Frequently Asked Questions

Egg Freezing

Why do women freeze their eggs?

Women decide to freeze their eggs for many different reasons: Whether you simply want to create a potential backup plan, are dealing with a medical condition affecting your fertility, or are delaying kids for career, finances, the right partner, or other reasons, we’re here to support you.

How does egg freezing work? 

Egg freezing uses follicle-stimulating hormones, which your body produces naturally, to stimulate more eggs to grow on your ovaries during the month of the procedure. During a typical menstrual cycle, only one egg ovulates, while a number of other eggs disintegrate. The hormonal treatment tries to mature a larger number of eggs, which are retrieved at the point when they’re ready to ovulate and be fertilized. The retrieved eggs are then flash-frozen and can be thawed in the future to become embryos. Find more detail here.

What role does age play in egg freezing? 

The younger you are when you freeze your eggs, the more eggs you have, and the better their quality tends to be. While egg freezing is no guarantee, younger eggs increase your chances of success, lower your risk of abnormalities associated with older eggs, and decrease your costs should you need fertility treatment later on.  

Am I a good candidate for egg freezing? 

If you’re healthy and still have a good number of high-quality eggs, then you’re typically a good candidate. Our partner clinics make sure that egg freezing makes sense for you prior to arriving in Spain by asking you to complete a battery of pre-treatment tests that they'll evaluate (we'll help you get those done at home!). These tests anticipate potential risks that your treatment is unsuccessful as best possible.

Under what circumstances might I not be a good candidate for egg freezing?

There are circumstances under which treatment is not possible or unsuccessful: For example, you may have limited ovarian reserve, have enlarged ovarian cysts, have a condition affecting the ability to stimulate your follicles, or may have a blood coagulation disorder. The tests that you are required to complete at home prior to treatment assess such conditions to the extent possible. Our blog dives a bit deeper on this question, which we recommend you ask your Spanish doctor as well.

Why use Ovally to help me preserve my fertility? 

1. Save without sacrifice: Save up to 75% of what you'd pay in the US without sacrificing outcomes or quality of care and take advantage of special Ovally discounts at our partner clinics.

2. We've done the research for you: We’ve vetted dozens of clinics for you and selected partner clinics on par with top US clinics with English-speaking doctors.

3. Don't go through it alone: We'll guide you through the entire process and provide science-based and emotional support at every step. We'll not only prepare you for every doctor's appointment but will also help you plan the trip of a lifetime to one of Europe's most affordable destinations, combining relaxation and adventure with taking control of your fertility.

What services does Ovally provide? 

Ovally acts as your personal fertility coach from the day you sign up with us until our last consult after your eggs have already been frozen. We'll also match you with a partner clinic based on your personal preferences and will serve as your individual travel planner. In addition, you'll take advantage of special Ovally deals with our partner clinics. See this page for more detail on our services.

How does Ovally vet its partner clinics? 

We go through an in-depth vetting process that a clinic has to pass before it can partner with us. We make sure that our partner clinics have excellent accreditations, have decades of experience with the most challenging fertility issues, use state-of-the-art techniques and safety systems, and are on par with top US clinics at every step of the IVF process, from freezing and thawing eggs and embryos, to implanting embryos. See more details on our vetting process.

I'm from the UK - should I go to Spain to freeze my eggs? 

There are three main reasons to consider freezing your eggs in Spain instead of the UK: 

1. No freezing limit: Unlike the UK, Spain does not have a 10-year egg freezing limit, so you don't have to worry about your eggs being disposed of if you wanted to use them beyond the 10-year limit.

2. Pricing: While the price differential between the UK and Spain is not as great as between Spain and the US, you could still save up to 50%. Costs for pre-treatment tests, treatment, and medications with Ovally start at £2,799. Roundtrip flights from London to Madrid start at only £40.

3. Undergoing treatment on holiday: Treat yourself to a holiday and put yourself in the best mental and physical space while undergoing treatment.

How long do I have to wait to get treatment? 

With Ovally, you avoid clinic wait lists and get priority access to start your treatment.

What preparation do I need to do before starting treatment? 

You’ll need to complete a battery of pre-treatment tests so your doctor can make sure (to the extent possible) that you’re a good candidate for egg freezing and can design a personalized treatment plan based on your results. The tests usually take a few weeks to complete depending on your and your doctor's availability. Pre-treatment test requirements differ between partner clinics and tend to be the most logistically challenging aspect of your egg freezing journey. That's why we help you avoid unexpected charges for pre-treatment tests, recommend affordable providers where other Ovally customers have had a positive experience, and help you decipher your insurance coverage.

When does treatment start?

Your treatment typically starts on day 2 or 3 of your cycle (i.e., of your full period), with some variability. The start of the treatment can be regulated to some extent by using hormonal birth control.

