Best IVF and Fertility Clinics in United States
Top IVF Clinics in United States
Clinics with the highest ratings and verified quality care in this region.
Ben Gocial, MD
Main Line Fertility is a leading fertility and IVF clinic located in the Greater Philadelphia region of Pennsylvania, with six convenient sites in Philadelphia, Bryn Mawr, West Chester, Havertown, Fort Washington and Reading, and serving patients across Pennsylvania and South Jersey; the clinic specializes in comprehensive reproductive medicine, offering IVF, embryo creation, and a full spectrum of assisted reproductive technologies alongside dedicated LGBTQ+ inclusive care. Recognized by Philly Magazine as Top Doctors, voted Top LGBTQ+ Doctors in 2024, and honored with 2026 Castle Connolly Top Doctor awards for Dr. Michael Glassner, Dr. Allison Bloom, Dr. Shahab Minassian and Dr. Ben Gocial, the team combines decades of expertise with an empathy‑driven, personalized approach that adapts treatment plans as needed. Main Line Fertility highlights its high IVF success rates while emphasizing holistic, community‑focused support, providing extensive emotional‑wellness resources such as stress‑reduction tips, mental‑health counseling, and financial guidance, as well as ongoing post‑treatment follow‑up. The clinic’s award‑winning physicians and supportive staff work collaboratively with patients and referring providers to simplify referrals, ensure seamless care coordination, and create a safe, nurturing environment for every individual and couple pursuing family building.
Fertility Center Of San Antonio
The Fertility Center of San Antonio is a leading fertility clinic located in San Antonio, Texas, specializing in reproductive medicine and offering a range of services to help individuals and couples build their families. With over 38 years of experience and some of the highest success rates, the clinic provides personalized care in a comfortable, private atmosphere, utilizing innovative science and technology. The team, led by Dr. Gregory Neal and Dr. Joseph E. Martin, offers specialized services such as IVF, Nature’s IVF using INVOcell technology, Univfy PreIVF, and the Precision IVF Refund Program, as well as fertility preservation options like egg freezing. The clinic’s approach focuses on patient comfort and support, featuring a discreet, newly remodeled office with covered parking, wheelchair accessibility, Wi‑Fi, and a welcoming waiting area, while a dedicated staff provides one‑on‑one care and extensive patient communication. Patients benefit from an on‑site andrology and embryology laboratory, pioneering techniques such as ICSI and preimplantation genetic testing, comprehensive LGBT family‑building services, and a wealth of educational resources, ensuring a thorough, supportive fertility journey.
The Texas Center for Reproductive Acupuncture
Texas Center for Reproductive Acupuncture (TCRA) is a reproductive‑acupuncture clinic located in Austin, Texas, specializing in integrative fertility and pregnancy care that blends Traditional Chinese Medicine with conventional IVF/IUI protocols. The center offers natural fertility enhancement, acupuncture for IVF/FET and IUI, targeted treatments for PCOS, endometriosis, diminished ovarian reserve, male factor infertility, recurrent miscarriage, PMS/PMDD, menopause symptoms, and comprehensive pregnancy support including gestational diabetes, labor facilitation and postpartum depression counseling. Unique features include a collaborative approach with reproductive endocrinologists and OB‑GYNs, personalized Chinese herbal formulas, lifestyle and nutrition guidance, and a risk‑free consult that has helped over 10,000 Central Texas women start families, with patient‑reported improvements in cycle regulation and IVF success rates. Founded by Kirsten Karchmer, former President of the American Board of Oriental Reproductive Medicine, the team—led by senior acupuncturist Marisa—provides empathetic, evidence‑based care, regular email follow‑ups, online appointment scheduling, and extensive patient resources, all highlighted in media outlets such as News 8 Austin, The Huffington Post and USA Today.
