IVF Abroad Laws & Options: Who Can Be Treated Where
Spain treats any woman over 18. Czech law stops at 49. Turkey treats married couples only, with no donors at all, and none of that depends on the doctor.
The law decides your options before any doctor does. Here are eight countries' rules, side by side.
Written by:
Medically approved by:
What You Will Get
- Why the law decides your options before medicine does
- Donation rules: anonymous, identity-release, or banned outright
- Who can be treated: single women, female couples, and age limits
- PGT, sex selection, and surrogacy, country by country
- Side-by-side tables for eight countries
- Which country fits your situation, and what never changes
Why Does the Law Decide Your Options Before Medicine Does?
Because every country writes its own rules on who may be treated, whose eggs and sperm may be used, and how many embryos may be transferred, and no amount of clinical skill can override them.
The EU sets a common safety floor. Directive 2004/23/EC lays down quality and safety standards for donated human tissues and cells, and its recitals explicitly name reproductive cells.[1] From 7 August 2027, it's replaced by the new SoHO Regulation (EU) 2024/1938.[2]
But the same directive says it shouldn't interfere with member states' decisions on "the use or non-use of any specific type of human cells" (recital 12).[1] That one clause is why Spain treats single women and the Czech Republic doesn't, even though both follow the same lab standards.
Then there are the places outside that system. Turkey is an EU candidate, not a member.[3] In North Cyprus, EU law is suspended under Protocol 10 to the 2003 Act of Accession.[4] Different rules, different oversight.
Key Insight:
The same treatment can be routine in one country and a criminal offence across the border. When you compare "clinics", you're really comparing legal systems first. Start with the law, then look at the doctors.
What Are the Rules in the UK?
The UK is the baseline most of our readers know: every treatment is regulated by the Human Fertilisation and Embryology Authority (HFEA), all family types are treated, and donors are identifiable to the child at 18.
- Donors: anyone who donated on or after 1 April 2005 is identity-release; a donor-conceived person can request the donor's name at 18.[5]
- Donor limits: one donor may help create up to 10 families; egg donors may receive up to £985 per cycle, sperm donors up to £45 per visit.[6][7][8]
- Who is treated: single women, female couples, and couples married or not; 3,700 single patients and 2,800 female same-sex patients had IVF in 2024.[9]
- Age: no legal ceiling; each clinic sets its own policy.
- Embryos per transfer: the National Institute for Health and Care Excellence (NICE) says never more than 2, and single embryo transfer first for under-37s with a top-quality embryo.[10]
- PGT and sex selection: pre-implantation genetic testing (PGT) for serious conditions is licensed under Schedule 2 of the HFE Act 1990; PGT-A (embryo chromosome screening) is allowed but rated red by the HFEA for improving the chance of a baby; choosing a baby's sex is banned except for serious sex-linked disease (Schedule 2, paragraph 1ZB).[11][12]
- Surrogacy: legal if altruistic; the surrogate is the legal mother at birth until a parental order transfers parenthood.[13][14]
- Storage: eggs, sperm, and embryos can be stored for up to 55 years with consent renewed every 10 years.[15]
- Results: per-clinic success rates, all calculated the same way, on the HFEA's Choose a Fertility Clinic service.[16]
What Are the Rules in Spain?
Spain's law (Ley 14/2006) is one of the most open in Europe: any woman over 18 can be treated regardless of marital status or sexual orientation, and donation is anonymous.[17]
- Who is treated: "toda mujer mayor de 18 años", regardless of marital status and sexual orientation (Article 6.1): single women, female couples, and shared motherhood (ROPA) are all routine.[17]
- Donors: anonymous by law (Article 5.5); a maximum of 6 children may be born from one donor's gametes (Article 5.7); egg donors must be 35 or under; at our partner clinics there's usually no waiting time for a donor.[17][18]
- Embryos per transfer: a legal maximum of 3 (Article 3.2); at our Spanish partners, single embryo transfer is the standard when it's right for you.[17]
- PGT: allowed for serious hereditary disease and to check embryo viability (Article 12); non-medical sex selection is a "very serious" offence (Article 26).[17]
- Surrogacy: any surrogacy contract is null and void (Article 10).[17]
- Age: no legal ceiling; see below for how our partners handle it in practice.
- Storage: no fixed time limit in law; storage continues while the woman remains clinically suitable (Article 11).[17]
- Results: the Spanish Fertility Society (SEF) registry publishes results by clinic; latest year 2023.[19]
- Getting there: about 2 hours to Barcelona, 2.5 to Madrid.[20]
- Documents: no marriage certificate; the clinics ask for ID and whatever medical reports you have.
