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Epidaurus · Treatment Guide · Reproductive Services

Going abroad for —

Fertility Preservation

Egg, embryo, and sperm freezing services

A fuller editorial guide to fertility preservation is coming soon. For now, the ranking below compares every country we have assessed on it — open a country's report for the cited detail behind its score.

The country comparison

Which countries are best for fertility preservation

The destinations ranked high→low under this lens — each with the reasoning behind its score, the cited evidence one click down, and its full report. The verdict is free; the report is the depth.

19 / 19 Countries ranked

Researched and assessed by the Epidaurus editorial pipeline against our published scale. A country below the rule is not yet assessed enough — never ranked last.

  1. 1 Brazil BR 5.0/5 Good Brazil delivers comprehensive, high-quality fertility preservation services with 189 registered ART centers (189× the minimum threshold), universal vitrification technology achieving 90–97% post-thaw oocyte survival, ... Full report
    The evidence behind this score 7 cited points
    • 189 active ART centers registered with SisEmbrio; 73.9% offer fertility preservation services; ~50% hold REDLARA accreditation; 63 clinics in São Paulo alone
    • Post-thaw oocyte vitrification survival rates 90–97%; clinical pregnancy rates ~50% for women under 35; mean 10.3 oocytes per patient in documented cancer preservation cohort
    • Egg freezing cycle USD $3,000–$5,000 at international-focused clinics; 30–50% savings versus US/European pricing
    • Indefinite oocyte and sperm storage with active contracts; up to ~10 years in standard practice; embryo disposal permitted after 3 years at patient request
    • CFM Resolution 2320/2022 permits social and medical preservation for all capable adults regardless of marital status, sexual orientation, or gender identity; no restrictions on international patients
    • 85.1% of surveyed fertility clinics routinely treat non-Brazilian residents; multilingual staff, telehealth pre-consultation, visa documentation assistance, and concierge services documented at leading centers
    • ANVISA-regulated international transport framework; multiple clinics with multi-country network affiliations (Huntington-Eugin, IVI, Chedid Grieco-NY) experienced in cross-border material logistics

    Read the full Brazil report →

  2. 2 Thailand TH 4.5/5 Good Thailand demonstrates exceptional fertility preservation services with state-of-the-art vitrification technology achieving 95%+ egg survival rates, multiple JCI/RTAC-accredited facilities, highly competitive pricing (... Full report
    The evidence behind this score 6 cited points
    • State-of-the-art vitrification technology with 95%+ egg survival rates and nearly 100% post-thaw vitrification survival, exceeding Score 5 standards
    • Approximately 50 IVF clinics nationwide with multiple JCI/RTAC-accredited facilities (SAFE Fertility Group, Vejthani Hospital VFC, Prime Fertility Clinic), exceeding the 10+ facility threshold
    • Competitive pricing at $5,000-10,000 per cycle, representing 40-70% savings versus Western countries, within or below Score 5 range
    • Flexible storage available for 10+ years (with regulatory ambiguity on maximum duration), supporting long-term preservation
    • Comprehensive international patient programs including medical visa support, 7-10 day treatment timelines, multilingual staff (90%+ with international certifications), and dedicated patient coordination
    • Critical limitation: Legal prohibition on exporting gametes/embryos restricts international transfer despite global transfer being a Score 5 requirement