How long does the treatment take?

The duration of the treatment (i.e., stimulating your eggs to grow and collecting them) depends on your response to the hormones. Typically, the treatment takes 8-12 days. We recommend you plan a trip for 14-15 days; you'll be able to travel within Europe/Spain between doctors' appointments.

How many eggs might I be able to collect?

The results of your pre-treatment tests will give you an idea of the number of eggs you might collect and freeze. The younger you are, the more eggs you'll typically be able to collect and freeze, and the fewer eggs you'll need to have a reasonable chance at using them to have a baby later on, as their quality is typically better.

Do your partner clinics offer holistic treatment? 

Yes, we have partner clinics that offer holistic treatment, including acupuncture, massages, reflexology, and nutritional consulting.

Can I bring a friend, partner, or family member? 

Of course! It's great to have some additional support, though not necessary. We'll check in with you on a daily basis as you're undergoing treatment. We'll also connect you with other Ovally patients undergoing treatment at the same time, if you - and they - would like (we'll of course respect everyone's privacy).

Can I freeze my eggs together with a friend? 

Yes! You can go through egg freezing together with a friend. If your cycles don't happen to align, you can regulate their timing to some extent using hormonal birth control.

Will I have to give myself injections? 

Yes, ideally you’d give yourself injections (or have a friend help). It usually sounds worse than it is - you’ll be using a small, thin needle, and your doctor will teach you exactly how to do it. We’ll also be on hand with videos and lots of encouragement. You can also have your shots administered at your clinic if you'd prefer.

Are there any side effects? 

Everybody responds a little differently to any kind of treatment, but most women experience relatively few side effects when freezing their eggs. Common side effects include fatigue and bloating during the stimulation period and some soreness and spotting for a few days after the egg retrieval. The main risk involved in egg freezing is your ovaries being overly stimulated by the hormones. While severe ovarian hyperstimulation syndrome is very rare (<2% of cases), it is associated with abdominal pain, vomiting, and other serious side effects. Monitoring your response to the hormone treatment on a regular basis is critical in mitigating the risk of overstimulation.

I'd like to do several cycles - how quickly can I do one after the other? 

You can do one egg freezing cycle after another - a study of IVF patients compared subsequent IVF cycles to cycles with more time in between and showed no differences in results. Typically, your period kicks in a few days after the end of your first egg cycle, and you can re-start another cycle around the third day of your new cycle. You can of course also leave more time between cycles.

If you add eggs from a new cycle to the eggs of your previous cycle, our partner clinics don't charge you additional storage fees!

How much does the treatment cost? 

Our partner clinics' pricing, including special Ovally discounts, ranges from $2,200-$3,300 for an egg freezing cycle. This includes all essential parts of the procedure, such as doctor's appointments, ultrasound scans, blood tests, egg retrieval under brief anesthesia, egg vitrification aka rapid freezing, and the first year of storage for your frozen eggs. Fertility clinics in Madrid tend to be more affordable than those in Barcelona, likely because clinics in Madrid serve a higher proportion of domestic patients. As a comparison, the average egg freezing procedure in the US costs $11,000 (not including medications), according to FertilityIQ.

How much do the medications cost? 

Medications typically cost about $800-$1,200 in Spain and Ireland; Italy can be a bit more expensive (up to $1,500). In comparison, cost for medications in the US typically ranges from $2,000-$5,000, according to FertilityIQ.

How much does it cost to store my eggs? 

The annual maintenance fee after the first year ranges from $0-$510 at our partner clinics. It's between $500-$1,000 a year in the US. If you already know that you'll keep your eggs frozen for at least 5 years, you could take advantage of one of our partner clinic's treatment package that includes 5 years of storage at about $150/year.

Does using Ovally save me any money? 

Yes! Not only do we help you take advantage of top clinics with 75% more affordable treatment, but you'll also benefit from special deals we have with partner clinics. In addition, we'll make sure you avoid overpaying for any pre-treatment tests in your home country.

Will a second cycle be more affordable? 

Yes, you can save up to $1,000 on a second cycle of egg freezing, depending on the partner clinic.

Why is egg freezing so much more affordable in Spain? 

There are many different factors at play - more regulated pricing for medications being one of them. Fertility treatments are also covered under the Spanish universal healthcare system, which creates a different pricing dynamic for what doctors can charge for treatment. In addition, salaries are lower, and competition between clinics is fierce (there are about 310 fertility clinics in Spain vs. 460 in the US with 7x the population).

How does payment work? 

You'll first sign up for Ovally's services for $399 with our signup bonus ($449 without). Later on, you'll pay your clinic directly for treatment costs, and your closeby pharmacy for medications.

How long can my eggs remain frozen? 

