Spain is a popular destination for IVF treatment for several reasons. These include its liberal IVF laws, good success rates and the anonymity of egg donors. It’s also a popular holiday destination, so you can combine your IVF with a holiday at the same time.
There are lots of fertility clinics to choose from, most of which are private. These are located all over the country, but the most popular cities for IVF treatment include Madrid, Barcelona, Valencia and Alicante. Budget airlines fly to all these destinations, making travel very easy, and people tend to be very happy with the treatment that they receive in Spain. If you’re looking for IVF abroad options, Spain has a lot to offer.
As with any destination, it’s important to know about the legal aspects of receiving IVF treatment. In Spain, there are a few important considerations to keep in mind.
One of the most important is the maximum age for treatment. While there is no maximum age for men, for women the maximum age is 50. However, some clinics will accept patients up to 52 based on individual circumstances.
IVF is available for heterosexual couples, single women and female couples, but it is not available for male couples. There is also a limit of three on the maximum number of embryos that can be transferred when using either your own eggs or donor eggs.
There are around 250 IVF clinics in Spain. However, around 25 to 30 of these clinics are primarily focused on international patients supporting them with special care. Most of these clinics are located in Madrid, Barcelona, Alicante and Malaga.
Many people travel to Spain from around the world for egg donation IVF treatment, and egg donation clinics accept international patients. Waiting lists are also very short.
Egg donation is strictly anonymous, and there are lots of egg donors in the country. All donors are screened, both physically and psychologically, to ensure standards are kept high. There are several donor qualification tests that are required by law in Spain:
You will find there are many donors available from several races including Caucasian, Latino, African / Black, Arab and Indian depending on the region. Both fresh and frozen oocytes are available.
The age of egg donors ranges from 18 to 35, and there is strict anonymity. No information is shared about the donor apart from basic physical characteristics.
However, the recipient couple can find out more about the donor identity in certain conditions. For example, where a severe genetically transmissible illness is a concern and an analysis of the donor is advisable, the geneticist can ask for the identity of the donor.
Matching with a donor is based on characteristics like race, hair colour, eye colour and skin colour, so the donor is as similar as possible to the egg recipient. There is also a maximum of six infants from the same egg donor.
You will find a range of options available if you are seeking sperm donation in Spain. There are many sperm donors available, and one of the many benefits is that there are no waiting lists. Most IVF clinics in Spain also have their own sperm banks.
The age of sperm donors ranges from 18 to 50, and you can choose from a wide range of races so you can find a good match. Anonymity is strict so you will not be given any information beyond basic physical characteristics. The maximum number of infants that can come from the same sperm donor is six.
One of the most important factors to consider when looking into IVF in Spain is the cost. It’s important to remember that the cost can vary depending on where you go, and different IVF clinics have different costs.
But in general, here is some information on basic IVF packages:
|IVF costs in Spain – basic packages|
|IVF with own eggs in Spain||€3,600 – €6,700|
|IVF with donor eggs in Spain||€5,900 – €8,500|
|Embryo donation in Spain||€3,000 – €5,000|
|Egg freezing (oocytes cryopreservation) in Spain||€3,500 – €4,700|
If you are using an egg donation for your IVF in Spain, the costs range from €5,900 to €14,000. However, the cost you pay will depend on a range of factors, including the clinic that you use as well as the location. Clinics in some locations may be more expensive. Frozen egg donation may also be available in some Spanish clinics, which is usually a bit cheaper.
There are other factors to consider as well, including the number of oocytes from a donor used for fertilisation and whether other add-on techniques are included in the treatment. Cost can also be affected by whether the IVF treatment is guaranteed, meaning you can expect a certain number of embryos on, for example, day three or day five.
If you are choosing the embryo donation IVF route, the typical cost you can expect to pay is between €3,000 and €5,000. Embryo donation, sometimes called embryo adoption, is provided as an IVF treatment in most clinics, but not all. Clinics throughout the country offer embryos in lots of different ethnicities, so there is a lot of choice when it comes to embryo IVF treatment in Spain.
