FAQs
General FAQs
Stem cells are specialised cells found in bone marrow, the soft tissue inside your bones. They have the unique ability to develop into different types of blood cells, making them crucial for the body’s healing processes.
Blood stem cell transplants are a critical, potentially life-saving treatment for patients with blood cancers and disorders, such as leukaemia and lymphoma. The procedure replaces malfunctioning stem cells with healthy ones from a donor, directly addressing the underlying causes of these illnesses. For many patients, a stem cell transplant represents their last hope for a cure and offers the best chance for long-term survival.
These transplants are essential not only for restoring healthy blood cell production but also for strengthening the immune system, enabling patients to better fight infections and recover from their conditions. Each year, thousands of Australians are diagnosed with blood cancers and disorders, and many rely on stem cell transplants to survive.
If you’re between 18 and 35, you can register to become a donor, and you’ll stay on the registry until the age of 60.
You need to hold a valid Medicare card and be willing to donate anonymously to any patient in the world. However, our donations are always collected in Australia.
There are some other general requirements and a few medical conditions that would exclude you from becoming a donor.
Exclusion Criteria Includes:
- Thalassaemia major, sickle cell disease, Fanconi anaemia or haemophilia
- Organ or bone marrow transplant
- Stroke or heart attack
- HIV (human immunodeficiency virus) or HTLV (human T-cell lymphotropic virus)
- Any past history of cancer, with the exception of two minor skin cancers – basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Pre-cancerous conditions like carcinoma in situ of the cervix are acceptable.
- Any history of severe autoimmune disease, including:
- Systemic lupus erythematosus
- Multiple Sclerosis
- Rheumatoid arthritis
- Type 1 diabetes mellitus
- Ulcerative colitis
- Crohn’s disease
- Ankylosing spondylitis
- Scleroderma
- Sarcoidosis
- Guillain-Barre syndrome
- Immune thrombocytopaenic purpura
- Minor autoimmune diseases may be acceptable, including:
- Psoriasis
- Vitiligo
- Alopecia areata
- Coeliac disease
- Hashimoto’s thyroiditis, if thyroid function is stable on replacement medication
- Grave’s thyroiditis, if thyroid function is stable after treatment
- Pernicious anaemia, if successfully treated
- Sjoegren’s syndrome, in the absence of serious auto-immune diseases
If you have any questions about these criteria contact us at info@stemcelldonors.org.au
Additional information:
Donors who have resided in the UK, travelled overseas, gotten a tattoo, engaged in intravenous drug use or had male-to-male sex can join the registry and become a donor through our cheek swab program.
Many people are surprised to learn that donating stem cells or bone marrow is much less painful than they are led to believe (thanks, Grey’s Anatomy). In fact, about 90% of donors provide stem cells through a process called peripheral blood stem cell (PBSC) collection. This is similar to donating plasma and takes place in a comfortable chair (with snacks!). Blood is drawn from one arm, stem cells are filtered out, and the rest of the blood is returned to you through the other arm. The whole process usually takes about 4 to 6 hours, but you can relax and enjoy the experience.
For the remaining 10% who are asked to donate bone marrow, the procedure is also quite manageable thanks to modern advancements. You’ll be under general anaesthesia, so you won’t feel anything while liquid marrow is gently extracted from your hip bone. This procedure typically lasts about 45 minutes to an hour. Depending on when it’s done, you might need a short overnight stay in the hospital, or you could head home the same day.
So, while the thought of donating can seem daunting, most donors say the experience is well worth it, and they would do it again in a heartbeat!
If you are donating peripheral blood stem cells, you will need to complete a short course of G-CSF injections prior to donating.
In the short term, G-CSF causes a temporary increase in your bone marrow’s production of white blood cells. It also acts as a cytokine (a chemical that our immune system uses to fight infection) which can cause side effects like aching and fatigue – symptoms typical of your immune system’s response to an infection.
In the long term, the closely monitored experience of thousands of volunteer donors worldwide has shown us that marrow stem cell donation is safe and has no effects on long-term health.
If you are donating bone marrow, there is no preparation or medication required before the procedure. Most commonly, you may feel sore and stiff in your lower back for a couple of days after the procedure. Any pain can be managed with paracetamol. There might also be some bruising to the back of your hips and some donors can feel tired after the procedure, so the best thing you can do is rest.
