The immunologic effects of husband's semen on donor spermatozoa during mixed insemination

Artificial insemination was performed on four women with the husband's and donor's semen mixed. No pregnancies resulted after several inseminations. One woman also received artificial donor insemination without success. Seminal plasmas from the husbands were allowed to react with donor semen and were observed to produce immobilization and agglutination of the donor's spermatozoa. Two of the husbands' seminal plasmas had high levels of immunoglobulin A, and all contained complements C-3 and C-4, which suggests that the mechanism is immunologic. Artificial donor inseminations were performed, and in addition the couples were advised to refrain from sexual intercourse for 2 days prior to insemination, in order to eliminate the risk of husband's seminal plasma being on the wife's cervix. Within 1 month, three of the four women became pregnant. As a practical measure, it is proposed that the effect of husband's semen on donor spermatozoa be determined prior to performing mixed inseminations and that couples refrin from sexual intercourse for 2 days prior to donor inseminations.