- Illustrative prices: own-egg IVF or ICSI (intracytoplasmic sperm injection) €4,995 to €6,575; donor-egg IVF €5,425 to €10,490 (published clinic lists, September 2026; vary by clinic and package).[21]
How Does the Age Policy Work at Our Spanish Partners?
At Tambre, HM Fertility Center, and Teknon, own-egg treatment depends on your AMH (anti-Müllerian hormone), your antral follicle count (AFC), and the clinical team's judgement. Even with good results, the chance of chromosomal abnormalities in the embryos is high at older ages, but if a patient insists, she can try with her own eggs even at 48. Donor-egg treatment is offered up to the age of 55.
What Are the Rules in the Czech Republic?
Czech law (Act No. 373/2011) treats only "infertile couples" (a woman and a man who apply together in writing) up to the woman's age of 49, with anonymous donors.[22]
- Who is treated: a woman and a man with his written consent (Section 6); single women and female couples are excluded;[22] you don't need to be married, and in practice the clinic asks for a partner document prepared by a lawyer, not a marriage certificate.
- Age: the woman's age must not exceed 49 (Section 6).[22]
- Donors: anonymous (Section 10); egg donors aged 18 to 35, sperm donors 18 to 40 (Section 3);[22] embryo donation is available in practice.
- Sex selection: banned except to prevent serious sex-linked genetic disease (Section 5(2)); PGT is allowed where there's a demonstrable genetic risk to the child's health (Section 3(1)(b)).[22]
- Surrogacy: no legal framework; the woman who gives birth is the legal mother.
- Results: a national register run by ÚZIS collects assisted reproduction data, published as national totals rather than clinic by clinic.[23]
- Getting there: about 2 hours to Prague.[20]
- Illustrative prices: own-egg IVF/ICSI €2,900 to €4,985; donor-egg IVF €3,790 to €6,320 (published clinic lists; vary by clinic and package).[24]
What Are the Rules in Poland?
Poland's 2015 Infertility Treatment Act limits treatment to married or cohabiting couples and keeps donors anonymous, with an unusual rule on how many eggs may be fertilised.[25]
- Who is treated: couples only, married or cohabiting (Articles 2 and 20); single women and female couples are excluded;[25] in practice a partner document from a lawyer is enough, no marriage certificate needed.
- Donors: anonymous; at 18 the child can obtain non-identifying information only (Article 38).[25]
- Eggs fertilised: no more than 6 per cycle unless the woman is over 35 or has had two failed treatments (Article 9).[25]
- Embryos: viable embryos may not be destroyed; after a storage contract ends, and at most after 20 years, they pass to embryo donation (Articles 21 and 23).[25]
- PGT and sex selection: PGT for medical indications only; selecting for sex is banned except to avoid serious hereditary disease (Article 26).[25]
- Surrogacy: not recognised; the mother is the woman who gives birth.
- Age: no legal ceiling for private treatment.
- Getting there: about 2 hours 20 minutes to Warsaw, 2.5 hours to Kraków.[20]
- Illustrative prices: own-egg IVF/ICSI about 11,200 to 14,500 zł (roughly €2,600 to €3,400); donor-egg IVF around 29,850 zł (roughly €7,000) where published.[26]
What Are the Rules in Slovakia?
Slovakia has no dedicated fertility act: assisted reproduction sits under the general Health Care Act (Act 576/2004) and older ministry rules, donor anonymity is the established practice, and surrogacy contracts are void.[27][28]
- Who is treated: couples only; the clinics tell us plainly that treatment isn't legal for single women, and a partner document from a lawyer is enough, with no marriage certificate needed.
- Donors: anonymous in practice; the statutory wording is thin, so ask the clinic to confirm in writing;[27] embryo donation is available in practice.
- Surrogacy: the mother is the woman who gives birth, and any agreement to the contrary is void (Family Act, Section 82).[28]
- PGT and sex selection: no specific statute; clinics offer PGT-A, so ask each clinic what it will and won't do.[29]
- Age: no legal ceiling; public insurance for residents covers three cycles up to 39.[30]
- Results: a national register of assisted reproduction is run by NCZI.[31]
- Getting there: about 2 hours 20 minutes to Bratislava, or 2 hours 15 minutes to Vienna, an hour's drive away.[20][32]
- Illustrative prices: own-egg IVF €1,300 to €1,350 plus €330 to €550 for ICSI; donor-egg IVF €5,000 to €7,800 (published clinic lists 2026; vary by clinic and package).[29]
What Are the Rules in the Republic of Cyprus?
