Building Families through Donor Conception: A Comprehensive Guide

I Was Supposed To Have A Baby in Partnership with Hasidah

Donor conception offers a pathway for individuals and couples to build their families using sperm, eggs, or embryos from a donor. This comprehensive guide aims to address the myriad considerations—medical, financial, social, emotional, and religious—associated with donor conception. By providing detailed information and thoughtful insights, we hope to demystify the process, reduce stigma, and support you in making informed decisions on your journey to parenthood. Naming and addressing the questions and concerns that come with using donor gametes will build familiarity and confidence with those considering the process. Learning from others' experiences and understanding the various aspects of donor conception can help you navigate this path with greater ease and assurance.

Framing Thoughts on Donor Conception

Discovering that you need a donor to conceive can bring feelings of isolation and loneliness. This personal and intimate experience is often kept private, but this privacy can sometimes lead to feelings of shame.

Despite donor conception being a topic of increasing visibility in the news, there remains a lack of understanding about how it works, how people feel about it, how decisions are made, and its effects on the lives of those involved.

The decision to use a donor affects not only you but also those around you, and it must be carefully considered both before and after the fact.

For many, the use of a donor involves a sense of loss and requires navigating a complex process filled with numerous decisions.

Managing all these aspects together can be overwhelming, making it crucial to address and support each step of the journey​​.


Background of Donor Conception

The history of donor conception is rich and varied, spanning from ancient anecdotes to modern medical advancements. Understanding the development of sperm, egg, and embryo donation provides valuable context for those considering this path to parenthood. This section outlines the key milestones and historical events that have shaped the practices and technologies of donor conception.

Sperm Donation

  • Ancient roots: Midrash story of unintentional impregnation in a bath.

  • 1884: First confirmed case by a physician in Philadelphia using sperm from a medical student.

  • 1953: Development of freezing and thawing techniques.

  • 1970: First sperm bank opened in Minnesota.

  • 1993: Estimated 80,000 women had utilized sperm donation.

Egg (Oocyte) Donation

  • 1983: First successful egg donation in Australia.

  • 1987: 17 centers available in the U.S.

  • Late 1990s: Hundreds of centers in the U.S.

  • 2021: 23,280 cycles performed using donor eggs (fresh, frozen, thawed embryo, and donated embryos).

Embryo Donation

  • 1983: First successful egg donation in Australia.

  • 1987: 17 centers available in the U.S.

  • Late 1990s: Hundreds of centers in the U.S.

  • 2021: 23,280 cycles performed using donor eggs (fresh, frozen, thawed embryo, and donated embryos). 


Types of Donations and Candidates

Types of Donations

Who is a Candidate?

  • Individuals who cannot produce eggs or sperm

  • Individuals whose eggs or sperm do not produce viable embryos

  • Individuals carrying lethal genetic mutations

  • Individuals without a partner

  • Same-sex couples

  • Heterosexual individuals, LGBTQ individuals, and singles

When Do People Seek Donors?

  • LGBTQ individuals often seek donors from the start

  • After learning of a genetic condition

  • After deciding to solo parent

  • After trying other methods, such as IVF

  • After experiencing losses or receiving test results


Donation Terms and Language to Use

Gamete donation is the technically correct term if you are in the medical or scientific term. When talking day to day, however, it sounds terribly impersonal considering what is involved for your life. Egg donation, sperm donation, or embryo donation are much more helpful and likely more accurate to your situation. Language is important and sets the tone for how you relate to the world… “In the beginning” God creates with words. So too, you will build your child’s reality with what you say. Language can help prevent any shame or stigma and make it very normal - which for your child, it is.

Here are some terms to use for third parties involved with reproduction: 

  • Sperm/Egg Donor, contributor, donor, genetic donor, helper, the man/woman/person who helped us/donated

  • Embryo Donors, the people who donated the embryo that became you

  • Birth Parents, birth mother/mom/mommy/ima, birth father/dad/papa/abba, parents, intended parents

  • Gestational Carrier/Surrogate, the person who grew you in their body/uterus

Below are some suggestions for using these terms from Carole Lieber Wilkins, MFT, and Marna Gatlin, Executive Director of Parents via Egg Donation

“Children will choose different terms at different times and whatever terms they are using should always be respected and reflected back to them.

The terms will be chosen to try to understand the relationships. At times that may mean the CHILD might say “REAL MOTHER” to refer to an ovum donor. But just a week later, the child may refer to her by her name or simply as “the donor”, which is the term most commonly used.

Terms for parents who are parenting ought not to have qualifiers. If parents are not “REAL”, then the children are not “real,” which is a terrifying thought to a child. Even though the child may sometimes think of a donor or birth parent as "real" for periods of time, it is helpful for adults to refer to parenting as a verb and not a function of the contribution of genetics. While genetics are an extremely important contribution, genes do not make a parent.”

©Copyright 2012 Carole Lieber Wilkins and Marna Gatlin

Important Things to Consider

People use donors to build their families for many reasons. For some, it is the first stop, and for some, it is a last resort. Whatever brought you to consider a donor to help build your family, you will have many choices. A better choice is one made before the fact versus finding out later that you didn’t consider something. 

