Sperm donation has become an effective way to increase conception in single mothers, homosexual couples and heterosexual couples suffering from male infertility. Women have two options when choosing a sperm donor. It is possible to receive sperm donations from unknown donors from sperm banks, who are males who remain anonymous and their identity is unknown. Another way to receive sperm is through a known donor who in most cases is a friend of the recipient or a person willing to reveal their identity and who can be part of the child's life. In the case of an unknown donor, women should investigate the psychological effects this decision may have on the baby before deciding to choose an unknown donor. Children who are the product of an unknown donor tend to have many psychological problems related to not knowing who their fathers are, and this is something women should take into consideration when making the decision to receive an unknown donor. According to author Elizabeth Marquardt, children who are the product of sperm donors are at greater risk of suffering from psychological problems than the average child. There comes a time when a lesbian couple or single mom decides they want to have children without having sex with a man. When this time comes, the mother should consider all options not only for her own wishes, but also for those of the unborn child. As children grow they have many desires, some of these desires are to be loved and to have confidence in themselves as individuals. But in situations like this children learn more about themselves and start to realize that they don't fit in with their surroundings, this starts to cause psychological problems. With the absence of a father figure, donor children tend to suffer with… half of the paper… the only people recorded in this data were under the age of 18. It is known that adolescents under 18 are more naive to the problems around them and their brains are not fully developed to make decisions they fully understand as an adult can; the study should have been conducted with adolescents who have reached the age of 18 years or older as they are at the point of full development and understanding. The disease should also be a concern for a mother when it comes to making a decision whether to use a donor or not. Males may be carriers of HIV or other genetic diseases may infect the mother and baby. A baby is less likely to be born with HIV as the sperm is tested, but it has happened many times. The child not only grows up with an illness, but also with the other psychological effects that come with being a donor child. Many children in these situations commit suicide.