Freezing sperm overview
- Sperm cryopreservation (sperm freezing or sperm vitrification) is the process of freezing a man’s sperm and storing it for later use, either in artificial insemination or in vitro fertilization (IVF)
- Men may choose to freeze their sperm prior to undergoing vasectomy, male-to-female gender reassignment surgery or cancer treatments. In the latter case, the chemotherapeutic drugs could harm the sperm.
- Men may also freeze sperm if they will engage in risky activity, such as going to a warzone, where he may suffer an injury that damages his fertility.
- Sperm freezing is a safe and relatively inexpensive way for a man to preserve his fertility.
What is freezing sperm?
Sperm cryopreservation (freezing) involves:
- A man providing a semen sample
- The lab analyzing the sperm for adequacy
- The lab freezing the sperm for later use
When a man decides to preserve his sperm, he can typically provide a sample by ejaculating via masturbation into a sterile sample cup. If no sperm are present in the semen or he cannot bring himself to ejaculation, a surgical sperm extraction may be used to remove sperm directly from the testicle.
The sperm sample is then frozen by a slow-cooling method or by vitrification, a flash-freezing process in which sperm are bathed in a cryoprotectant and quickly frozen to about minus 320 degrees Fahrenheit. The frozen sperm is stored at a fertility clinic or sperm bank until it is ready to be used for intrauterine insemination (IUI) or IVF.
Cryopreservation provides longevity for an indefinite amount of time. Once sperm is frozen, all biological activity stops, preventing cell growth or death.
Sperm is typically frozen for long periods. The man can choose to keep his sperm frozen, use the sperm or discard the sperm. The typical yearly cost to store frozen sperm is $220-500.
Who should consider freezing sperm?
A man may choose to freeze his sperm for a number of different reasons including:
- Fertility preservation for cancer treatments or other medical conditions that could harm sperm
- He will undergo vasectomy surgery for sterilization
- Low sperm quality or quantity
- Risk of injury or death from a dangerous job (military, police officer, etc.)
- He will have a sex change operation.
Risks of freezing sperm
Sperm cryopreservation is a safe and standardized process. Since sperm was first frozen and used to create a pregnancy in 1953, cryopreservation techniques have steadily improved.
Not all sperm will survive the freezing and thawing process. However, typically millions of sperm are released in each sample, so the chances of having enough healthy sperm for IUI or intro-cytoplasmic sperm injection (ICSI) IVF are favorable.
The amount of time sperm can remain frozen and still result in the fertilization of an egg is unknown. Actual cryopreservation is considered to have no time limit.
Benefits of freezing sperm
The primary benefits of sperm freezing are to ensure the fertility of men who will soon undergo cancer treatments, are working in a dangerous occupation, or are simply not ready to father children and want to preserve their sperm while it is of high quality (sperm quality will degrade with a man’s age). Sperm freezing gives a man peace of mind that he will have a better chance at having children in the future using his preserved sperm.