The authors examine the implications for individuals and society of ho
w semen is provided for use in donor insemination treatment. In partic
ular, they focus on whether 'donors' make a gift of their semen or are
paid. The role of health professionals in shaping the nature and mean
ing of semen provision is also explored. The currently predominant pra
ctice of buying semen is compared with other reproductive and biomedic
al exchanges: oocyte and embryo donation, surrogacy, and blood, organ
and fetal tissue donation. The authors suggest that the commercialisat
ion of semen determines and reflects the type of men frequently recrui
ted to provide semen. This in turn influences the meaning that donors
themselves, recipients, offspring, health professionals and society at
large attribute to the provision of semen. (C) 1996 Elsevier Science
Ltd