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Czech Republic as an IVF destination

IVF abroad Patient's Guide - Czech Republic

The Czech Republic, situated comfortably in the middle of mainland Europe, is catching up with Spain and it has become the second hottest spot for foreign fertility patients.

Although it was once a part of former Eastern Block, nowadays it is far from what we consider to be a stereotypical Eastern European country. When we think of the Czech Republic today, we associate it with modern cities steeped in history and culture, medieval architecture, high standards of living and – probably the most important – quality medical treatments at a reasonable cost.

In comparison to other top European fertility destinations (such as Spain and Greece), the Czech Republic is found to be the one with the most reasonable treatment prices. If we top it with advanced laboratory equipment, modern facilities and experienced IVF specialists, we can be sure that Czech IVF clinics are comparable to any found in Europe. Additionally, almost all clinics have doctors and staff who speak English and have no problems communicating with patients from all over the world.

The first Czech IVF baby was born in Brno in 1982 and the country is now home to around 40 fertility clinics dedicated to helping couples become parents. The country’s capital, Prague, is the most popular city for fertility tourism. Here is where most of top fertility clinics are located. Besides, its airport has good connections in and out of Europe and the city is equipped with efficient and cheap public transport.

Reasons to go to Czech Republic for IVF

  • Lower treatment costs
  • Very good standards of medical care
  • Clear and easy communication with friendly staff
  • Convenient and easy IVF trip to arrange
  • Experienced IVF doctors and specialists
  • Donor anonymity
  • Picturesque location with peaceful and relaxing atmosphere

IVF in Czech Republic at a glance

IVF treatment options in Czech Republic

  • maximum age for a female patient is 49 (precisely: 48 + 364 days)
  • both registered and unregistered opposite–sex couples are allowed for IVF treatment
  • egg donation and sperm donation are allowed
  • oocyte cryopreservation (egg freezing) is allowed
  • gender selection is possible only for medical reasons

Fertility clinics in the Czech Republic offer a wide range of fertility treatment. All types of assisted reproduction are regulated by statute and guidelines. However, there are some gaps in legislation – e.g. there is no definite law regarding surrogacy so it is not illegal in the Czech Republic.

Although the Czech Republic’s legislation on fertility treatment is quite liberal, it is not as tolerant as, for example, in Spain. Artificial insemination may be given to a woman who has a written consent signed by her partner stating that they intend to undertake this medical procedure together. Artificial insemination is not allowed for a woman in a relationship with a man who has made a marriage application under another legal regulation. Same sex couples would not be able to access assisted reproduction legally. IVF Treatment and egg donation is available strictly up to the age of 48 years old + 364 days (49th birthday).

Egg donation and sperm donation are allowed. The donation must be kept anonymous by both parties and medical records of the donors must be kept for 3 decades. The Czech law states that the woman who gives birth to the baby is the legal mother of the child. So this means that when an egg is donated, the birth mother then becomes the lawful mother. In the Czech Republic it is not permitted to use IVF techniques to choose the sex of a baby, except in the case of some serious genetic diseases. As far as types of treatment are concerned, procedures such as ICSI, PGS, PGD or assisted hatching are allowed. Social freezing of oocytes is permitted by law and the number of embryos transferred per cycle is decided by the treated couple in consultation with the physician of the given IVF clinic.

IVF treatment in Czech Republic
Maximum patient age (woman)48
+ 12 months
IVF treatments for single womenNot allowed
IVF treatments for lesbian couplesNot allowed
Maximum number of embryos to transfer IVF with donor eggs2
Upon the decision of the couple in consultation with the IVF clinic
Maximum number of embryos to transfer IVF with own eggs2
Upon the decision of the couple in consultation with the IVF clinic
Anonymous egg donorsYes
Non anonymous egg donorsNo
Egg donor availabilityVery good
Egg donor age18-34

IVF treatment costs in Czech Republic1,2

IVF costs in Czech Republic1,2
Treatment optionPrice range
IVF with own eggs program€2,700 - €5,700
IVF with donor eggs program€4,500 - €8,000
Medical consultation - visit / online (with doctor)€100 - €150
Donor sperm€200 - €500
Frozen embryo transfer (all embryos)€700 - €1,200

IVF success rates in Czech Republic

IVF own eggs success rates in Czech Republic3 (pregnancy per embryo transfer)