Spain, Ireland, and Italy have no limit on how long eggs can remain frozen, unlike other countries (e.g., the UK has a 10-year limit). Healthy babies have been born from embryos that have been frozen as long as 24 years.

What if I want to use my eggs later on? 

If you want to use your eggs later on, you’ll undergo the second half of the IVF procedure (by growing and collecting some eggs, you're already completing the first half). You will only have to return to Europe for the embryo "transfer" (i.e., the implantation into your uterus), and your partner will have to contribute their sperm 5 days prior or have it shipped beforehand. Your eggs will be thawed and fertilized 5 days before the embryo transfer, and the resulting embryo(s) will develop in the lab until then. The highest-quality embryo will then be selected to be implanted.

In order to best prepare your body for pregnancy, your doctor will likely prescribe you some medications to take and tests to complete beforehand. The medications can be taken in Europe (typically starting on day 3 of your cycle), or they can also be prescribed and taken in your home country. In that case, your doctor will collaborate with your local OBGYN or fertility specialist. Similarly, after the embryo transfer, you'll return to your local doctor's care and take a pregnancy test about 10 days later.

How much would it cost to use my eggs later on? 

We’ve selected clinics and labs that are particularly good at all the steps of IVF. Similarly to egg freezing, IVF is significantly less expensive in Europe than it is in the US and in many other countries. If you returned to undergo the second half of the IVF procedure to hopefully get pregnant using your younger eggs, your costs would range from $2,970-$4,550 for treatment, depending on the partner clinic (you may have additional costs for medications and pre-treatment tests).

Can my eggs be moved somewhere else? 

Yes, your eggs can be transported to a different clinic with the help of a specialized transport company (by law, you are not allowed to transport eggs yourself). International egg transport companies (e.g., Embryoport, Core Cryolab) are experienced in keeping your eggs frozen and secure and typically also offer insurance. Our partner clinics already work with transportation companies today. Transporting frozen eggs involves paperwork and approvals - for instance, the receiving clinic (or a storage facility, such as Reprotech) will check that you were screened for certain infectious diseases based on the FDA's and the American Society for Reproductive Medicine's requirements before your eggs can be accepted. Also note that surrogacy is illegal in Spain (and in most countries around the world) and eggs cannot be transported to be used for surrogacy.

This article provides more info on transportation from an independent source, and this one speaks directly to transport out of Spain. While it's possible to move eggs and to do so quickly, it can also take a few months to complete the required paperwork, and the associated transport cost can be significant depending on the destination. If you are planning on transporting your eggs after treatment, we suggest you confirm any requirements beforehand.

We recommend you return to Spain to use your eggs, as our partner clinics have been specifically vetted to have top IVF outcomes and much more affordable pricing (see the two questions above).

What happens to my eggs if I don't use them? 

Eggs can be donated anonymously to other women/couples or to scientific research; they can also be disposed of. You’ll decide prior to going through the procedure what you’d like to do with your eggs if you don’t end up using them.

Is surrogacy allowed in Spain, Italy, and Ireland? 

No, surrogacy is illegal in these countries.

Do your partner clinic do genetic testing on future embryos? 

Yes.

Is sex selection allowed in Spain, Italy, and Ireland? 

No, sex selection is not allowed in these countries, unless you are screening for a heritable genetic disease that is only expressed in one sex.

Embryo Freezing

Why consider freezing embryos instead of eggs?

If you already know who the biological father of your child(ren) will be or are planning on using a sperm donor for your frozen eggs, it’s worth considering freezing embryos instead of eggs. Below are some reasons to freeze embryos instead of eggs to discuss with your doctor - also see our extended blog post on the question.

  • Embryos tend to survive freezing slightly better than eggs
  • Embryos provide better predictability of later IVF success than eggs
  • Embryos can take advantage of younger sperm
  • Embryos allow for genetic screening right away

How does embryo freezing work? 

Embryo freezing uses follicle-stimulating hormones, which your body produces naturally, to stimulate more eggs to grow on your ovaries during the month of the procedure. During a typical menstrual cycle, only one egg ovulates, while a number of other eggs disintegrate. The hormonal treatment tries to mature a larger number of eggs, which are retrieved at the point when they’re ready to ovulate and be fertilized. All mature retrieved eggs are then fertilized with your partner's or a donor's sperm. The resulting embryo(s) develop in the laboratory until they're ready to be implanted in the uterus, at which point they are flash-frozen for potential later use. Prior to being frozen, a genetic sample can be extracted from the embryo(s) to be tested.

Why use Ovally to help me preserve my/our fertility? 

1. Save without sacrifice: Save up to 75% of what you'd pay in the US without sacrificing outcomes or quality of care and take advantage of special Ovally discounts at our partner clinics.

