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Understanding egg and sperm donor treatment

Dr Jack Biko explains who may need donor eggs or donor sperm and how a donor cycle is run.

Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG)Donor ConceptionFertility TreatmentLGBTQ+ FertilityConsent and Legal InformationAll learning videos

Donor treatment is used when eggs or sperm from a partner are not available or not usable — for example after premature ovarian insufficiency or very low ovarian reserve, in non-obstructive azoospermia, when there is a genetic condition to avoid, and for single people and same-sex couples building a family. The talk covers donor screening, matching, how a recipient's cycle is timed with a fresh or frozen donor cycle, and what to expect from counselling. The legal side is set by South African law rather than by any clinic: gamete donation here is anonymous and non-commercial, donors may be reimbursed for time and expenses but not paid for their gametes, and screening, consent, record-keeping and eligibility are governed by the National Health Act and its regulations on artificial fertilisation, with professional standards from SASREG. Because the recording dates from 2022, treat anything it says about anonymity, donor records, age limits, consent, parentage, payment or storage as needing confirmation — ask your clinic and, if it matters to you, a South African attorney for the current position.

Implications counselling is a normal part of donor treatment in South Africa and covers what donor conception may mean for you, your partner and a future child, including how and when to tell them.

Key takeaways

  • Donor eggs or sperm may be used for low ovarian reserve, premature ovarian insufficiency, azoospermia, a genetic condition, and for solo and same-sex family building.
  • Donation in South Africa is anonymous and non-commercial: donors may be reimbursed for time and expenses, not paid for gametes.
  • Screening, consent, record-keeping and eligibility follow the National Health Act regulations and SASREG standards — confirm the current position with your clinic.
  • Implications counselling is part of the pathway, including how a child might one day be told.

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References

  • Fertility Show Africa Expert Talks — https://www.youtube.com/watch?v=rEIF0xiCxwc
  • National Health Act 61 of 2003 — Regulations Relating to Artificial Fertilisation of Persons — https://www.gov.za/documents/national-health-act-regulations-artificial-fertilisation-persons
  • Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SASREG) — https://sasreg.co.za/

This video was produced by Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG) and is shared for education only. It is not medical advice and does not replace guidance from your own doctor or fertility clinic. Naming an organisation does not imply a partnership with Antega.