Most donors are back to their regular routines after a week and say that they’d donate again in a heartbeat.
Want to read firsthand accounts from real donors? Check out our Donation stories.
The main cost to you as a donor will be your time. This includes time to enrol, provide additional blood samples if requested and time to be assessed by the doctor and actually donate your stem cells if you are matched to a patient in need.
We’ll support you throughout the entire donation process, including providing resources to help explain to your employer why you may need time off, answering any questions you may have along the way, and we’ll cover travel, medical and hospital expenses related to your donation. This includes incidental expenses and any accommodation and transport costs that may arise if you need to travel.
Note that, as a volunteer, you will not receive any form of payment for donating as this is against the Human Tissue Act.
The focus on young men as donors isn’t about quality; it’s more about quantity and some practical considerations. Generally, men tend to be larger, which means they can provide a higher volume of stem cells. This can be crucial for patients who need a transplant.
Additionally, medical professionals often prefer male donors to minimise potential logistical issues, such as those that can arise with pregnant or breastfeeding women. Pregnant women can develop antibodies that may trigger Graft versus Host Disease (GvHD) in recipients, a serious condition that can impact a patient’s recovery and chances of survival.
However, we want to emphasise that young, healthy women are also excellent candidates for donation! Every donor has the potential to make a life-changing impact, and we value all who step forward to help.
We’re incredibly grateful for everyone who wants to make a difference by joining our registry. When it comes to donating stem cells, younger donors are preferred because they lead to better outcomes for patients. This focus on young donors helps us ensure that the patients’ transplants have the best chance of success.
While we do keep donors on the registry until their 60th birthday in case they become the perfect match for someone in need, we have to be mindful of our limited resources. Our priority is to engage those who can provide the greatest potential for successful transplants, which is why we encourage those aged between 18 and 35 years old to register.
If you’re outside this age range, please know that your passion and willingness to help are valued, and we appreciate your support in spreading the word about the importance of donating stem cells. See our How to Help section for ways you can help our mission.
When you join the registry, we collect a sample from you through a cheek swab, which you can easily order online, or via a blood draw at your next Lifeblood appointment. This testing is crucial as it helps us identify potential matches between you and patients in need of a stem cell transplant.
The sample allows us to determine your tissue type, blood type, and whether you’ve been exposed to cytomegalovirus (CMV), a common virus that can pose complications for transplant recipients.
We specifically look at your human leukocyte antigen (HLA) markers, which are proteins present on most of your body’s cells. Your immune system uses these markers to recognise which cells belong in your body and which do not. A closer match between your HLA markers and those of a patient can significantly improve the chances of a successful transplant.
If you have been tissue typed in the past for a family member and wish to volunteer to donate to an unrelated patient that’s great! Send us an email at info@stemcelldonors.org.au and we can walk you through the process.
We understand that you may want to help a loved one who is unwell, and it’s natural to want to make a difference in their situation. However, when you register as a donor, you’re committing to help anyone in need of a stem cell transplant.
Unless you share the same parents, the chances of being a match for your loved one are very slim. Instead, by joining the registry, you have the opportunity to assist someone else who may be facing a similar situation to what your loved one is experiencing.
Your decision to register means you could potentially save the life of someone you’ve never met—someone who, like your loved one, is in need of support. While it might not be for your friend or relative, your willingness to help can make a significant difference in the lives of others in need.
When you register with us, you’re not just joining the Australian registry of stem cell donors; you’re becoming part of a global community. There are 53 countries with their own national registries, and we work together to connect these networks, giving patients access to a much larger pool of potential donors.
This international collaboration enhances the chances for patients in Australia and around the world to find a match. By being a registered donor, you’re part of a global community effort to help those in need, ensuring that someone, anywhere, can find the life-saving match they’re looking for.
For a complete list of donor countries, visit www.wmda.info.
We recognise the importance of respecting your privacy and protecting the confidentiality of you and your family’s personal and health information. We collect this information to ensure safe matching of potential donors and to maintain the quality of the registry database. We work closely with a network of health professionals and registries in other countries. We do not provide information that would identify you to persons outside our registry, except to the health professionals directly involved in your care.