If you are considering double donation, this is also possible in Spain. This is where you use both oocytes from a donor and sperm from a donor. In general, the cost is similar to the cost of egg donation programmes, with the additional cost of the sperm donor on top, which is about €400 to €500.
The ROPA method stands for Reception of Oocytes from the Partner, and it is used by female couples. With the ROPA method, one partner is the oocyte donor. Donor sperm is then used, and the embryos are transferred to the uterus of the other partner, who will give birth. The cost of ROPA typically ranges between €5,000 and €7,000.
There are some additional IVF costs involved when you get treatment in Spain, and it’s important to consider these when you are working out your budget. They consist of IVF add-ons and other services.
One of these additional costs is the medical consultation with the doctor, which costs between €150 and €250. Sperm freezing costs between €150 and €350, and donor sperm costs between €300 and €750.
Embryo Monitoring will usually cost between €300 and €600, and the blastocyst culture costs anywhere from €400 to €600.
PGT-A / PGS genetic embryo testing is one of the most expensive additional costs, and you can expect to pay anywhere between €1,800 and €3,200.
Vitrification of (remaining) embryos and storage for up to one year will usually cost between €400 and €900. Frozen Embryo Transfer (FET) also has a cost of between €1,400 and €2,500 on average.
|IVF costs in Spain – other costs and add-ons|
|Medical consultation (doctor)||€150 – €250|
|Sperm freezing||€150 – €350|
|Donor sperm||€300 – €750|
|Embryo Monitoring (Embryoscope, Time Lapse, Geri etc.)||€300 – €600|
|Blastocyst culture||€400 – €600
included in basic packages in most of the clinics
|PGT-A / PGS genetic embryo testing*||€1,800 – €3,200|
|Vitrification of (remaining) embryos and storage for 1 year||€400 – €900|
|FET – Frozen Embryo Transfer||€1,400 – €2,500|
Spain is very often a country of choice for IVF treatment by patients not only from Europe but also from other countries – including Australia, the USA and Canada.
Liberal law regulating ART (Assisted Reproductive Techniques), many IVF clinics specializing in supporting international patients, wide access to the latest IVF techniques, many well-known – experienced fertility / IVF doctors and the availability of egg donors and sperm donors – these are just some of the advantages of IVF in Spain. If we add to this the full anonymity of egg donors and sperm donors, it seems that Spain is an ideal country for IVF treatment.
However, many patients choose other countries instead of Spain, including the Czech Republic or Greece, due to the costs of IVF treatment. Spain is one of the more expensive countries in Europe not only when it comes to the cost of IVF treatment and other related IVF procedures – but also when it comes to the cost of living.
However, also in Spain, as in other popular countries, we can find clinics that are very cheap and those that offer very expensive IVF treatment.
Our advice to patients, when selecting an IVF clinic in Spain, reject the most expensive and the cheapest and focus on those that offer costs somewhere in between.
Clinics in Spain are closely monitored by national organizations and the submission of a new clinic requires a special license for the clinic itself, as well as for the embryology laboratory and gamete bank.
Aleksander Wiecki, CMO, IVF Media Ltd.
One of the most important considerations when determining which country to choose for IVF treatment is the success rates. Spain has relatively good success rates when compared with other major European destinations, according to the ESHRE EIM report for 2017.
|IVF with own eggs in popular countries in Europe*||<34||35-39||≥40|
|North Cyprus**||no data||no data||no data|
If you are using donor eggs, the success rates in Spain are different compared to using your own eggs. When compared to other European countries, Spain has a good success rate for donor eggs. Using information again taken from the ESHRE EIM report from 2017:
|Egg donation success rates in popular countries in Europe*||Pregnancies per fresh ET (%)||Pregnancies per thawed ET (%)
|North Cyprus**||no data||no data|
The Spanish Association of Reproductive Medicine – SEF (La Sociedad Española de Fertilidad) also publishes national IVF statistics, and you can access recent documents at this link. SEF also provides patients with access to data sent in by individual IVF clinics on its website. Just select the year to check the results reported by each clinic.