9 Best Fertility Clinics of 2023

These fertility clinics can help you on your family planning journey

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The family-building journey isn’t always easy. It’s not uncommon to spend years and thousands of dollars trying to get pregnant, so finding a trustworthy clinic is well worth the effort. Fertility clinics can help couples dealing with infertility via services such as intrauterine insemination (IUI), in vitro fertilization, and infertility testing for men and women. They may also help with fertility preservation via egg, embryo, or sperm freezing. Some clinics even offer family-building services such as egg donation and surrogacy.

The Centers for Disease Control (CDC) collects data from clinics offering assisted reproductive technology (ART), which is defined as treatments where eggs or embryos are handled (these primarily consist of IVF treatments). This data can help you determine which clinics have higher success rates than others. However, it’s important to understand that ART data has its limitations.

Success rates don’t always reflect the expertise or effectiveness of the clinic. They can vary greatly based on patient characteristics, such as age, fertility diagnosis, and fertility history. Some clinics are more willing to take complicated, tougher cases, which can negatively impact their success rate. Plus, not every clinic submits data to the CDC. Overcoming infertility can be a long, stressful journey, and there’s a lot to take in when it comes to each clinic. That’s why we’ve done some of the legwork for you, so you can start taking steps to build the family you want.

9 Best Fertility Clinics of 2023

Best Overall : Pacific Fertility Center


Pacific Fertility Center

Pacific Fertility Center

Key Specs
  • Cost: Starts at $425 for IUI; starts at $11,595 to $16,085 for IVF; starts at $8,500 for egg freezing (costs do not include consultations, lab work, frozen embryo transfers, or third-party fees)
  • Insurance accepted? Yes
  • Specialties: IUI, IVF, egg donation and freezing, surrogacy
Why We Chose It


Pacific Fertility Center features a world-class, state-of-the-art lab and award-winning doctors named among “The Best Doctors in America.” It’s equipped to handle a wide range of fertility issues and takes on some of the toughest cases.

Pros & Cons
Pros
  • Award-winning staff and facility

  • Treats some of the most challenging cases

  • Comprehensive service offerings

Cons
  • Expensive without insurance

  • Limited locations

  • Some complaints that staff is impersonal

Overview

Pacific Fertility Center’s state-of-the-art facility, internationally recognized team of doctors, and extensive offerings—including genetic testing, male infertility treatment, in vitro fertilization, and egg freezing—make it the best fertility clinic on this list.

People from around the world head to the Northern California Bay Area locations in part because of the center's reputation for taking on even the most difficult cases. Its multifaceted medical staff has contributed to leading research in the field and includes an expert in treating women over 40. Its lab received a perfect score from the College of American Pathologists-American Society for Reproductive Medicine (CAP-ASRM) accreditation program.

The clinic offers a wide range of services: 

  • Egg storage (up to 10 years)
  • IUI and IVF insemination
  • Genetic testing
  • Egg donation and surrogacy
  • Male infertility treatment, including intracytoplasmic sperm injection (ICSI)
  • LGBTQ-specific care
  • Single parenting care
  • Care for international patients (including translation services)
  • Additional treatments (including surgery and acupuncture)

Pacific Fertility accepts several forms of insurance (provided your plan covers fertility treatments) and also offers financing if needed. While staying in the area can be costly, the clinic helps mitigate this cost by allowing you to get some testing and monitoring close to home. This reduces the number of days required for on-site treatment to around 10 to 21 days for IVF.

Patients are treated by a care team that strives to give personalized, compassionate treatment, which can make all the difference during a stressful fertility journey. The staff receives high scores and positive reviews on sites like Fertility IQ, Yelp, and Google. However, there are also some mixed reviews from people who said they were treated coldly by staff.

One caveat: There was an accident in 2018 in which a tank storing eggs and embryos failed, resulting in a lawsuit. The judge found that the manufacturer, Chart Industries, was largely responsible, but still held Pacific Fertility Center partially responsible.

Best for Egg Freezing : Extend Fertility


Extend Fertility

Extend Fertility

Key Specs
  • Cost: Egg freezing is $7,200 for the first cycle, plus medication and storage fees, then $6,200 for additional cycles; embryo freezing is $12,500 for the first cycle, plus additional fees and storage costs; IVF starts at $12,500; frozen embryo transfer is $4,000
  • Insurance accepted? Yes
  • Specialties: Egg freezing, embryo freezing, IVF
Why We Chose It

Extend Fertility offers short and long-term egg storage at an affordable price. Its small team of doctors is caring and attentive, while the clinic itself is well-run.

