IUI, IVF, and Fertility Preservation Costs in Southeastern Europe – 2024 Update

Waiting for a miracle to happen may take some time, especially if you are a prospective parent wishing to conceive via IUI or IVF and exploring the different options, including the fees involved. While in many countries there is a slight increase in fertility services’ fees, there are some countries where it is possible to initiate and complete the cycle with a budget under EUR 11,000 for Premium Oocyte Donation IVF with three transfers, or IUI treatment having under EUR 1,900, or vitrify oocytes and sperm for future use starting at EUR 1,990 for both cycles (egg freezing and sperm cryopreservation).

Southeastern European countries, such as Romania, Bulgaria, Greece, Bosnia and Herzegovina, and Serbia, have already updated the price lists for fertility care and assisted reproduction services available in 2024. Although some programs may not include consultations, laboratory tests, pre–cycle tests, some services of IVF lab., such as Fertile Chip, MACS and other sperm selection techniques, oocyte activation, assisted hatching, genetic compatibility test, and preimplantation genetic testing, still there is a brilliant chance to add these services to the basic bundle and invest less than in the United States, Canada, and Switzerland.

Though updates on fertility treatment costs are currently unavailable for Moldova, North Macedonia, Kosovo, Albania, and Montenegro, the clinics in these regions are taking promising steps towards enhancing transparency in financial policies. The journey to parenthood is indeed a profound one, and these insights aim to guide you through a landscape where possibilities align with budget–conscious choices.

ROMANIA

Starting a journey to having a baby within a year using assisted reproductive technologies, particularly Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF), can be a significant decision in the pursuit of parenthood. Romania, with its diverse fertility clinics and advantageous features, has become an increasingly attractive destination for individuals and couples seeking fertility treatments. This European country not only offers inclusive options for single women, female couples, and unmarried heterosexual couples but also presents a compelling blend of lower treatment costs and a streamlined process without daunting waiting lists.

Why Choosing Romania for IUI or IVF Treatment?

Inclusivity: Romania is a welcoming destination for various family structures, including single women opting for single motherhood by choice, female couples, and unmarried heterosexual couples. The inclusive nature of Romanian fertility clinics ensures that individuals and couples from diverse backgrounds can access fertility treatments tailored to their unique circumstances.
Lower Treatment Costs: One of the key attractions of choosing Romania for IUI or IVF treatment is the comparatively lower cost. This financial advantage opens doors for a broader range of individuals and couples to explore fertility treatments without compromising on the quality of care.
No Waiting Lists: Unlike some countries where prospective parents may face prolonged waiting timelines to start their treatment, Romania offers a more streamlined approach. The absence of extensive waiting lists allows individuals and couples to move forward with their fertility journey efficiently, minimizing stress and uncertainty

Who Is Eligible for Assisted Reproduction Services in Romania?

Single women.
Female couples.
Unmarried and married heterosexual couples.

Top Romanian Fertility Clinics:

Several esteemed fertility clinics in Romania have earned recognition for their expertise and success rates. Among them are:

Genesis Fertility Center
Dacia Medical Center
Avicenna Profertis
Gynatal
Orygin Fertility Center
Fertilia
Fetal Care

These clinics boast a range of services, from IUI and IVF to egg donation and embryo adoption, providing comprehensive options for diverse fertility needs.

Romania: IUI cost in 2024:

IUI with the partner’s sperm (procedure only): 200 EUR–350 EUR (only procedure); 900 EUR–1,000 EUR (full cycle including pre–IUI screenings and consultations).
Duo IUI with the partner’s sperm (two intrauterine inseminations within one cycle, procedures only): 600 EUR–700 EUR.
IUI with the donor’s sperm (procedure only): 700 EUR–800 EUR; full cycle including pre–IUI screenings and consultations; some bundles may cover two IUI procedures with the donor’s sperm within one cycle: 1,300 EUR–1,800 EUR.

Romania: IVF cost in 2024:

Natural IVF with own oocytes and the partner’s sperm: 775 EUR–1,350 EUR.
Multi–cycle Natural IVF with own oocytes and the partner’s sperm: 2,225 EUR–2,500 EUR.
IVF with own oocytes and the partner’s sperm: 1,400 EUR–1,500 EUR (with cleavage–stage embryo transfer); with Blastocyst transfer 1,800 EUR–3,225 EUR.
DuoStim IVF with own oocytes and the partner’s sperm (two SingleStim cycles, two OPU procedures, two transfer trials): 4,225 EUR–4,500 EUR.

