Arranging Sperm Banking
Sperm Banking Referrals
The Andrology Laboratory in the Department of Reproductive
Medicine provides a service of long term semen storage.
Patients eligible for this service are males whose treatment or
disease may induce permanent or temporary sterility.
There is evidence that the quality of semen in patients with
active disease can decline over very short periods of time. We can
usually offer an appointment within 1 working day following
confirmation that the patient is viral negative for HIV, Hepatitis
B surface antigen and core antibody and Hepatitis C
The patient will be required to sign legal HFEA forms regarding
Important Information regarding referrals for sperm
- Patients referred for sperm banking must be medically fit
enough to undertake masturbation for sperm collection.
- Patients should be referred directly to Andrology for sperm
banking before facing imminent sterile inducing
treatments (e.g. chemotherapy/radiotherapy).
- Negative screening results (within the preceding 6 months) for
HIV 1 & 2, Hepatitis B surface antigen and core antibody, and
Hepatitis C antibody must be received by Andrology
before a referral for sperm banking is
- A signature from a registered medical practitioner, stating
that the diagnosis of the patient may impair his fertility, is
required by Andrology before sperm banking can be
Patients under 16 years of
Patients referred for sperm banking must be pubertal and
competent to complete the legal HFEA consent forms. The referring
clinician is required to certify that the patient understands,
before attending Andrology, that he will be required to produce a
semen sample by masturbation. The referring clinician is
required to certify that the patient is Gillick competent.
There is a DVD available from the Teenage Cancer Trust called
'Whack to the Future' that will give him information about sperm
banking before he attends the department (www.teenagecancertrust.org)
or it can be viewed on line.
Central Manchester Foundation Trust
cannot be held liable for the contents of external
Hospital In-patients who are well enough to
- Only morning appointments are available to these patients.
- They must be accompanied by a registered nurse who stays in the
Andrology department with the patient and escorts them back to the
ward at the end of the appointment.
- They must be transferred by taxi/ambulance (transport arranged
by referring centre).
- Fax over negative screening results to 0161 276 6609.
- Then telephone Andrology on 0161 276 6473 to make referral
(between 8.30 am - 4.00 pm, Monday-Friday).
- All relevant patient details will be taken over the phone (see
- The referral will be faxed to you for a medical practitioner to
- Fax the signed declaration back to Andrology on 0161 276
- A patient appointment will be given to you over the
- Inform the patient of appointment time in Andrology.
- Advise the patient that 2-7 days abstinence from sexual
activity is preferable for sperm storage
- Ensure that you tell them to ask for Andrology in the
Department of Reproductive Medicine on Oxford Road.
- Do not tell them to ask for St Mary's hospital because they
will be directed to the new hospital complex.
Negative screening results for the following are
required before a referral can be taken:
- HIV ( Anti HIV-1, 2).
- Hepatitis B (HBsAg and
Anti-HBc) requirement changed from 15/11/11.
- Hepatitis C (Anti HCV-Ab).
These results need to be faxed through to 0161 276 6609.
Information that Andrology will ask you at the time of
- Patient's identification details (Full names; Date of Birth;
NHS/Passport number; Address).
- Patient's GP and address.
- Diagnosis and any relevant history (e.g. undescended
- Whether the patient has had chemotherapy or radiotherapy
before, and when.
- Whether this is a relapse.
- When chemotherapy/radiotherapy is planned to start.
- Whether the patient is on any medication with side effects of
decreased libido or potency.
- Any co-morbidities and/or difficulties/disabilities that may
affect the patient's visit to the department.
- Any known allergies (especially latex
- Whether an interpreter is required.
What to tell the patient
- The time and date of their appointment with Andrology.
- Tell the patient that if they need any more information about
the service, they can phone us on 0161 276 6473.
- 2-7 days abstinence from sexual activity is preferable for
- Explain that more than one sample may be required.
- They need to ask for Department of Reproductive
Medicine on Oxford Road, not Saint Mary's
- For more information search for Andrology on the Trust website:
- Maps, directions and car parking (on Hathersage Road) can be
found on the left hand side of the web page under planning your
- There is an information booklet for patients: Long Term
Semen Storage that can be found in the related downloads
section on the front page of our website.
(In related downloads section of web page)
Long Term Semen Storage Information for Patients
Sperm Banking Pathway (FRM/DRM/AND/198)
How to Refer Patients for Long Term Semen Storage