing treatment cycles of clinics within the United States in 2009 for women using fresh embryo’s from non-donor oocytes of all treatment and diagnosis types. You can also obtain statistics for frozen embryos as well as those derived from donor oocytes. While these statistics below are nationally they are a way of looking at overall success of the clinic you are using as well. Does the clinic you choose make a difference? Absolutely! However there is much more to statistics to judge a clinics success but for me (love science) I would start with statistics to make my clinic selection.

Fresh Embryos From Non-Donor Oocytes

<35

35-37

38-40

41-42

>42

 

Number of cycles

39,465

20,545

20,911

9,389

5,916

Percentage of cycles resulting in pregnancies

47.6

38.9

30.1

20.5

9.0

Percentage of cycles resulting in live births

41.4

31.7

22.3

12.6

4.2

     (Reliability Range)

(41.0 – 41.9)

(31.1 – 32.4)

(21.7 – 22.9)

(11.9 – 13.2)

(3.6 – 4.7)

Percentage of retrievals resulting in live births

44.6

35.5

25.9

15.2

5.3

Percentage of transfers resulting in live births

47.5

38.2

28.3

17.0

6.2

Percentage of cycles with elective single embryo transfer

7.2

4.0

1.2

0.5

0.4

Percentage of cancellations

7.1

10.6

13.9

17.3

21.8

Implantation rate

35.6

26.1

17.1

9.1

3.8

Average number of embryos transferred

2.1

2.3

2.7

3.1

3.1

Percentage of live births with twins

32.9

27.4

20.9

15.8

9.3

Percentage of live births with triplets or more

1.6

1.5

1.7

0.5

0

Source: 2009 SART clinic reports, https://www.sartcorsonline.com/rptCSR_PublicMultYear.aspx?ClinicPKID=0

According to SART data in 2009 about 30% of cycles in the United States in which women underwent IVF and embryo transfer with their own eggs resulted in the live birth of at least one infant. This rate has been improving slowly but steadily over the years. For example, the corresponding national rate for 1989 was only 14%. To put these figures into perspective, studies have shown that the rate of pregnancy in couples with proven fertility in the past is only about 20% per cycle. Therefore, although a figure of 30% may sound low, it is greater than the chance that a fertile couple will conceive in any given cycle.

So I’m not going to do IVF, what are my chances with donor semen? That is a great question. Depending on your age and the treatment method you are using that can range from 7-29% according to SRMS (http://www.dreamababy.com/success-rates.htm) in Fort Meyers, FL reporting of 10 years of data. Donor insemination IUI is not required to be reported to SART so the statistics are much harder to gather.

What I commonly tell clients I’m working with is the more expensive the treatment the more success there commonly is. However, it rarely hurts to start on the lower level of technology because maybe all you need is a little bit of help to get everything working properly. Work with a reproductive processional to help guide you to make the best decisions for you for your situation. If you have limited time or fewer limitations on monetary resources you may want to start at IVF to obtain the best odds bringing home a baby sooner. 

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The Lighter Side of Donor Sperm

Blog written by CLI Director of Operations Michelle Ottey, PhD

Working in Donor Sperm is a serious business. It is a highly regulated and regimented working environment where days are filled with strict protocols, processes, paper work, screening, and quality assurance. It takes a commitment to quality and attention to detail to do it successfully. On the other side of this is you: the client who is looking for a donor to start or build your family. Choosing the right donor for you is a unique experience and very dependent on your situation. For infertile couples it can be highly emotional and often difficult because you are dealing with medical infertility, your role within your relationship, and grieving. Single women and lesbian couples also have significant emotional issues related to the conception of their children from making the initial decision to have a child through the issues surrounding the need to bring in a third party to conceive.

Though there is a significant seriousness to this process, having a sense of humor and looking at things with an open mind and lightness can help make choosing a donor, dare I say, FUN.

These donors; wonderful interesting men, are providing half of your prospective child’s genetics. And though we do not know how much of our personalities are hard wired, it seems smart to choose a donor not just for his ethnicity or height, but also for his interests and academic achievement.

Often times, when starting the donor search, people “know what they are looking for” but come out on the other side with something quite different. You will find, as you navigate through donor search engines that it is easy to identify men who meet height, weight, blood type, or even education credentials that you require. You will also find that it is now easier to find men with common interests in academic subjects, artistic or culinary skills, or the same favorite animal! Looking for these types of personality traits and interests is fascinating and allows patients to connect to the whole picture of what could be passed on to your child. You will be able to hear the donor talk about his favorite games from his childhood or listen to him describe his favorite character from his favorite book. This type of information gives you real insight into the kind of person he is rather than just seeing test scores or type of degree which is less revealing and less personal.