Romania: Egg Donation IVF cost in 2024:

IVF using the donor’s eggs: 6,000 EUR–6,500 EUR.

Romania: Sperm Donation IVF cost in 2024:

IVF using the donor’s sperm: 2,200 EUR–3,525 EUR.

Romania: Embryo Adoption cost in 2024:

IVF with donated embryo: 5,000 EUR–6,000 EUR.

Romania: Unfertilized oocytes vitrification and storage cost in 2024:

Vitrification of unfertilized oocytes: 1,400 EUR–1,500 EUR.

Romania: Sperm freezing and storage cost in 2024:

Sperm freezing including 12–month storage: 200 EUR–500 EUR.

Financial tips for a successful IUI and IVF in Romania

Navigating the financial aspects of your fertility journey in Romania is a key step for prospective parents who have selected this destination. While these estimated costs offer valuable insights, it is vital to remember that unforeseen circumstances may arise during your treatment or pregnancy, especially for those traveling to Romania. Consider setting aside an extra budget for additional services and unexpected incidents — a “just in case” fund that can eliminate the stress of uncertainty. Whether planning your fertility journey in Romania or any international destination, it’s brilliant if you create a budget for unexpected challenges. By working closely with your chosen fertility clinic, you can establish a comprehensive financial plan that covers both anticipated and unanticipated aspects of your journey.

Apply for Any Kind of Fertility Treatment in Romania

In the realm of fertility treatments, Romania emerges as an inclusive and financially accessible option, offering a promising path toward realizing the dream of parenthood. As we step into 2024, the landscape of fertility care in Romania continues to evolve, providing hope and viable solutions for those on the path to building or expanding their families.

BULGARIA

Affordable programs for fertility treatment make Bulgaria a standout choice for prospective parents, securing its position as one of the most cost–effective destinations for IUI and IVF in 2024. The landscape of fertility clinics in Bulgaria is changing, with more clinics opening up about their fees and hidden costs associated with treatment cycles. Excitingly, for those with an IUI budget under 1,900 EUR and an IVF budget up to 7,000 EUR, the opportunity to embark on the journey towards parenthood is within immediate reach. With the guidance of exceptional experts in reproductive medicine, the dream of becoming parents, cherished for so many years, may soon become a reality.

Why Choosing Bulgaria for IUI or IVF Treatment?

Inclusive Programs: Bulgaria offers fertility programs that are not only inclusive but also more affordable than those in Central or Western Europe, the United States, and Canada.
Flexible Bundles: Tailor–made bundles allow adjustment to specific cases, starting with essential services and procedures and extending with additional ones as needed or suggested during the cycle.
Transparent Fees: Each program in Bulgaria comes with transparent and inclusive per–service fees, ensuring clarity and avoiding unexpected costs.
Fertility–Friendly Legislation: The legal framework supports assisted reproduction services for unmarried heterosexual couples, single women, and women–only couples.
No Waiting Lists: Initiation of any treatment cycle in Bulgaria is not hindered by waiting lists, ensuring a prompt start to the fertility journey.

Top Bulgarian Fertility Clinics:

Renowned for their expertise and exceptional success rates, several of distinguished fertility clinics in Bulgaria stand out in the realm of reproductive medicine. These include:

Afrodita Clinic
Repromed Medical Center
Nova Radost
Mother’s Home

These clinics offer a spectrum of services covering IUI, IVF, egg donation, and embryo adoption, presenting a comprehensive array of options to cater to diverse fertility needs. Their commitment to excellence and personalized care has earned them recognition as the leading institutions in Bulgaria’s fertility landscape.

Who Is Eligible for Assisted Reproduction Services in Bulgaria?

Single women
Female couples
Unmarried and married heterosexual couples

Bulgaria: IUI cost in 2024:

IUI using the partner’s sperm (procedure only, consultations and pre–screenings are charged additionally): 225 EUR–300 EUR.
Re–IUI using the partner’s sperm (re–IUI performed one or two days after the initial procedure): 75 EUR–225 EUR.
IUI using the donor’s sperm (procedure only, variable fees charged additionally): 500 EUR–650 EUR.
Duo IUI using the donor’s sperm (two inseminations within one cycle using semen from the same donor; consultations and pre–screening not included): 800 EUR–1,000 EUR.
Re–IUI using the donor’s sperm (performed one or two days after the first IUI procedure): 250 EUR–500 EUR.