Pros & Cons
Pros
  • Egg freezing specialists

  • Is making egg-freezing more financially accessible

  • Small, attentive team

Cons
  • Limited locations

  • Limited services

Overview

As the largest egg-freezing practice in the country and with below-market rates, Extend Fertility aspires to liberate people from stressful fertility timelines. Would-be parents come from around the country and the world to use Extend Fertility’s services. Most services are done on site.

Starting off solely as an egg-freezing practice and offering rates 40% below the national average at the time, Extend made a name for itself among millennials, who have been known to delay both marriage and pregnancy significantly compared to previous generations.

Extend now offers embryo freezing, infertility assessment, fertility medication management, IUI and IVF, plus frozen egg use services for those looking to take the next step.

The clinic has great reviews overall. Reviewers regularly comment on how well-run, organized, and calm the clinic is. Doctors appear to have a great bedside manner, and the clinic staff seems warm and caring. Extend is a great option for those seeking to freeze their eggs in a convenient, affordable, and approachable clinic.

According to the website, it keeps costs low to ensure that people with varying economic means can maintain their independence for longer. It offers one-, five-, and 10-year plans.

Egg freezing at Extend will cost you $7,200 for one cycle compared to a national average of $11,000. Medication costs are around $3,000 to $6,000 compared to a $5,000 national average. Storage costs are $800 per year, with a discount for five- and 10-year plans, compared to a national average of $2,000 for five years. Extend also takes some forms of insurance and offers financing options.

Best for Genetic Testing : NYU Langone


NYU Langone Fertility Center

NYU Langone Fertility Center

Key Specs
  • Cost: $500 for a consultation; IVF with fresh eggs from $16,000; IVF with frozen eggs from $18,000; cycle fees for using donor eggs from $12,500; egg freezing from $9,900. Prices are estimates and don’t include medications, agency, and outside provider fees.
  • Insurance accepted? Yes
  • Specialties: Genetic testing, IVF, egg freezing, embryo banking
Why We Chose It

NYU Langone has a high success rate, and the director is a pioneer in preimplantation genetic testing, a groundbreaking treatment that can detect abnormalities that lead to miscarriage or birth defects.

Pros & Cons
Pros
  • Genetic testing expertise

  • Accepts insurance

  • Offers a range of services

Cons
  • Limited locations

  • Expensive without insurance

Overview

The staff credentials at NYU Langone Fertility Center will certainly make you feel like you’re in good hands. Its clinic director, James A. Grifo MD, PhD, pioneered preimplantation genetic diagnosis (PGD) and preimplantation genetic screening (PGS), plus he performed the first embryo biopsy that led to a live birth in the U.S. 

These groundbreaking tests—performed during the early stages of embryo development—can detect abnormalities that increase the chance of miscarriage or of a child being born with health issues. More than three-quarters of embryos produced during IVF treatments at the facility undergo these important tests.

Preimplantation testing—which is only done for IVF—can mitigate the risks that are associated with giving birth at an older age. The chance of miscarriage also increases with age, as does the chance of birth defects, health complications, or having multiple babies. That’s why NYU Langone Fertility Center may be your best bet for gestational parents who are older or have a family history of genetic disease, genetically abnormal pregnancies, or recurring miscarriages. The clinic has a high success rate and appears to be well-run, according to reviews on Yelp, Google, and Fertility IQ.

Besides treatments like IVF, egg freezing/embryo banking, and infertility testing, NYU Langone offers a wellness program with referrals for psychotherapy, mind-body stress reduction, acupuncture, and more to help manage the often taxing fertility journey. 

NYU Langone Fertility Center is exceptional enough to draw in patients from other regions, but keep in mind that Manhattan, much like San Francisco, can be an expensive place to travel to.

Best for IVF Success Rate : Pacific Fertility Center of Los Angeles


Pacific Fertility Center Los Angeles logo

Pacific Fertility Center Los Angeles 

Key Specs
  • Cost: Not provided, but offers financing options and accepts insurance
  • Insurance accepted? Yes
  • Specialties: IVF
Why We Chose It

Pacific Fertility Center of Los Angeles has a higher than average IVF success rate, plus it offers a range of other services like egg freezing, IUI, and male infertility treatment.