IVF with own eggs success rates in Czech Republic3
Woman age<3435-39≥40
IVF with own eggs in Czech Republic
33.3%25.4%13.2%
ESHRE average in Europe29.0%24.2%12.9%

IVF donor eggs success rates in Czech Republic3 (pregnancy per embryo transfer)

IVF with donor eggs success rates in Czech Republic3
IVF with donor eggs in Czech Republic46.8%
ESHRE average in Europe
50.3%

Assisted Reproduction Law and Clinics in Czech Republic – information for Patients

Assisted Reproduction Law and Clinics in Czech Republic – information for Patients
ResourceAvailable online?Language
ART Legislation in countryYes / Link>>>Czech
List of certified IVF Centers by independent national
body
Yes / Link>>>Czech
Success rates published as per IVF center by
independent national body
No-
National success rates published for country by
independent national body
Yes / Link>>>Czech

Institution and / or contact person for IVF patients in Czech Republic

Answer from Czech Ministry of Health:

“The Ministry of Health is not the contact point for artificial insemination. In the case of interest in artificial insemination, clients must contact directly the specific provider who has been authorized to provide health services in the field of reproductive medicine or in the case of artificial insemination.If health service providers are authorized to provide health services in a given area, they are listed in the National Register of Health Service Providers https://nrpzs.uzis.cz/”.

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References
  1. Patients Enquiries Reports 2013-2019, Fertility Clinics Abroad Ltd., Edinburgh, August 2019.
  2. Patients Enquiries Report’s 2013-2019, IVF Media Ltd., Dublin, August 2019.
  3. De Geyter Ch., Calhaz-Jorge C., Kupka M. S., Wyns C., Mocanu E., Motrenko T., Scaravelli G., Smeenk J., Vidakovic S., Goossens V., The European IVF – Monitoring Consortium (EIM) for the European Society of Human Reproduction and Embryology (ESHRE): ART in Europe, 2014: results generated from European registries by ESHRE, Human Reproduction, Volume 33, Issue 9, September 1st 2018, pp. 1586-1601. 
    https://academic.oup.com/humrep/article/33/9/1586/5055580
  4. Report on the Regulation of Reproductive Cell Donation in the European Union. Results of Survey, European Commission, Health & Consumer Protection Directorate-General, Brussels, February 2006.
    https://ec.europa.eu/health/ph_threats/human_substance/documents/tissues_frep_en.pdf
  5. International Federation of Fertility Societies’ Surveillance (IFFS) 2019, Global Trends in Reproductive Policy and Practice, 8th Edition, Global Reproductive Health, Wolters Kluwer,  March 2019, Volume 4, Issue 1, p. e29.
    https://journals.lww.com/grh/FullText/2019/03000/International_Federation_of_Fertility_Societies_.3.aspx
  6. A Policy Audit on Fertility. Analysis of 9 EU Countries, Fertility Europe, European Society of Human Reproduction and Embryology (ESHRE), Evere, Grimbergen, March 2017.
    http://www.fertilityeurope.eu/wp-content/uploads/2018/03/EPAF_FINAL.pdf
  7. Keane M., Long J., O’Nolan G., Farragher L., Assisted reproductive technologies: International approaches to public funding mechanisms and criteria. An evidence review, Health Research Board, Dublin, 2017.
    https://www.gov.ie/en/publication/af2460-health-research-board-report-assisted-reproductive-technologies-inte/?referrer=/blog/publications/health-research-board-report-assisted-reproductive-technologies-international-approaches-to-public-funding-mechanisms-and-criteria-an-evidence-review/
  8. Assisted Reproductive Technology. Fertility Clinic Success Rates Report 2016, Centers of Disease Control and Prevention (CDC), Atlanta, October 2018.
    ftp.cdc.gov/pub/Publications/art/ART-2016-Clinic-Report-Full.pdf
  9. Präg P., Mills M., Assisted reproductive technology in Europe. Usage and regulation in the context of cross-border reproductive care, Families and Societies, Working Series Paper, Volume 43 (2015), Department of Sociology and Nuffield College, University of Oxford, Oxford, 2015. 
    http://www.familiesandsocieties.eu/wp-content/uploads/2015/09/WP43PragMills2015.pdf
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