IVF Abroad: Czech Republic Is Cheap, Not for Single Women

Almost every guide to fertility treatment abroad opens with a price table. The Czech Republic is usually near the top of it. One patient-information site advertises in vitro fertilisation (IVF) there from 2,700 euros a cycle using a patient's own eggs. With donor eggs it quotes 4,500 to 8,000 euros.¹

The same site also states, in a different section, that Czech clinics will not treat single women or female couples at all.¹ Czech law requires a joint written application from "the woman and the man" who intend to undergo treatment together.² For a large share of the people reading a price table, the cheapest destination on it is not a destination.

The filter that runs before price

The most complete current survey of who may be treated where comes from the European IVF-Monitoring Consortium, which collects data for the European Society of Human Reproduction and Embryology. Its latest update covers 43 of the 45 European countries where treatment is performed, and describes the legal position as at 31 December 2022.³

Eight of those countries restrict assisted reproduction to heterosexual couples: Bosnia and Herzegovina, the Czech Republic, Italy, Lithuania, Poland, Slovakia, Slovenia and Turkey.³ Thirty-three offer treatment to single women. Nineteen offer it to female couples.³

Five countries prohibit egg donation entirely: Bosnia and Herzegovina, Germany, Luxembourg, Switzerland and Turkey.³ Germany's ban is criminal rather than administrative. Section 1 of the Embryo Protection Act, in force since 1 January 1991, punishes transferring a donor egg to a woman with up to three years' imprisonment or a fine.⁴

A second source counts the same rules a different way and reaches the same conclusion. The European Atlas of Fertility Treatment Policies, produced by Fertility Europe and the European Parliamentary Forum with expert input from the same society, scores 49 countries and territories.⁵ All 49 provide IVF to heterosexual couples using their own eggs. Only 28 provide egg donation to single women, and only 16 provide it to female couples.⁵

Who each country will actually treat

Legal position for female patients, compiled from the sources footnoted in each row.

Age limits are law in some countries and custom in others

This distinction decides whether a rule can be argued with, and it is the one most summaries flatten. The European survey found a statutory maximum female age in 23 countries, running from 42 in France for egg collection, with 44 for embryo transfer, up to 54 in Greece.³

Greece raised its ceiling from 50 to 54 under a 2022 law, and patients above 50 need approval from the national assisted reproduction authority.⁸ The Czech ceiling is statutory too. Czech law permits treatment only for "women of childbearing age, which ends at the age of 49".²

Spain works the other way round. Article 6.1 of its Law 14/2006 admits "any woman over 18 years of age and with full legal capacity" as a recipient or user of these techniques.⁶ The same article adds that she qualifies "regardless of her marital status and sexual orientation".⁶

There is no maximum age anywhere in the statute. The law only requires that a patient be told of the risks of motherhood "at a clinically inappropriate age".⁶ The widely quoted Spanish limit of 50 comes from the Spanish Fertility Society's recommendation and an agreement among clinics, not from the law.⁷

The practical difference matters. A statutory limit ends the conversation. A professional guideline is applied clinic by clinic, which is why two Spanish centres can give the same patient different answers.

Whether your child can ever trace the donor

The third gate is one that only becomes visible eighteen years later. The European survey found strict donor anonymity in 16 countries, while in 12 countries a donor-conceived person is entitled to learn the donor's identity. That second figure was 6 in the previous survey.³

Spain sits firmly on the anonymous side. Article 5.5 of Law 14/2006 requires that "donation shall be anonymous and the confidentiality of the donors' identity data must be guaranteed".⁶ Disclosure is allowed only in extraordinary circumstances.⁶

The UK went the other way. The Human Fertilisation and Embryology Authority, the UK regulator, ended donor anonymity on 1 April 2005. A person conceived from a donation made on or after that date can request the donor's name at 18, along with date and country of birth. Non-identifying details are available at 16.¹¹

The regulator adds a caveat that applies everywhere, including the anonymous jurisdictions. Commercial genetic ancestry testing can identify a donor through relatives regardless of what the law promises.¹¹

What the eligibility lists get wrong

Several widely repeated country rules are out of date. Norway is still listed as banning egg donation in much medical-travel content. Its parliament voted to permit it on 26 May 2020, and treatment became available the following year.⁹ The fine print survives, though: a single woman in Norway may use assisted fertilisation, but the egg must be her own.⁹

One country restricts the travel itself, not only the treatment. Donor eggs, donor sperm and surrogacy have been prohibited in Turkey since its 1987 regulatory framework. In March 2010, according to a paper in Reproductive BioMedicine Online, Turkey "became the first country to legislate against the cross-border travel of its citizens seeking third-party reproductive assistance".¹² That is a rule about leaving, and no price table captures it.

The most permissive age figures are the least verifiable. North Cyprus is usually quoted as treating women up to 58. Agency sources do not agree with each other. One patient-referral site run by IVF Media states there is "no strict legal maximum age".¹⁰ It describes treatment up to 55 with special approval from the Northern Cyprus Ministry of Health.¹⁰

No statute confirming either figure was found for this article, and North Cyprus sits outside the European survey's coverage.³ Treat both numbers as clinic practice rather than law.