If you are identified as a potential match your name will never be shared with the patient or their treating team. The information provided to other registries and treating doctors is solely to enable them to confirm your suitability as a match. If the match is confirmed and you agree to donate, only the hospital and health professionals involved in the collection process will know your identity. Our full privacy policy can be viewed here.
Yes! Send us an email at info@stemcelldonors.org.au and we can walk you through the process. You will be asked to complete a donor enrolment form and provide a tissue typing report from the transferring registry.
The odds of being asked to donate depend on several factors, such as the size of the registry, your age, and your ethnicity. In Australia, we currently have around 160,000 registered donors, which gives each donor roughly a 1 in 1,500 chance of being called upon.
Younger male donors aged 18-35 have a much higher likelihood of being matched and asked to donate. It’s also important to note that our current donors do not reflect the multicultural makeup of Australia. This means that individuals from diverse backgrounds may have a higher chance of being matched with a patient in need.
While the odds might not seem extremely high, they are certainly better than winning the lottery! Every donor makes a difference, and you could be the one to help save a life.
If you match a patient, you will be contacted to confirm that you are healthy and still willing and available to donate. A blood sample will be taken to confirm the match.
Before donating, an independent specialist will assess you medically, explain the process thoroughly and answer any questions that you may have. Your health and well-being before and after donation are equally important.
Find out more about the donation process.
We understand that life can be unpredictable, and circumstances may change. If you need to decline a donation request due to health issues, family obligations, or any reservations, that’s perfectly okay. You can also remove yourself from the registry at any time or make yourself temporarily unavailable if you have a busy period ahead, are going on holiday, or are being deployed overseas—just let us know!
However, if you are matched with a patient, it’s important to understand that there’s a point of no return for them. About a week before their transplant, the patient undergoes chemotherapy and/or radiotherapy to destroy their diseased bone marrow. This treatment can be life-threatening without a healthy donor’s cells to transfuse.
We’re here to support you every step of the way and will ensure you’re clear on the process and when that point of no return occurs. Your commitment has the power to save a life, and we appreciate your willingness to be a part of this journey.
You’ll always have the freedom to decline to donate, and your decision will remain confidential. We understand that everyone’s situation is different, and there’s no judgement here.
However, it’s important to know that when you’re matched with a patient, there is a point of no return. We’re here to support you through this process, and open communication is key to navigating these moments.
If you’ve signed up and realise you’re not ready to commit, that’s perfectly fine! You can either contact us to be made temporarily unavailable or to remove yourself from the registry entirely. Just reach out to us at info@stemcelldonors.org.au, and we’ll assist you.
Donating stem cells used to be a huge deal. But boy, have times changed!
Here in Australia 90% of blood stem cell donations are like a long blood donation, with the donor fully awake, scrolling through Instagram and eating chocolate bars (yes, plural).
In about 10% of cases, often when the patient is a child, a short surgical procedure will be needed to extract bone marrow from the hip bone. This is done under general anaesthetic so it’s a pain-free procedure. But don’t worry, it sounds much scarier than it really is, and recovery from the procedure is quick with most donors back at work in a day or two.
Regardless of how the donation is done, the body replenishes the donated stem cells in about 4 to 6 weeks and there are no long-term side effects
The patient’s physician will request the type of donation that’s best for the patient. When you go for your medical assessment the doctor looking after you will let you know if you are better suited to one method or if either are suitable.
Find out more about the donation process.
After your donation we will stop including your information in any new patient searches, to ensure you’re available for the same patient in case they need a second transplant or other matched blood products. If this is the case, you may be asked to do another full donation or just a normal blood donation. After two years you’ll automatically become available again for other patients.
Your health and safety after donation is just as important to us as your health before. For this reason, we will stay in regular contact for a while to make sure you’re okay. You can expect a call within 3 days of collection and weekly until you are fully recovered and have resumed your normal activities. We will also get in touch at three months and then annually for up to 10 years to check your general health. If you have donated peripheral blood stem cells you will also be asked to see your general practitioner (GP) after the donation.
If you have donated in the past and are found to match another patient needing a transplant (e.g. a stranger or a family member) you can donate again. Occasionally you may be asked to donate a second time, for the same patient, if the first transplant did not engraft, or if the patient relapses.
In most cases, yes! However, whether you can communicate depends on the country where the donor or patient resides.
