IVF laws in North Macedonia: age limits, eligibility & donor rules

North Macedonia’s assisted-fertilisation law regulates treatment and reproductive-cell donation. Age limits, single-woman and female-couple eligibility must be checked against the current method and amendments. Egg and sperm donor availability and identity rules require provider confirmation. Foreign patients should obtain the necessary approvals, consent and screening; gestational-carrier treatment follows a separate process.

Last reviewed: 2026-10-12

IVF age limits in North Macedonia

Procedure-specific age assessment. This guide does not establish a numerical upper limit for every IVF method. Ask the authorised provider for its own-egg, donor-egg and embryo-transfer cut-offs.

Legal framework
Procedure-specific age assessment
Private clinic policy
This guide does not establish a numerical upper limit for every IVF method. Ask the authorised provider for its own-egg, donor-egg and embryo-transfer cut-offs.
Public funding
Domestic insurance and public-programme entitlement must be assessed separately from private treatment and foreign-patient access.
Male age limit
Check the provider’s medical and funding criteria separately.
Legal access, clinic policy and public funding are separate conditions. Check which applies to your treatment.

Sources: Ministry of Health: Biomedical Assisted Fertilisation Law and amendments

Who is eligible for IVF in North Macedonia?

The Ministry lists the Biomedical Assisted Fertilisation Law and its amendments separately from surrogacy guidance. Obtain confirmation of the current provisions for a single woman or female couple; eligibility for ordinary donor treatment and for a gestational carrier are different questions.

  • Heterosexual couples

    Separate assessment required

    Confirm the applicable marriage or partnership requirement, medical indication and written consent.

  • Single women

    Separate assessment required

    The cited national material does not establish current single-woman access to every method. Confirm the proposed treatment with the provider.

  • Female couples

    Separate assessment required

    The cited national material does not establish eligibility or joint parentage for a female couple. Obtain confirmation of both before arranging treatment.

  • Male couples / surrogacy

    Separate assessment required

    The cited material does not establish a male-couple surrogacy pathway. Treatment access and legal parentage require a separate assessment.

Sources: Ministry of Health: Biomedical Assisted Fertilisation Law and amendments · Ministry of Health: gestational-carrier procedure guidance

Egg and sperm donation rules in North Macedonia

The ART framework regulates donation, testing, processing, storage, distribution and use of reproductive cells. The permitted egg or sperm method, donor-information rights and availability must be confirmed against the consolidated law and applicable amendments.

Donor identity
Confirm the donor-information framework
Egg donation
Confirm the permitted method
Sperm donation
Confirm the permitted method

Sources: Ministry of Health: Biomedical Assisted Fertilisation Law and amendments

IVF in North Macedonia for foreign patients

International self-pay access is not established by the cited national guidance. Obtain written provider confirmation before arranging treatment.

  1. Obtain written acceptance for your relationship status, nationality and proposed treatment.
  2. Confirm the provider’s licence, medical screening and consent documents before booking.
  3. Ask for the age cut-off at retrieval and transfer, and the donor-information terms where applicable.
Confirm documents, screening and any clinic-specific requirements before booking your trip.

Sources: Ministry of Health: Biomedical Assisted Fertilisation Law and amendments · Ministry of Health: gestational-carrier procedure guidance

Questions about IVF laws and requirements in North Macedonia

What is the IVF age limit in North Macedonia?

Procedure-specific age assessment. This guide does not establish a numerical upper limit for every IVF method. Ask the authorised provider for its own-egg, donor-egg and embryo-transfer cut-offs. Domestic insurance and public-programme entitlement must be assessed separately from private treatment and foreign-patient access.

Can single women and female couples have IVF in North Macedonia?

The Ministry lists the Biomedical Assisted Fertilisation Law and its amendments separately from surrogacy guidance. Obtain confirmation of the current provisions for a single woman or female couple; eligibility for ordinary donor treatment and for a gestational carrier are different questions.

Are egg and sperm donors anonymous in North Macedonia?

The ART framework regulates donation, testing, processing, storage, distribution and use of reproductive cells. The permitted egg or sperm method, donor-information rights and availability must be confirmed against the consolidated law and applicable amendments.

What should foreign patients check before IVF in North Macedonia?

Obtain written acceptance for your relationship status, nationality and proposed treatment. Confirm the provider’s licence, medical screening and consent documents before booking. Ask for the age cut-off at retrieval and transfer, and the donor-information terms where applicable.

Sources and further reading

National reference: Ministry of Health: Biomedical Assisted Fertilisation Law and amendments. Last reviewed: 2026-10-12.

Ministry of Health: Biomedical Assisted Fertilisation Law and amendmentsMinistry of Health: gestational-carrier procedure guidanceEuropean Atlas of Fertility Treatment Policies 2024 — Fertility Europe & EPF

The atlas provides comparative policy context from 2024. It does not rate clinic quality or treatment success.