The Republic of Cyprus (South Cyprus, the EU part of the island) regulates treatment under Law 69(I)/2015, with a Council of Medically Assisted Reproduction that licenses clinics and approves special cases.[33][34]
- Age: the legal limit is 50, with exceptions on reasoned application to the Council (Article 21).[33][34]
- Who is treated: the Law applies to "couples and single persons" (Article 4), and the Council has a dedicated application route for single women; the position for female couples isn't spelt out, so check.[33][34]
- Documents: no marriage certificate; ID and whatever medical reports you have.
- Donors: donor identity is held in a confidential file; the child may access health-related information with the Council's permission (Article 12);[33] embryo donation is available in practice, and at our partner clinic there's usually no waiting time for a donor.
- Sex selection: banned except to avoid serious sex-linked disease (Article 18); PGT is allowed with genetic counselling (Article 19).[33]
- Surrogacy: allowed if altruistic, with a court order before embryo transfer and prior Council approval (Article 22).[33]
- Embryos per transfer: set by law (Article 28); ask the clinic for the current number.
- Results: no public, per-clinic results registry that we could find.
- Getting there: about 4 hours 45 minutes to Larnaca, 4.5 hours to Paphos.[20]
- Our partner: Cryos IVF in Nicosia, where, in our assessment, the standard of care is comparable to our Spanish partners at a lower price.
- Illustrative prices: few clinics publish prices; where published, own-egg IVF runs €3,450 to €5,200 and donor-egg IVF €3,450 to €4,025 plus the cost of the donor eggs.[35]
What Are the Rules in North Cyprus?
North Cyprus is not in the EU, EU tissue-and-cell law doesn't apply there, and the detailed rules for IVF centres sit in secondary regulation whose text isn't publicly readable, so treat clinic claims as claims.[4][36]
What the law does say is clear enough. The 2014 law on human cells, tissues, and organs (Law 57/2014) allows donation of reproductive cells in licensed centres, requires donor and recipient identities to be kept confidential, and bans donation for material gain.[36]
What it leaves to regulation (recipient age limits, embryos per transfer, sex selection) is exactly what the clinics advertise most loudly. The clinics we know there apply no restrictions of their own on any of the three, several market non-medical sex selection and donor programmes, and neither of the price pages we checked publishes a recipient age limit or an embryo-transfer policy.[37] We couldn't confirm the legal basis for any of that from an official text.
Where Do We Stand on North Cyprus?
We don't recommend it at the moment. Many UK patients tell us they're worried about North Cyprus after recent news reports, and the quality and protocols are harder for us to check than anywhere else on this list. We suggest it only when you ask for it, or when the law everywhere else rules you out, most often because of age.
Important:
Two practical points UK travellers miss. There's no comparable public registry of results in the north, so success-rate claims can't be checked the way HFEA or SEF data can. And the Foreign Office warns that if you enter the Republic of Cyprus through the north (for example through Ercan airport), the authorities treat that as illegal entry.[38] If you do go: fly to Ercan via Turkey and leave the same way, or fly to Larnaca and cross the Green Line.
What Are the Rules in Turkey?
Turkey's 2014 regulation on assisted reproduction allows treatment only for married couples, and Turkish law permits only the spouses' own eggs and sperm: no donation, no surrogacy.[39][40]
- Who is treated: married couples only (Article 19); Turkey is the one country on this list where the clinic needs your marriage certificate.[39]
- Donors: egg, sperm, and embryo donation aren't permitted; since 2010 clinics have been barred from referring patients abroad for donor treatment, and Turkish citizens who use donor eggs or sperm, even abroad, can be reported to prosecutors and face one to three years in prison under Article 231 of the Turkish Penal Code.[40][41][42]
- Embryos per transfer: the 2010 rules described a cap of two, with single embryo transfer for younger women in early attempts; we couldn't find it in the 2014 text, and clinics there transfer two more readily than our Spanish partners do, so confirm the clinic's policy in writing.[40]
- Storage: up to 5 years, renewed annually, extensions only with Ministry approval.[39]
- Sex selection: not available in Turkey in practice; we couldn't locate the wording in the 2014 regulation text, so treat any offer as a red flag.
- Results: no public per-clinic registry we could find; large hospital groups rarely publish price lists either.
- Getting there: about 4 hours to Istanbul.[20]
- Our partners: Medicana and Acıbadem, both large hospital groups.