    Read the full Thailand report →

  3. 3 Malaysia MY 4.5/5 Good Malaysia combines excellent fertility preservation infrastructure—10–12 accredited clinics with modern vitrification technology, 85–98% egg survival rates, and competitive pricing (USD 3,300–5,500) that meets Score 5 ... Full report
    The evidence behind this score 8 cited points
    • 10–12 private fertility clinics offering preservation to international patients, concentrated in Kuala Lumpur, Johor Bahru, and Penang (Zora Health 2025)
    • Post-thaw egg survival rates of 85–98% across leading clinics, with Alhaya Fertility Centre reporting ~98% using Cryotec® vitrification technology (Alhaya Fertility Centre 2024, Alpha IVF 2024)
    • Full egg-freezing cycle cost of USD 3,300–5,500 (RM 15,000–25,000), directly within Score 5 benchmark range and 70% below Western markets (CureMeAbroad 2025)
    • Maximum storage period of 10 years (5-year initial extendable to 10 years) per MMC guidelines (Zora Health 2025)
    • 2022 National Fatwa Council ruling prohibiting elective egg freezing for unmarried Muslim women; non-Muslim unmarried women legally eligible; IVF usage restricted to married heterosexual couples (Progress Educational Trust 2022, Zora Health 2025)
    • Dedicated international patient infrastructure at Sunway Fertility Centre including airport transfers, accommodation, translators, visa extension assistance, and 24/7 support (Sunway Fertility Centre 2024)
    • Multi-layered accreditation at major clinics including JCI, MSQH, and RTAC certifications; 490-member MSART professional standards body (my1health.com 2025, MSART 2025)
    • Absence of standalone ART legislation; regulation via MMC guidelines only with no statutory framework or independent appeals process (ResearchGate 2019)

    Read the full Malaysia report →

  4. 4 Spain ES 4.5/5 Good Spain offers exceptional fertility preservation infrastructure with 30+ internationally oriented clinics, indefinite storage under Law 14/2006, state-of-the-art vitrification technology, and highly competitive pricing... Full report
    The evidence behind this score 5 cited points
    • 30+ clinics offering fertility preservation, with IVI's 31-clinic network and other major systems (Instituto Bernabeu, Dexeus Mujer, Clínica Tambre); Spain performs 15% of all European IVF
    • Indefinite storage permitted under Law 14/2006; no legal maximum storage duration; biennial consent confirmation required
    • Post-thaw oocyte survival 85-90% via vitrification; frozen embryo transfer pregnancy rates 58-60.9%; vitrification used universally at leading clinics
    • Egg freezing cycle €2,000-5,000; medications €500-1,500; annual storage €200-500; total cost 40-65% below US and ~50% below UK rates
    • Law 14/2006 permits preservation for any woman 18+ regardless of marital status, nationality, or sexual orientation; no age limits on preservation; Dexeus Mujer is ESHRE-accredited training center

    Read the full Spain report →

  5. 5 United Kingdom GB 4.5/5 Good The United Kingdom offers world-class fertility preservation services with exceptional regulatory oversight (HFEA), state-of-the-art vitrification technology achieving 95% egg survival rates, and abundant facilities (... Full report
    The evidence behind this score 7 cited points
    • 107 HFEA-licensed treatment clinics plus 15 storage-only facilities provide one of the densest regulated networks globally
    • 95% post-thaw egg survival with universal vitrification technology across all major clinics
    • 55-year maximum storage period (since July 2022) with decennial consent renewal—among the world's most generous
    • Complete egg freezing cycle costs £4,500–£8,500 ($5,700–$10,800 USD) including medication and first-year storage
    • HFEA rated as 'world's most rigorous independent regulator' with mandatory inspection, licensing, and Code of Practice standards
    • Dedicated international patient programs (Manchester Fertility, HCA UK); English-speaking staff virtually universal; Standard medical visitor visa £115–200
    • Clear HFEA export pathways (General Direction and Special Direction routes) enable international material transfer