2. We've done the research for you: We’ve vetted dozens of clinics for you and selected those on par with top US clinics with English-speaking doctors.

3. Don't go through it alone: We'll guide you through the entire process and provide science-based and emotional support at every step. We'll not only prepare you for every doctor's appointment but will also help you plan the trip of a lifetime to one of Europe's most affordable destinations, combining relaxation and adventure with taking control of your fertility.

What services does Ovally provide? 

Ovally acts as your personal fertility coach from the day you sign up with us until our last consult after your eggs have already been frozen. We'll also match you with a partner clinic based on your personal preferences and will serve as your individual travel planner. In addition, you'll take advantage of special Ovally deals with our partner clinics. See this page for more detail on our services.

How does Ovally vet its partner clinics? 

We make sure that our partner clinics have excellent accreditations, have decades of experience with the most challenging fertility issues, use state-of-the-art techniques and safety systems, and are on par with top US clinics at every step of the IVF process, from freezing and thawing eggs and embryos, to implanting embryos. See more details on our vetting process.

How long do I have to wait to get treatment? 

With Ovally, you avoid clinic wait lists and get priority access to start your treatment.

What preparation do I need to do before starting treatment? 

You and your partner (unless you're using a sperm donor) need to complete a battery of pre-treatment tests so your doctor can make sure (to the extent possible) that you’re a good candidate for embryo freezing and can design a personalized treatment plan based on your results. The tests usually take a few weeks to complete depending on your and your doctors' availability. Pre-treatment test requirements differ between partner clinics and tend to be the most logistically challenging aspect of your embryo freezing journey. That's why we help you avoid unexpected charges for pre-treatment tests, recommend affordable providers where other Ovally customers have had a positive experience, and help you decipher your insurance coverage.

When does treatment start?

Your treatment typically starts on day 2 or 3 of your cycle (i.e., of your full period), with some variability. The start of the treatment can be regulated to some extent using hormonal birth control.

How long does the treatment for embryo freezing take?

The duration of the treatment (i.e., stimulating your eggs to grow and collecting them) depends on your response to the hormones. Typically, the treatment takes about 8-12 days. There's no need to be present for the subsequent embryo development and freezing; your clinic's lab keeps you updated on a daily basis on progress and results.

When does my partner have to be present?

Unless you're using a sperm donor, your partner ideally provides a sperm sample on the day of your egg retrieval, so the eggs can be fertilized shortly after being collected. Alternatively, sperm samples can also be frozen, shipped, and thawed at the right time.

How many embryos might I be able to freeze?

The results of your pre-treatment tests will give you an idea of the number of eggs you might collect and freeze, as well as the quality of your partner's sperm. The younger you are, the more eggs you'll typically be able to collect and freeze, and the fewer eggs you'll need to have a reasonable chance at using them to have a baby later on, as their quality is typically better. The analogous is typically the case for younger sperm. How many embryos will be created from your eggs depends on the quality of your eggs, the quality of your partner's (or donor's) sperm, and the clinic's lab. We've vetted our partner clinics to have outcomes on par with top US clinics at every step of the process, and we'll walk you through research-based likelihoods and statistics as part of our fertility coaching services.

Do your partner clinics offer holistic treatment? 

Yes, we have partner clinics that offer holistic treatment, including acupuncture, massages, reflexology, and nutritional consulting.

Will I have to give myself injections? 

Yes, ideally you’d give yourself injections (or have your partner help). It usually sounds worse than it is - you’ll be using a small, thin needle, and your doctor will teach you exactly how to do it. We’ll also be on hand with videos and lots of encouragement. You can also have your shots administered at your clinic if you'd prefer.

Are there any side effects? 

Everybody responds a little differently to any kind of treatment, but most women experience relatively few side effects when going through "stimulation" treatment to collect eggs. Common side effects include fatigue and bloating during and some soreness and spotting for a few days after the egg retrieval. The main risk involved in the treatment is your ovaries being overly stimulated by the hormones. While severe ovarian hyperstimulation syndrome is very rare (<2% of cases), it is associated with abdominal pain, vomiting, and other serious side effects. Monitoring your response to the hormone treatment on a regular basis is critical in mitigating the risk of overstimulation.

I'd like to do several cycles - how quickly can I do one after the other? 

You can do one egg freezing cycle after another before you fertilize all the eggs to become embryos - a study of IVF patients compared subsequent IVF cycles to cycles with more time in between and showed no differences in results. Typically, your period kicks in a few days after the end of your first egg cycle, and you can re-start another cycle around the third day of your new cycle. You can of course also leave more time between cycles. If you went through two cycles, you'd only pay storage costs for one!

How much does embryo freezing cost? 

Our partner clinics' pricing ranges from $5,700-$6,350, depending on the clinic, which includes all essential steps of the embryo freezing process (doctor's appointments, ultrasound scans, blood tests, sperm tests, anesthesia, egg retrieval, fertilization, embryo development for 5 days, vitrification), as well as the first year of storage.

How much does the medication cost? 

Medications typically cost about $800-$1,200 in Spain. In comparison, cost for medications in the US typically ranges from $2,000-$5,000, according to FertilityIQ.

How much does it cost to store the embryo(s)? 

The annual maintenance fee after the first year ranges from $0-$510 at our partner clinics. It's between $500-$1,000 a year in the US.

How much does genetic testing cost? 

If you'd like to perform pre-implantation genetic screening (PGS) on your embryo(s) to detect chromosomal abnormalities, which our partner clinics typically recommend starting at 37 years of age, the cost for the procedure ranges from $1,000-3,880, depending on the number of embryos and the partner clinic. As a comparison, PGS usually costs $5,000-$6,000 in the US. Our partner clinics also perform less common genetic analyses.

Does using Ovally save me any money? 

Yes! Not only do we help you take advantage of top clinics with 75% more affordable treatment, but you'll also benefit from special deals we have with partner clinics. In addition, we'll make sure you avoid overpaying for any pre-treatment tests in your home country.

Why is embryo freezing so much more affordable in Spain? 

There are many different factors at play - more regulated pricing for medications being one of them. Fertility treatments are also covered under the Spanish universal healthcare system, which creates a different pricing dynamic for what doctors can charge for treatment. In addition, salaries are lower, and competition between clinics is fierce (there are about 310 fertility clinics in Spain vs. 460 in the US with 7x the population).

How does payment work? 

You'll first sign up for Ovally's services for $399 with our signup bonus ($449 without). Later on, you'll pay your clinic directly for treatment costs, and your closeby pharmacy for medications.

How long can the embryos remain frozen? 

Spain, Italy, and Ireland have no limit on how long embryos can remain frozen. Healthy babies have been born from embryos that have been frozen as long as 24 years.

What if I want to use the embryos later on? 

If you wanted to "transfer" an embryo later on, you’d undergo the very last part of the IVF procedure. Prior to this last step, your doctor might prescribe you some medications to best prepare your body for pregnancy. Then your highest-quality embryo would be thawed and implanted in your uterus. This procedure is typically painless and would require only 1-2 days in Spain. You'd take a pregnancy test back home about 10 days later and continue care with your local OBGYN or fertility specialist. It's important to note that both biological parents have to agree to an embryo being used (unless you used an anonymous donor).

How much would it cost to have an embryo implanted later on? 

If you returned to undergo the very last part of the IVF procedure to hopefully get pregnant using your younger embryos, your costs would range from $0-$3,050 for treatment, depending on the partner clinic (you may have additional costs for medications and pre-treatment tests). For one partner clinic, the first transfer is already included in the embryo freezing cost.

What happens to the embryo(s) if I don't use them? 

Embryos can be donated anonymously to other women or couples, or to scientific research. They can also be disposed of. You’ll decide prior to going through the procedure what you’d like to do with any embryos if you don’t end up transferring them.

Is surrogacy allowed in Spain, Italy, or Ireland? 

No, surrogacy is illegal in these countries (and most others).

Is sex selection allowed in Spain, Italy, or Ireland? 

No, sex selection is not allowed in these countries, unless you are screening for a heritable genetic disease that is only expressed in one sex.

In vitro fertilization (IVF)

How does IVF work? 

IVF uses follicle-stimulating hormones, which your body produces naturally, to stimulate more eggs to grow on your ovaries during the month of the procedure. During a typical menstrual cycle, only one egg ovulates, while a number of other eggs disintegrate. The hormonal treatment tries to mature a larger number of eggs, which are retrieved at the point when they’re ready to ovulate and be fertilized. The retrieved eggs are fertilized with your partner’s or a donor’s sperm and then develop in the laboratory until they’re ready to be “transferred” to your uterus. That’s when one embryo is implanted into your uterus and ideally grows to be a healthy baby. More details are here.

Do you accept patients from countries other than the US? 

Yes! We've helped women from all over the world, particularly since some countries have restrictions on treatments (e.g., based on marital status, age).

Do I have to be married to undergo IVF treatment? 

No!

Is there an age limit on IVF treatment? 

Yes, 50 years of age (for the woman), which is older than many other countries.

Can lesbian couples receive treatment? 

Yes, Spain has a special treatment called "shared motherhood" where one partner can go through follicle stimulation to collect eggs, and those eggs are fertilized and transferred to the other partner's uterus. See below on pricing.

Why use Ovally to help me go through IVF? 

1. Save without sacrifice: Save up to 66% of what you'd pay in the US without sacrificing outcomes or quality of care and take advantage of special Ovally discounts at our partner clinics.

