Semen donors who are open to contact with their offspring: issues and implications for them and their families.

This study investigates the motivations, views and experiences of semen donors willing to have contact with their offspring. An online questionnaire for semen donors was posted by the US-based Donor Sibling Registry in 2009. A total of 164 respondents who had previously been donors completed the questionnaire, which consisted of 45 open and closed questions covering motivations for donating, health and medical information, experiences of donating, contact with offspring and implications of donating and contact for their families. The donors' primary motivation was to help other families, although payment was also a factor. Almost all donors were open to contact with their offspring and, where donors were partnered, three-quarters of the partners also supported possible contact. Almost one-third, however, had reservations about contact or were opposed. Two-thirds of donors' own children were interested in meeting the offspring. Contact between a donor and his offspring is often seen as a coming together of these two people only. The results of this study suggest that there are important ramifications for both of the families who become linked. Understanding gamete donation in this broader family context is crucial to the contribution that health professionals can make in this area.