- Illustrative prices: own-egg IVF/ICSI about €3,200 plus €1,200 to €1,600 for medication (one published clinic price page; varies by clinic and package).[43]
Bottom Line:
Turkey is a strong, lower-cost option for married couples using their own eggs, and nothing else. Donation is banned for everyone treated there, and Turkish citizens can face prosecution even if they seek it abroad, so no Turkish clinic will offer or discuss it. If you need donor eggs, look at Spain, the Czech Republic (couples only), or the Republic of Cyprus instead.
→ Learn more: Donor Programs and Surrogacy
How Do the Eight Countries Compare Side by Side?
Three short tables: who can be treated, how donation works, and everything else. ✓ means allowed, ✗ means not allowed, and "Confirm" means we couldn't verify it in an official text, so ask before you plan around it. The quotes our partner clinics send are almost the same as the published price ranges below.
Who Can Be Treated?
| Rule | UK | Spain | Czech Rep. | Poland | Slovakia | Republic of Cyprus | North Cyprus | Turkey |
| Single women | ✓ | ✓ Art. 6.1 | ✗ couples only | ✗ couples only | ✗ couples only | ✓ on application | ✓ clinic-reported | ✗ married only |
| Female couples (incl. ROPA) | ✓ | ✓ ROPA allowed | ✗ | ✗ | ✗ | Confirm not in law | ✓ clinic-reported | ✗ |
| Unmarried couples | ✓ consent forms | ✓ | ✓ partner document | ✓ partner document | ✓ partner document | ✓ | ✓ clinic-reported | ✗ marriage certificate |
| Upper age limit (woman) | None in law clinic policy | None in law partners: donor eggs to 55 | 49 by law | None in law | None in law | 50 exceptions | None verified no clinic limits | None in law |
Source: HFEA data on UK family types, Ley 14/2006, Act 373/2011, Polish Act of 25 June 2015, Slovak Act 576/2004, Republic of Cyprus Law 69(I)/2015 and Council forms, North Cyprus Law 57/2014, the Turkish 2014 Regulation, and Medical Navigator partner-clinic practice[9][17][22][25][27][33][34][36][39]
How Does Donation Work?
| Rule | UK | Spain | Czech Rep. | Poland | Slovakia | Republic of Cyprus | North Cyprus | Turkey |
| Egg donation | ✓ identity-release | ✓ anonymous | ✓ anonymous | ✓ anonymous | ✓ anonymous in practice | ✓ confidential | ✓ confidential | ✗ banned |
| Sperm donation | ✓ identity-release | ✓ anonymous | ✓ anonymous | ✓ anonymous | ✓ anonymous in practice | ✓ confidential | ✓ confidential | ✗ banned |
| Embryo donation | ✓ | ✓ Art. 11 | ✓ available | ✓ Art. 21 | ✓ available | ✓ available | ✓ clinic-reported | ✗ banned |
| Child can identify donor at 18 | ✓ since 2005 | ✗ | ✗ | ✗ non-identifying only | ✗ | ✗ health data via Council | ✗ | Not applicable |
| Donor family limit | 10 families | 6 children | Confirm | Confirm | Confirm | Confirm | Confirm | Not applicable |
| Waiting time for a donor | Ask the clinic | Usually none at our partners | Ask the clinic | Ask the clinic | Ask the clinic | Usually none at our partner | Ask the clinic | Not applicable |
Source: HFEA donor rules, Ley 14/2006, Act 373/2011, Polish Act of 25 June 2015, Slovak Act 576/2004, Republic of Cyprus Law 69(I)/2015, North Cyprus Law 57/2014, the Turkish 2014 Regulation, and Medical Navigator partner-clinic practice[5][7][17][22][25][27][33][36][39]
What About Testing, Surrogacy, Oversight, and Logistics?