Not everyone is interested in this in depth information, and for those people there are more basic donor searches. The best Cryobanks allow clients and patients to get as much or as little personal information as they feel comfortable knowing. And the best Cryobanks have diverse pools of highly qualified donors for you to choose from in your quest to start or build your family.

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Supporting a Community

Blog written by Laboratory Staff Zachary K.

All of the recruiting events I have been to thus far while working for CLI have been to recruit new donors and promote our services. Those experiences usually involved our staff having a booth and trying to hand out our information and talking amongst those attending. The last event we were at for work was the Pride Parade. Although we were promoting our services by having a banner that we carried, this event felt different because we were supporting a cause more than advertising ourselves. It was an amazing experience to show our support to a community that we provide so many services to and stand behind. I had never marched in a parade and it certainly was a new feeling to have hundreds if not thousands of people watching and cheering you on as you walked down the street.

I felt that we were being cheered mostly because we had a staff member in a sperm mascot outfit and we were throwing beads/candy into the crowd. However, I did notice some couples giving us some thumbs-up or pointing at their baby. Did they use our services to become pregnant? I don’t know if I will ever know. However, it really was an amazing experience.

Too add a nice ending to an already great day, at the end of the parade we ran into a woman who had used our services to become pregnant and have a child. This was the first person whom I have met who had a child because of our services. I have always liked doing what I do, but seeing the women with her child and knowing that our company helped make that happen really made me become more passionate about my job. It was very special to see the work that we do come full circle.

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The Fundamentals

Blog written by CLI Director of Operations Michelle Ottey, PhD

Which of the following statements are true?

1. Sperm Banks test their donors for a panel of infectious diseases every few months.

2. Sperm Banks have to do testing on the specimen cups to ensure no negative effect on the sperm.

3. Sperm Banks thoroughly interview and screen men so rigorously that typically less that 1% of applicants make it into donor programs.

4. Donor applicants are excluded from donating if they do not know their family medical history.

All of those statements are true and are just the tip of the regulatory iceberg. This is why I am always surprised when I see comments in the media about Sperm Banking being unregulated and having no accountability. I thought I would take this opportunity to provide some information on sperm banking regulations.

On 5/25/2005 the Food and Drug Administration’s regulations on Reproductive Tissue Banking took effect. The specific document is 21 CFR Part 1271. This focuses on the standards for screening and testing donors, proper documentation, and donor eligibility. All sperm banks undergo routine audits for compliance by the FDA via on-site inspections. These in depth and rigorous inspections are conducted by highly trained FDA auditors. Having been through several of these inspections, I can tell you that they leave no stone unturned and are often a great opportunity for banks to further develop their best practices.

Additionally, most major sperm banks are also licensed and inspected by several states, depending on their distribution; most notably New York, California, and Maryland. State licensing began as far back as 1992.

Sperm Banks also adhere to the guideline and standards of the American Society for Reproductive Medicine (ASRM) and/or the American Association of Tissue Banking (AATB.)

Also of note, is the fact that most major sperm banks are highly self-regulated with extensive controlled documentation, internal audits, and intense training programs for all staff.

It is often cited that there are around 30,000 donor Inseminated (DI) births per year, but a more accurate number would be 4,000 to 5,000 DI births per year as determined by an unpublished AATB survey. It is important to consider the fact that one vial of donor sperm dose not equate to one pregnancy. After taking into account the average number of vials per insemination, the total number of insemination attempts to become pregnant and the birth rate, the total number of offspring born through DI would be less than 130,000 over the last 30 years.

Internally, sperm banks have limitations on donor distribution by region, by total vial number, by pregnancies reported, by adherence to the ASRM standard of 25 births/donor per population of 800,000, etc. This will vary by bank.

So, as you can see we are highly regulated, highly controlled, and take what we do very seriously.

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Happy Fourth of July!

Fun Facts to impress your family this weekend:

On this day in 1776, the Declaration of Independence was approved by the Continental Congress, starting the 13 colonies on the road to freedom as a sovereign nation.

31: Number of places nationwide with “liberty” in their name. The most populous one is Liberty, Missouri (29,149).

$190.7 million: The value of fireworks imported from China, representing the bulk of all U.S. fireworks imports ($197.3 million ) in 2010.

More than 81 million: Number of Americans who said they have taken part in a barbecue during the previous year. It’s probably safe to assume a large number of these events took place on the Fourth.

There’s a 1-in-6 chance the beef on your backyard grill came from Texas. The Lone Star State is the leader in the production of cattle and calves.

Source: 4th of July Fun Facts

CLI wishes everyone a fun and safe July 4th weekend. We will be closed on Monday but will be ready to help you with your cryobank services Tuesday morning.

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