Artificial insemination with donor semen (AID) has recently come into public view—particularly in France—because of its association with a newer technique, the cryopreservation of semen. One of the oldest and simplest of reproductive techniques, used most frequently as a means of compensating for male infertility, artificial insemination was previously confined to the private clinician's office, where maximum confidentiality could be ensured. This shielded all of the parties involved—recipients, donor, and physician—from moral reprobation and the possible legal complications arising from the use of donor sperm. However, in the mid-twentieth century, some physicians and researchers in cyrogenics came up with the idea that the freezing and stocking of donor semen in banks might greatly improve the psychological conditions and facilitate the material arrangements for performing AID. Essentially, the donor's availability would no longer have to coincide with the woman's ovulation, meaning less inconvenience for the donor, more time for screening his medical history and running the necessary tests on his semen, and possibly a certain tempering of AID's adulterous connotations. Although results with frozen semen were not as satisfactory as with fresh (the probability of a pregnancy at any cycle is almost twice as great with fresh semen), the material and psychological benefits were considered greatly to outweigh the lesser efficiency of frozen sperm.
Reproductive decisions by couples undergoing artificial insemination with donor sperm for severe male infertility: implications for medical counselling