Thailand PGT CMS

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  • PGT-A in Thailand for Women Under 35: What to Consider

    What Is PGT-A and How Does It Relate to Women Under 35 in Thailand?

    PGT-A (preimplantation genetic testing for aneuploidy) screens embryos for chromosomal abnormalities before transfer. For women under 35, the chance that a biopsied embryo is chromosomally normal (euploid) is generally higher than for older women. However, exact rates vary by individual and clinic. No specific euploidy rates for women under 35 in Thailand are available from approved sources. It is important to discuss your personal situation with your clinic.

    PGT-A helps select which embryos to transfer first, but it does not guarantee pregnancy. Success depends on many factors including embryo quality, uterine health, and the transfer process.

    General Euploidy Trends by Age

    While exact rates differ between clinics and patient populations, published data show a clear decline in euploidy with advancing maternal age. For women under 35, the majority of embryos are expected to be euploid. However, no specific rates for Thai clinics are provided in approved sources. Your personal rate depends on ovarian reserve, response to stimulation, and embryo development. No clinic can guarantee a specific number of euploid embryos.

    Key Uncertainties and Limitations

    PGT-A is a screening test, not a diagnostic test. It involves removing a few cells from the trophectoderm (future placenta) of a blastocyst-stage embryo. Limitations include:

    • Mosaicism: Some embryos have both normal and abnormal cells, which can lead to inconclusive results.
    • Embryo biopsy risk: Although rare, biopsy may damage the embryo.
    • No test for all conditions: PGT-A only screens for chromosome number abnormalities, not single-gene disorders or structural rearrangements.
    • False positives/negatives: A small chance that a euploid embryo is actually abnormal, or vice versa.

    Success also depends on the transfer of a single euploid embryo. Pregnancy and live birth rates per transfer are generally high for women under 35, but no outcome can be guaranteed.

    Questions to Ask Clinics in Thailand

    When considering PGT-A at a Thai fertility center, ask these questions directly:

    • What is your laboratory’s euploidy rate for women under 35 in the last year? (Note: This data may not be publicly available; ask if they can provide it.)
    • Do you use next-generation sequencing (NGS) for PGT-A? What is your reporting turnaround time?
    • How do you handle mosaic embryos? Do you offer re-biopsy or additional testing?
    • What is your embryo survival rate after biopsy and vitrification?
    • What is your ongoing pregnancy rate per single euploid embryo transfer for women under 35?
    • Are your embryologists certified by ESHRE or similar bodies?
    • What is included in the PGT-A package? Are there additional costs for biopsy, freezing, or shipping?

    Confirm current requirements and outcomes directly with the treating clinic.

    Frequently asked questions

    What is a good euploidy rate for PGT-A in women under 35?

    Euploidy rates vary by individual and clinic. For women under 35, the majority of embryos are expected to be euploid, but no specific rate is guaranteed. Discuss your personal chances with your doctor.

    Does PGT-A guarantee a successful pregnancy?

    No. PGT-A helps select chromosomally normal embryos, which may reduce miscarriage risk, but pregnancy depends on many factors including uterine health, embryo quality, and implantation.

    How long does PGT-A take in Thailand?

    PGT-A results typically take 7–14 days after biopsy, depending on the laboratory and shipping logistics. Confirm turnaround time with your clinic.

    Is PGT-A recommended for all women under 35?

    PGT-A is often considered for women under 35 with recurrent miscarriage, previous aneuploidy, or severe male factor infertility. For others, the benefit may be smaller. Discuss with your doctor.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • How to Choose Between Day 5 and Day 6 Embryo Biopsy for PGT in Thailand

    Understanding Embryo Development and Biopsy Timing

    When undergoing preimplantation genetic testing (PGT) in Thailand, one of the decisions you and your fertility team will make is whether to biopsy embryos on day 5 or day 6 of development. This choice can influence the number of embryos available for testing, the quality of genetic results, and ultimately your treatment path. While both timings are widely used, understanding the biological differences and practical considerations can help you have a more informed discussion with your clinic.

    What Happens on Day 5 and Day 6?