    Read the full United Kingdom report →

  6. 6 United Arab Emirates AE 4.5/5 Good The UAE provides excellent fertility preservation services with 8+ internationally accredited facilities (JCI, CAP, ISO certified), universal vitrification technology, >90% egg survival rates, and competitive pricing ... Full report
    The evidence behind this score 7 cited points
    • At least 8 major internationally accredited fertility clinics across Dubai, Abu Dhabi, and Al Ain including Bourn Hall (JCI Gold Seal), Orchid (JCI+CAP), HealthPlus (CAP+JCI), and Fakih IVF (JCI+ISO)
    • All major clinics use state-of-the-art vitrification exclusively; post-thaw egg survival rates exceed 90% at leading facilities
    • Egg freezing cycles average USD 5,200-6,800 with annual storage at USD 544; 40-60% cheaper than UK, Canada, or USA
    • Base storage period of 5 years, extendable upon written request; Bourn Hall and others contact patients annually for renewal
    • Established international patient programs with multilingual support, remote consultations, visa assistance, and concierge services; 45% surge in European patients reported for 2025-2026
    • Federal Law No. 7/2019 (amended 2023) explicitly permits egg freezing for medical and social purposes; Dubai Health Authority 2024 Standards mandate cryopreservation quality records and backup systems
    • Critical restriction: frozen eggs may only be used after marriage with husband's sperm; egg donation prohibited; same-sex couples excluded

    Read the full United Arab Emirates report →

  7. 7 India IN 4.5/5 Good India meets nearly all Score 5 criteria with multiple internationally accredited facilities offering state-of-the-art vitrification technology, exceptional survival rates (90-95% eggs, 95-98% embryos), and outstanding... Full report
    The evidence behind this score 7 cited points
    • Major fertility networks operate 70+ to 100+ locations nationwide with state-of-the-art vitrification technology
    • Post-vitrification survival rates of 90-95% for eggs and 95-98% for embryos meet or exceed international standards
    • Egg freezing costs ₹1,00,000-₹2,50,000 ($1,200-$3,000 USD) represent exceptional value compared to Western costs of $10,000-15,000
    • ART (Regulation) Act 2021 provides regulatory framework with clear registration requirements and age limits (women 21-50, men 21-55)
    • Comprehensive international patient support including dedicated coordinators, medical visa assistance, language services, and travel coordination
    • Standard 10-year storage duration with National Board approval for longer preservation in medical cases like cancer patients
    • Transfer of gametes and embryos to countries outside India for research is prohibited, with clinical transfer policies remaining unclear

    Read the full India report →

  8. 8 Israel IL 4.5/5 Good Israel offers world-class fertility preservation infrastructure with 20 Ministry of Health–approved cryopreservation centers, universal adoption of state-of-the-art vitrification technology, and well-established inter... Full report
    The evidence behind this score 8 cited points
    • 20 Ministry of Health–approved cryopreservation centers meeting Article 4 Public Health Regulations
    • Universal vitrification adoption with post-thaw egg survival ~80% and embryo survival ~90%
    • Competitive pricing: USD 6,500–8,500 all-in per egg freezing cycle including medications and first-year storage
    • Multiple JCI-accredited facilities (Assuta, Hadassah, Sheba, Rambam, Herzliya) with dedicated international patient departments
    • Established international material transfer via specialist couriers to USA, UK, Australia, and Europe
    • Storage duration: 5 years initial with extensions available; up to 10 years for medically indicated cases
    • Comprehensive regulatory framework described as 'most comprehensive and detailed' among comparable nations
    • 2024 State Comptroller report identified IVF unit compliance monitoring gaps and regulatory oversight deficiencies

    Read the full Israel report →

  9. 9 United States US 4.0/5 Good The United States meets and exceeds most Score 4 criteria with 456+ ART-reporting clinics, state-of-the-art vitrification technology achieving 90–95% post-thaw oocyte survival rates, indefinite cryogenic storage, esta... Full report
    The evidence behind this score 5 cited points
    • 456+ ART-reporting clinics with 371 SART-member facilities performing 39,269 egg-freezing cycles in 2023 — 39.2% year-over-year increase
    • Post-thaw oocyte survival rates of 90–95% using vitrification; Extend Fertility 8-year study: >55% live birth/ongoing pregnancy rate overall, 66.7% for patients under 35
    • Egg-freezing costs of $10,000–15,000 procedural + $3,000–5,000 medications + $500–1,000/year storage = $15,000–20,000 total per cycle
    • Indefinite cryogenic storage duration permitted; successful pregnancies documented from embryos stored 20+ years
    • Established international patient programs at Shady Grove (35+ countries), CCRM, Kindbody, NYU Langone with multilingual support; 88% of U.S. labs hold CAP accreditation

