Hi everyone - I recently had donor egg IVF in the Czech Republic and thought some of you might find my "lessons learned" useful. I think I would have valued a post like this when I was doing my research, so thought it might help someone else trying to make a decision whether to have treatment at home or go abroad.
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If you're unlucky and your procedures fall on weekends or holidays, you can end up spending more than you bargained for on flights and accommodation. One set of flights for us ended up costing £300 each due to bad timing - all in all, that one visit cost close to £1000.
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Factor in costs of ultrasounds and prescription meds, and how easy it is to get these in the UK (e.g. is there a UK partner clinic that will issue prescriptions to you?) We spent around £200 on ultrasounds here, and around £400 on meds that we could only get once we were in Prague.
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Find out whether you will be able to communicate directly with your doctor. We had to go through a "patient coordinator" and if we had questions we could only email them and then it could take several days to get a response. This felt like an additional series of obstacles, caused some misunderstandings due to language barrier, and definitely added to my frustrations and anxiety.
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If you go for a "guarantee" package, check for admin fees. We paid for a package that included a FET guarantee - i.e. that there would be at least one embryo to freeze and we were told in emails that the FET procedure is included in the package price. Now that we're trying to arrange the FET, we're being told there is an additional "admin fee" of €700. They managed to hide this as a tiny one-liner in the contract - so although I have emails confirming it's included, we still have to pay the "admin fee" as it's our own fault for missing this in the contract.
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Beware of other hidden expenses - prior to the frozen transfer we've been asked to have another consent form signed and notarised, as the clinic needs one for every procedure. So that's another £80+. You'll also need STD tests and other examinations prior to starting treatment - check that these are included.
I guess the overall point to consider is that if you're going abroad primarily to save money, you might not save as much as you think. Our base package cost was £6500 but in reality we spent around £10k.
I do think I had a bad experience with our chosen clinic - I had to correct them a couple of times when I was there having embryo transfer (nothing serious, just which package we were on etc.) but it was unnerving.
Happy to answer any questions, and good luck to everyone starting out on this path 