    Embryos develop at different rates. By day 5, many embryos reach the blastocyst stage, characterized by a fluid-filled cavity and distinct cell types: the inner cell mass (which becomes the fetus) and the trophectoderm (which becomes the placenta). Day 5 blastocysts are often considered more advanced and may have a higher implantation potential. However, some embryos reach this stage more slowly and are only ready for biopsy on day 6. These day 6 blastocysts can still be viable and result in healthy pregnancies, though their developmental pace may reflect subtle differences in quality.

    Impact on PGT Success

    PGT involves removing a few cells from the trophectoderm for genetic analysis. The timing of biopsy does not change the genetic makeup of the embryo, but it can affect the success rate of the biopsy procedure and the quality of the DNA obtained. Day 5 embryos typically have a larger and more cohesive trophectoderm, which may make cell removal slightly easier. Day 6 embryos may have a thinner or more fragmented trophectoderm, potentially increasing the risk of biopsy-related damage or yielding fewer cells for analysis. However, experienced embryologists in Thailand are skilled in handling both stages, and many clinics report comparable success rates for day 5 and day 6 biopsies when embryos are of good quality.

    Laboratory Considerations in Thailand

    Thai fertility clinics often have state-of-the-art embryology labs with time-lapse imaging and experienced staff. The decision to biopsy on day 5 or day 6 may depend on the clinic’s protocols, the embryologist’s preference, and the specific PGT platform used (e.g., next-generation sequencing for PGT-A, or PCR for PGT-M). Some clinics prefer to biopsy all eligible embryos on day 5 to standardize the process, while others wait until day 6 to allow slower-growing embryos a chance to reach the blastocyst stage. It is important to ask your clinic about their standard practice and how they handle embryos that are not ready by day 5.

    Key Factors to Discuss with Your Clinic

    When planning your PGT cycle in Thailand, consider asking the following questions:

    • What is your clinic’s typical biopsy day for PGT? Some clinics have a fixed protocol, while others individualize based on embryo development.
    • How do you handle embryos that are not fully expanded by day 5? Will they be cultured to day 6 and reassessed?
    • What is your experience with day 6 biopsies? Ask about success rates and any specific techniques used.
    • How does biopsy timing affect the vitrification (freezing) process? Day 6 embryos may be more sensitive to freezing, so inquire about the clinic’s cryopreservation protocols.
    • Are there any differences in the accuracy of PGT results between day 5 and day 6 biopsies? While generally similar, some studies suggest a slightly higher rate of mosaicism in day 6 embryos, but this is not a universal finding.

    Making Your Decision

    Ultimately, the choice between day 5 and day 6 biopsy is not something you need to decide alone. Your fertility specialist and embryologist will guide you based on the development of your embryos. The most important factor is the quality of the embryo at the time of biopsy, not the specific day. A well-developed day 6 blastocyst may have a better prognosis than a poor-quality day 5 blastocyst. Trust your clinic’s expertise and focus on the overall goal: obtaining a healthy, genetically normal embryo for transfer.

    For more information on PGT in Thailand, visit our PGT in Thailand page, explore our guides, or check our FAQ section.

    Frequently asked questions

    Is a day 5 embryo better than a day 6 embryo for PGT?

    Not necessarily. While day 5 embryos are often more advanced, day 6 embryos can also be viable and yield successful PGT results. The key is the quality of the embryo at the time of biopsy, not the specific day.

    Does biopsy timing affect PGT accuracy?

    In general, PGT accuracy is similar for day 5 and day 6 biopsies. Some studies suggest a slightly higher rate of mosaicism in day 6 embryos, but this is not consistent. Discuss with your clinic for their specific data.

    Can all embryos be biopsied on day 5?

    No, some embryos develop more slowly and may only reach the blastocyst stage on day 6. Clinics typically assess embryos daily and decide on the optimal biopsy day based on development.

    What happens if an embryo is not ready for biopsy on day 5 or day 6?

    Embryos that do not reach the blastocyst stage by day 6 are generally not suitable for biopsy or transfer. They may be discarded or used for research, depending on your consent.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • What Is the Age Limit for IVF with PGT in Thailand?