Before two years have passed since the donation, you can send anonymous letters or cards to each other. We’re happy to facilitate this correspondence—just make sure you don’t include any identifying details like names, locations, or birthdays.
After two years, if both you and the patient are interested, you can request to connect directly. If you’ve exchanged a few letters and wish to share personal contact details, you’ll need to sign a consent form to authorise the release of your information.
It’s also important to note that exchanging gifts with monetary value is not permitted, as this goes against human tissue legislation in various countries.
Donor FAQs
I have been diagnosed with a health condition
Certain health conditions may prevent you from donating. It’s crucial for your health and the patient’s health to let us know. Other health conditions may not prevent you from donating, but we still need to know about them so the patient’s medical team can make a fully informed decision. By letting us know when you find out can help speed up the donation process.
My gender expression or assigned sex has changed, or I identify as non-binary
Let us know by updating your details. We then update our records to reflect these changes. We do need to make you aware that for biological and medical reasons, we will still need to keep a record of your assigned sex at birth.
I’ve got married, moved house, or updated my email or phone number
Keeping us up to date with your contact details is vital as this is how we get a hold of you should you be a potential match. You can update your details using our form.
I have personal reasons which may be relevant to donating
Not a problem. Get in touch with us by emailing donors@stemcelldonors.org.au, letting us know your name, phone number and if you feel comfortable over email, your reasons. If appropriate, we will contact you to discuss this further.
You can usually transfer to another registry (please check with them first). If you plan to live in another country for a prolonged period or indefinitely, it’s best to move over. You can request your HLA typing from us to make the move easier. If you’re going overseas for a defined, shorter period, we can make you temporarily unavailable for the time you’re away.
Rest assured that you will remain on the registry even if you are over 35. 35 is the cut-off age to join the registry. You will stay on the registry until your 60th birthday. However, at 60, you will be retired from the registry. We retire donors at 60 for the health and well-being of both the donor and the patient.
You are eligible to donate right up until you are 60. Plenty of donors in their 30s, 40s and 50s donate their blood stem cells. It all comes down to being the most suitable match for a patient.
We first attempt to call you on the phone numbers you provided at sign-up or through updating your details. Then via SMS or email.
If we cannot reach you after a couple of times using these methods, we work with Medicare to obtain the relevant contact details in case the details we have are out of date. We do occasionally send a letter. However, reaching you can take a while, and time is precious when a patient is looking for a match. We will spend a good few weeks trying to contact you.
If we do not hear from you, we will have to decline the request from the patient team identifying you as a potential match. This can be disappointing for the patient and their families, as sometimes they have limited matches or no others to choose from.
If your contact details including, phone number, email or postal address change, please let us know in case you are identified as a potential match.
It’s exciting news to learn you are a potential match for someone! There are a few steps you need to take before you can donate. First, you will undergo a couple of questions and tests to confirm you are the most suitable match. Often a patient will have more than one potential match, usually on average 8 potential donors. In some cases, you could be the only potential donor for a patient.
It can take a bit of time to process the questions and tests we need and send them to the patient’s medical team before we hear back as to whether you are the confirmed donor to proceed to donation. This part of the process can take between 2 and 3 months. Once you are confirmed, you will be informed and prepped for donation. This can take a couple of weeks. You’ll also find out more about when your donation day will be and what to expect.
The closely monitored experience of thousands of volunteer donors worldwide has shown us that donating peripheral blood stem cells (PBSC) once or twice and/or donating bone marrow once or twice is safe and has no effects on long-term health. However, there is much less data on people donating beyond those limits because registries have never allowed more.
For that reason, we continue to limit donors to a lifetime total of two bone marrow donations and two PBSC collections. This lifetime total includes any previous donations outside Stem Cell Donors Australia – e.g. for a relative or an overseas registry.
Because donation involves some iron loss in red blood cells, we recommend a 3-month wait after PBSC and a 6-month wait after a bone marrow donation before giving blood.
Also, suppose you have been reserved for a patient (i.e. you have been matched to a patient in need of a transplant, and we are waiting on the transplant centre’s final donor selection decision). In that case, we will ask you to avoid giving blood while you are reserved (the default reservation period is 3 months).