Pros & Cons
Pros
  • High IVF success rate

  • Accepts insurance

  • Easy to travel to Los Angeles location

Cons
  • Patient satisfaction varies

  • Limited locations

Overview  

Pacific Fertility Center Los Angeles is an internationally recognized clinic with multiple locations in the Los Angeles area. Based on data from the Society for Assisted Reproductive Technology (SART), it has among the highest success rates of the clinics we selected for this article.

That said, it’s important to know that SART data isn’t a complete measure of success, as there are many factors that may affect the success rate, including how many difficult cases a clinic tends to take on and the age range of patients. Still, people come to Pacific Fertility Center of Los Angeles from all around the world, and the Center has solid reviews from patients.

It offers comprehensive services that go beyond IUI and IVF, including surrogacy, gender selection, genetic testing, ovulation induction, and treatment for polycystic ovary syndrome (PCOS). The two locations in Los Angeles makes it easy to travel between centers if need be.

The clinic's reputation is solid, and the majority of its online reviews are positive. However, there are some complaints regarding organization and lack of communication, so be sure to stay on top of things if you end up working with them.

Best Without Insurance : CNY Fertility


CNY Fertility logo

CNY Fertility

Key Specs
  • Cost: $618 for IUI; $4,275 for IVF; $100 for sperm storage; $2,370 for frozen embryo transfer; $3,325 egg freezing; $3,995 embryo freezing; $4,655 basic package for donor (non-ID release); $7,600 basic package for donor (ID release); additional fees for medications, genetic testing, and other services
  • Insurance accepted? Yes
  • Specialties: Affordable fertility care 
Why We Chose It

It’s an affordable option with solid results that stands out in the expensive fertility industry.

Pros & Cons
Pros
  • Very reasonable rates

  • Multiple locations

  • Offers a wide range of services


Cons
  • Success rate lower than national average

  • May be disorganized

Overview  

It’s no secret that fertility treatments are costly. For many, it can feel like getting fertility support is only for the very rich. CNY Fertility makes building a family easier for people with varying economic means by offering prices much lower than the average. 

CNY Fertility provides the same services you’d find at most other fertility clinics, including IUI, IVF, egg, embryo, and sperm storage, genetic testing, fertility enhancements, and assisted reproduction. However, as a less expensive clinic, its success rates don’t rank among the very highest clinics in the country. In fact, they’re a little below the national average, according to Fertility IQ. But it still has a solid track record and many reports from happy, successful new parents on Fertility IQ, Yelp, and Google.

CNY Fertility has eight offices, primarily on the East Coast, which is more than many other top-notch clinics. While the company is not nationwide, patients can undergo an online consultation and take care of many of the pre-treatment protocols close to home. Treatments must take place in a CNY office, but since it’s more affordable overall, traveling to procedures is a little less resource-heavy than with other clinics.

Overall, CNY patients appear largely satisfied. However, there are some complaints on review sites, ranging from minor (not the best communication) to more serious (providing conflicting information). Given the number of clinics, this could be a matter of which location you use. It’s a good idea to research each individual clinic’s reviews separately and do your homework regarding what’s involved in testing and procedures so you’re always prepared with questions. 

If you’re not overwhelmed at the thought of doing thorough research and making sure you stay on top of communication, CNY is a solid (not to mention affordable) choice.

Best With Insurance : Columbia University Fertility Center


Columbia University Fertility Center

Columbia University Fertility Center

Key Specs
  • Cost: Not disclosed
  • Insurance accepted? Yes
  • Specialties: Complicated pregnancies, IVF, third-party reproduction, IUI, egg freezing, embryo banking, donor sperm
Why We Chose It

Columbia University accepts in-network insurance for IVF and offers world-class treatment for complications.

Pros & Cons
Pros
  • World-class team of doctors

  • Accepts insurance

  • Treats complications with advanced treatments

Cons
  • Limited locations

  • Likely to be expensive without insurance

Overview 

Columbia University Fertility Center offers renowned fertility care powered by cutting-edge treatments available at the prestigious academic institution. It draws on scientific advancements from biologists, chemists, and more to develop state-of-the-art care for even the toughest cases, like genetic diseases and recurrent pregnancy losses.