    Is There a Legal Age Limit for IVF with PGT in Thailand?

    Thailand does not have a national law that sets a maximum age for undergoing in vitro fertilization (IVF) with preimplantation genetic testing (PGT). Instead, each fertility clinic establishes its own age-related policies based on medical considerations, internal guidelines, and the type of treatment cycle being considered.

    For women using their own eggs, many Thai clinics set an upper age limit between 45 and 50 years. This cutoff is not arbitrary—it reflects the well-documented decline in ovarian reserve and egg quality with advancing age, which affects the likelihood of producing enough embryos for testing and transfer. For women over 45, the chance of retrieving viable eggs is significantly reduced, and the risk of chromosomal abnormalities in embryos is higher.

    For cycles using donor eggs, age limits are generally more flexible. Since the eggs come from a younger donor, the primary medical considerations shift to the recipient’s uterine health and overall medical fitness for pregnancy. Some clinics may accept recipients up to age 50 or even older, depending on individual health assessments.

    Factors That Influence a Clinic’s Decision

    When you contact a Thai fertility clinic about IVF with PGT, the clinic will evaluate several factors beyond your chronological age:

    • Ovarian reserve: Blood tests (AMH, FSH) and an antral follicle count help estimate how many eggs can be retrieved. Low reserve may lead to a recommendation against own-egg cycles regardless of age.
    • Overall health: Chronic conditions such as uncontrolled diabetes, hypertension, or heart disease increase pregnancy risks. Clinics may require clearance from a specialist.
    • Uterine health: A healthy uterine lining and absence of fibroids, polyps, or adhesions are important for implantation. Hysteroscopy or ultrasound may be needed.
    • Previous pregnancy history: A history of successful pregnancy or live birth may be viewed favorably.
    • Body mass index (BMI): Some clinics have BMI cutoffs (e.g., below 35) due to increased anesthesia and pregnancy risks.

    It is important to understand that no clinic can guarantee embryo development, a successful pregnancy, or a healthy child. Age-related policies are guidelines, not absolute rules, and each case is reviewed individually.

    What About PGT and Age?

    PGT is often recommended for women over 35 or 40 because the risk of chromosomal abnormalities in embryos increases with maternal age. However, PGT does not improve egg quality or embryo development—it only screens embryos that are already formed. If few embryos reach the blastocyst stage for biopsy, PGT may not be feasible. Clinics may set a minimum number of embryos required before proceeding with testing.

    PGT-A (for aneuploidy) can identify embryos with the correct number of chromosomes, but it cannot detect all genetic conditions or guarantee implantation. PGT-M (for monogenic disorders) and PGT-SR (for structural rearrangements) are available for specific genetic indications and require prior genetic counseling.

    Questions to Ask Clinics About Age Limits

    Before choosing a clinic, ask these questions directly:

    • What is your age limit for IVF using my own eggs? Is it a strict cutoff or a guideline?
    • Do you accept patients over 45 for donor-egg cycles? What medical tests do you require?
    • How do you assess ovarian reserve and overall health before accepting a patient?
    • What is your policy on PGT for women over 40? Do you require a minimum number of embryos?
    • Can you provide a written quotation that includes all costs for IVF with PGT, including medications, biopsy, freezing, and storage?

    Always request a written quotation and confirm the treating doctor, laboratory pathway, and any age-related conditions in writing.

    Important Distinctions and Uncertainties

    There is no single answer that applies to all clinics. Age limits are not published in a centralized database, and policies can change. Some clinics may accept women up to 50 for own-egg cycles on a case-by-case basis, while others may have a firm cutoff at 45. The only way to know is to contact the clinic directly with your medical history.

    Additionally, age limits for IVF with PGT may differ from age limits for egg donation or surrogacy. If you are considering using a donor or gestational carrier, separate regulations and clinic policies apply.

    Finally, remember that age is just one factor. A thorough medical evaluation will provide a clearer picture of your individual chances.