    Read the full United States report →

  10. 10 Colombia CO 4.0/5 Good Colombia offers comprehensive fertility preservation services across 10+ accredited facilities with state-of-the-art vitrification technology, post-thaw survival rates of 80–90%+ (with some clinics exceeding 90%), and... Full report
    The evidence behind this score 7 cited points
    • 10+ clinics offering egg freezing across six cities with international accreditations (REDLARA Gold Seal, GHA, ISO 9001, JCI) [InSer, Reprotec, CECOLFES, Eugin Colombia and others]
    • Post-thaw oocyte survival rates 80–90%+ at leading facilities; CECOLFES documented 182+ live births from vitrified eggs since pioneering the technique in Colombia (2005)
    • Egg freezing cycle costs $3,000–$5,000 USD plus $1,000–$2,300 USD medications, totaling $4,300–$7,600 USD for first-year cycle including storage; annual storage $100–$600 USD thereafter
    • No legal maximum storage duration; material may be stored indefinitely at −196°C in liquid nitrogen cryotanks
    • More than one-third of fertility patients at major clinics are international; mature infrastructure includes airport transfers, bilingual coordinators, telemedicine consultations, and specialist travel agencies
    • Permissive regulatory environment: no restrictions on marital status, sexual orientation, or international patient access; no prohibition on gamete/embryo international transport
    • Weak enforcement and thin legal framework: Decree 1546/1998, Resolution 3199/1998, and Law 1953/2019 form the regulatory base but do not establish comprehensive patient protections for cryopreserved materials; private-sector oversight is limited

    Read the full Colombia report →

  11. 11 Germany DE 4.0/5 Good Germany demonstrates excellent fertility preservation infrastructure with 143–163 clinics offering services, universal vitrification achieving >90% post-thaw egg survival, indefinite storage capacity, and costs within... Full report
    The evidence behind this score 5 cited points
    • 163 centres in the tri-national FertiPROTEKT network; 143 clinics in German IVF Registry representing ~90% of fertility centres nationwide
    • Vitrification is standard technique with post-thaw egg survival >90% at experienced centres
    • Costs €3,300–€5,800 per egg freezing cycle ($3,600–6,350 USD), with indefinite storage available at no statutory maximum duration
    • Statutory health insurance (GKV) covers medical fertility preservation since July 2021 for patients facing gonadotoxic treatments
    • Egg donation is absolutely prohibited; embryo creation restricted to maximum three per cycle with 2PN freezing limits; access historically inconsistent for single women and same-sex couples outside Berlin

    Read the full Germany report →

  12. 12 South Korea KR 4.0/5 Good South Korea demonstrates excellent fertility preservation infrastructure with state-of-the-art vitrification technology, multiple accredited facilities (CHA conducts 90,000+ IVF procedures annually), competitive prici... Full report
    The evidence behind this score 5 cited points
    • CHA Fertility Center conducts 90,000+ IVF procedures annually (largest in Asia) with multiple accredited facilities including Maria Fertility Hospital
    • Post-thaw egg survival rate 87.8% with fertilization rate 93.8% for vitrified oocytes, exceeding Score 4 minimum of >85%
    • Egg freezing costs USD 1,875-3,750 per cycle with annual storage at USD 225, significantly lower than typical $6,000-10,000 for Score 4
    • Long-term storage up to 15+ years available; state-of-the-art vitrification technology with multiple ASRM awards
    • Marriage certification required for IVF; laws prevent embryo export abroad; single women can freeze eggs but cannot fertilize until married

