Best IVF and Fertility Clinics in Brazil

In Brazil, IVF treatment is a regulated process that involves several stages, including ovarian stimulation, egg retrieval, fertilization, embryo culture, and embryo transfer.

The typical IVF process begins with ovarian stimulation using fertility hormones for around 12 days to encourage multiple egg production, followed by egg retrieval through a vaginal needle insertion. Retrieved eggs are then fertilized with sperm in a laboratory, utilizing either standard IVF or ICSI. Fertilized eggs develop into embryos in incubators for up to fourteen days, with options for advanced techniques like blastocyst culture. Finally, embryos are transferred to the uterus, with the number transferred adjusted based on the woman’s age and genetic testing results.

The treatment journey generally starts with an initial visit lasting 7–10 days for assessments, then a 10–20 day procedure phase for egg retrieval and transfer. Brazilian regulations require express written consent from patients over 18 and not under legal guardianship, and there are rules regarding the maximum in vitro development time for embryos.

Gender selection for non-medical reasons is prohibited in Brazil, despite some conflicting information regarding regulations and restrictions.

Although preimplantation genetic diagnosis (PGD) or preimplantation genetic testing (PGT) can identify the chromosomal sex of an embryo during IVF, utilizing this technology for non-medical gender selection is not permitted by Brazilian law. However, PGD/PGT is legally permissible for medical reasons, specifically to prevent the inheritance of sex-linked genetic disorders.

The first baby born through assisted reproduction in Brazil was in 1989, in the state of Rio Grande do Sul.

This pioneering birth involved Álvaro Luís Santos, and was achieved through the efforts of the Assisted Fertilization Group, which subsequently became known as Fertilitat. This marked a significant moment in the history of reproductive medicine in Brazil, paving the way for further advancements in assisted reproductive technologies.

Following this initial success, Fertilitat continued to achieve milestones, including the birth of the first IVF twins in Rio Grande do Sul in the early 1990s, and later, the first pregnancy in Latin America utilizing sperm retrieved from the epididymis just four years after the twins’ birth.

IVF in Brazil is considerably more affordable than in countries like the United States, with a basic cycle typically costing between $4,000 and $7,000 USD.

The price for a standard IVF cycle in Brazil can range from approximately $1,800 to $7,000 USD, with a common average around $4,700 USD. Many clinics include the cost of initial medications within this price range, which is a benefit compared to other countries where medication expenses can significantly increase the overall cost. Additional procedures like ICSI can range from $3,000 to $6,000 USD, and Preimplantation Genetic Testing (PGT) typically costs between $950 to $1,900 USD, representing 20%-30% of the total treatment cost.

Brazilian fertility clinics frequently offer comprehensive packages that include medication, laboratory work, and procedure fees to help manage expenses. IVF with egg donation is likely to be on the lower end of the $4,500 to $7,000 USD range seen in other destinations, reflecting Brazil’s overall affordability for IVF treatments.

Reciprocal IVF (ROPA) is legally permitted in Brazil for lesbian couples, granting them full access to fertility treatments like IVF with donor sperm since 2011.

Brazilian law allows assisted reproduction techniques for any capable person, regardless of marital status or sexual orientation, and recognizes ROPA as a legal option; the non-gestational partner faces no additional legal hurdles to parental recognition if the couple is in a stable union. Both partners in a ROPA procedure generally experience straightforward parental rights recognition when in a stable union or marriage.

Several clinics throughout Brazil offer ROPA, including Chedid Grieco Fertility Clinic in São Paulo and IVI Salvador de Bahia, with an average cost for an IVF cycle around $5,000, though costs can vary.

In Brazil, egg donation is legally required to be anonymous, though this anonymity is not absolute.

While the Federal Council of Medicine mandates anonymity, the Brazilian Civil Code recognizes a donor-conceived child’s right to seek legal action to discover their origins, and fertility clinics are required to maintain donor records to prepare for potential legal cases. Although gamete donation cannot involve payment, donors can receive reimbursement for procedure-related expenses.