It’s also one of the rare clinics that accept in-network managed care for IVF. While insurers in many states don't cover the treatment, a few (including many in New York), do. If coverage allows, getting treatment at Columbia University Fertility Center is an excellent choice to reach your reproductive goals safely and economically.

Columbia’s team is well prepared should something go wrong during the pregnancy process. It has fetal cardiology and fetal therapy services for complications with the fetus, including babies diagnosed with congenital heart disease before birth. Additionally, its Mother's Center Heart Program, Mother's Center Diabetes in Pregnancy Program, and Placenta Accreta Spectrum Program (PAS) programs ensure you’ll have a great team should you experience these complications.

Columbia University Fertility Center is a great choice for anyone, but may be especially well-suited for people with risks associated with pregnancy who have insurance coverage.

Best for LGBTQIA+ Prospective Parents : Main Line Fertility


Main Line Fertility

Main Line Fertility

Key Specs
  • Cost: Not disclosed
  • Insurance accepted? Yes
  • Specialties: IVF, IUI, INVOCELL, third-party reproduction, fertility preservation, onco-fertility, clinical research trials
Why We Chose It

Main Line Fertility is a friendly, approachable clinic with extensive experience working with the LGBTQ+ community. It also partners with several LGBTQ+ organizations.

Pros & Cons
Pros
  • Kind, patient doctors who care

  • Clear commitment to serving the LGBTQ+ community

  • Six locations in the Philadelphia area

Cons
  • Comparably average success rates

  • Likely to be expensive without insurance

Overview

Members of the LGBTQ community may need to be more cautious than others when selecting a fertility clinic to avoid discrimination. Family-building is stressful enough without having to contend with homophobic, transphobic, or simply insensitive staff. Luckily, Main Line Fertility is a safe space for LGBTQ folks; it partners with Men Having Babies and Family Equality, among others. 

Its staff includes doctor Allison Bloom, an LGBTQ+ family-building specialist who’s had her own struggles with starting a family. Having gone through many of the same things patients have makes her uniquely suited to provide empathetic care. Overall, online reviews reflect a team that’s organized, kind, and caring, which is exactly what you want on a stressful fertility journey,

With six locations in the Philadelphia region, it has more locations to travel to than many other clinics. The team at Main Line Fertility is also happy to work with you should you be traveling from another area, including abroad. For patients who require more extensive treatments, the clinic can coordinate with local doctors to ensure some of your testing and monitoring takes place close to home, and will help arrange travel and accommodations when it's time to visit in person.

It accepts insurance and provides financing options.

Best for Availability : Center for Reproductive Medicine (CCRM)


CCRM Fertility

CCRM Fertility 

Key Specs
  • Cost: Starting at $14,015 for an IVF cycle with fresh eggs; starting at $12,635 for a cycle with frozen eggs; around $1,385 to $2,999 for a natural IUI; around $2,575 to $3,370 for a stimulated IUI; around $8,335 to $11,900 for a single egg freezing cycle; fees do not include consultation, anesthesia, and medications
  • Insurance accepted? Yes
  • Specialties: IVF, IUI, Egg Freezing
Why We Chose It

CCRM provides world-class fertility treatment at 34 locations in 14 metropolitan areas.

Pros & Cons
Pros
  • Nationwide locations

  • High success rates

  • Experts in genetic screening

Cons
  • Quality varies by location

  • Clinics mostly in or near major cities

Overview

Center for Reproductive Medicine (CCRM) has locations nationwide, making it the most accessible clinic on this list. It also scores high when it comes to success rates, technology, and patient care, making it an exceptional choice for your fertility needs.

Much like NYU Langone, it has pioneered and perfected genetic testing that greatly reduces the chance of miscarriage, multiple births, and birth defects. Its patient services teams vary by location, but overall, online reviews indicate that patients feel supported and cared for by a trustworthy team. There was little in the way of complaints around communication like some of the other clinics we reviewed.

CCRM has an in-house lab and team of researchers which streamlines the treatment process and offers a wide range of services, like egg freezing, IVF, and male fertility treatment. It accepts insurance, offers financing, and gives discounts for military members and cancer patients undergoing fertility preservation.