| Rule | UK | Spain | Czech Rep. | Poland | Slovakia | Republic of Cyprus | North Cyprus | Turkey |
| PGT for serious inherited disease | ✓ licensed list | ✓ Art. 12 | ✓ medical reasons | ✓ medical only | ✓ offered | ✓ Art. 19 | ✓ clinic-reported | ✓ medical |
| PGT-A (chromosome screening) | ✓ HFEA rates red | ✓ offered | ✓ offered | ✓ medical only | ✓ offered | ✓ | ✓ clinic-reported | ✓ offered |
| Non-medical sex selection | ✗ | ✗ | ✗ | ✗ | Confirm no statute | ✗ Art. 18 | Marketed law not verified | Confirm not offered |
| Surrogacy | ✓ altruistic, parental order | ✗ contracts void | No law birth mother | ✗ not recognised | ✗ contracts void | ✓ altruistic, court order | Confirm | ✗ |
| Maximum embryos per transfer | 2 NICE | 3 by law | Clinic policy | Clinic policy | Clinic policy | Set by law Art. 28 | No limit applied 2 common | Not verified in law 2 common |
| Storage limit | 55 years | No fixed limit | No fixed limit 10-year review | 20 years | Confirm | Confirm | Confirm | 5 years |
| Public results registry | ✓ HFEA, per clinic | ✓ SEF, per clinic | Partly national totals | ✗ none found | Partly national register | ✗ none found | ✗ none found | ✗ none found |
| EU tissue standards apply | UK rules HFEA | ✓ | ✓ | ✓ | ✓ | ✓ | ✗ EU law suspended | ✗ not EU |
| Flight from London | Home | 2–2.5 h | 2 h | 2 h 20–2.5 h | 2 h 20 | 4.5–4 h 45 | Via Turkey (Ercan), or Larnaca + Green Line | 4 h |
| Illustrative own-egg IVF | £3,750–4,950 | €4,995–6,575 | €2,900–4,985 | €2,600–3,400 | €1,300–1,350 + ICSI | €3,450–5,200 | €4,000 | About €3,200 |
| Illustrative donor-egg IVF | £5,880–12,990 | €5,425–10,490 | €3,790–6,320 | About €7,000 | €5,000–7,800 | €3,450–4,025 + eggs | €6,000–7,000 | ✗ |
Source: national laws and regulators as cited in each country section; NICE NG257; HFEA add-ons ratings; EU Directive 2004/23/EC and Protocol 10; airline schedules; UK illustrative prices from published clinic price lists, accessed September 2026; other prices as cited per country, all varying by clinic and package[1][4][10][12][20][32][37][44]
Can You Choose the Donor?
"Choosing" means stating your preferences, not browsing profiles, and the rules on what you're told differ between the EU countries and North Cyprus.
In Spain and the Czech Republic, no clinic can legally show you adult donor photos, and anonymity lasts for life.[17][22] You tell the clinic what matters to you, and the clinic matches the donor to you. What you receive is general, non-identifying information only: typically the donor's age, blood group, and confirmation of the physical match. The Republic of Cyprus keeps the donor's identity in a confidential file (Article 12), so ask the clinic what profile it shares.[33]
North Cyprus is outside EU law and regulated separately. Anonymity is required there too, but recipients specify traits and receive the fullest non-identifying profile of the three markets (Spain, the Czech Republic, and North Cyprus): physical characteristics, blood group and Rh factor, education and skills, donor age, and number of children. The published guidance there says photos aren't released, though individual clinics advertise otherwise; treat that as a claim, not a rule.
Can You Move Frozen Embryos From One Country to Another Later?
Yes, it's possible, but every case is looked at individually, because the rules of both countries apply, the one sending and the one receiving. The embryos travel clinic to clinic through a specialist courier, and a UK clinic can only receive them under an HFEA import certificate.[45] If this might matter to you, say so before your first cycle.
Which Country Fits Which Situation?
Most of our UK patients end up choosing Spain: easy logistics, the most open legal framework, high success rates, and a very high level of care. But most people can cross half the map off in a minute once they know their own situation.
- Single woman or female couple: Spain first; the Republic of Cyprus on application (single women; female couples unconfirmed); North Cyprus only if nothing else fits. Not the Czech Republic, Poland, Slovakia, or Turkey.
- You want an anonymous donor: Spain, the Czech Republic, Poland, Slovakia, or the Republic of Cyprus (confidential file).
- You want your child to be able to trace the donor: the UK, and only the UK on this list.
- Married couple, own eggs, budget first: Turkey, Slovakia, the Czech Republic, or Poland.
- Over 49: Spain (donor eggs to 55 at our partners), the Republic of Cyprus (on application), and North Cyprus only when the law everywhere else rules you out; not the Czech Republic.
- Surrogacy: the UK (altruistic) or the Republic of Cyprus (court order); remember the HFEA has no remit over arrangements abroad and you'll still need a UK parental order.[13][14]
Of the countries in this guide, we place UK patients today in Spain, the Republic of Cyprus, the Czech Republic, and Turkey, and in North Cyprus only in the cases described above. Poland and Slovakia are covered here because patients ask about them, but we don't yet place UK patients there. We also place UK patients in Austria, Italy, and Greece; those countries will get their own sections once we've checked their rules as carefully as these.
How Many Days Abroad Will You Need?
It's very individual. With your own eggs after 40, you may need 2 to 3 visits: several egg retrievals, then the transfer. Younger patients with a good ovarian reserve can often do it in 1 visit, and donor-egg treatment is usually 1 visit. The days per visit depend on the clinic: about 5 to 7 if you start the stimulation and monitoring at home, longer if everything is done there.