There is an ongoing debate in Brazil regarding whether donor-conceived individuals should have the legal right to access donor information, with a growing sentiment leaning towards greater openness, and a significant portion of the population believes the donor’s identity should be revealed if the child questions their biological origin.

Egg donation is legal in Brazil, but it must be non-commercial and anonymous.

Brazilian law prohibits the sale of reproductive cells, meaning direct payment for egg donation is not allowed; however, donors are permitted to receive financial reimbursement for expenses related to the donation process, typically ranging from R$1,000 to R$2,000 per procedure. Clinics are responsible for carefully selecting donors, ensuring they are under 35 years of age and free from genetic or infectious diseases, and also assessing their psychological profile.

While anonymity is generally maintained between donor and recipient, children conceived through egg donation have the right to access information about their origins, and clinics are expected to keep donor data available for this purpose. Regulations regarding assisted reproductive technology in Brazil are primarily based on resolutions from the Federal Council of Medicine, rather than specific laws.

Male same-sex couples can pursue IVF in Brazil, with established legal avenues to parenthood.

The most common path involves IVF with egg donation and surrogacy, where donor eggs are fertilized with the sperm of one of the intended fathers and then transferred to a surrogate. Brazilian law permits assisted reproduction for all individuals, including same-sex couples, and strongly supports the recognition of same-sex parents since 2013.

Egg donors are typically anonymous and selected based on questionnaires, with intended parents having approval rights. Surrogacy is legally permitted, generally requiring the surrogate to be a blood relative of one of the intended parents, or prior authorization from the Regional Council of Medicine if not a relative; commercial surrogacy is prohibited.

Yes, lesbian couples can access IVF and other assisted reproductive technologies (ART) in Brazil to build their families.

The legal framework in Brazil supports the rights of same-sex couples regarding family formation through ART, granting them the same rights as heterosexual couples, including the right to marry and adopt. Lesbian couples can utilize donor sperm for both IVF and intrauterine insemination (IUI), with options for known or anonymous donors, though mixing sperm from different partners is not permitted.

Brazilian law and medical council resolutions allow for both partners in a lesbian couple to be recognized as legal parents, and the practice of reciprocal IVF, where one partner provides the egg and the other carries the pregnancy, is available, allowing for both genetic and gestational connection to the child. Even when only one partner is genetically related, legal frameworks aim to recognize both as parents, considering socioaffective maternity.

Surrogacy in Brazil is not explicitly authorized or prohibited by national legislation, but is instead regulated by resolutions from the Federal Council of Medicine and interpreted through existing legal norms and court decisions.

Altruistic surrogacy is permitted, but strictly on a non-commercial basis, meaning the surrogate mother can only be reimbursed for medically necessary expenses. This form of surrogacy generally requires a kinship between the surrogate and the intended parents, up to the fourth degree, though exceptions can be granted by the CFM in specific circumstances. Commercial surrogacy, involving payment to the surrogate, is prohibited in Brazil due to laws related to organ transplantation, constitutional provisions protecting human dignity, and potential exploitation concerns.

Surrogacy is generally considered for cases of infertility or medical conditions preventing the intended mother from carrying a pregnancy, and is also recognized as an option for same-sex couples.

Yes, assisted reproductive technologies, including IVF, are legal in Brazil.

The Federal Council of Medicine (CFM) serves as the primary regulatory body, issuing resolutions that govern medical practice in this field, as there is no specific federal legislation regulating assisted conception. These resolutions have been updated several times, most recently with Resolution No. 2.294/2021, which provides the ethical and practical guidelines for assisted reproduction.

The regulations require express written consent from capable patients and permit access to assisted reproduction for heterosexual couples, same-sex couples, transgender individuals, and single people, irrespective of infertility diagnoses. There are also regulations regarding the number of embryos that can be generated and transferred, varying based on the woman’s age and embryo quality.