    Read the full South Korea report →

  13. 13 Mexico MX 4.0/5 Good Mexico qualifies as a good fertility preservation destination with 6+ quality clinics offering modern vitrification technology, exceptional survival rates (98% for eggs, >95% for embryos), competitive pricing ($3,500-... Full report
    The evidence behind this score 9 cited points
    • Multiple internationally accredited facilities (Citmer, INGENES, Fertilidad Integral, Advanced Fertility Center Cancun, LIV Fertility, IMI) with REDLARA certification at leading centers
    • 98% egg survival rate after thawing and >95% embryo survival rates using vitrification technology, exceeding Score 4 threshold
    • Egg freezing costs $3,500-6,500 USD plus medication, within Score 4 range and competitive globally
    • Indefinite storage capability with no decline in quality; women have successfully used eggs frozen over a decade
    • Comprehensive international patient support including pre-consultation, express 24-hour scheduling, visa assistance (180 days for US/Canada), accommodation coordination, and English-speaking staff
    • Inclusive regulations allowing unmarried couples, LGBTQ+ individuals, singles, and foreign patients with no federal restrictions on IVF, ICSI, egg/sperm donation
    • No specific federal legislation governing assisted reproduction; clinics operate under AMMR and REDLARA agreements, creating potential quality variability
    • COFEPRIS transfer permit ($1,200 USD) required for international material transport with 3-6 month processing time
    • Fertility clinics not subject to SART oversight, allowing unregulated success statistics and claims

    Read the full Mexico report →

  14. 14 Poland PL 4.0/5 Good Poland offers 40+ fertility clinics with state-of-the-art vitrification technology and exceptional post-thaw survival rates (90–97% for eggs), far exceeding technical benchmarks. Costs are 50–70% lower than Western Eu... Full report
    The evidence behind this score 6 cited points
    • Facility count: 40+ clinics nationwide with 10+ major international programs (INVICTA, Gyncentrum, InviMed, Klinika Bocian)
    • Success rates: Post-thaw oocyte survival 90–97% using vitrification (exceeds Score 5 benchmark of >90%)
    • Cost: €1,400–€1,900 for complete egg freezing cycle; €155–€165 annual storage (50–70% savings vs. UK/US)
    • Storage duration: 20-year availability for unfertilized oocytes and embryos
    • International patient services: INVICTA serves 50+ countries; Gyncentrum serves 60% international patients in 6 languages
    • Regulatory barriers: 2015 Infertility Act restricts IVF/embryo creation to married/cohabiting heterosexual couples; mandatory embryo donation after 20 years; single women and same-sex couples excluded from ART

    Read the full Poland report →

  15. 15 Singapore SG 4.0/5 Good Singapore offers high-quality fertility preservation through 13+ facilities with state-of-the-art vitrification technology, post-thaw egg survival rates of 85–94%, and indefinite storage. International patient program... Full report
    The evidence behind this score 5 cited points
    • 13+ facilities across public (KKH, SGH, NUH) and private providers (Virtus, Raffles, Thomson, Monash IVF, Alpha IVF, Mount Elizabeth)
    • Post-thaw egg survival 85–94% with universal vitrification technology; clinical pregnancy rate 62.6% per transfer
    • Indefinite storage permitted with consent renewal every 10 years
    • Pricing SGD 7,000–24,000 (USD 7,000–18,000 all-in); public hospitals ~USD 5,250–9,000
    • Usage of frozen materials restricted to legally married heterosexual couples within Singapore; same-sex couples and singles cannot treat domestically but export is legally permitted

