Sperm Freezing and Embryo Freezing
Cryopreservation is freezing tissue or cells in order to preserve it for
the future.
Cryopreservation is used in infertility programs to freeze and store sperm,
eggs or to freeze all the embryos or "leftover" embryos from an
in vitro
fertilization cycle.
Semen
cryopreservation (commonly called sperm banking) is a
procedure to preserve sperm cells.Semen can be used successfully indefinitely after cryopreservation. For human sperm, the longest reported
successful storage is 22 years.
Should males
cryopreserve sperm when young?
The literature has shown children conceived from advanced paternal age
fathers are more likely to develop certain pathologies. While multiple
pathologic states have been linked to advanced paternal age, multiple studies
have shown that schizophrenia and autism spectrum disorders are
conditions on which patients need to be counseled.
The rate of
schizophrenia is increased in association with advanced paternal age. While
schizophrenia is known to affect 0.5%–1.5% of the population, children born to
men older than 45 were found to be twice as likely, and to men older than 50
nearly 3 times as likely, to have schizophrenia
Given both the biologic
and financial implications of cryopreservation, it would be difficult to
recommend young men bank sperm only to offset the deleterious effects of aging
on semen parameters. Currently there are no specific guidelines regarding semen
testing specifically for older males or the use of PGD/PGS for advanced
paternal age as the sole indication.