Bulgaria: IVF cost in 2024:

Natural IVF cycle using own oocytes and the partner’s sperm: 825 EUR–1,000 EUR.
Natural IVF ICSI cycle using own oocytes and the partner’s sperm: 1,000 EUR–1,200 EUR.
Mini IVF cycle using own oocytes and the partner’s sperm (minimal stimulation drug protocol): 775 EUR–1,000 EUR.
Mini IVF ICSI cycle using own oocytes and the partner’s sperm (minimal stimulation drug protocol): 925 EUR–1,300 EUR.
IVF using own oocytes and the partner’s sperm (stimulated cycle): 1,000 EUR–2,100 EUR.
IVF ICSI using own oocytes and the partner’s sperm (stimulated cycle): 1,200 EUR–2,400 EUR.

Bulgaria: Egg Donation IVF cost in 2024:

IVF using the donor’s eggs (Single Stim protocol, one egg donation): 3,500 EUR–4,500 EUR.
IVF using the vitrified donor’s oocytes purchased at the international egg bank: 4,000 EUR–5,900 EUR.

Bulgaria: Sperm Donation IVF cost in 2024:

IVF using the donor’s sperm (Single Stim protocol, fresh or cryopreserved donor’s sperm; purchasing sperm from the international sperm bank may result in higher total cost): 1,600 EUR–1,900 EUR.

Financial tips for a successful IUI and IVF in Bulgaria.

Take into consideration that not all IVF programs, including those with own oocytes and the donor’s eggs or sperm donation, bundle everything you need. Among offered IVF packages, not each has all consultations, follow–up consult(s), pre–screenings, laboratory tests, and other services necessary for initiation or completion of the treatment cycle. Vitrification protocols can be included in more expensive IVF programs, or most clinics offer vitrification and cryopreservation of embryos, unfertilized oocytes, and sperm samples with further cryostorage at an additional cost.

Bulgaria: Unfertilized oocytes vitrification and storage cost in 2024:

Egg freezing (natural cycle): 750 EUR–1,000 EUR.
Egg freezing (stimulated cycle): 1,500 EUR–1,600 EUR

Some fertility clinics in Bulgaria charge fees for the Egg freezing cycle in installments paid for each procedure or service performed. For example, a follicular puncture may cost between 500 EUR and 900 EUR. Vitrification of the retrieved unfertilized oocytes depends on the number of oocytes vitrified. For instance, vitrifying up to three vitrified oocytes, including 6–month storage, costs 200 EUR; vitrifying up to 6 oocytes (4, 5, or 6 oocytes), including 6–month storage, costs 250 EUR, and vitrifying of up to 10 oocytes including 6–month storage costs 350 EUR, and so on.

Bulgaria: Sperm freezing and storage cost in 2024:

Sperm freezing (procedure only): 100 EUR–150 EUR.
Sperm freezing including storage for 6 months: 100 EUR–150 EUR.
Sperm freezing including storage for 12 months: 200 EUR–250 EUR; cryopreservation and storage for 24 months: 400 EUR.

Many Bulgarian fertility clinics bill cryostorage of the sperm on semi–annual basis (each 6 months). Some IVF centers offer storage bundles with extended timelines like 12–month storage or 24–month storage, charging the full amount for cryobanking and eliminating rebilling on a 6–month basis.

Embark on Parenthood’s Journey in Bulgaria

Choosing Bulgaria for your fertility journey is a decision marked by both financial sensibility and access to leading fertility clinics. The breakdown of costs reveals a commitment to transparency, ensuring that every step toward parenthood is not just affordable but also guided by the proficiency of esteemed fertility experts in the country.

GREECE

Innovative legislation in Greece enables unmarried women and female couples to undergo IVF with donor sperm, emphasizing inclusivity and embracing diverse paths to parenthood. This inclusive approach reflects a commitment to breaking barriers and enabling single mothers–to–be by choice and female couples to access extensive fertility care tools and assisted reproduction options. However, in this evolving landscape, regulations continue to pose restrictions on unmarried men, underscoring the nuanced interplay between legal frameworks and societal attitudes shaping fertility choices.