IVF Florida Reproductive Associates in Jupiter
IVF Florida Reproductive Associates is a comprehensive fertility clinic located throughout Florida, with major offices in Coral Gables, Boca Raton, Pembroke Pines, Margate, Jupiter, Jacksonville, and Jensen Beach, specializing in assisted reproductive technologies that guide every stage of the family‑building journey. Leveraging more than three decades of experience, the clinic offers in‑vitro fertilization, intrauterine insemination, egg freezing, donor and surrogacy programs, detailed fertility testing, and a low‑cost Fertility Awareness Checkup that includes hormone panels and transvaginal ultrasound. Recognized nationally among the top IVF centers, IVF Florida consistently reports success rates that exceed U.S. averages, and its board‑certified reproductive endocrinologists—including Dr. Barrionuevo, Dr. Hoyos, and Dr. Gualtieri—provide a patient‑first, outcomes‑driven approach complemented by Fertility Equity™ certification for culturally competent care. Distinctive features include multi‑cycle IVF discounts, 50 % and 100 % refund guarantees, flexible financing, extensive insurance navigation, telehealth options, and dedicated support for international and long‑distance patients, while resources such as a patient portal, hurricane‑protocol updates, educational blogs, events, and personalized counseling ensure comprehensive emotional and logistical assistance throughout treatment.
Institute for Reproductive Health
The Institute for Reproductive Health is a multidisciplinary fertility clinic located in Cincinnati, Ohio, with additional offices in Florence, Ohio and Louisville, Kentucky, specializing in comprehensive infertility care for patients seeking assisted reproductive solutions. The center offers a full spectrum of services—including In Vitro Fertilization (IVF), ICSI, donor‑egg cycles, pre‑implantation genetic screening (PGS), egg freezing, sperm banking, tubal and vasectomy reversal, surrogacy coordination, and advanced laboratory support through its Ovation Fertility lab, which accepts a wide range of insurance plans such as United Healthcare, UMR, Anthem, Humana, Aetna, and Cigna. Led by Dr. Sherif Awadalla, Dr. Michael Scheiber, Dr. Thomas Burwinkel, and Dr. Michael Awadalla, the team emphasizes a warm, caring, and individualized approach, employing the latest reproductive endocrinology techniques while providing patient education, counseling, and coordinated insurance assistance. Although specific success rates are not disclosed, the clinic’s commitment to high‑quality care, multidisciplinary expertise, and accessible financing distinguishes it as a leading option for couples pursuing their family‑building goals.
Dallas Fort Worth Fertility Associates – Southlake Clinic
Dallas – Fort Worth Fertility Associates is a fertility clinic located in Dallas, Texas, specializing in comprehensive reproductive medicine for individuals and couples seeking to build their families. Since 2010 the practice has offered a full spectrum of services including advanced IVF, IUI, pre‑implantation genetic testing, egg freezing, in‑house egg donor and gestational carrier programs, LGBTQ+ family‑building options, and thorough male and female fertility assessments, all supported by board‑certified reproductive endocrinologists, experienced nurses and dedicated financial coordinators. The clinic’s distinctive features include two EmbryoScope incubators for continuous embryo monitoring, recognition as a Newsweek Top 100 Fertility Clinic (#31 in the United States), and a multi‑site presence across Dallas, Southlake, Plano, Medical City and the Baylor Medical Pavilion, providing convenient access to state‑of‑the‑art IVF laboratories and surgical suites. While specific percentages are not listed, Dallas – Fort Worth Fertility Associates publicly reports its IVF success rates and emphasizes personalized, evidence‑based treatment protocols tailored to each patient’s medical history. Comprehensive patient support is further enhanced through an eIVF portal, insurance and cost‑consultation services, a new‑patient hotline, and extensive educational resources to guide patients through every step of their fertility journey.