Best for Patient Services : Wisconsin Fertility Institute


Wisconsin Fertility Institute

Wisconsin Fertility Institute

Key Specs
  • Cost: $6,875 for egg freezing (not including storage); $375 to $700 for IUI; $6,970 to $10,375 for IVF; $3,545 for embryo transfer; $28,900 for an IVF package; costs do not include consultations and testing
  • Insurance accepted? Yes
  • Specialties: IVF, IUI, embryo transfer, egg freezing
Why We Chose It

Patients say Wisconsin Fertility Institute is a welcoming clinic that treats patients like family.

Pros & Cons
Pros
  • Warm and caring staff

  • Comprehensive services

  • Up-front about pricing

Cons
  • Limited locations

  • Comparatively average success rates

Overview

Wisconsin Fertility Institute has a solid success rate (while not the highest on our list), offers a range of services (including surgical treatment if needed), and accepts insurance, like many other clinics. 

What sets it apart is the consistently glowing patient reviews, which say the clinic staff treated them like family. With a small facility and team, doctors get to know patients in ways that just aren’t possible in large-scale operations. That gentle care can make all the difference.

Wisconsin Fertility Institute aims for transparency and clarity with pricing. It has also made it easier to understand how treatments break down by offering packages. For example, you can get a mini or micro IVF package” for $6,970, an “IVF freeze all embryos” plan for $10,375, or an “ultimate advantage plan” for $28,900.

Final Verdict

Finding the best fertility clinic that you can afford can make the process of getting pregnant and building a family much easier, but what’s best isn’t cut and dried. There’s really no one-size-fits-all solution for everyone—it depends on what’s important to you, plus what’s convenient and affordable.

Still, Pacific Fertility Center wins out for the best clinic for its world-class facility and team of doctors. It’s equipped to handle all types of fertility challenges, leading to some of the world’s best success rates. It treats both women and men, is LGBTQ friendly, and can work with patients from different regions to ensure their visits are limited to three weeks at most. Its care team is well-organized for its size and you will get cutting-edge genetic testing and medical support to safely build your family.

Compare the Best Fertility Clinics

 Company Cost Specialties Insurance?
Pacific Fertility Center  Best Overall Starts at $425 for IUI; at $11,595 to $16,085 for IVF; at $8,500 for egg freezing (costs do not include consultations, lab work, frozen embryo transfers, or third-party fees) IUI, IVF, egg donation and freezing, surrogacy Yes 
Extend Fertility  Best for Egg Freezing Egg freezing is $7,200 for first cycle, plus medication and storage fees, then $6,200 for additional cycles; embryo freezing is $12,500 for the first cycle, plus additional fees and storage costs; IVF starts at $12,500; frozen embryo transfer is $4,000 Egg freezing, embryo freezing, IVF  Yes 
NYU Langone Fertility Center Best for Genetic Testing $500 for a consultation; IVF with fresh eggs from $16,000; IVF with frozen eggs from $18,000; cycle fees for using donor eggs from $12,500; egg freezing from $9,900 (prices are estimates and don’t include medications, agency, and outside provider fees) Genetic testing, IVF, egg freezing, embryo banking Yes
Pacific Fertility Center of Los Angeles  Best for IVF Not provided IVF Yes
CNY Fertility Best Without Insurance $618 for IUI; $4,275 for IVF; $100 for sperm storage; $2,370 for frozen embryo transfer; $3,325 egg freezing; $3,995 embryo freezing; $4,655 basic package for donor (non-ID release); $7,600 basic package for donor (ID release); additional fees for medications, genetic testing, and other services Affordable fertility care  Yes
Columbia University Fertility Center  Best With Insurance Not disclosed Complicated pregnancies, IVF, third-party reproduction, IUI, egg freezing, embryo banking, donor sperm Yes
Main Line Fertility  Best for Insemination Not disclosed IVF, IUI, INVOCELL, third-party reproduction, fertility preservation, onco-fertility, clinical research trials Yes
CCRM  Best for Availability Starting at $14,015 for an IVF cycle with fresh eggs; starting at $12,635 for a cycle with frozen eggs; around $1,385 to $3,370 for a IUI; around $8,335 to $11,900 for a single egg freezing cycle; fees do not include consultation, anesthesia, and medications IVF, IUI, Egg Freezing Yes
Wisconsin Fertility Center  Best Patient Services $6,875 for egg freezing (not including storage); $375 to $700 for IUI; $6,970 to $10,375 for IVF; $3,545 for embryo transfer; $28,900 for an IVF package; costs do not include consultations and testing IVF, IUI, embryo transfer, egg freezing Yes

Guide to Choosing a Fertility Clinic

What Is a Fertility Clinic?