Why Choosing Greece for IUI or IVF Treatment?

Cost–Effective Fertility Care: Greece emerges as an affordable alternative to the United States, Canada, and the United Kingdom, providing access to IUI treatments for as low as 1,500 EUR, IVF for 5,000 EUR, and Egg Donation IVF for 11,000 EUR.
Inclusive Legislation: Greece boasts inclusive legislation on assisted reproduction techniques, welcoming single unmarried women, female couples, and both unmarried and married heterosexual couples from diverse backgrounds.
Comprehensive IVF Programs: The country offers unique IVF programs bundled with extensive specifications. These include everything from initial consultations to cycle initiation, embryo creation, and additional benefits like fixed–cost two cycles and a third cycle using a frozen embryo at no extra charge.
Affordable Egg Donation Programs: Greece provides non–expensive egg donation programs with options for both standard and premium egg donors, adapting to a range of preferences and budgets.
No Waiting Lists: Residents and non–residents alike benefit from Greece’s efficient fertility care system, with no waiting lists, ensuring timely access to assisted reproduction services.

Who Is Eligible for Assisted Reproduction Services in Greece?

Single women
Female couples
Unmarried and married heterosexual couples

Top Greek Fertility Clinics:

Leading the charge in reproductive medicine, Greek clinics showcase excellence. Their state–of–the–art facilities, cutting–edge protocols, and commitment to inclusivity makes them trailblazers in the field. Although Greece hosts nearly 50 IVF clinics, there are three top clinics known for their high success rates and unique programs preconfigured with your heart in mind:

Serum IVF Centre
Newlife IVF Greece
Assisting Nature Human Reproduction & Genetics

Renowned for leading and innovative approaches and personalized care, these fertility clinics stand at the forefront of fertility excellence. Their commitment to tailored solutions and a patient–centric approach has earned them accolades in reproductive medicine.

Greece: IUI cost in 2024:

IUI with partner’s sperm (procedure only, consultations, blood tests, and pre–IUI screenings not included): 500 EUR–600 EUR.
IUI with the donor’s sperm (procedure only, consultations, blood tests, and pre–IUI screenings not included): 900 EUR–1,200 EUR.

Greece: IVF cost in 2024:

IVF with own oocytes and the partner’s sperm (Single Stim protocol, cleavage–stage or blastocyst–stage embryo transfer): 2,900 EUR–4,600 EUR
Duo cycle IVF with own oocytes and the partner’s sperm (two IVF cycles within a year, Single Stim protocol for each cycle, blastocyst transfer): 5,000 EUR.

Greece: Egg Donation IVF cost in 2024:

IVF with egg donation (Single Stim protocol, one egg donation cycle, some programs guarantee one or two blastocysts suitable for transfer if the partner’s sperm analysis doesn’t indicate infertility or indicates a mild infertility with no severe abnormalities, and up to two transfer trials using fresh embryo for the first transfer and frozen or the second, or frozen embryos in both transfers): 4,600 EUR–6,900 EUR.
Note that some fertility clinics in Greece may charge the full cycle cost if your cycle doesn’t proceed to embryo transfer due to a problem with your lining development or if you are unable to travel. In such cases, they vitrify the embryos and will proceed with a cryotransfer as soon as you come to the clinic.
IVF with egg donation “Enhanced” program comes with a guarantee of having up to eight or ten donor’s oocytes and two or three top–quality blastocysts created using the donor’s eggs and the partner’s sperm (note that sperm should be healthy and fertile); some programs may include multiple transfers (double blastocyst transfer when two blastocysts are transferred within one transfer procedure or two single transfers are performed using one blastocyst per transfer procedure): 6,200 EUR–9,900 EUR.
IVF with egg donation “Exclusive” program guarantees a minimum of ten oocytes from the exclusive donor and a minimum of four blastocysts (in case of normal sperm quality), two double blastocyst transfers within two blastocysts transferred within each transfer; two single blastocyst transfers with one blastocyst transferred each time and one double blastocyst transfer using two blastocysts within one transfer: 8,500 EUR–9,000 EUR.
IVF with egg donation “Premium” program with a guarantee of two exclusive egg donors (all eggs from one exclusive donor plus one more premium donor can be involved in egg donation cycle), minimum six blastocysts (in case of normal sperm quality); and up to three transfer trials: two double blastocyst transfers using two blastocysts within each transfer, plus, one more blastocyst transfer of one or two embryos created using the oocytes retrieved from another Donor: 10,900 EUR.