This is just in case you are asked to donate marrow stem cells at short notice to avoid donating with insufficient iron. Plasmapheresis and plateletpheresis donations are OK to continue during the reservation period.
Not while they are still low because a marrow stem cell donation further depletes iron stores. Low iron is a treatable condition. It may be possible to proceed with a Workup appointment while you are still on iron replacement treatment if there is enough time to delay donation until your iron levels are back to normal.
The only medications that would totally prevent you from donating are those that stop clotting – for example, warfarin or heparin. They would cause a risk of excessive bleeding in the donation process and are generally used for a condition that may prevent you from donating. These medications would also affect the quality of the donation.
There are a few other medications that could potentially affect the recipient. If there is no risk to you (i.e. the donor), then we would typically allow the transplant centre to weigh the risk to their patient against the risk of using another donor. In most cases, the medications are not a problem – it is more likely that the condition(s) being treated will be more significant.
You cannot donate marrow stem cells if you are pregnant. The standard testing for donors at their Workup appointment before donating will include pregnancy testing for any donor who could potentially become pregnant. A positive result will mean a donor cannot proceed to donate. For this reason, we ask donors to avoid the possibility of pregnancy during the pre-donation period.
This means that donors who are not pregnant but are actively trying to conceive should not volunteer to donate. If we contact you as a possible match for a patient during such a time, please let us know so we can make you temporarily unavailable on our system.
The G-CSF (granulocyte colony-stimulating factor) injections we use for PBSC donations are a man-made version of the naturally occurring hormone that stimulates the production of white blood cells.
The injection itself is not painful, but the effects of the hormone can include generalised aching. This is because the hormone is one of the chemicals called cytokines that our immune system uses to fight infection, and cytokines can cause influenza-like symptoms similar to when they are released to combat influenza and other infections.
In the short term, G-CSF causes a temporary increase in your bone marrow’s production of white blood cells. It also acts as a cytokine (a chemical that our immune system uses to fight infection) which can cause side effects like aching and fatigue – symptoms typical of your immune system’s response to an infection.
In the long term, the closely monitored experience of thousands of volunteer donors worldwide has shown us that marrow stem cell donation is safe and has no effects on long-term health.
If you test positive for COVID-19, are a close contact or start to feel unwell before an appointment or the lead-up to donation day, please immediately contact your Donor Support Coordinator and/or the Collection Centre Coordinator. We may need to reschedule or conduct additional tests.
A mild illness is not usually a barrier to donating blood stem cells. Still, hospital rules may restrict collection from a donor who tests positive for COVID-19.
Blood stem cells are like bone marrow but float in your blood. Stem cells extracted from a donor’s blood are transplanted into a patient to help them build a new immune system to eradicate the initial blood cancer diagnosis. Blood stem cells are usually extracted by a peripheral blood stem cell donation (PBSC).
Bone marrow is the liquid found in your bones. Bone marrow is usually extracted directly from your hip while you are asleep. This is done in an hour, where a thin needle is inserted into your hip, and marrow is extracted. They are also designed to help a patient build a new immune system. Bone marrow is usually taken by undergoing a bone marrow donation.
Peripheral blood stem cell (PBSC) donation is the most common procedure to remove stem cells from a donor’s blood. 90% of requests made by patient medical teams ask for PBSC.
A bone marrow donation is asked for less frequently. 1 in 10 are asked to donate this way. The patient’s medical team will usually request a bone marrow donation if the patient is a child.
We try to ensure you will donate at a collection centre/hospital in the same state you live in, usually in a city. If you are located regionally or have been asked to donate interstate, we cover and organise travel and accommodation for you and your support person.
Rest and relaxation are key to preparing for your donation. This is particularly important if you donate your peripheral blood stem cells (PBSC) and have been given G-CSF injections before the day. You may find yourself achy and sore. So we ask you to avoid any strenuous activity while injecting G-CSF.
For bone marrow donations, the collection centre or hospital you are donating at will provide you with instructions on what to do before your scheduled procedure. It can include things like fasting before your general anaesthetic.
We are also asking donors during the pandemic to avoid crowded places and minimise contact with others outside of their household 7 days before their scheduled donation. This is a critical time for patients whose immune system has been removed, so they are ready for their bone marrow transplant.