A fertility clinic can provide assisted reproductive services, like IUI (intrauterine insemination) and IVF  (in vitro fertilization), which can often include genetic testing for abnormalities. It may also help with fertility preservation—the freezing and storing of eggs, embryos, or sperm. 

Some clinics offer more comprehensive services than others and may provide additional support, such as assistance during complicated pregnancies or care for fetal abnormalities. Some also offer surrogacy services for couples who are unable to carry their child themselves.

How to Compare Fertility Clinics to Pick the Right One for You

There are a number of factors to look out for with fertility clinics:

  • Cost, including financing options and whether a clinic accepts insurance: Keep in mind that the fees listed are often estimates and don't include everything, so be sure to clarify and ask questions about what is and isn’t included in price listings.
  • Expertise and experience of staff: Review staff credentials, awards, education, and specialties to ensure they align with your goals and needs. 
  • Proximity and convenience: The fertility journey often takes longer than expected, so seek out a clinic you can get to easily on a regular basis or that you can afford to travel to.
  • Any specialties the clinic might have: Some fertility clinics have comprehensive offerings and can treat most fertility issues, while others are limited to a few specialties.
  • Transparency in pricing, testing, and overall communication: Make sure the staff at your clinic is up-front about cost, never orders tests without your consent, and keeps in regular contact with you.
  • Organization, which can be assessed through reviews and direct experience: An unorganized clinic causes you stress at best and makes mistakes (like providing conflicting information) at worst, so pay attention to this often overlooked factor.
  • Caring, compassionate staff: Good bedside manner and a warm, welcoming attitude is key to building a trusting relationship. “The [ease of interaction with your provider and care team] may trump all [other factors],” says Karenne Fru, MD, an OB/GYN and fertility expert in Atlanta, Georgia. “If there is a lack of trust in the relationship, then the whole experience feels empty and demoralizing. A patient should always feel like the doctor and their team are on their side and trying their best, especially since the results are never guaranteed.”
  • Patient-guided: You never should feel pressured into things you didn’t ask for. If you came in wanting IUI and are getting pressured to go with IVF (even if you think it isn’t necessary), be cautious.

Frequently Asked Questions

When Should I Go to a Fertility Clinic?

You should seek out a clinic if you have any concerns around getting pregnant and/or if you have tried for a year and you’re under 35, or you’ve tried for six months and you’re over 35. If you have concerns about having a healthy pregnancy or birth, either for you or the child, consider seeing a fertility specialist who also addresses complex pregnancies and pregnancy risk factors, and can leverage the latest developments in genetic screening. This is also important if you have a family or personal history of genetic disorders, complicated births, or miscarriages

You can also consider a fertility clinic if you’re not ready to have children but want to freeze your eggs or sperm or consult with a specialist about how you can best preserve your fertility.

What Infertility Issues Can Fertility Clinics Address?

Infertility has a number of causes, including age, polycystic ovary syndrome (PCOS), stress, an absent or irregular period (amenorrhea), being overweight or underweight, abnormal hormone levels, genetic infertility, and anatomical infertility, like blocked fallopian tubes. Some other issues that fertility clinics can address include:

  • A history of miscarriages
  • Risk factors for miscarriage or birth defects/genetic disorders
  • Family building in your later childbearing years
  • LGBTQ family building

What Is the Treatment Process Like for Infertility?

“The treatment process often involves frequent trips to the office and several instructions that are to be carried out by the patient,” says Dr. Fru. “It all also comes at a cost that is often not covered by insurance. Therefore when choosing a clinic, one may consider physical proximity to the office, clarity or ease of communication, and transparency in pricing.”

Communication is also an overlooked factor, but it will make a big difference in your experience with a clinic.

“In an initial consultation, we may not think to ask what the communication methods and standards are,” says Abbe Feder, fertility coach at InCircle Fertility in Los Angeles. “But then we can't get ahold of someone to answer a burning question and we wish we'd asked. Many clinics now offer a portal for messaging and tracking, but it is also important to know who checks the portal messages, when, and who responds? Will it be my actual doctor? A nurse? Someone I've never met?”