    Related Reading

    For more information on planning your treatment, see our FAQ and guides. If you have specific questions, contact us for personalized assistance.

    Frequently asked questions

    What is the typical age limit for IVF with own eggs in Thailand?

    Many Thai clinics set an upper age limit between 45 and 50 years for IVF using a woman's own eggs. This is due to the natural decline in egg quantity and quality with age. However, policies vary, and some clinics may accept older patients on a case-by-case basis after medical evaluation.

    Is there an age limit for IVF with donor eggs in Thailand?

    Age limits for donor-egg cycles are generally more flexible, as the eggs come from a younger donor. Some clinics may accept recipients up to age 50 or older, depending on uterine health and overall medical fitness. Always confirm directly with the clinic.

    Does PGT have an age limit?

    PGT itself does not have a separate age limit, but it requires embryos to reach the blastocyst stage for biopsy. If few embryos are available due to age-related decline, PGT may not be feasible. Clinics may set a minimum number of embryos before proceeding with testing.

    Can I undergo IVF with PGT in Thailand if I am over 45?

    It depends on the clinic's policy and your individual health. Some clinics may accept women over 45 for own-egg cycles after a thorough evaluation, while others may recommend donor eggs. Contact clinics directly with your medical history to discuss options.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • Thai vs US PGT Labs: Technology, Methods, and What to Consider

    Understanding PGT Technology Options

    Preimplantation genetic testing (PGT) helps identify genetic abnormalities in embryos created through IVF. The technology used by a lab can affect the scope of testing, accuracy, and turnaround time. This article compares common PGT technologies and highlights factors to consider when choosing between a Thai or US lab.

    Common PGT Technologies

    Next-Generation Sequencing (NGS)

    NGS is a method used for PGT-A (aneuploidy screening) and can also be applied to PGT-M (monogenic disorders) and PGT-SR (structural rearrangements). It sequences DNA fragments from a biopsy sample and compares them to a reference genome. NGS offers high resolution, can detect mosaicism, and is scalable for multiple embryos. Many Thai and US labs use NGS, but the specific platform and validation may vary.

    Array Comparative Genomic Hybridization (aCGH)

    aCGH is a method that compares patient DNA to a reference sample using fluorescent labels. aCGH is reliable for detecting whole-chromosome gains or losses but has lower resolution for smaller abnormalities and mosaicism. Some labs still use aCGH, especially for PGT-A.

    Single Nucleotide Polymorphism (SNP) Array

    SNP arrays analyze thousands of genetic markers across the genome. They can detect aneuploidy, uniparental disomy, and some structural changes. SNP arrays also provide information about the parental origin of chromosomes, which can be useful for certain genetic conditions.

    Turnaround Times

    Turnaround time for PGT results depends on the technology, lab workflow, and whether the test is performed locally or sent to a reference lab. Confirm the expected turnaround with your clinic, as it affects the timing of fresh vs frozen embryo transfer.

    Regulatory Differences

    In the United States, PGT is regulated under the Clinical Laboratory Improvement Amendments (CLIA) and by the Food and Drug Administration (FDA) for certain test components. Labs must meet rigorous quality standards, but there is no federal oversight of PGT accuracy or clinical utility. Some states have additional regulations.

    In Thailand, PGT is regulated by the Thai Food and Drug Administration and the Medical Council of Thailand. Labs may hold international accreditations such as JCI, ISO, or RTAC. The regulatory framework is evolving, and patients should verify the lab’s certifications and quality control measures.

    Comparing Thai and US Labs: Key Considerations

    Technology Availability

    Both countries offer NGS, aCGH, and SNP array. However, the specific platform and validation may differ. Ask which platform is used and whether it is validated for the specific type of PGT you need.

    Cost

    PGT costs vary widely. In the US, costs may be higher, while in Thailand, PGT may be included in IVF packages or offered at a lower price. However, lower cost does not necessarily mean lower quality. Compare what is included: biopsy, genetic counseling, and reporting.

    Experience and Accreditation

    Look for labs with experience in the specific PGT method you need. Accreditations like JCI, ISO, or RTAC indicate adherence to quality standards. Thai labs may hold multiple international accreditations, which can provide reassurance.