Fertility Center and Applied Genetics of Florida
Fertility Center & Applied Genetics of Florida is an advanced reproductive endocrinology and infertility clinic located in Sarasota, FL with a second boutique office in Bonita Springs, FL, specializing in personalized IVF, genetic testing, and comprehensive fertility solutions for couples and individuals; under the sole leadership of Dr. Julio E. Pabon, MD, FACOG, the clinic offers a full spectrum of services including conventional IVF, sex‑selection IVF, IUI, ICSI, pre‑implantation genetic screening and diagnosis (PGS/PGD) since 2000 (with its first live birth reported in 2001), microsurgical tubal reversals, egg and sperm cryopreservation, donor egg programs, surrogacy coordination, and specialized care for LGBTQ families, single parents, and patients with ovarian, uterine, or genetic challenges. Unique features include a boutique practice model that ensures each patient receives direct, one‑on‑one attention from Dr. Pabon and a compassionate, family‑like staff, as well as a proven track record of successful live births highlighted in numerous patient testimonials. The clinic’s professional approach combines Dr. Pabon’s dual role as Medical and Laboratory Director with a supportive team that provides thorough counseling, 24‑hour contact availability, and individualized treatment plans, fostering high patient satisfaction and confidence throughout the fertility journey.
Texas Fertility Center – San Antonio
Texas Fertility Center San Antonio is a comprehensive fertility clinic located in San Antonio, Texas, specializing in the diagnosis and treatment of both female and male infertility with a focus on personalized IVF, genetic testing, and reconstructive fertility surgery; the center offers a full spectrum of services including detailed fertility testing, ovarian reserve assessment, IUI (natural and medicated cycles), advanced IVF with an onsite state‑of‑the‑art lab and embryo culture, donor egg, sperm and embryo programs, gestational surrogacy, egg freezing, fertility preservation for cancer patients, LGBTQ+ family building options, and minimally invasive fertility surgeries such as hysteroscopy and endometriosis removal. Unique features include a dedicated surgical suite adjacent to the clinic, more than 150 years of combined physician experience, over 25,000 babies born since 1980 (including 300 from frozen eggs), award‑winning research, and multilingual support for patients from South Texas, Central Texas, and Latin America. The team of board‑certified reproductive endocrinologists, embryologists, nurses and support staff—led by Dr. Erika Munch and Dr. Susan Hudson—provides compassionate, evidence‑based care, while patient‑centered services such as stress‑management programs, counseling, support groups, medication discount programs, financing options, virtual IVF orientations and webinars ensure comprehensive emotional and financial support throughout the journey to parenthood.
Marin Fertility Center
Marin Fertility Center is a comprehensive reproductive medicine clinic located in Greenbrae, California, serving the southern Marin community and offering specialized care for IVF, ICSI, pre‑implantation genetic testing, donor‑egg and donor‑sperm programs, gestational carrier coordination, and inclusive LGBTQ+ family‑building services such as reciprocal IVF and DuoIVF™; the center’s unified team of reproductive endocrinologists, embryologists, genetic counselors and support staff delivers individualized, patient‑centered treatment while emphasizing rapid time‑to‑pregnancy through its boutique‑style operations and a state‑of‑the‑art onsite IVF laboratory—renovated in 2022 and the only one in southern Marin—paired with five‑layer secure cryostorage for embryos and gametes; success rates are publicly reported through the Society for Assisted Reproductive Technology’s Clinical Outcomes Reporting System, reflecting competitive outcomes, and the clinic further distinguishes itself with a welcoming office environment, comprehensive emotional‑support resources, educational media, community newsletters, and a dedicated patient‑experience team that greets each visitor by name, provides counseling, and ensures seamless coordination of all services under one roof.
Conceive Fertility Center – Frisco
Conceive Fertility Center is a comprehensive assisted reproductive technology clinic located in Dallas‑Fort Worth, Texas, specializing in individualized IVF, mini‑IVF, IUI, donor egg and sperm programs, surrogacy, and microsurgical procedures such as tubal reversal. Leveraging over 35 years of experience, the board‑certified team of Dr. Julian Escobar, Dr. Tiffanny Jones and Dr. Derek Haas offers full‑spectrum fertility testing, personalized treatment plans, and advanced laboratory services including embryo testing, ICSI, egg freezing, sperm banking and embryo cryopreservation, all supported by a state‑of‑the‑art IVF lab in the DFW metroplex. Unique features include gentle mini‑IVF protocols, inclusive care for all marital statuses and sexual orientations, and a warm, welcoming environment that emphasizes compassion, respect and patient education. While specific percentages are not listed, the clinic reports competitive success rates tailored to each patient’s age and diagnosis, and provides ongoing counseling, insurance navigation, and dedicated support staff to guide patients through every step from consultation to pregnancy monitoring.
