We used Xytex and had no trouble using a midwife to help us. They allowed her to sign off on the forms and we were even able to have the samples sent directly to our house. I know some banks don't allow at-home deliveries, so for those, they'd deliver to your dr's office and you would have to have an agreement with them for at-home inseminations or do them at the office.
When we first decided to start TTC, we went the doctor route. The doctor seemed nice enough, but he wanted me to go through an HSG test, multiple hormone level testings, ultrasounds, trigger shots, etc. I think we went in prepared they might say this, but it all scared me and seemed extremely unnecessary. My cycles were fairly regular, so I didn't quite get why I needed all of that stuff right off the bat. I just wanted to try on my own, and if that didn't work, then we'd go through the hassle and expense of going through the doctor's office. I don't know if all doctors are like that, but I just want you to be prepared that some might require those things before they'll let you try. Ours also had the requirement of meeting with a counselor ahead of time so that we could explore what our thoughts were on using donor sperm. It really didn't help us at all, especially since the counselor seemed completely against having a known donor which is something we were considering.
Anyway, if we had to do it over again, I think we might have charted at least for a couple months before we dove in. It's really important to know what your body is doing. If you think you're going to do at home inseminations, I'd start charting (we used fertility friend; aka-FF) now.
Things to chart include:cervical mucus
(CM)- fertile CM is nice and clear and stretchy, like the whites of an egg. AKA- eggwhite cervical mucus or EWCM.temperature
(you'll see a temperature increase after you ovulate)Follicular phase
-time between cycle day 1 (CD) and ovulationluteal phase
(LP)- time between ovulation and the start of a new cycle. The LP rarely changes more than a day or so in duration. In general I think you want this to be at least 10 days so that the little embryo can stick. Anything less you might wish to have looked into further or there are some supplements that might be useful.Cervical position
(CP)- I have to say that for this one, I sometimes feel for it, but as it gets close to ovulation (O), I have my partner look at it. She can tell if it's starting to open and if the CM looks nice and fertile.Ovulation predictor kits
(OPK)- there are various brands and different types of ways to track when ovulation might occur. I use internet cheapies as well as the clear-blue easy fertility monitor. I was a pee-on-a-stick-aholic (POAS) when I was trying to conceive. OPK's tell you when you're gearing up to O. Usually O happens 24-36 hours after a positive OPK.
Frozen sperm doesn't live too long, so timing is crucial. If you end up going through a doctor, they'll often do an ultrasound to see how developed your follicles are and then give a trigger shot to make the follicles release. That way some of the timing aspect isn't left to chance.
There's a lot of great info on here in the TTC threads.
If you do end up using Xytex, we liked them a lot and they were able to do a special delivery for us one time when I ovulated early on a weekend. So they're pretty accomodating... at a price of course...