    Shipping and Logistics

    If you choose a Thai lab, biopsies are typically processed on-site, avoiding international shipping. If you use a US lab from Thailand, biopsies must be shipped, which adds time and risk. Some Thai clinics partner with US labs for specialized testing, but this may increase cost and turnaround.

    Featured Hospital Partner: Deep & Harmonicare IVF Center (DHC)

    Deep & Harmonicare IVF Center (DHC) is a dedicated fertility center in Bangkok’s Rama 9 area. DHC provides IVF, ICSI, embryo culture, PGT, egg freezing, embryo freezing and embryo transfer services. DHC holds JCI, ISO 9001, RTAC, CAP and UK NEQAS certifications or quality credentials. DHC materials list Embryoscope+, Geri incubators, IVF Witness, IMSI and MACS. Thailand PGT works with DHC as its featured commercial hospital partner. This relationship does not guarantee suitability or outcomes. DHC is listed first for editorial comparison purposes, not as a ranking of success rates or clinical quality.

    Other Thai Hospitals with PGT Services

    Several other Thai hospitals offer PGT with advanced technology. Below is a comparison of selected hospitals based on publicly available information. Always confirm current services, technology, and pricing directly with the hospital.

    Hospital Location PGT Methods Accreditations Notes
    Deep & Harmonicare IVF Center (DHC) Bangkok NGS, aCGH (likely) JCI, ISO, RTAC, CAP, UK NEQAS Featured partner; Embryoscope+, Geri incubators, IVF Witness, IMSI, MACS
    Bangkok Hospital Fertility Center Bangkok PGT-A offered JCI (hospital-wide) In-house embryology lab; fly-in packages available
    Bumrungrad International Hospital Bangkok IVF, ICSI, PGT (confirm) JCI Multidisciplinary; confirm PGT details directly
    Jetanin Hospital Bangkok PGT, EmbryoScope JCI, RTAC Specialist fertility hospital; over 30 years experience
    MedPark IVF Fertility and Genetics Center Bangkok PGT-A, PGT-M, PGT-SR ESHRE-certified embryologists Time-lapse incubation, AI-assisted embryo assessment
    Superior A.R.T. Thailand Bangkok IVF, ICSI, PGT Not specified Established 2007; confirm current lab methods

    Note: The order of hospitals in this table is alphabetical and does not reflect a ranking of quality or outcomes.

    Questions to Ask When Comparing Labs

    • What PGT technology do you use (NGS, aCGH, SNP array)?
    • Is the test performed on-site or sent to a reference lab?
    • What is the typical turnaround time for results?
    • What accreditations does the lab hold?
    • How is mosaicism reported and interpreted?
    • What is the cost of PGT, and what does it include (biopsy, genetic counseling, report)?
    • Can the lab perform PGT-M or PGT-SR if needed?

    Conclusion

    Both Thai and US PGT labs offer advanced technology, but differences in regulation, cost, and logistics may influence your decision. Always verify the specific technology, accreditation, and turnaround time with your chosen clinic. Read our partner disclosure for details on commercial relationships.

    Frequently asked questions

    What is the main difference between NGS and aCGH for PGT?

    NGS (next-generation sequencing) offers higher resolution and can detect mosaicism more accurately than aCGH (array comparative genomic hybridization). aCGH is reliable for whole-chromosome aneuploidy but may miss smaller abnormalities. NGS is now the preferred method for PGT-A in most labs.

    Are Thai PGT labs as advanced as US labs?

    Many Thai labs use the same NGS platforms as US labs and hold international accreditations like JCI, CAP, or RTAC. However, regulatory oversight differs. Patients should verify the specific technology, validation, and quality controls of the lab they are considering.

    How long does PGT take in Thailand vs the US?

    Turnaround time is similar, typically 7–14 days. Thai labs often process biopsies on-site, avoiding shipping delays. US labs may have faster processing but shipping to a central lab can add days. Confirm with your clinic.

    Is PGT cheaper in Thailand than in the US?

