Cryopreservation of Ejaculated Sperm at our facility

  1. To schedule an appointment, contact Ms. Thompson at 301-400-2144.
  1. Prior to freezing your freshly ejaculated sperm specimen all of the following tests must be RESULTED;
    Hep B (ag) and C (ab)
    HIV 1 and 2 (ab)
    HTLV 1 and 2 (ab)
    CMV (IgG & IgM) – CMV IgG can be resulted as POSITIVE
    RPR
    GC/Chlam

    All except CMV IgG must be resulted as NEGATIVE and/or NON-REACTIVE for you to remain eligible for this procedure at this facility (ART). If this step is not complete at the time of your appointment your procedure WILL BE cancelled and rescheduled when all results have been completed. Please keep in mind that it can take as much as 2 weeks for these tests to be resulted! This step is for determining procedure eligibility and patient safety. The “Required Blood Testing Prior to and at Time of Procedure” form fully describes these tests (as well as their corresponding laboratory codes). We recommend that you take this form with you to the phlebotomy lab or present it to your physician when ordering the tests to prevent test ordering errors.

  1. In order to meet FDA requirements, testing must be done (in addition to the step listed above) within 7 days of the surgical retrieval:
    Hep B (ag) and C (ab)
    HIV 1 and 2 (ab)
    HTLV 1 and 2 (ab)
    CMV (IgG & IgM) – CMV IgG can be resulted as POSITIVE
    RPR
    GC/Chlam

    Prior to the surgery (i.e., morning of or no more than 7 days prior) please make sure that you have visited the phlebotomy lab and have had blood and urine samples collected. The “Required Blood Testing Prior to and at Time of Procedure” form fully describes these tests (as well as their corresponding laboratory codes). We recommend that you take this form with you to the phlebotomy lab or present it to your physician when ordering the tests to prevent test ordering errors.

  1. Complete the “Sperm Cryopreservation for use in IVF or ICSI/ Release and Consent for Cryopreservation” form (also provided on-site) prior to the procedure and return it to the ARC in person.
  1. You may want to obtain a Power of Attorney (see F.A.Q.s for details).

If shipping to another facility (in addition):

  1. To request a “Consent to Ship” form, call our lab line at 301-400-2149 and leave a message with your name, date of birth, e-mail address or mailing address (if preferred method is mailing via USPS), the type of sample you will be shipping (sperm/embryos) and the cryo facility to which you will be shipping the sample(s).
  1. To confirm your identity and verify your e-mail address an initial e-mail will be sent to you, please email using REPLY ALL, with you and your partner’s full name, your date of birth and ONLY the last four of the sponsor’s social as well as the type of sample(s) that you wish to ship. If you wish to have the forms mailed to you, please disregard this step as other arrangements will be made.
  1. Once we have received an identity confirmation e-mail, you will receive a “Consent to Ship” form. This form must be signed by both partners (if applicable), notarized and copied (keep copy for personal use) OR signed in front of and witnessed by an ART staff member. This form must be signed by both partners (if applicable), notarized and copied (keep copy for personal use). Please send the original form to us by traceable mail, do not fax or e-mail.
  1. You will need to complete the Medical Records Release Form (sent via mail/e-mail) and return it to us by traceable mail, e-mail or fax. With your consent, we are able to discuss the details of the specimen with the shipping facility.
  2. Send us the Letter of Acceptance from the future facility (on Letterhead, acceptable by mail, email of fax).
  1. Finish all financial business with the Institute (Point of Contact (POC) is Leslie Strothers at 301-400-2143 or Leslie.strothers.ctr@mail.mil).
  1. Complete Paperwork Required by Accepting Facility (Sperm Information: POC is Aidita James at 301-400-2149 or aida.james.ctr@mail.mil).
  1. Arrange Shipment of Specimens from the Institute. You may provide us with a tank to ship the sample (s) by one of the following methods: accepting facility tank loan (shipped or hand carried) or a third party shipping company (shipped or hand carried). You must arrange for a pre-paid shipping label to send the tank to the accepting facility (unless hand carried).
  1. Notify us of Shipping Arrangement at 301-400-2149 (even for hand carried arrangements). We accept shipments Monday through Friday between 8am and noon.
  1. For details on shipping address and POC, see the “CHECKLIST FOR SHIPPING CRYOPRESERVED SPECIMEN(S) AWAY FROM ART/WRNMMC”.