Male partners, in spite of undergoing multiple treatment attempts and surgeries, are sometimes still unable to produce sperm. After extensive counseling and discussion with the couple, the decision is made to use a sperm donor to achieve the dream of a child. We have extensive lists of screened sperm donors available for these cases, and couples can choose their sperm donor in the privacy of their homes. Following the selection of a sperm donor, the female partner is then monitored to determine the optimal time for ovulation and then an intrauterine insemination (IUI) is done with donor sperm on an outpatient basis. It only requires a few minutes for the patient to be in the office and she can resume her normal schedule thereafter.