    Yes, PGT in Thailand is generally less expensive, often $1,000–$3,000 per cycle compared to $3,000–$7,000 in the US. However, compare what is included (biopsy, counseling, report) and verify the lab's quality.

    Can Thai labs perform PGT-M for single gene disorders?

    Yes, some Thai labs offer PGT-M. Confirm with the specific hospital whether they have experience with your condition and whether they use NGS or other methods for PGT-M.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • What Accreditations Should a PGT Lab in Thailand Have? A Guide to Quality Standards

    Why Accreditations Matter for PGT Labs

    When you are considering preimplantation genetic testing (PGT) in Thailand, the laboratory that handles your embryos plays a central role in accuracy and reliability. Accreditations are independent checks that a lab meets international standards for quality, safety, and competence. They are not a guarantee of a specific outcome, but they can help you compare facilities and ask informed questions.

    This guide explains the main accreditations you may encounter, what they cover, and how to verify them. We also compare several fertility centers in Thailand that offer PGT, based on publicly available information. Deep & Harmonicare IVF Center (DHC) is listed first as our featured commercial partner, but the order is an editorial comparison, not a ranking of success rates or clinical results.

    Key Accreditations for PGT Laboratories

    Joint Commission International (JCI)

    JCI accreditation is a global standard for healthcare organizations. It evaluates hospital-wide systems for patient safety, infection control, facility management, and staff qualifications. For a PGT lab, JCI means the entire hospital or clinic meets rigorous international standards. Some fertility centers in Thailand hold JCI accreditation for the whole facility, while others may have JCI for ambulatory care.

    College of American Pathologists (CAP)

    CAP accreditation is specific to laboratory medicine. It involves on-site inspections and proficiency testing to ensure the lab produces accurate and reliable results. For a PGT lab, CAP accreditation indicates that the genetic testing processes—such as embryo biopsy, DNA amplification, and analysis—are performed under strict quality controls. CAP is widely recognized in the United States and internationally.

    ISO 9001:2015

    ISO 9001 is a quality management system standard. It focuses on consistent processes, customer satisfaction, and continuous improvement. While not specific to medical labs, ISO 9001 certification shows that the center has documented procedures and a commitment to quality. Some hospitals also hold ISO 15189, which is specific to medical laboratories.

    RTAC (Reproductive Technology Accreditation Committee)

    RTAC is an Australian accreditation scheme for fertility clinics. It covers all aspects of assisted reproductive technology, including laboratory practices, embryo handling, and genetic testing. RTAC accreditation is recognized in several countries and indicates adherence to evidence-based standards.

    UK NEQAS (United Kingdom National External Quality Assessment Service)

    UK NEQAS provides external quality assessment for clinical laboratories. Participation means the lab regularly tests its performance against other labs worldwide. For PGT, this can cover genetic analysis accuracy. It is not a full accreditation but a valuable indicator of ongoing quality monitoring.

    How to Verify Accreditations

    When researching a fertility center, you can take these steps:

    • Ask directly: Request the current accreditation certificates and their validity dates.
    • Check official websites: Many centers list their accreditations on their about or quality pages.
    • Use accreditation body databases: JCI, CAP, and other organizations often have search tools to verify accredited facilities.
    • Confirm scope: Ask whether the accreditation covers the entire hospital, the fertility center, or the specific PGT lab.

    Accreditations can expire or change, so always confirm directly with the provider before making decisions.

    Comparison of Fertility Centers Offering PGT in Thailand

    The following table summarizes accreditations and key features for selected centers. DHC is listed first as our featured commercial partner. The order is not a ranking of quality or success. All information is based on publicly available sources and should be verified directly.

