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IVF in Spain – Pros, Cons, Costs & Availability

IVF in Spain – Pros, Cons, Costs & Availability

CMO of IVF Media and Vice Chairman of The European Fertility Society.
Originally published at Fertility Road Magazine, ISSUE 56.

Last Updated: September 8, 2025

Patients from many countries are increasingly seeking assisted reproductive methods (ART) abroad. Spain has become one of the most frequently chosen destinations for IVF, attracting patients not only from across Europe but also from the United States, Canada, and Australia.

Why Spain for IVF?

  • Highly experienced medical staff
  • Liberal IVF legislation, including treatment with donor oocytes
  • Anonymous egg donation
  • Large pool of egg and sperm donors from diverse ethnic backgrounds
  • Numerous private clinics in major cities
  • Strong research base at universities educating IVF specialists
  • Convenient location, making it easy to combine treatment with holidays

The most popular treatment hubs include Madrid, Barcelona, Alicante, and Valencia.

Availability of IVF Treatment in Spain

IVF Clinics

According to SEF (Spanish Fertility Association) data, there are around 240 IVF clinics in Spain. Of these, approximately 30–40 specialize in treating international patients, offering multilingual staff and tailored support for those travelling from abroad. Treatment pathways for overseas patients differ from local ones, requiring careful planning and coordination.

Age Criteria

  • Women: eligible up to age 50 (sometimes up to 52).
  • Men: no age restrictions.

Relationship Status

Spain allows treatment for married couples, single women, and same-sex female couples. The ROPA method is widely available for lesbian couples, enabling one partner to provide eggs and the other to carry the pregnancy.

Types of Treatment Offered

Most clinics provide the full spectrum of IVF, including:

  • IVF with own eggs
  • IVF with donor eggs
  • ROPA
  • Sperm donation
  • Embryo donation
  • Egg freezing and storage

Advanced laboratory techniques and diagnostics are standard.

IVF with Donor Eggs in Spain

Spain is one of the most popular destinations for egg donation. The high number and diversity of donors significantly reduces waiting times compared to other countries. Clinics and doctors are very experienced in this field.

Donor Anonymity

Spanish law ensures donor anonymity. Patients cannot know the donor’s identity or appearance. Instead, phenotype matching is applied to ensure similarity between donor and recipient. This anonymity attracts many patients from countries such as the UK, where donation is not anonymous.

The only exception: if a serious genetic illness arises, a geneticist can request the donor’s identity for medical reasons.

IVF Treatment Costs in Spain

Average Costs

  • IVF with own eggs: €3,600 – €6,700
  • IVF with donor eggs: €5,900 – €8,500
  • Embryo donation: €3,000 – €5,000
  • Egg freezing: €3,500 – €4,700
  • ROPA (reciprocal IVF): €5,000 – €7,000

These averages include standard services such as scans, retrieval, ICSI, blastocyst culture, and transfer. Prices vary between clinics, and opting for the cheapest is not always best; mid-range clinics often provide better value.

Additional Services

  • Medical consultation: €150 – €250
  • Sperm freezing: €150 – €350
  • Embryo monitoring: €300 – €600
  • Blastocyst culture: €400 – €600 (often included in packages)
  • Embryo vitrification & 1-year storage: €400 – €900
  • Frozen embryo transfer: €1,400 – €2,500

These prices can vary between clinics, you can check these costs here.

Pros and Cons of IVF in Spain

Pros

  • Liberal legislation
  • Wide donor availability across ethnicities
  • Treatment options for same-sex couples (ROPA)
  • Highly skilled staff and advanced diagnostics (PGT-A, PGT-M, etc.)
  • Good locations, often combined with holidays
  • High service quality for international patients

Cons

  • Among the highest IVF costs in Europe
  • Anonymity of donors (egg and sperm) may be a drawback for some
  • Many clinics do not publish prices online

IVF in Spain for UK Patients

Spain is particularly popular among UK patients due to:

  • Lower costs compared to UK private IVF
  • Better donor availability
  • ICSI as a standard part of almost every IVF cycle (95%)
  • Wide access to add-ons at lower cost than in the UK

Clinics are experienced in helping UK patients with practical issues such as obtaining medications or lab tests at home. Many also collaborate with UK doctors and clinics, enabling parts of the treatment (like preparation and stimulation) to be carried out locally.

Final Thoughts

Spain remains one of the most popular IVF destinations in Europe, alongside Greece and the Czech Republic. With approximately 40 clinics specialized in international patients — compared to about 10 in the Czech Republic — Spain offers both choice and experience. In many clinics, 60–80% of patients come from abroad, ensuring top-level service and support.

While treatment costs are higher than in other European countries, the combination of donor availability, legal framework, medical expertise, and patient-oriented service makes Spain a leading choice for IVF abroad.

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Aleksander is an advocate of transparency and truth about IVF treatment and patients’ experience manager. With strong expertise and background in the IVF and infertility industry including IVF clinics and genetic laboratories Aleksander strongly believes that there is a gap between IVF patients and clinics. This is a gap where patients may fall for the most common IVF treatment traps during their infertility journey. That’s why patients need help and support which they don’t necessarily get from IVF clinics. The support which comes from an objective, trustworthy and reliable source. Aleksander is a regular guest at ESHRE annual meetings, the Fertility Show in London, the Fertility Forum, the IMTJ - Medical Travel Summit, Fertility Exhibitions and conferences around the world.
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