Alabama Center for Reproductive Medicine (ACRM) – Birmingham
Alabama Center for Reproductive Medicine (ACRM) is a fertility clinic located in Birmingham, Alabama, with a second office in Montgomery, specializing in comprehensive reproductive medicine and personalized family‑building solutions; founded by board‑certified Dr. Cecil A. Long, who brings three decades of expertise and a personal IVF success story, the boutique clinic offers a full spectrum of services including detailed male and female fertility testing, ovulation induction, intrauterine insemination (IUI), in‑vitro fertilization (IVF) with advanced embryo culture, cryopreservation of eggs, sperm and embryos using TMRW technology, minimally invasive reproductive surgery for endometriosis, fibroids and tubal blockage, and a weight‑loss management program to optimize fertility. Unique features include a state‑of‑the‑art laboratory housed in the Homewood clinic, transparent financing plans, a patient portal, extensive educational resources, and counseling support for couples throughout treatment. Although specific success rates are not listed, ACRM emphasizes thousands of families helped and highlights its early‑intervention philosophy, no age restrictions, and affordable IVF options. The multidisciplinary team of fertility specialists, embryologists, nurses and care coordinators works collaboratively to provide empathetic, one‑on‑one care, ensuring each patient feels heard, supported, and empowered at every step of their journey.
Reproductive Partners Medical Group
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Frequently Asked Questions
Everything you need to know about fertility treatment in United States.
Can single women do IVF in United States?
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Yes, single women can pursue IVF in the United States, as the legal framework allows individuals to undergo fertility treatments regardless of marital status or sexual orientation.
Single women have full legal access to IVF and other assisted reproductive technologies without needing a male partner, and they obtain sole legal parental rights upon the birth of a child conceived through IVF with donor sperm, with the donor legally waiving all rights and responsibilities. Access to donor sperm is readily available through sperm banks offering diverse profiles including physical traits, medical history, and ethnic background, and while anonymous donation was common, many states now favor ‘open-ID’ donors who can be contacted by the child in adulthood.
While there isn’t a universal maximum age for IVF, most clinics limit treatment with a woman’s own eggs to ages 42-45, considering overall health on a case-by-case basis, and age limits are less strict when using donor eggs; however, public funding for IVF for single women is not widely available, though some non-profit organizations and foundations may offer assistance.
When was the first IVF baby born in United States?
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The first baby born in the United States through in vitro fertilization (IVF) was Elizabeth Jordan Carr, born on December 28, 1981.
Her birth took place at Norfolk General Hospital in Virginia and was a significant milestone in reproductive technology. The IVF procedure was carried out at Eastern Virginia Medical School, led by Doctors Howard and Georgeanna Seegar Jones.
Prior to this, the first human IVF pregnancy had been reported in 1973 by researchers from Monash University, though it did not result in a live birth, and Louise Brown was born as the first IVF baby globally in 1978 in England.
Is IVF legal in United States?
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In the United States, In Vitro Fertilization (IVF) is legal and widely practiced, although the regulatory landscape is complex with oversight at both federal and state levels.
There isn’t a single federal law governing all aspects of assisted reproductive technology (ART); instead, a multi-layered system involving various agencies and state regulations exists. The Food and Drug Administration (FDA) regulates human eggs, sperm, and embryos, ensuring adherence to processes designed to prevent the spread of communicable diseases, and approves drugs and devices used in IVF. The Centers for Disease Control and Prevention (CDC) tracks the success rates of fertility clinics and oversees laboratory certifications, while the Clinical Laboratory Improvement Amendments (CLIA) set federal standards for laboratory testing used in IVF.
The Centers for Medicare and Medicaid Services (CMS) also plays a role in the regulation of ART, and there have been executive orders and proposed legislation related to the field.
What is the age limit for IVF in United States?
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In the United States, there isn’t a federal law establishing a maximum age for undergoing In Vitro Fertilization (IVF). However, age cutoffs are influenced by medical recommendations, clinic policies, and whether a woman is using her own eggs or donor eggs.
The success rates of IVF decline with a woman’s age when using her own eggs, especially after 35 and more sharply after 40. The American Society for Reproductive Medicine (ASRM) indicates that most clinics set an upper age limit between 42 and 45 for women using their own eggs, though some may have lower limits or none at all depending on the patient’s health. When using donor eggs, the age of the egg donor is more important, and women in their 40s and 50s often have success carrying a pregnancy with donor eggs.
Public funding for IVF, like through Medicaid, often has age requirements, such as New York’s program covering services for members between 21 and 44 years old. Egg donors are typically between 20 and 32 years of age, with some centers specifying 21-31.
How does IVF work in United States?
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In Vitro Fertilization (IVF) in the United States is a multi-stage process that includes ovarian stimulation, egg retrieval, fertilization in a laboratory, embryo culture, and finally, embryo transfer followed by pregnancy testing.
An IVF cycle typically starts with fertility medications to stimulate the ovaries to produce multiple eggs over approximately 8-11 days, with regular monitoring via blood tests and ultrasounds to track development. Once mature, eggs are retrieved and fertilized with sperm in a lab, and the resulting embryos are cultured for 3 to 5 days before being transferred. The number of monitoring visits usually falls around four, but can range from three to six depending on individual response to medication.
The regulatory environment for IVF is complex, varying by state, and currently 22 states and the District of Columbia mandate some level of insurance coverage for infertility treatments like IVF, with laws like California’s SB 729 expanding coverage for larger employer-sponsored plans starting in 2026.
Can gay couples do IVF in United States?
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Yes, gay couples can pursue IVF in the United States, with various legal and practical pathways available for building their families.
The process typically involves egg donation and/or surrogacy, and legal recognition of parentage is crucial. Regulations surrounding surrogacy vary significantly by state, with some states like California, Nevada, and Illinois being more supportive of same-sex couples through clear legal frameworks and the availability of pre-birth parentage orders. Egg donation is also a well-established option, allowing couples to select a known or anonymous donor who undergoes thorough medical, genetic, and psychological screening.
For male same-sex couples, embryos are created using donated eggs fertilized with sperm from one or both partners, often utilizing intracytoplasmic sperm injection (ICSI) to enhance fertilization rates, and clinics can even offer a ‘split fertilization’ approach to utilize both partners’ sperm.
Is sperm donation legal in United States?
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Sperm donation is legal in the United States and is regulated through a combination of federal guidelines from the Food and Drug Administration and individual state laws.
When conducted through compliant clinics and sperm banks, sperm donation is lawful, adhering to federal safety regulations and state parentage laws; the FDA oversees donor screening, testing, and record-keeping. While there isn’t one single federal law governing all aspects of sperm donation, organizations like the American Society for Reproductive Medicine and the American Association of Tissue Banks offer additional recommendations and guidelines.
The issue of donor anonymity is evolving, as direct-to-consumer DNA testing can now allow donor-conceived individuals to identify their biological donors, despite initial intentions of anonymity; some states, like Washington and Colorado, have laws addressing donor-conceived individuals’ access to identifying information and have even banned donor anonymity in some cases.
What is the IVF success rate in United States?
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IVF success rates in the United States vary considerably based on a woman’s age, with younger women generally experiencing higher live birth rates.
For women under 35, the live birth rate per IVF cycle is approximately 55.6%, decreasing to 40.8% for those aged 35-37, and 26.8% for women aged 38-40. Women over 40 have a success rate of around 7%, though rates can be higher for those under 42. Utilizing donor eggs generally leads to higher success rates, ranging from 70% to 80%, as donor eggs are typically sourced from younger individuals and result in improved embryo quality.
One study showed a pregnancy rate per embryo transfer with donor eggs of 56.9% and a delivery rate of 42.2%, compared to 34.6% and 25.0% respectively when using one’s own eggs. While the US has a lower per capita utilization of IVF compared to countries like Israel, Japan, and Denmark, it still performs a high total volume of cycles, ranking third globally after China and Japan.