Using a donor will include medical, financial, social, emotional, and religious considerations. Chances are you have some non-negotiables, some negotiables, and some things you didn’t even think to consider.  The lists below will bring attention to your options and support your process of due diligence.

The objective of the list is not to answer the questions but to raise them. In fact, there is a good chance that after reading this, you might find yourself looking up answers. You may need to learn a few terms, research agencies or options, or seek advice. This is a good response and will build a strong framework to support whatever decisions you make. There is a list of reliable websites at the end for you to use too.


Questions to Consider Before Using Donation:

Personal Considerations:

  • How will I know if this is right for me?

  • How will I make the decision to do this?

  • Will I feel like the child’s parent?

  • Will I always think about this?

  • What if I regret this decision?

  • Should I get counseling?

  • Is there anyone I have to tell?

  • What if I am still considering trying without a donor?

  • What if I end up with a biological child too?

  • How can I care for myself and manage these thoughts and feelings during this?

  • Does it matter that I am still sad about not having a biological child?

Financial/Legal Considerations:

  • How much will it cost?

  • How can I plan for the number of kids I want?

  • Should I be planning now for if I want more than one child?

  • What are the legal issues?

  • Is a lawyer required?

  • What is involved in the process of using a donor?

Familial/Social Considerations:

  • What about diblings (donor siblings)?

  • Should I tell my family? Friends? When?

  • My community doesn’t talk about this. How do I deal with this taboo?

  • Will I tell my child? When?

  • What language do I use to describe this?

  • What if (family member/community/someone) doesn’t approve?

Medical Considerations:

  • What is involved in the process of using a donor?

  • Is this safe?

  • What type of medical information will I know about the donor?

Jewish Considerations:

  • What if any Jewish considerations are there for using a donor?

  • Does the donor(s) have to be Jewish?

  • Would using a donor affect the status of my child as a Jew?

  • Would the child need to be converted?

  • Who is considered the parent (Jewishly)?

  • How do we name the child?

  • If one of us is a Kohen, is my child one too?

Questions For Selecting a Donor:

  • Could you ask a family member? Friend?

  • Known, open, anonymous, direct or non-direct (banked), private, clinic, agency?

  • How do you determine the quality of the bank or agency or wherever you are getting the donated material?

  • What amount of donor information is available? How is it verified?

  • Future communication/involvement?

  • Fresh or frozen?

  • How do you decide what to look for?

  • You have criteria and someone is really close to matching. Do you hold out for a complete match?

  • What must you know about the donor? Examples: medical history, medical testing - fertility, health, STDs, etc., psychological testing, family history, donation history

  • What do you want to look for when choosing? Examples: age, weight, good health, race/ethnicity, non-smoker, activities/interests, physical attributes, personality, psychologically sound, drug-free, medically approved

  • Like me, not like me, better than me?

  • Is it normal to want a donor who reminds you of you? (Yes)

  • Does the donor get counseling?

  • Does the donor get paid?

  • What if they have donated or will donate to another family too?

  • Batches/vials? Are you banking?

  • What legal securities will you have with this donor?

Questions to Consider After Baby Arrives:

  • What if you're still sad about no biological connection?

  • What type of language do you use about the donation?

  • Do you say anything at the baby naming/covenant/bris ceremony?

  • When do you start telling your child?

  • What do you say to your child?

  • What do you not say to your child?

  • Who do you need to tell?

  • How will you deal with the comments about how your child looks or doesn’t look?

  • What does it mean that sometimes you don’t feel like your child’s parent?

  • Turns out your child has (x, y, or z) from the donor. How do you deal with that?

  • You’re a little jealous of your partner who has a biological connection. What do you do?

  • You didn’t tell your family before, but it is coming up about how the baby looks. Now what?

  • How will you deal with the family tree?

  • You’re out and about and people ask if you looked like that when you were a kid or say they look like you. What do you say?

  • What if your child wants to meet the donor?

Advice and Things to Consider:

  • Psychologists recommend being open with your children about their biological background. Start before they even understand so it is normal for you.

  • Even if you didn’t use a donor, doubts are normal. Remind yourself that.

  • Even if you didn’t use a donor, your child may not look a lot like you.

  • Conception or gestation does not make a parent. Protecting and caring for, developing their mind, body, and soul, taking responsibility for their well-being, and loving them unconditionally, makes a parent.

  • Even if your donation was unknown, third-party, or anonymous, know that in today's genetic testing world, assume your child will be able to find out if they want to later in life.

  • You don’t have to answer every question just because it was asked.

  • You get what you focus on. Make this a positive and your child will more likely see it as a positive. (e.g. what will your child think about this?)

  • Your fear and doubts are yours - not your child’s. Their identity foundation is based on consistent, loving, and honest care from a parent. That is what they want.

  • This is your first task of Jewish parenting. Judaism can guide your decision to have a child, be a parent, put your values out there before having a child, and think about who you want your child to be!

Mindfulness and Spiritual Care:

  • Set boundaries on what you want, what you will do, and how you will be

  • Focus on the meaning of this process: parenting as a spiritual practice

  • Recognize that you are in choice about the process

  • Pay attention to your own thoughts and feelings about the process and the choices you make.

  • Stay connected to yourself, others, and your Judaism. 

Resources: