How this works

Fertility Decision is a decision-support site for people considering IVF with donor eggs abroad. It's built to help you narrow realistic options using the constraints that actually change which destinations stay on your list.

What this site helps you do

The site works through five filters that change which countries stay on your shortlist.

Age

Covered countries have practical age limits ranging from 46 to around 58. A single cutoff can remove several destinations immediately, making this the most efficient first filter for many people.

Explore age limits

Eligibility

Some countries treat single women without restriction. Others require a partner. If you're going alone, this filter removes destinations that won't accept your situation before you read anything else about them.

Check eligibility

Donor type

Anonymous and identifiable donation are not available everywhere. Countries that require anonymous donation are immediately off the list for anyone who needs an identifiable donor, and vice versa.

Compare donor types

Budget

Clinic headline prices usually exclude recipient medication, and often exclude travel, testing, freezing, and optional add-ons. The site flags what the base figure typically leaves out so you can compare realistically.

Understand pricing

Shortlist logic

After filtering by age, eligibility, donor type, and budget, the remaining countries are your working shortlist. The site helps you see which combinations of constraints point toward the same destinations.

Build your shortlist

What this site is not

Why the site is organized this way

Most people don't begin with "tell me about Spain." They begin with a constraint:

This is why the site is organized around constraints first and countries second. Country pages exist to validate a shortlisted destination in depth. Reading one before you've filtered by your constraints can mean spending time on a destination that a single age limit or donor-type rule would have removed immediately.

How to use the site

  1. 1

    Apply the constraint that removes the most options first

    For most people that's age. Then check eligibility and donor type. Each filter shortens the list before you read anything in depth.

  2. 2

    Compare the countries that remain

    Use the countries comparison page to see how the viable destinations differ on cost, logistics, and the factors that aren't hard constraints but still matter.

  3. 3

    Read country pages for destinations still on your list

    Each country page is a shortlist-validation page. Read it to confirm the destination is realistic for your situation, not for a general overview.

  4. 4

    Prepare for clinic contact once the list is short

    The questions for clinics guide helps you ask better questions and interpret clinic responses more clearly.

How to read the country guidance

Country pages are most useful once a destination has already passed your main filters. If age, eligibility, or donor type already rules a country out, the country page will not change that.

For destinations still on your list, read the country page to understand:

How to read costs, donor type, and shortlist guidance

Cost ranges

Editorial estimates of the base clinic package a patient is likely to see first. Recipient medication is usually separate, and travel, testing, freezing, and add-ons often are too. Useful for comparing destinations, not budgeting a specific treatment.

Donor type

Reflects how a country's legal framework is structured. In practice, availability, matching approach, and timing vary by clinic. Some legal possibilities exist on paper but are limited or inconsistent in practice.

Shortlist guidance

Designed to narrow realistic options, not create certainty. The site is explicit about what varies by clinic, what depends on medical assessment, and where the answer is genuinely variable rather than fixed.

How the country shortlist tool fits in

The country shortlist tool is a guided narrowing tool. It takes your key constraints and suggests which covered countries are most likely to fit your situation.

It does not provide medical advice, replace a clinic consultation, or generate a personalized treatment plan. It is a starting point, not a conclusion. After using it, the next step is to read the relevant country pages and then do more focused clinic-level research within the countries still on your list.

Where to go next