→ Learn more: Fertility and Age
What Stays the Same Everywhere?
Four things don't change when you cross a border, whatever a website promises.
- No guarantees: in the largest UK study, 65.3% of women had a baby by the sixth cycle on the study's prognosis-adjusted estimate; nobody's rate is 100%.[46]
- Your UK legal parenthood rules: the birth mother is the legal mother, a spouse or civil partner is automatically the other parent wherever treatment happens, and an unmarried partner isn't; get legal advice before donor treatment abroad.[47][48]
- Your documents: clinics abroad ask for recent test results, imaging on disc, and ID; a marriage certificate is needed only in Turkey, and the couples-only countries accept a partner document from a lawyer; UK records can take a month or more to obtain, so start early.
- Single embryo transfer: ask for it wherever the law allows more; the UK's multiple birth rate is 3.2% because 84% of transfers are single-embryo.[9]
Will Your Baby Have a Problem With UK Citizenship or a Birth Certificate?
No. If you give birth in the UK, UK law treats the woman who gives birth as the legal mother, whatever eggs were used; there's no route by which an egg donor becomes the legal mother.[47][48] Your husband or civil partner is the second legal parent if they consented, and that holds for married same-sex couples too, regardless of where the treatment happened.[47]
The UK birth certificate names both of you. A child born in the UK to a British or settled parent is British.[49] Nothing about the treatment country appears on the certificate. The one situation that needs a solicitor before you travel is an unmarried partner and donor treatment abroad; see the bullet above.
So, What Should You Do Now?
Use the table above like a checklist, in this order.
Step 1: Write Down Your Own Situation
Single or a couple, married or not, own eggs or donor, your age, and whether you'd want your child to be able to trace a donor. Five lines. That's the whole filter.
Step 2: Cross Out the Countries the Law Rules Out
Single or a female couple? Strike the Czech Republic, Poland, Slovakia, and Turkey. Need donor eggs? Strike Turkey. Over 49? Strike the Czech Republic. What's left is your real map.
Step 3: Decide What You Think About Anonymity
Everywhere on this list except the UK, your child would have no official route to the donor's identity. Talk to a fertility counsellor before you decide.
Step 4: Sort the Paperwork Early
Request your NHS records now, check passport validity, and if you're unmarried and planning donor treatment, see a UK fertility solicitor about legal parenthood.
Step 5: Talk to a Coordinator and Get Your Shortlist
We match the law first, then the medicine, then your preferences, and we'll tell you plainly when a country you had in mind can't treat you. You'll get two or three clinics that can, with the rules and the full price written down.
→ Get your free clinic shortlist: MedicalNavigator.com/contact
Too Long, Didn't Read
- Egg, sperm, and embryo donation are illegal in Turkey, for everyone treated there and for Turkish citizens even abroad.
- Spain treats any woman over 18 regardless of marital status; the Czech Republic, Poland, Slovakia, and Turkey treat couples only.
- The UK is the only country here where a child can identify the donor at 18.
- Czech law stops at 49, the Republic of Cyprus at 50 with exceptions; Spain and Poland set no legal age ceiling.
- Non-medical sex selection is banned, unavailable, or unverified everywhere on this list except North Cyprus, where clinics market it.
- Only the UK and Spain publish per-clinic results you can check; North Cyprus and Turkey have no comparable registry.