Greece: Sperm Donation IVF cost in 2024:

IVF using the donor’s sperm (Single Stim protocol, fresh or cryopreserved donor’s sperm; purchasing sperm from the international sperm bank may result in higher total cost): 4,000 EUR–4,900 EUR.

Greece: Unfertilized oocytes vitrification and storage cost in 2024:

Egg freezing (Single Stim cycle, OPU procedure, and 12–month storage): 2,225 EUR–2,500 EUR.

Greece: Sperm freezing and storage cost in 2024:

Sperm freezing and storage for 12 months: 250 EUR–500 EUR.

Unlock the Success: Choose Your Perfect IVF Program in Greece

Greece draws the attention of international IUI and IVF patients due to its medical professionals, coupled with cutting–edge technological infrastructure. Numerous clinics proudly hold ISO quality certification, and Greece diligently reports its national results to the European Society of Human Reproduction and Embryology (ESHRE). This practice not only serves as tangible evidence of successfully conducted procedures and a commendable average success rate but also instills confidence in the quality of service delivered by Greek clinics.

BOSNIA AND HERZEGOVINA

A tiny jewel–country, surrounded by other bigger ones — Serbia, Montenegro, and Croatia — Bosnia and Herzegovina is one more destination chosen by heterosexual couples for conceiving via IUI or IVF. It consists of two political entities — the Federation of Bosnia and Herzegovina (with no specific ART law) and Republika Srpska (governed by specific ART laws). Unfortunately, the legislation of Bosnia and Herzegovina prohibits any cycle involving the donation of oocytes, sperm, and embryos. Consequently, couples seeking programs with egg or sperm donors should consider other countries where donations are legal. Unmarried single women, men, female and male couples have no access to assisted reproduction in this country. However, married heterosexual couples wishing to initiate IUI using the husband’s sperm or IVF using own oocytes and sperm are welcome to this awesome fertility destination.

Why Choosing Bosnia and Herzegovina for IUI or IVF Treatment?

Boutique Fertility Clinics: Experience personalized care in boutique fertility clinics equipped with cutting–edge facilities and innovative IVF labs, ensuring a state–of–the–art environment for your reproductive journey.
Highly Affordable Programs: Benefit from highly affordable and non–expensive IUI and IVF programs tailored to your needs, making fertility treatments accessible without compromising on quality or care.
No Waiting Lists: Enjoy the convenience of prompt access to assisted reproduction services. Whether you are a resident or non–resident, Bosnia and Herzegovina eliminates waiting times, providing a hassle–free experience for your fertility endeavors.

Who Is Eligible for Assisted Reproduction Services in Bosnia and Herzegovina?

Married heterosexual couples only

Top Bosnian Fertility Clinics:

The Bosnian Fertility Clinics, equipped with a state–of–the–art embryology laboratories and expert physicians, employ the latest methods in IVF, aligning with the standards set by leading fertility clinics worldwide. Notable clinics include:

Bahçeci BIH IVF Center
IVF Centar Balić
New Life Poliklinika
Bona Dea IVF Klinika

Each fertility clinic boasts a unique approach, offering personalized IUI and IVF programs, which can be adjusted to your unique case. This individualized care ensures that your treatment plan is tailored to your specific needs and circumstances, fostering a comprehensive and patient–centered experience. The commitment to personalized care extends beyond the clinic’s unique protocols, ensuring that every patient receives the attention and treatment suited to their journey towards parenthood.

Bosnia and Herzegovina: IUI cost in 2024:

IUI with the partner’s sperm (procedure only): 360 EUR–600 EUR.

Bosnia and Herzegovina: IVF cost in 2024:

IVF with own oocytes and the partner’s sperm (Single Stim protocol, ICSI, and blastocyst transfer): 2,500 EUR–3,000 EUR.

Bosnia and Herzegovina: Unfertilized oocytes vitrification and storage cost in 2024:

Oocyte vitrification (Single Stim cycle and egg retrieval): 1,300 EUR–1,600 EUR.
Vitrification of unfertilized oocytes, including 36–month storage (vitrification procedure and storage only): 769 EUR.