The survey itself has a date. The European figures describe the position at the end of 2022.³ Greece and Norway both changed their rules within a few years of that date, which is a fair indication of how quickly this moves.

How to use this before you shortlist

Work the gates in order, and only then look at money.

Start with who you are. Single, partnered, married, same-sex: this removes whole countries before anything else, and it removes the Czech Republic and Turkey from most non-traditional shortlists outright.³

Then check which gametes you need. Needing a donor egg cuts the list of 49 countries down to 28 for a single woman and 16 for a female couple.⁵

Then check your age against the right kind of rule. Ask whether the limit quoted to you is in the country's statute or in a professional guideline, because only one of those is fixed.³ Ask for the legal reference.

Then decide what you want your child to be able to find out at 18, because that is decided now and cannot be changed later.¹¹

Only after those four filters does a price comparison mean anything. Every figure in a cost table assumes you are eligible for the treatment being priced, and that assumption is the one thing the table never states.

Footnotes

1. https://www.eggdonationfriends.com/ivf-egg-donation-country-czech-republic — EggDonationFriends (IVF Media Ltd), "Egg Donation in Czech Republic: Costs & Clinics", a patient-information and clinic-referral site. Advertised prices and eligibility summary. Accessed Sep 20, 2026. ↩ ↩²

2. https://www.hast-ak.com/en/family-law/assisted-reproduction-or-artificial-insemination-in-legal-practice-2/ — Hartmanová & Steininger, attorneys in Prague, "Assisted reproduction or artificial insemination in legal practice", summarising Czech Act No. 373/2011 Coll. on specific health services. Accessed Sep 20, 2026. ↩ ↩² ↩³

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC11373472/ — C. Calhaz-Jorge, J. Smeenk, C. Wyns and others, European IVF-Monitoring Consortium for the European Society of Human Reproduction and Embryology, "Survey on ART and IUI: legislation, regulation, funding, and registries in European countries — an update", Human Reproduction vol. 39 no. 9 (published Sep 2024); legal position as at 31 December 2022. Accessed Sep 20, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰

4. https://www.gesetze-im-internet.de/eschg/BJNR027460990.html — Federal Ministry of Justice (Germany), "Gesetz zum Schutz von Embryonen (Embryonenschutzgesetz)", Section 1(1) no. 1, in force since Jan 1, 1991. Accessed Sep 20, 2026. ↩ ↩²

5. https://fertilityeurope.eu/wp-content/uploads/2025/06/ATLAS2024_5December_EP.pdf — Fertility Europe and the European Parliamentary Forum for Sexual and Reproductive Rights, "European Atlas of Fertility Treatment Policies" (presented at the European Parliament, Dec 3, 2024), scoring 49 countries and territories. Accessed Sep 20, 2026. ↩ ↩² ↩³ ↩⁴

6. https://www.boe.es/buscar/act.php?id=BOE-A-2006-9292 — Boletín Oficial del Estado (Spain), "Ley 14/2006, de 26 de mayo, sobre técnicas de reproducción humana asistida", Articles 5.5 and 6.1-6.2. Accessed Sep 20, 2026. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

7. https://www.reproduccionasistida.org/faqs/existe-un-limite-legal-en-la-edad-para-ser-padre-por-reproduccion-asistida-en-espana/ — Reproducción Asistida ORG, "¿Existe un límite legal en la edad para ser padre por reproducción asistida en España?", describing the Spanish Fertility Society recommendation and the agreement among centres. Accessed Sep 20, 2026. ↩ ↩²

8. https://china-cee.eu/2022/08/01/greece-social-briefing-greeces-new-law-for-medical-assisted-reproduction/ — China-CEE Institute, "Greece social briefing: Greece's new law for Medical Assisted Reproduction" (published Aug 1, 2022), on Law 4958/2022. Accessed Sep 20, 2026. ↩ ↩²

9. https://norway.dlapiper.com/en/news/amendments-norwegian-biotechnology-act-and-related-guidelines — Advokatfirmaet DLA Piper Norway AS, "Amendments to the Norwegian Biotechnology Act and related guidelines" (published May 28, 2020). Accessed Sep 20, 2026. ↩ ↩² ↩³ ↩⁴

10. https://www.fertilityclinicsabroad.com/ivf-clinics-abroad/ivf-over-50-in-north-cyprus/ — Fertility Clinics Abroad (IVF Media Ltd), "IVF Over 50 in North Cyprus", a clinic-referral site. Accessed Sep 20, 2026. ↩ ↩² ↩³ ↩⁴

11. https://www.hfea.gov.uk/donation/donors/rules-around-releasing-donor-information/ — Human Fertilisation and Embryology Authority (UK), "Rules around releasing donor information". Accessed Sep 20, 2026. ↩ ↩² ↩³

12. https://doi.org/10.1016/j.rbmo.2011.08.004 — Zeynep B. Gürtin, "Banning reproductive travel: Turkey's ART legislation and third-party assisted reproduction", Reproductive BioMedicine Online (2011), pages 555-564; abstract retrieved via the Europe PMC API. Accessed Sep 20, 2026. ↩

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