We do completely understand, however, that even if you take all the precautions, you may still end up testing positive for COVID-19. If that is the case or you generally feel unwell, please contact your Donor Support Coordinator immediately.
There are a few things to consider bringing with you on donation day. We have a checklist of things to pack/bring, which you might find helpful.
If you’re donating, you can find these tips here.
When donating by bone marrow, you are put under general anaesthesia for the procedure. Once you are under, the procedure can take up to one hour to complete. You’ll then be moved into recovery as the effects of the anaesthesia wear off.
Some collection centres may require you to stay overnight or near the hospital for a couple of days (where accommodation has already been arranged for you). This is to make sure you have no adverse reactions to general anaesthesia. Others may let you head home the same day. Your collection centre will be able to provide more information on the procedure.
When donating blood stem cells, the procedure can take between four and six hours, depending on the number of blood stem cells needed. There will be some waiting time before and after the procedure, too. Expect to spend the best part of a day at the collection centre.
Sometimes, a second day is needed if not enough blood stem cells were collected on day one. Usually, day two takes less time to complete. You also should consider asking a support person or take a taxi to drop you off or pick you up on donation day.
Sitting still without being able to move your arms may prompt the need for the toilet. Collection centres have various ways to help in this scenario. A bedpan or a medical urine bottle is the most common way. Collection centre staff will be able to assist you if required.
PBSC donation
Recovering from the donation of blood stem cells is like recovering from a blood donation. There are usually no after-effects, but it’s a good idea to avoid strenuous or risky activities for the rest of the day because some people feel woozy and can even faint. You also should consider asking a support person or take a taxi to drop you off or pick you up on donation day.
It might take longer to get over the side effects of your G-CSF injections. No two donors are the same, with some returning to work the next day and others taking a few days to resume normal activities. Most donors will be fully recovered within a week, however.
Bone marrow donation
If you were asked to donate bone marrow, the immediate after-effects of the general anaesthetic should resolve well within the mandatory observation period.
Once your initial pain relief wears off, you may also feel some aching in your hip or back where the procedure took place, but that should only last a day or two,
depending on the amount of bruising. Extensive, colourful bruising around the back of your hips could take a bit longer to settle down.
The other effect you might expect is the loss of iron from red blood cells, which come out as part of the bone marrow donation. Any bruising will also contribute to iron loss. Depending on your situation, iron depletion can cause fatigue or even anaemia, so you will be advised by the collection centre staff on what your risk is and what you can do to reduce it.
Yes absolutely! We encourage you to share your story as it can help bust myths, spread the word and recruit more potential donors. There are a few things to consider when sharing your donation story online.
We ask donors not to:
- Post the time, date or location of where you donated.
- Try and post a good few days after your donation, not in real time.
- Avoid posting photos with information about the city, hospital or collection centre you donated at. This also includes the label on the stem cell bag.
- Share any information about the patient you may have been told, including age, gender or diagnosis.
- Share anonymous correspondence you’ve sent your recipient or received.
- Going looking for or contacting your recipient.
You can also share your story with us! Please contact donorcomms@stemcelldonors.org.au and let us know that you’d like to share your donation story.
There are a couple of things that happen once you have donated.
Your blood stem cells will make their way to your recipient, and they will undergo a blood stem cell transplant. It is like a blood transfusion. Sometimes a second donation is needed for the recipient. This happens in around 5% of cases and is usually requested within the year of the first donation.
Sometimes a recipient may need white blood cells (lymphocytes). Preparation for this is more straightforward and doesn’t require any injections. White blood cells are removed from your blood and can take approximately four to five hours.
If you are a blood donor – you’ll be able to resume blood donations:
- For blood stem cell donations, after three months
- For bone marrow donations, after six months
Once you have donated, other patient teams will not be able to search for you for two years post-donation.
If you want to hear about your recipient’s progress, we will ask you about your preference post-donation when we follow up with you. It is also possible to write a letter or card to your recipient. There is a potential to exchange contact details after two years of exchanging correspondence if both parties agree. Please note, though, for some countries, donors and recipients cannot ever contact one another.
You can request updates on your recipient’s progress at specified intervals. Just ask your Donor Support Coordinator. Please note your coordinator relies on the patient’s medical team to update us about the recipient, which means we don’t always find out how the recipient is doing.