Can lesbians do IVF in United States?
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Lesbian couples can pursue IVF in the United States, with options and legal considerations available to help them build families.
The process commonly involves using donor sperm, and there are ways for both partners to participate in the biological and gestational aspects of having a child. Sperm banks offer both anonymous and known donor options, and fertility clinics can help with the selection process, while legal frameworks generally support fertility treatments, with some states and federal legislation working to further secure access.
Reciprocal IVF is a popular method, allowing one partner to provide the eggs which are fertilized with donor sperm, and then the resulting embryo is transferred to the other partner to carry the pregnancy, fostering a shared experience of parenthood. Legal recognition of both parents is generally attainable, especially for married couples, and options like second-parent adoption are available for those who are not married or to further secure legal standing.
Is embryo donation legal in United States?
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Embryo donation is legal in the United States, though the legal specifics are complex and differ from state to state, frequently being handled as a property transfer rather than an adoption.
Currently, there isn’t a single federal law governing embryo donation; instead, regulations focus on clinic standards and reporting. In most states, embryos are considered property, meaning donation is governed by contract law, which differs from the requirements of traditional adoption like home visits or post-birth finalization. Some states are developing laws regarding embryo disposition and custody, and a few classify frozen embryos as children, potentially affecting IVF procedures.
Informed consent from genetic parents is essential, requiring them to understand they are giving up all parental rights and responsibilities, and is usually formalized in a legal agreement. The American Society for Reproductive Medicine recommends psychological counseling for donors, and both donors and recipients must complete medical screening, including infectious disease and genetic testing, as required by law. Anonymity is becoming more challenging to maintain due to DNA testing and social media.
Is reciprocal IVF (ROPA) allowed in United States?
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Reciprocal IVF, also known as ROPA, is a fertility treatment option available to same-sex female couples in the United States, and there are no federal restrictions preventing access to it.
In this process, one partner provides the eggs which are fertilized with donor sperm, and the resulting embryo is transferred to the other partner to carry the pregnancy. While legally permissible federally, the laws regarding parentage can differ significantly from state to state, and it is advisable for couples to seek guidance from a reproductive attorney to understand and secure their parental rights.
For married couples, the genetic mother generally has legal parentage established at birth with written consent, while unmarried couples may require additional legal consent or steps for both partners to be recognized as legal parents. Clinics across the country, including UCSF Center for Reproductive Health, Houston Fertility Center, The Fertility Center of Las Vegas, and New Hope Fertility in NYC, offer reciprocal IVF to LGBTQ+ families.
Is egg donation legal in United States?
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Egg donation is legal in the United States and is a frequently utilized method within assisted reproductive technologies.
The practice is guided by recommendations from organizations such as the American Society for Reproductive Medicine (ASRM) and regulations from the U.S. Food and Drug Administration (FDA). Donors undergo thorough screening, including detailed medical and genetic history, medical examinations for infectious diseases and reproductive health, and psychological evaluations to ensure their emotional well-being.
Generally, egg donors are between 21 and 34 years old, though some programs may accept donors slightly outside this range. Donors are compensated for their time and commitment, with the amount varying based on individual circumstances.
Is surrogacy legal in United States?
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The legality of surrogacy in the United States is complex, as it is regulated at the state level and there are no federal laws governing it.
Because of this, the permissibility of surrogacy contracts, the establishment of parentage, and whether surrogates can receive compensation all depend on the specific state. Gestational surrogacy, where the surrogate has no genetic link to the child, is permitted in many states, including California, Illinois, and Oregon, and these states often have enforceable contracts and allow for pre-birth parentage orders. Traditional surrogacy, where the surrogate is genetically related to the child, is less common and often restricted or outlawed due to legal parentage complexities.
Surrogacy can be either altruistic, with only expense reimbursement, or commercial, involving additional compensation to the surrogate, and the legality of commercial surrogacy also varies significantly by state.