References
- European Parliament and Council of the European Union. Directive 2004/23/EC on setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution of human tissues and cells. Official Journal L 102, 7 April 2004. ↩
- European Parliament and Council of the European Union. Regulation (EU) 2024/1938 of 13 June 2024 on standards of quality and safety for substances of human origin intended for human application (SoHO Regulation). Official Journal of the European Union, 17 July 2024. Applies from 7 August 2027. ↩
- European Union. EU enlargement: candidate countries and potential candidates. ↩
- European Commission. Green Line Regulation: EU law in the areas of Cyprus not under government control (Protocol 10 to the 2003 Act of Accession). ↩
- Human Fertilisation and Embryology Authority (HFEA). Rules around releasing donor information. ↩
- Human Fertilisation and Embryology Authority (HFEA). Using donated eggs, sperm or embryos in treatment. Published 4 April 2016; accessed 21 September 2026. ↩
- Human Fertilisation and Embryology Authority (HFEA). Donating your sperm. Reviewed 18 May 2026. ↩
- Human Fertilisation and Embryology Authority (HFEA). Donating your eggs. ↩
- Human Fertilisation and Embryology Authority (HFEA). Fertility treatment 2024: trends and figures. Published 16 June 2026. ↩
- National Institute for Health and Care Excellence (NICE). Fertility problems: assessment and treatment. NICE guideline NG257. Published 31 March 2026. ↩
- UK Parliament. Human Fertilisation and Embryology Act 1990, Schedule 2: Activities for which licences may be granted (paragraphs 1ZA and 1ZB). legislation.gov.uk. ↩
- Human Fertilisation and Embryology Authority (HFEA). Pre-implantation genetic testing for aneuploidy (PGT-A). Published 16 October 2023. ↩
- Human Fertilisation and Embryology Authority (HFEA). Surrogacy: a factsheet. Published 26 November 2024; reviewed 16 June 2026. ↩
- GOV.UK. Surrogacy: legal rights of parents and surrogates. ↩
- Human Fertilisation and Embryology Authority (HFEA). New law comes into force giving greater flexibility for fertility patients. Press release, 1 July 2022. ↩
- Human Fertilisation and Embryology Authority (HFEA). Choose a fertility clinic. ↩
- Jefatura del Estado (Spain). Ley 14/2006, de 26 de mayo, sobre técnicas de reproducción humana asistida. Boletín Oficial del Estado, BOE-A-2006-9292 (consolidated text). ↩
- Ministerio de Sanidad y Consumo (Spain). Real Decreto 412/1996, de 1 de marzo, por el que se establecen los protocolos obligatorios de estudio de los donantes y usuarios relacionados con las técnicas de reproducción humana asistida. Boletín Oficial del Estado, BOE-A-1996-6644. ↩
- Sociedad Española de Fertilidad (SEF). Registro Nacional de Actividad: Registro SEF (national assisted reproduction registry, results by clinic). Latest published year: 2023. ↩
- British Airways. Flights to Madrid (and the equivalent BA destination pages for Barcelona, Prague, Warsaw, Kraków, Vienna, Larnaca, Paphos, and Istanbul): stated flight times from London. Approximate scheduled flight times, accessed 7 September 2026. ↩
- Published clinic price lists (Spain). Self-pay price lists of four licensed fertility clinics in Madrid and Barcelona: IVF, ICSI, egg donation, and medication. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: Institut Marquès, Barcelona: Treatment prices · Clínica Eugin, Barcelona: Precios (prices) · Fertility Madrid: Our pricing · Fertilab Barcelona: Pricing (valid until 30 September 2026). ↩
- Parliament of the Czech Republic. Zákon č. 373/2011 Sb., o specifických zdravotních službách (Act No. 373/2011 Coll. on Specific Health Services), §3–§11 (assisted reproduction). Consolidated text. ↩
- Ústav zdravotnických informací a statistiky ČR (ÚZIS). Národní registr reprodukčního zdraví: modul asistované reprodukce (National Register of Reproductive Health, assisted reproduction module). ↩
- Published clinic price lists (Czech Republic). Self-pay price lists of two licensed fertility clinics in Prague and Brno: IVF, ICSI, egg donation, and medication. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: Reprofit International, Brno: IVF price list for self-paying patients (valid from 1 January 2026) · GENNET, Prague: IVF price list (version 6, 25 April 2023). ↩
- Sejm of the Republic of Poland. Ustawa z dnia 25 czerwca 2015 r. o leczeniu niepłodności (Act of 25 June 2015 on Infertility Treatment). Dziennik Ustaw 2015, poz. 1087. ↩
- Published clinic price lists (Poland). Self-pay price lists of two licensed fertility clinics in Warsaw and Kraków: IVF, ICSI, and egg donation. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: InviMed, Warsaw: Price list: Warsaw · TFP Fertility Macierzyństwo, Kraków: Cennik (price list). ↩