    Read the full Singapore report →

  16. 16 Japan JP 3.5/5 Moderate Japan demonstrates world-class technical quality (94% oocyte survival via vitrification), highly competitive pricing ($4,000–6,000 per cycle), and exceptional infrastructure (625+ ART facilities, 146 offering egg free... Full report
    The evidence behind this score 5 cited points
    • 625–638 JSOG-registered facilities with 146 explicitly offering oocyte cryopreservation and 155 in the national oncofertility registry, but only handful with English services
    • Post-thaw oocyte survival rate of 94% via vitrification at leading centers, exceeding international benchmarks; live birth rate 21.3% per returning patient
    • Egg-freezing cycle cost of $4,000–6,000 USD with annual storage of ~$230/year—highly competitive by OECD standards
    • Spousal consent requirement: women can freeze eggs but are legally barred from using them without written consent of a legally married male spouse, preventing use by single women and same-sex couples
    • Limited international patient programs: Fertility Clinic Tokyo, Kyono ART Clinic, Sugiyama Clinic, and Oak Clinic offer English services, but majority of clinics operate exclusively in Japanese

    Read the full Japan report →

  17. 17 Turkey TR 3.5/5 Moderate Turkey offers fertility preservation with modern infrastructure, competitive pricing ($3,500-$6,500 per cycle), strong survival rates (80-90%), and extensive JCI accreditation. However, restrictive regulations limitin... Full report
    The evidence behind this score 8 cited points
    • 20-30 IVF clinics serving international patients with modern vitrification technology
    • Egg freezing costs $3,500-$6,500 per full cycle (including medications and first-year storage)
    • 80-90% post-thaw egg survival rates meeting international standards
    • 5-10 year embryo storage available with Ministry of Health permission
    • 50+ JCI-certified hospitals with 6-month Ministry oversight of all fertility clinics
    • Restrictive marriage requirement: only married couples or medically-justified single women can access services
    • Turkish law strictly prohibits transport of frozen embryos out of country, requiring return trips for transfer procedures
    • Regulations limited to medical indications (cancer, diminished ovarian reserve) with no legal elective/social freezing

    Read the full Turkey report →

  18. 18 Jordan JO 2.5/5 Moderate Jordan operates 14+ fertility clinics with modern vitrification technology, >90% egg viability rates, and competitive $5,000 pricing that would justify a Score 3-4 rating. However, critical legal barriers under Medica... Full report
    The evidence behind this score 6 cited points
    • Medical and Health Liability Law No. 25 of 2018 Article 13 restricts ART to legally married couples; social egg freezing for unmarried women is legally prohibited
    • 14+ fertility clinics nationwide with vitrification technology and >90% egg viability rates at JCI/HCAC-accredited facilities
    • Egg freezing costs approximately $5,000 USD, 22-67% higher than Turkey but competitive within region
    • No statutory maximum storage duration; Islamic marriage principle creates de facto constraint (material cannot be used if couple divorces or spouse dies)
    • Report conclusion: 'limited option for fertility preservation medical tourism due to substantial legal and religious restrictions excluding single women'
    • No government-operated fertility medical tourism program; storage facility protocols and backup systems not publicly documented

    Read the full Jordan report →

  19. 19 Hungary HU 1.0/5 Poor Hungary is essentially inaccessible for international medical tourists seeking fertility preservation. Social egg freezing is explicitly banned by law, all private fertility clinics were eliminated in 2022, the state ... Full report
    The evidence behind this score 5 cited points
    • Social egg freezing is explicitly prohibited under Hungarian law [Ethical Analysis of the European Normative Framework on Fertility Preservation - BMC Medical Ethics/PMC - 2026]
    • All private fertility clinics banned as of July 1, 2022; only state institutions may perform ART [Fertility Treatment in Hungary by 2022 - BioCouriers - 2022]
    • Hungary has no functional international patient infrastructure for fertility preservation [Despite Population Decline, The Hungarian Government Is Making It Harder to Have (IVF) Babies - RFE/RL - 2022]
    • State clinics reported success rates as low as 2% compared to 80% in neighboring countries [Assisted Reproduction in Hungary Has a Success Rate of 2% - European Data Journalism Network - 2023]
    • Medical fertility preservation lacks dedicated oncofertility programs with international support [Vesztergom et al., Fertility Preservation in Cancer Patients: Hungarian Oncofertility Review - 2023]

    Read the full Hungary report →

See the full ranking, the 1–5 rubric and the reports →