What Does a Fertility Clinic’s Success Rate Mean?

The Society for Assisted Reproductive Technology (SART) gathers data from participating clinics to assess IVF success rates specifically (for this article, we looked at CDC success rates when available and SART rates when not). Like CDC data, SART data can’t give a complete picture of how effective a clinic will be for you.

“All the data is self-reported by clinics,” says Dr. Fru. “If your clinic of interest is represented in SART, then the data there is reliable but imperfect and incomplete,” she continues. “Always talk to your doctor about their experience. SART also only reports on outcomes and is incapable of telegraphing what your experience would be like at the clinic.”

Do Fertility Clinics Offer Financial Aid?

Many clinics offer financing options so you can pay for services over time.

What Are Some Legal Protections I Should Consider When Using a Fertility Clinic?

Whether you’re considering egg donation, sperm donation, embryo transfer, or surrogacy services, you should consider seeking out a family lawyer who can help you understand your rights. Services like these require you to sign a contract before entering into any treatment that uses another person’s eggs, sperm, or body, as a gestational carrier. Keep in mind that a donor will have already signed a contract with the clinic that waives their parental rights and obligations.  

When it comes to surrogacy, all parties (the intended parents and the gestational carrier) must sign a contract that discloses everyone’s rights. It should establish the intended parental rights and terminate the gestational carrier's parental rights. Contracts should also include details about how many embryos can be transferred, what will happen in case of complications, who the decision-makers will be during complications, limitations on the gestational carrier's activities, and details regarding medical expenses, reimbursements, and compensation.

What Questions Should I Ask When Going to a Fertility Clinic?

The information you need will vary depending on your situation, but it's typically important to ask:

  • Can you describe the process of [a particular treatment, such as embryo transfer?
  • What’s your area of expertise?
  • What are your success rates?
  • What’s the typical timeline for this procedure?
  • How many attempts (of IUI or IVF) will you make?
  • How many of your patients are in my same age group? 
  • Are there any tests I can do at my home clinic (if traveling)?
  • How do you communicate with patients throughout the process?
  • Who will be my point of contact to answer questions, and when are they available?
  • How many people are on my care team?
  • How often will I meet with a doctor?

Methodology


We compared 27 clinics to come up with this list, researching factors like cost, insurance, services offered, details of services (such as length of time for egg freezing), CDC or SART success rates, consumer ratings, states served, and inclusivity to the LGBTQA+ community.

We sought out exceptional, award-winning teams of doctors, teams with experience in techniques like genetic testing, state-of-the-art labs, and the ability to treat tough cases. Accessibility is key, so we favored clinics that take insurance and had financing options. As patient services and trust are key, we looked for companies that had positive online ratings in terms of communication, transparency, organization, and providing empathetic, inclusive care for people of all sexual orientations and gender identities.

Celebrating having a baby on the way

JLco - Julia Amaral / Getty Images

Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Centers for Disease Control and Prevention. ART success rates.

  2. College of American Pathologists. Reproductive accreditation program.

  3. Barroso A, Parker K, Bennett J. As millennials near 40, they're approaching family life differently than previous generations. Pew Research Center.

  4. Magnus MC, Wilcox AJ, Morken NH, Weinberg CR, Håberg SE. Role of maternal age and pregnancy history in risk of miscarriage: prospective register based study. BMJ. 2019;364:1869. doi:10.1136/bmj.l869

  5. The American College of Obstetricians and Gynecologists. Having a baby after age 35: how aging affects fertility and pregnancy.

  6. Centers for Disease Control and Prevention. ART success rates interpretation.

  7. Bixby Center for Global Reproductive Health. LGBTQ patients face discrimination and erasure when seeking reproductive health care.

By Brittany Elyse Vargas
Brittany Elyse Vargas has been exploring topics around psychology, mental health, mind-body medicine, and psychospiritual development for the past twenty years. She’s written professionally for over ten years as a journalist, copywriter, and ghostwriter. Brittany is committed to rigorous reporting and to tackling topics on the cutting edge of the wellness, healing, and the mindfulness movements.

Edited by Ally Hirschlag
Allison "Ally" Hirschlag

Ally is a senior editor for Verywell, who covers topics in the health, wellness, and lifestyle spaces. She has written for The Washington Post, The Guardian, BBC Future, and more.

Learn about our editorial process