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The relevant medical procedures referred to above should
include tests for various infections or diseases, as well
as the donor having his sperm count and activity tested to
ensure that he is fertile.
The viruses or diseases for which the donor must be tested
are set out in the regulations to the Human Tissue Act
("the regulations") and include HIV, Hepatitis B and C and
Syphilis. While there is no absolute guarantee regarding the
screening of "fresh" semen (as opposed to frozen/stored sperm
provided by a clinic) for HIV, the following is the safest
possible method to follow. The donor will need to have two
HIV tests, three months apart and with no "risk activities"
between them - such as unprotected penetrative sex or sharing
of injecting drug equipment. If both HIV tests are negative
the donor's sperm will be as safe as possible. It is important
for the donor to be tested twice because of the "window period"
of HIV infection. This is the period when a person may be
infected with HIV but the virus cannot be detected by an HIV
test. Antibodies to HIV can be detected after three months
of infection.
The ideal method of preventing transmission of HIV and other
STDs is the method used by clinics, where semen is frozen and
stored for six months while the donor is tested and retested
to make sure they do not carry transmissible infections. While
there is no guarantee that semen is completely safe, instances
of HIV transmission due to informal donor insemination have
been rare.
The 'Contacts'
section in this publication refers to services which provide
comprehensive information (including written information)
about appropriate and effective screening processes that should
be followed when planning to self inseminate with donor sperm.
It is also important to discuss a broad range of health issues
with a potential donor so that informed decisions can be made
before proceeding with the particular donor. For example,
it is advisable to obtain the donor's medical history, including
diabetes, allergic disorders, mental illness, and inherited
health conditions, such as haemophilia. It will also be useful
to know if there is any family history of repeated miscarriages
or twins and any family history of breast or cervical cancer
which may be relevant in the future if the child is a girl.
The Human Tissue Act requires the person "obtaining
or receiving" semen to first get a certificate from the donor
attesting to his medical suitability. The certificate should
be either in the form set out in the regulations or in a similar
form. This should be discussed with a general practitioner
when having the relevant tests. The regulations also require
the person "obtaining or receiving" semen to keep the medical
certificate for a minimum of 10 years.
When donor insemination is carried out in a clinical setting
it is clear that the service provider is the "obtainer" of
the semen. Where insemination takes place outside a clinical
setting it is unclear whether the donor or the mother (or
both) are the "obtainers" of the semen. It would therefore
be advisable for both the mother and donor to retain copies
of the medical certificate. There are penalties of up to $220
for failing to comply with these requirements. The obtaining
of this certificate will also protect the donor from the prospect
of being sued if the mother contracts a disease for which
the donor should have been tested.
Under the Human Tissue Act there is a maximum penalty
of $5,500 and/or 1 year imprisonment if a person provides
or signs a certificate knowing that it contains false or misleading
information.
It is important to note that the purpose of the Human
Tissue Act is to set standards for authorised providers
of semen. People entering into private or informal arrangements
take more risks (both health and legal) in doing so, as they
do not have the same recourse to legal redress as people who
use a clinic if things go wrong.
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