Spain and the Czech Republic are Europe’s two default answers for donor-egg IVF: both have anonymous donation, short waiting lists and prices far below the UK. On paper the choice looks like a price comparison. It usually isn’t.
Choose the Czech Republic if…
- You are a heterosexual couple — Czech law requires it
- Price is the deciding factor: donor-egg cycles start around €4,500
- You want a clinic that publishes its annual success-rate data, as Reprofit does
- You’re travelling from Germany, Austria or Poland, where Prague and Brno are a short trip
Choose Spain if…
- You are a single woman or a female couple — the Czech Republic cannot treat you
- You want the largest donor pools in Europe and essentially no waiting list
- You want a wide choice of clinics and cities, from Barcelona and Madrid to Alicante and Mallorca
- You need many languages on the clinical team
Side-by-Side
| Spain | Czech Republic | |
|---|---|---|
| Donor-egg IVF cycle | €5,900–8,500 | €4,500–8,000 |
| Who can be treated | No couples-only restriction; single women and female couples treated | Heterosexual couples only |
| Donor anonymity | Absolute; donor identity never revealed | Fully anonymous; no identity release at any age |
| Donor waiting time | Near-zero at most clinics | Short; Reprofit quotes 2–4 weeks |
| Wellmap-verified clinics | 7 | 4 |
| Accreditations on file | ISO 9001; JCI at IVI Madrid and Quirónsalud | ISO 9001; ESHRE members (GENNET, Reprofit) |
| Languages at verified clinics | English, Spanish, French, German, Italian, Russian, Arabic, Chinese | English, German, Russian, French, Czech, Spanish |
Every cell is either sourced below or drawn from Wellmap’s verification records.
The Rule That Decides It for Many People
Czech law treats heterosexual couples only: single women and female couples are not eligible. Spain has no equivalent restriction.
So for a large group of patients this isn’t a comparison at all — Spain is the only one of the two that can treat them, and the €1,400 or so that Czech clinics are cheaper on paper is irrelevant. Check your own eligibility before you compare a single price.
Spain: Seven Verified Clinics
- Instituto Bernabeu (Alicante) ✓ Verified by Wellmap — pioneers in genetic diagnosis and egg donation, with centres across Spain. ISO 9001. Rated 4.9/5 across 1,567 reviews, mid pricing. English, Spanish, French, German, Italian.
- Institut Marquès (Barcelona) ✓ Verified by Wellmap — one of Europe’s largest donor programmes. ISO 9001, ESHRE member. Rated 4.8/5 across 3,100 reviews, mid pricing.
- Clinica EUGIN (Barcelona) ✓ Verified by Wellmap — part of Europe’s largest fertility network, specialising in egg donation IVF, and states same-sex couples are welcome. ISO 9001. Rated 4.8/5 across 1,240 reviews, premium.
- IVI Clinic Madrid ✓ Verified by Wellmap — part of IVI-RMA, with PGT-A genetic testing. JCI and ISO 9001. Rated 4.8/5 across 1,560 reviews, premium.
Also verified: Quirónsalud Madrid, Quirónsalud Barcelona and Clínica Juaneda Palma.
Czech Republic: Four Verified Clinics
- GENNET Fertility Clinic (Prague) ✓ Verified by Wellmap — a specialised genetics and fertility centre, leading in PGT-A embryo testing and focused on recurrent miscarriage and complex cases. ISO 9001, ESHRE member. Rated 4.8/5 across 1,650 reviews, mid pricing.
- Reprofit International (Brno) ✓ Verified by Wellmap — one of Europe’s largest IVF and egg donation clinics, over 3,000 international patients a year, publishes annual success-rate data, egg donation waiting time 2–4 weeks. ISO 9001, ESHRE member. Rated 4.7/5 across 2,800 reviews, mid.
- ISCARE Lighthouse (Prague) ✓ Verified by Wellmap — fertility and gynaecology clinic in central Prague. ISO 9001, rated 4.7/5 across 534 reviews, mid.
- Motol University Hospital (Prague) ✓ Verified by Wellmap — the largest hospital in Central Europe, strong in fertility and complex cases. ISO 9001, EU certified, rated 4.5/5 across 760 reviews, mid.
On Success Rates
Reprofit publishing its annual data is genuinely unusual and worth weighting. Beyond that, don’t rank these clinics by the figures on their websites: they mix pregnancy and live-birth rates, own-egg and donor-egg cycles, and per-transfer and per-cycle counts. Ask each clinic the same question — live-birth rate per embryo transfer, for your age group and egg source.
What This Means in Practice
Where it’s genuinely close: a heterosexual couple wanting anonymous donor eggs at the lowest price will do well in either, with the Czech Republic slightly cheaper and Spain offering more clinic choice.
Where it isn’t close: single women and female couples should go to Spain. So should anyone who wants a donor matched immediately rather than within weeks.
If neither price suits, Georgia runs roughly $4,000–9,000 a cycle with anonymous donation, and our top IVF clinics abroad guide compares destinations by patient situation.
What to Bring
- Recent fertility tests: AMH, FSH and antral follicle count; semen analysis where relevant
- Records of previous IVF cycles, including protocols and embryo reports
- Blood group and infectious-disease screening results
- Proof of relationship status if the clinic’s national law requires it
- Current medication list
Getting Started
Confirm eligibility under each country’s law before comparing prices — for many patients that single question decides the destination. See verified IVF clinics in Spain, verified IVF clinics in the Czech Republic, or ask our AI assistant.
Sources:
- Egg Donation in Spain in 2026: Costs, Availability & Clinics — Egg Donation Friends
- Egg Donation in Czech Republic in 2026: Costs & Clinics — Egg Donation Friends
- IVF in the Czech Republic: Cost, Rules & the Couples-Only Law (2026) — Fertility Tourism
- Egg Donation Laws by Country — Egg Donation Friends
- Egg Donation Cost Abroad 2026 — Praga Medica