2. We've done the research for you: We’ve vetted dozens of clinics for you and selected partner clinics on par with top US clinics with English-speaking doctors.

3. Don't go through it alone: We'll guide you through the entire process and provide science-based and emotional support at every step. We'll not only prepare you for every doctor's appointment but will also help you plan the trip of a lifetime to one of Europe's most affordable destinations, combining relaxation and adventure with taking control of your fertility.

What services does Ovally provide? 

Ovally acts as your personal fertility coach from the day you sign up with us until our last consult after you've taken your first pregnancy test. We'll also match you with a partner clinic based on your personal preferences and will serve as your individual travel planner. In addition, you'll take advantage of special Ovally deals with our partner clinics. See this page for more detail on our services.

How does Ovally vet its partner clinics? 

We go through an in-depth vetting process that a clinic has to pass before it can partner with us. We make sure that our partner clinics have excellent accreditations, have decades of experience with the most challenging fertility issues, use state-of-the-art techniques and safety systems, and are on par with top US clinics at every step of the IVF process, from freezing and thawing eggs and embryos, to implanting embryos. See more details on our vetting process.

What are the clinics' success rates? 

Even though our partner clinics treat many difficult cases, their lab and patient outcomes match those of top fertility clinics in the US, with cumulative pregnancy rates per cycle as high as 82% for women under 35, 68% for women between 35 and 37 years old, 60% for women between 38 and 40, and 50% for those over 40. All of our partner clinics have their outcome data audited by an independent third party and allow the Spanish Fertility Society to audit them as well. More details on our vetting process here.

Do any of your clinics have a birth guarantee? 

Yes, one of our clinics has a birth guarantee as long as you fulfill certain criteria. The guarantee provides a full or partial refund (depending on age) in case you do not have a baby after 3 IVF cycles. It applies to women who are 39 or younger. Two of our partner clinics have birth guarantees if donated eggs are used.

How long do I have to wait to get treatment? 

With Ovally, you avoid clinic wait lists and get priority access to start your treatment.

What preparation do I need to do before starting treatment? 

You (and your partner, unless you are using a donor from a Spanish sperm bank) need to complete a number of pre-treatment tests so your doctor can design a personalized treatment plan. The necessary tests will depend on the circumstances that lead you to IVF, as well as any previous diagnoses and test results. The tests usually take a few weeks to complete and tend to be the most logistically challenging aspect of your IVF journey. That's why we're on hand to make sure you don't overpay for any tests and help you decipher any insurance coverage.

When does treatment start?

Your follicle stimulation treatment typically starts on day 2 or 3 of your cycle (i.e., of your full period), with some variability. Depending on your specific fertility challenges, you may be prescribed medications to take beforehand.

How long does the treatment take?

The exact duration of the treatment depends on your response to the hormones. Typically, the stimulation treatment takes 8-12 days. On the day of your egg retrieval, your partner (unless you are using a donor) provides a sperm sample to fertilize your eggs, which can also be frozen and shipped beforehand. Your fertilized eggs then develop in the laboratory for about 5 days until an embryo can be implanted. Women typically stay for treatment for 2-3 weeks.

Do your partner clinics offer holistic treatment? 

Yes, we have partner clinics that offer holistic treatment, including acupuncture, massages, reflexology, and nutritional consulting.  

Will I have to give myself injections? 

Yes, ideally you’d give yourself injections (or have somebody help). It usually sounds worse than it is - you’ll be using a small, thin needle, and your doctor will teach you exactly how to do it. We’ll also be on hand with a video, some tips, and lots of encouragement. If you end up being too uncomfortable with the injections, you and your doctor will work out a solution like coming to the clinic to receive your shots.

Are there any side effects of IVF treatment? 

Everybody responds a little differently to any kind of treatment, but most women experience relatively few side effects when going through the follicle stimulation phase of IVF. Common side effects include fatigue and bloating during the stimulation period and some soreness and spotting for a few days after the egg retrieval. The main risk is your ovaries being overly stimulated by the hormones. While severe ovarian hyperstimulation syndrome is very rare (<2% of cases), it is associated with abdominal pain, vomiting, and other serious side effects. Monitoring your response to the hormone treatment on a regular basis is critical in mitigating the risk of overstimulation.

IVF pregnancies are also associated with increased risks for an ectopic pregnancy (when the embryo does not implant in the uterus), miscarriage, early birth, and low birth weight.

How many embryos are usually transferred? 

Ideally only one embryo is transferred to avoid complications associated with multiple pregnancies. Our partner clinics transfer only one embryo in 95% of cases.

What if I want to use an egg or sperm donor? 

