The Quick Answer
🇪🇸 Choose Spain If:
- ✓ You need donor eggs (largest pool)
- ✓ You're over 40 and using own eggs
- ✓ You want top success rates
- ✓ Budget is flexible ($6,000-10,000)
- ✓ You want warm weather and beaches
🇨🇿 Choose Czech Republic If:
- ✓ You need the lowest cost
- ✓ You're using your own eggs
- ✓ You want great value donor eggs
- ✓ Budget is tight ($3,000-6,000)
- ✓ You like European charm (Prague)
Price Comparison
Czech Republic is significantly cheaper. Spain offers higher success rates but at a premium:
| Treatment | Spain | Czech Republic | US |
|---|---|---|---|
| IVF (own eggs) | $5,000-7,000 | $2,500-4,000 | $15,000-20,000 |
| IVF + Donor Eggs | $8,000-12,000 | $5,000-7,000 | $25,000-40,000 |
| Egg Freezing | $3,500-5,000 | $2,000-3,500 | $8,000-15,000 |
| Medications | $1,500-3,000 | $1,000-2,000 | $3,000-5,000 |
| FET (Frozen Transfer) | $2,000-3,000 | $1,500-2,500 | $4,000-6,000 |
Bottom line: Czech is 30-40% cheaper. Both save 60-75% vs US.
Success Rates
This is where Spain pulls ahead, especially for donor eggs:
| Patient Profile | Spain | Czech Republic |
|---|---|---|
| Own eggs, under 35 | 50-55% | 45-50% |
| Own eggs, 35-40 | 35-45% | 30-40% |
| Own eggs, over 40 | 15-25% | 10-20% |
| Donor eggs | 55-65% | 45-55% |
Success rates per embryo transfer. Spain's advantage is most pronounced with donor eggs.
Why Spain Has Higher Success Rates
- • Larger donor pool - More donors = better matching
- • Higher volume - Clinics perform more cycles, refining techniques
- • Research investment - Major clinics (IVI) are globally recognized
- • No age limits - Can treat patients up to 50 (Czech limits at 49)
Donor Availability
If you need donor eggs, this is a critical factor:
🇪🇸 Spain Donors
- Wait time: 1-3 months
- Pool: Largest in Europe
- Ethnicity: Primarily Southern European, some diversity
- Anonymous: Yes (required by law)
- Matching: Excellent - phenotype matching standard
🇨🇿 Czech Donors
- Wait time: 2-4 months
- Pool: Smaller but growing
- Ethnicity: Primarily Eastern European
- Anonymous: Yes (with some limited info)
- Matching: Good, but fewer options
Legal Considerations
| Factor | Spain | Czech Republic |
|---|---|---|
| Age limit (own eggs) | 50 years | 49 years |
| Age limit (donor eggs) | 50 years | 49 years |
| Single women | Allowed | Allowed |
| Same-sex couples (female) | Allowed | Allowed |
| Embryo genetic testing (PGT) | Allowed | Allowed |
| Sex selection | Not allowed | Not allowed |
| Donor anonymity | Anonymous (mandatory) | Anonymous (limited info available) |
Travel Comparison
🇪🇸 Spain
- Main cities: Barcelona, Madrid, Valencia, Alicante
- Flight from NYC: 7-8 hours direct
- Climate: Mediterranean, warm
- Language: Spanish (English at clinics)
- Vibe: Beaches, culture, great food
- Visa: Not needed <90 days
🇨🇿 Czech Republic
- Main city: Prague (most clinics)
- Flight from NYC: 8-9 hours (usually 1 stop)
- Climate: Continental, cold winters
- Language: Czech (English at clinics)
- Vibe: Historic, charming, affordable
- Visa: Not needed <90 days
Top Clinics
🇪🇸 Spain Top Clinics
- IVI (multiple locations) - Largest fertility group in world, pioneers in egg vitrification
- Institut Marquès (Barcelona) - Known for music therapy, luxury experience
- Eugin (Barcelona) - High volume, excellent donor program
- Ginefiv (Madrid) - Excellent success rates, good value
🇨🇿 Czech Republic Top Clinics
- IVF Cube (Prague) - Modern facility, strong international reputation
- Reprofit (Brno) - Highest volume in Czech, excellent success rates
- Prague Fertility Centre - English-speaking staff, personalized care
- Gennet (Prague) - Genetic testing specialty
Our Recommendation
For donor egg IVF: Choose Spain. The larger donor pool, higher success rates, and proven track record justify the extra cost. When you're investing this much emotionally and financially, maximizing success matters.
For own-egg IVF on a budget: Choose Czech Republic. Success rates are only slightly lower, and you'll save $2,000-4,000 that could fund additional cycles if needed.
For single women or same-sex couples: Both are equally welcoming. Choose based on budget and whether you need donors.
Related Guides
Spain IVF Guide
Complete guide to fertility treatment in Spain
🇨🇿Czech Republic Destination Guide
Medical tourism in Prague and beyond
This comparison is for informational purposes only and does not constitute medical advice. Success rates vary by individual circumstances. Consult with fertility specialists before making treatment decisions. Verify all pricing and clinic information directly.