Bosnia and Herzegovina: Sperm freezing and storage cost in 2024:

Sperm freezing including 36–month storage (cryopreservation procedure and storage): 769 EUR.

Get Your Bosnian Bounty: Fertility Solutions Tailored to You

Embark on a unique fertility journey in Bosnia and Herzegovina, where clinics offer a bounty of options. These clinics, aligned with global standards, provide a comprehensive and patient–centered experience. Tailored IUI and IVF programs ensure that your specific needs are met, transforming your dream of parenthood into a personalized reality.

SERBIA

Not the biggest but possibly one of the most vibrant countries in Eastern Europe — Serbia — remains a secret to many international prospective parents seeking fertility treatment. Married heterosexual couples exclusively have the eligibility to access assisted reproduction services in Serbia, such as IUI, IVF, and Cryotransfer of a vitrified embryo generated in a previous IVF cycle, a factor to consider when planning your fertility journey. Serbian and international single women, female couples, and heterosexual couples who need other assisted reproduction services, such as Egg Donor IVF, IUI with the donor’s sperm, Tandem IVF cycle using own oocytes and the donor’s, or embryo donation, should travel to other destinations where these treatment options are unlocked.

Why Choosing Serbia for IUI or IVF Treatment?

Boutique Clinics, Cutting–Edge Solutions: Serbia boasts boutique fertility clinics with state–of–the–art facilities and innovative IVF labs, providing a unique blend of personalized care and advanced technology.
Affordability Tailored to You: Experience highly affordable, tailored IUI and IVF programs designed to suit your specific needs, ensuring that the path to parenthood is both accessible and individualized.
No Waiting Lists, Seamless Services: In Serbia, there are no waiting lists, extending a warm invitation to both residents and non–residents to apply for assisted reproduction services without delays or complications.

Who Is Eligible for Assisted Reproduction Services in Serbia?

Married heterosexual couples only

Top Serbian Fertility Clinics:

Discover the offered reproductive medicine services and your options in Serbia with these esteemed fertility clinics:

Ferona Fertility Clinic
Gemma Clinic
Gynecological hospital Genesis
Clinic Spebo

Each clinic stands as a hub of excellence, offering a unique blend of expertise, cutting–edge facilities, and personalized care.

Serbia: IUI cost in 2024:

IUI with the partner’s sperm (procedure only): 400 EUR–600 EUR.

Serbia: IVF cost in 2024:

IVF with own oocytes and the partner’s sperm (Single Stim, mild stimulation, ICSI, and cleavage–stage embryo transfer or blastocyst transfer): 1,600 EUR–4,600 EUR.
IVF with own oocytes and the partner’s sperm (Single Stim, standard stimulation, ICSI, and cleavage–stage embryo transfer or blastocyst transfer): 2,100 EUR–5,400 EUR.
IVF with own oocytes and TESA or micro–TESA sperm retrieval procedure: 3,700 EUR–3,990 EUR.

Serbia: Unfertilized oocytes vitrification and storage cost in 2024:

Oocyte vitrification (Single Stim cycle, egg retrieval, and 12–month storage): 1,200 EUR–1,900 EUR.

Serbia: Sperm freezing and storage cost in 2024:

Sperm freezing including 12–month storage (cryopreservation procedure and storage): 300 EUR–500 EUR.

Start Your Journey with Serbian Clinic Today

Embark on your fertility journey in Serbia, where a blend of affordability, innovation, and personalized care awaits, guiding you toward the realization of your dreams of parenthood.

Wrapping Things Up

As we step into 2024, the landscape of fertility care in Southeastern European countries continues to evolve, providing hope and brilliant solutions for those pursuing their dreams of building or expanding their families. The diverse array of fertility clinics, coupled with the financial accessibility and inclusivity of treatments, positions Southeastern European countries as favorable destinations for individuals and couples navigating the path of assisted reproduction. The breakdown of costs and eligibility criteria offer valuable insights for those considering Bulgaria, Romania, Greece, Bosnia and Herzegovina, and Serbia as their destination of choice, fostering a sense of confidence and assurance as they embark on this transformative journey towards making their dream of having a baby come true.