- National Council of the Slovak Republic. Zákon č. 576/2004 Z. z. o zdravotnej starostlivosti (Act No. 576/2004 Coll. on Health Care). Consolidated text. ↩
- National Council of the Slovak Republic. Zákon č. 36/2005 Z. z. o rodine (Family Act), §82. Consolidated text. ↩
- Published clinic price lists (Slovakia). Self-pay price lists of two licensed fertility clinics in Bratislava, Martin, and Košice: IVF, ICSI, and egg donation. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: Reprofit Slovakia, Bratislava and Martin: IVF price list (valid from 1 January 2026) · GYNCARE, Košice: Cenník GYNCARE platný od 1. 4. 2026 (price list valid from 1 April 2026). ↩
- Všeobecná zdravotná poisťovňa (Slovakia). Asistovaná reprodukcia: podmienky úhrady (public insurance conditions for assisted reproduction). ↩
- Národné centrum zdravotníckych informácií (NCZI). Metodický pokyn k Hláseniu o asistovanej reprodukcii (methodological guideline for the National Register of Assisted Reproduction), version 03. Effective from 1 January 2026. ↩
- Bratislava Airport (BTS). Destinations: London. Accessed 7 September 2026. ↩
- House of Representatives (Republic of Cyprus). Ο περί της Εφαρμογής της Ιατρικώς Υποβοηθούμενης Αναπαραγωγής Νόμος του 2015, Ν. 69(I)/2015 (Law 69(I)/2015 on the Application of Medically Assisted Reproduction). CyLaw. Original text; amended 2015–2023. ↩
- Council of Medically Assisted Reproduction (Republic of Cyprus). Submission of application forms (single person, surrogate motherhood, age-limit exemption). ↩
- Published clinic price list (Republic of Cyprus). Self-pay price list of a licensed fertility clinic in the Republic of Cyprus: IVF, ICSI, and egg donation. Clinic name withheld in the article text. Accessed 7 September 2026. Source: Cryos IVF Clinic, Nicosia: Pricing. ↩
- Assembly of the Republic (TRNC). İnsan Hücre, Doku ve Organ Nakli ile İlgili Kuralları Düzenleyen Yasa, 57/2014 (Law No. 57/2014 regulating human cell, tissue and organ transplantation). ↩
- Published clinic price lists (North Cyprus). Self-pay price lists of two fertility clinics in Kyrenia and Nicosia (north): IVF, egg donation, and all-inclusive packages. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: Dunya IVF, Kyrenia: IVF treatment costs · Cyprus IVF Centre (Team Miracle), North Cyprus: Prices. ↩
- Foreign, Commonwealth and Development Office (FCDO). Cyprus travel advice: entry requirements. ↩
- Republic of Türkiye, Ministry of Health. Üremeye Yardımcı Tedavi Uygulamaları ve Üremeye Yardımcı Tedavi Merkezleri Hakkında Yönetmelik (Regulation on Assisted Reproduction Treatment Practices and Centres). Resmî Gazete No. 29135, 30 September 2014. ↩
- Gürtin ZB. Banning reproductive travel: Turkey's ART legislation and third-party assisted reproduction. Reprod Biomed Online. 2011;23(5):555–564. ↩
- Grand National Assembly of Türkiye. Türk Ceza Kanunu, Kanun No. 5237, Madde 231: Çocuğun soybağını değiştirme (Turkish Penal Code, Law No. 5237, Article 231: altering a child's lineage). Resmî Gazete No. 25611, 12 October 2004; consolidated text, accessed 22 September 2026. ↩
- Zorlu G. Overseas artificial insemination outlawed in Turkey. BioNews (Progress Educational Trust), 22 March 2010. ↩
- Published clinic price page (Turkey). Self-pay price page of a licensed fertility clinic in Istanbul: IVF and ICSI packages. Clinic name withheld in the article text. Accessed 7 September 2026. Source: Dr Senai Aksoy IVF, Istanbul: Cost of IVF. ↩
- Published clinic price lists (United Kingdom). Self-pay price lists of four HFEA-licensed fertility clinics in London, Cambridge, and Manchester: IVF, ICSI, medication, freezing, and donor-egg packages. Clinic names withheld in the article text. Accessed 7 September 2026. Sources: ARGC (Assisted Reproduction and Gynaecology Centre), London: All prices · Manchester Fertility: Patient price list (version 16, active from 1 April 2026) · Bourn Hall Clinic, Cambridge: Financial information: prices and terms (version 8) · CREATE Fertility: Costs. ↩
- Human Fertilisation and Embryology Authority (HFEA). Importing and exporting sperm, eggs and embryos. Reviewed 12 March 2026. ↩
- Smith ADAC, Tilling K, Nelson SM, Lawlor DA. Live-birth rate associated with repeat in vitro fertilization treatment cycles. JAMA. 2015;314(24):2654–2662. ↩
- UK Parliament. Human Fertilisation and Embryology Act 2008, Part 2: Parenthood in cases involving assisted reproduction (sections 33–58). legislation.gov.uk; cited at sections 35–37 and 42–44. ↩
- Human Fertilisation and Embryology Authority (HFEA). Becoming the legal parents of your child. Published 18 July 2016; accessed 7 September 2026. ↩
- UK Parliament. British Nationality Act 1981, section 1: acquisition by birth or adoption. legislation.gov.uk; up to date as at 29 December 2025. ↩