You're in the right place! Spanish cryobanks have a large number of anonymous egg and sperm donors available without wait times. According to Spanish law, the clinic would match the donor as best as possible to you with regards to appearance and blood type.

How much does the treatment cost? 

Our partner clinics' pricing ranges from $5,500-$7,100 for a "fresh" cycle (e.g, with implantation following egg retrieval without a waiting period), which includes all essential parts of IVF: Doctor's appointments, ultrasound scans, blood tests, sperm tests, egg retrieval under brief anesthesia, fertilization, embryo development, day 5 embryo transfer, as well as the first year of storage for any surplus embryo(s). As a comparison, the average IVF procedure in the US costs $11,000-$16,000 (not including medications), according to FertilityIQ.

How much do the medications cost? 

Medications typically cost about $900-$1,500 in Spain. In comparison, cost for medications in the US typically ranges from $5,000-$7,000, according to FertilityIQ.

How much does it cost to freeze and store any surplus embryo(s)? 

Freezing and storing any surplus embryoy(s) during the first year ranges between $440-$1,100, and storage costs after the first year are $0-$510, depending on the partner clinic.

Does using Ovally save me any money? 

Yes! Not only do we help you take advantage of top clinics with 75% more affordable treatment, but you'll also benefit from special deals we have with partner clinics. In addition, we'll make sure you avoid overpaying for any pre-treatment tests in your home country.

Why is IVF so much more affordable in Spain? 

There are many different factors at play - more regulated pricing for medications being one of them. Fertility treatments are also covered under the Spanish universal healthcare system, which creates a different pricing dynamic for what doctors can charge. In addition, salaries are lower.

How does payment work? 

You'll first sign up for Ovally's services for $399 with our signup bonus ($449 without). Later on, you'll pay your clinic directly for treatment costs, and your Spanish pharmacy for medications.

How much does genetic testing cost? 

If you'd like to perform pre-implantation genetic screening (PGS) on your embryo(s) to detect chromosomal abnormalities, which our partner clinics typically recommend starting at 37 years of age, the cost for the procedure ranges from $1,000-3,880, depending on the number of embryos and the partner clinic. As a comparison, PGS usually costs $5,000-$6,000 in the US. Our partner clinics also perform less common genetic analyses.

How much does IVF cost with donor eggs? 

An IVF cycle using young donor eggs at one of our partner clinics costs approximately $8,800 (not including medications and pre-treatment tests).

How much does IVF for lesbian couples cost? 

The cost for "shared motherhood" or ROPA treatment we described above ranges from $5,890-$7,600 at our partner clinics (not including medications and pre-treatment tests).

What happens to any embryo(s) if I don't use them? 

Embryos can be donated anonymously to other women or couples, or to scientific research. They can also be disposed of. You’ll decide prior to going through the procedure what you’d like to do with any embryos if you don’t end up transferring them.

Is surrogacy allowed in Spain? 

No, surrogacy is illegal in Spain.

Is sex selection allowed in Spain? 

No, sex selection is not allowed in Spain, unless you are screening for a heritable genetic disease that is only expressed in one sex.

Fertility coaching

Why should I use a personal fertility coach?

Fertility treatments are emotionally, logistically, financially, and physically challenging. It's our mission to ease those challenges and to support you on your fertility journey. If you are undergoing treatment in the US, your dedicated Ovally fertility coach will support you with a personal treatment plan, clinic selection and evaluation, and individual coaching throughout your treatment. Our coaching program is designed to save you significant time and worries and to provide the support that puts you in an optimal position to receive treatment.

Which fertility treatments does your coaching program support?

We support you through any type of fertility treatment, from egg freezing, to IUI, to IVF.

How will my Ovally fertility coach support me?

Your dedicated fertility coach supports you with fertility planning, clinic evaluation and selection in the US, and individual coaching sessions before, during, and after your treatment. Find more details here.

Is the fertility coaching program only for patients undergoing treatment in the US?

Yes it is, as our Ovally packages for more affordable, high-quality fertility treatments in Spain already include fertility coaching.

Does Ovally provide medical advice?

Ovally provides information that does not constitute or replace medical advice from a doctor. Please speak to your doctor for medical advice.  

Ovally's Support

Why use Ovally to help me get my eggs frozen? 

1. Save without sacrifice: Save up to 75% of what you'd pay in the US without sacrificing outcomes or quality of care and take advantage of special Ovally discounts at our partner clinics.

2. We've done the research for you: We’ve carefully vetted dozens of clinics for you and selected those on par with top US clinics with English-speaking doctors.

3. Don't go through it alone: We'll guide you through the entire process and provide science-based and emotional support at every step. We'll not only prepare you for every doctor's appointment but will also help you plan the trip of a lifetime to one of Europe's most affordable destinations combining relaxation and adventure with taking control of your fertility.

