Estonia is a country in northern Europe and is easily accessible from a number of European countries via ferry, road, rail or air. Estonia regained its independence in 1991 and joined the European Union in 2004 and its currency is the Euro. The cost of living is lower than in the UK.
There are six fertility clinics in Estonia which include three private ones. Estonia has a good healthcare system and its citizens pay a tax to enable them to freely access the healthcare system. The government of Estonia generously provides IVF treatment for Estonian women up until the age of 41 years including those being treated in private IVF clinics.
The cost of fertility treatment in Estonia is much less than in the UK. Fertility treatments are well regulated and the clinics are regularly inspected to maintain a high standard. Being a member of the European Union means that Estonia adheres to European Union Tissues and Cells Directive. For these reasons, together with the fact that Estonia has outstanding beauty and history, should make it a place to consider for fertility treatment abroad.
Both intrauterine inseminations with a partner’s sperm or with donor sperm are legally allowed in Estonia. The treatment is available to married couples, unmarried couples and single ladies, however, unmarried couples who undergo IUI with a donor need to sign a consent form stating that they both agree to be the parents of the donor-conceived child. Intrauterine insemination is a non-invasive type of fertility treatment that helps with the process of getting pregnant in cases of mild female or male pathologies. You should be aware that it often takes even up to six months for IUI to work. In Estonia, the cost of IUI with a partner’s sperm is roughly EUR 300 and if you opt to use IUI with donor sperm it can be around EUR 600-700.
Egg Donation Estonia
Egg and sperm donation is anonymous in Estonia. Treatment for IVF using own eggs and using donor eggs has an age limit of 50 years. There is no central register in Estonia documenting how many times a donor has donated eggs but the law states that no more than 6 children are allowed to be born from one woman. There is a discussion at the moment about whether there should be a central registry. Egg and sperm donors are compensated for their donation and the amount depends upon the clinic. It is usually about 500 Euros for egg donors and a little less for sperm donors.
Sperm and Egg Donors in Estonia
The egg donors in Estonia must be between 18-35 years of age. Sperm donors can be between 18-40 years of age. Donors are excluded from donation if they are found through mandatory testing to have one of the following:
- Acute or chronic hepatitis B, Hepatitis C
- Chlamydial infection
- HTLV I/II
- Cystic fibrosis and other autosomal recessive diseases
- Fragile-X Syndrome, and other X-linked recessive disorders
- Other genetic diseases
- Multifactorial congenital disorder or syndrome
- Unbalanced genomes
Only the following characteristics about the donor are available to the recipient (and future child): nationality, skin colour, education, marital status, any children, height, build, colour of hair and colour of eyes.
You might like to read: What’s the best IVF clinic abroad for over 40s?
Embryo Donation Estonia
Embryo donation is allowed in Estonia from both fresh and frozen eggs and sperm and also from the donation of surplus embryos from other couples. However, not every clinic will offer both types of embryo donation.
IVF Laws Estonia
Estonia applies the European Tissue and Cells Directive which regulates assisted reproduction in the European Union. You can read more about IVF laws in Estonia here.
To summarise, the laws state:
- Assisted reproduction is legally available to unmarried couples and single women. Unmarried couples need to sign a consent form before treatment agreeing to be parents of any future child.
- The upper age limit for IVF treatment using own eggs and egg donation is 50 years. However, in most cases, donor eggs are recommended if the woman is older than 43 years.
- Sex selection is not allowed for non-medical reasons.
- Donation of egg and sperm is anonymous.
- Surrogacy is not permitted but currently there is a discussion in government about permitting altruistic surrogacy for medical reasons.
- There are laws in place restricting the number of embryos which are allowed to be transferred. Up to three embryos are allowed to be transferred in Estonia.
- Egg freezing is permitted.
- PGS/PGD is allowed
- Embryos can be stored for up to 7 years. There is no limit of the time for sperm or egg freezing.
You may be interested to read: Can anyone have IVF treatment abroad?
Safety and Quality for IVF Treatment Estonia
Fertility clinics are regularly inspected by the Republic of Estonia Agency of Medicines who will issue them a licence for handling tissues and cells. Some IVF clinics also attain ISO certification too. All success rates from fertility clinics are also sent to the Republic of Estonia Agency of Medicines. Some clinics also send their statistics to the European Society of Human Reproduction and Embryology (ESHRE). The success rates are not available to the public.
We have lots of information on IVF abroad in other countries in Europe and beyond.
IVF in Estonia Questions and Answers
What is the cost of IVF in Estonia?
Estonia's reputation for providing high-quality fertility treatment at affordable prices has been growing steadily over recent years. It retains a relatively low cost of living and is accessible from land, sea or air – London is a mere 2 hours 30 min. away by air and Berlin is two hours. The small country has only a few clinics but offers a very good option for international fertility patients. Estonia has been a Member of the European Union since 2004 and as such adheres to European fertility-related legislation and directives. The basic cost of IVF in Estonia with your own eggs can range between €2,500 and €3,500 while IVF with ICSI can add around €500 to the overall costs. These basic costs, however, do not necessarily include any preparatory scans and tests or medication. Estonia however should be regarded as a destination which is extremely competitive in terms of treatment costs.
How much does it cost to freeze your eggs in Estonia?
It is legally permitted to freeze your eggs in Estonia for both medical and social reasons and its popularity appears to be growing just as quickly as it is across Europe. Egg freezing costs can vary dramatically between €500 and €1,600 but higher prices usually involve a storage package. Whilst embryos can be frozen for a maximum period of seven years there is no such rule for eggs. They can, therefore, be stored indefinitely.
How much does embryo donation cost in Estonia?
Embryo donation is legally allowed in Estonia and the embryos are usually from patients who have completed their own treatment and who want to share any surplus embryos. Clinics in Estonia run many different ‘adoption’ programmes which offer fresh or frozen embryo donation treatments. The frozen option costs around €2,000 and €2,400, a figure similar to that charged in countries like Portugal.
What is the cost of IVF with donor eggs in Estonia?
Donors are anonymous in Estonia and there does not appear to be a shortage of either male or female donors. Donors receive compensation for each donation and women up to the age of 50 can be a recipient of donor eggs. The small number of clinics in Estonia provides a range of donor treatment programmes which can include ‘partial’ egg donation treatments that cover one frozen transfer or programmes that offer the possibility of a fresh and frozen transfer. The former starts at around €3,800 and the latter at around €5,500 to €6,000.
How much does donor sperm for IVF cost in Estonia?
Donor sperm treatment is offered by clinics in Estonia. Donors should be aged between 18 and 40 and a limited amount of information about them is passed to patients. This includes information such as a physical description (height, hair and eye colour), level of education, and whether they are married or not. Clinics in Estonia charge on average an additional €450 to €500 for a sperm donor on top of any baseline IVF costs.