Fertility treatments in Spain vs other countries

As we have shared in our "Fertility treatments in Spain?! YES!!! We tell you why" blog post, we know that each country legislation is very important. That's why we have put together this table for you to easily compare fertility treatments in Spain and in other countries.

Do you want us to deep dive in another country? Take a look and tell us what you think!

as in 2025	Spain	United States	Italy	France
Source	Law 14/2006 BOE	ASRM	40/2004	bioethics law 2021
law 1st set up	2006	-	2004	1988
last modification	2015	-	-	2021
Access to Assisted Reproduction Techniques	Allowed for all women (married, single, and same-sex couples). No legal age limit, but clinics usually limit to ~50 years.	Varies by state. Generally available to heterosexual couples, single women, and same-sex couples, but state laws differ. (State-dependent laws)	Initially limited to heterosexual married or cohabiting couples. Expanded to single women and same-sex couples after court rulings.	Since 2021, access has expanded to single women and same-sex couples.
Gamete Donation	Anonymous and altruistic. Donors undergo strict medical and genetic screening.	Can be anonymous or known. Donors usually receive compensation. Regulations vary by state.	Initially prohibited heterologous fertilization (use of donor gametes), but legalized in 2014 under strict conditions.	Anonymous and altruistic. No donor compensation beyond medical expenses.
Surrogacy	Prohibited. Surrogacy contracts are legally invalid. Some individuals seek surrogacy abroad.	Legal in some states, prohibited or unregulated in others. (State-dependent laws)	Prohibited. Criminal penalties for engaging in surrogacy.	Prohibited. French law does not recognize surrogacy contracts.
Embryo Research	Allowed under strict conditions for medical research. Creating embryos solely for research is forbidden.	Permitted, but federal funding is restricted. (State-dependent laws)	Prohibited. Destruction of embryos for research is banned.	Allowed with authorization from the Biomedicine Agency.
Preimplantation Genetic Testing (PGT)	Allowed only for detecting severe hereditary diseases or chromosomal abnormalities. Non-medical selection is banned.	Widely available. In some states, PGT is used for sex selection. (State-dependent laws)	Initially banned, later allowed in limited cases.	Allowed for preventing genetic diseases, with government authorization.
Embryo Implantation (Number & Fresh vs. Frozen)	Limited to a maximum of three embryos per transfer. Preference for single-embryo transfer when possible. Both fresh and frozen embryo transfers are allowed.	No federal restrictions. The number of embryos transferred varies by clinic, but most follow ASRM guidelines favoring single-embryo transfer. Fresh and frozen transfers are common.	Maximum three embryos per transfer. Preference for fresh embryos; freezing was initially restricted but is now allowed.	Single or double-embryo transfer is preferred. Frozen embryos are commonly used due to national funding policies.
Embryo Preservation	Allowed for an indefinite period, but clinics can discard unused embryos under specific conditions (e.g., patient request or if deemed non-viable).	No federal time limit; storage policies vary by clinic and state. Long-term preservation is common.	Embryo freezing was banned until 2009 but is now allowed. Embryos must be used, donated, or discarded after a set period.	Embryos can be preserved for up to 10 years; after this, they must be used, donated, or destroyed.
Oocyte (Egg) Preservation & Storage Duration	Allowed for both medical and elective reasons. No fixed legal limit for storage duration, but clinics usually set limits (~10-15 years).	No federal time limit; storage policies vary by clinic and state. Egg freezing is widely available for medical and elective reasons.	Initially prohibited except for medical reasons, but now permitted for social freezing. Storage limited to 10 years unless medically necessary.	Allowed for both medical and elective (social) reasons. Eggs can be stored for up to 10 years.

Make sure you put your eggs in the best basket!

Legislation and politics change all the time, and sometimes dramatically! Be smart about it.

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Amiga Fertility helps you find a Spanish clinic that best meets your needs