What services does Ovally provide? 

Ovally acts as your personal fertility coach from the day you sign up with us until our last consult after your eggs have already been frozen, or your embryo has been transferred. We'll also match you with a partner clinic based on your personal preferences and will serve as your individual travel planner. In addition, you'll take advantage of special Ovally deals with our partner clinics. See this page for more detail on our services.

Will you support me after my treatment?

Yes, we will. We will check in with you after your retrieval (in the case of egg freezing) and after your pregnancy test (in the case of IVF). During our last extended session, we’ll debrief your treatment and your outcomes and discuss the next steps in your fertility journey so you feel like you have a solid plan to go forward. We’d also love to hear updates from you at any point in your journey and hope to be your choice for potential future treatments.

Once I sign up with Ovally, do I have to travel to Spain right away?

No, you don't, though we can help you be ready to go in just a few weeks. You don't have to have everything figured out in order to sign up for Ovally. You'll have two years from when you sign up to go on your trip. We're here to help with logistics and planning! Once you've completed your pre-treatment tests, most of them will be valid for a few months (and we'll have all those details ready for you).

What if I want to go to a particular clinic?

If you want to go to a particular clinic that is not one of our partner clinics, we will evaluate that clinic for you, share our results, and will help you undergo treatment at that clinic if it makes sense.

Does Ovally only accept patients from the US?

No, we've helped women from all over the world, particularly since some countries have restrictions on treatments (e.g., based on marital status, age, freezing limits).

Does Ovally provide medical advice?

Ovally provides information that does not constitute or replace medical advice from a doctor. Please speak to your doctor for medical advice.  

Where does Ovally have partner clinics?

Our current partner clinics are located in Madrid and Barcelona, as well as in Dublin and Rome. Madrid's international airport is easy to fly in and out of from other countries, and Madrid is a hub for domestic travel and a destination whose charms are often underestimated. Barcelona is a favorite among those looking for that combination of Mediterranean vibes, hipster establishments, and impressive architecture. We're always vetting clinics in new destinations - let us know if you're particularly excited about a clinic or destination!

What's Ovally's refund policy?

We offer a full refund if the results of your pre-treatment tests preclude you from undergoing treatment.

Travel to Spain

Do I need a passport? 

You’ll need a valid passport to travel to Spain from the US. From within the EU, Switzerland, Norway, Iceland, and Liechtenstein, you’ll need a valid national ID card or passport.

Do I need a visa? 

If you have a US or EU passport that’s valid for the duration of your visit and aren’t planning on staying for more than 90 days, you don’t need a visa. The Spanish consulate in London has this nifty list of visa requirements for all other countries.

How long should my trip be? 

We recommend that you plan to be in Spain for 14-15 days. The exact duration of your treatment will depend on your response to the hormones and typically lasts between 8-12 days. Some patients have worked remotely for part of their trip and vacationed for the remainder.  

Can I turn it into a girls' trip?

Absolutely! Our partner clinics will work with you to align the timing of your treatments as much as possible.

What's the best way to travel around Spain? 

Trains are a comfortable and efficient way to travel around Spain, and many routes go through Madrid. There are also many affordable domestic flights. It’s easy to rent a car if you want to explore more remote areas. Rental cars with a stick shift tend to be significantly less expensive than automatic cars, and you’ll need an international driving permit if you’re a non-EU driver.

Can I travel with fertility medication in my hand luggage? 

Yes, you can travel with fertility medication in your hand luggage, as long as you follow a few guidelines: Your doctor will need to write you a note detailing that the medications are necessary for your treatment, have to be taken daily, and taken into the cabin. You should also carry the original prescription and a receipt for the medications. Medications, which are excluded from the 100ml rule, and syringes should be packed together in a see-through plastic bag and shown to security staff along with your other materials before going through screening. You should also check with your particular airline(s) on any extraordinary rules they may have regarding travel with medication and syringes.

Do I need to know how to speak Spanish? 

Spain is very welcoming to foreigners, and most people speak English, particularly in cities like Madrid and Barcelona. Of course it's always good to know a few phrases - we'll send you a cheat sheet with the essentials.

What's the best time to travel to Spain? 

Spain is a great destination year-round, with different events and attractions every month. Spring and Fall tend to have the most pleasant temperatures and fewer crowds. Summers are the high season for tourists with hotter temperatures. Winters see fewer tourists but don’t get too cold. From December until early January you’ll find delightful Christmas markets and decorations everywhere.

Is Spain LGBTQ+ friendly? 

Madrid hosts one of the biggest Pride festivals in the world every year, bringing millions of people to the streets to celebrate. Both Madrid and Barcelona are awash in Pride flags for weeks beforehand. Every partner clinic we have vetted has been excited to help LGBTQ+ couples.

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