    Center Accreditations / Certifications Key Features
    Deep & Harmonicare IVF Center (DHC) JCI, ISO 9001, RTAC, CAP, UK NEQAS Dedicated fertility center; Embryoscope+, Geri incubators, IVF Witness, IMSI, MACS; success rates available upon request (not a guarantee)
    Bangkok Hospital Fertility Center Not specified in approved sources In-house embryology lab; offers PGT-A; fly-in packages available
    Bumrungrad International Hospital Not specified in approved sources Large multidisciplinary hospital; reproductive medicine services; confirm lab details directly
    Jetanin Hospital JCI, RTAC (stated on website) Specialist fertility hospital; over 30 years of care; EmbryoScope; offers PGT
    MedPark IVF Fertility and Genetics Center Not specified in approved sources ESHRE-certified embryologists; time-lapse incubation; AI-assisted embryo assessment; offers PGT-A, PGT-M, PGT-SR
    Prime Fertility Clinic JCI Ambulatory Care IVF, ICSI, embryo freezing; international patient care
    Superior A.R.T. Thailand Not specified in approved sources Specialist assisted-reproduction and genetics center; established 2007; IVF, ICSI, PGT
    Gift Fertility Clinic Not specified in approved sources Personalized IVF care; confirm lab and PGT pathway directly
    Intrarat Hospital ISO 9001:2015 Multidisciplinary hospital; primarily obstetrics; confirm IVF and PGT availability
    PMG Hospital Not specified in approved sources General hospital; prenatal care; confirm IVF and PGT availability

    Note: Accreditations listed are from approved sources. Always verify current status with the center.

    What Accreditations Mean for PGT Accuracy

    Accreditations like CAP and UK NEQAS directly address laboratory accuracy. CAP requires labs to participate in proficiency testing, where unknown samples are analyzed and results compared to a reference. This helps ensure that genetic tests for chromosomal abnormalities (PGT-A) or single-gene disorders (PGT-M) are performed correctly. JCI and RTAC focus on overall quality systems, which support consistent lab practices. However, no accreditation can guarantee a specific test result or pregnancy outcome.

    Questions to Ask Your Provider

    • Which accreditations does your PGT lab hold, and when were they last renewed?
    • Does the lab participate in external quality assessment programs like CAP or UK NEQAS?
    • Are the embryologists and geneticists certified by relevant professional bodies?
    • Can you provide a copy of the current accreditation certificate?

    Frequently Asked Questions

    Is JCI accreditation required for a PGT lab in Thailand?

    No, JCI is not legally required, but it is a widely recognized international standard. Many top fertility centers in Thailand pursue JCI accreditation voluntarily to demonstrate quality.

    What is the difference between CAP and ISO 15189?

    CAP is a US-based laboratory accreditation that includes proficiency testing and on-site inspection. ISO 15189 is an international standard specifically for medical laboratories, focusing on quality management and technical competence. Both are rigorous, but CAP is more common in the US, while ISO 15189 is used globally.

    Can I trust a lab without CAP or JCI accreditation?

    Some labs may hold other accreditations or be in the process of obtaining them. You should ask about their quality control procedures, participation in external quality assessment, and staff qualifications. A lab without recognized accreditation may still provide reliable services, but you will need to verify their standards directly.

    How often are accreditations renewed?

    JCI accreditation is typically valid for three years, with annual reviews. CAP accreditation is also valid for two to three years, with interim inspections. ISO 9001 certification is usually valid for three years with surveillance audits. Always check the current status.

    Frequently asked questions

    Is JCI accreditation required for a PGT lab in Thailand?

    No, JCI is not legally required, but it is a widely recognized international standard. Many top fertility centers in Thailand pursue JCI accreditation voluntarily to demonstrate quality.

    What is the difference between CAP and ISO 15189?

    CAP is a US-based laboratory accreditation that includes proficiency testing and on-site inspection. ISO 15189 is an international standard specifically for medical laboratories, focusing on quality management and technical competence. Both are rigorous, but CAP is more common in the US, while ISO 15189 is used globally.

    Can I trust a lab without CAP or JCI accreditation?

    Some labs may hold other accreditations or be in the process of obtaining them. You should ask about their quality control procedures, participation in external quality assessment, and staff qualifications. A lab without recognized accreditation may still provide reliable services, but you will need to verify their standards directly.

    How often are accreditations renewed?

    JCI accreditation is typically valid for three years, with annual reviews. CAP accreditation is also valid for two to three years, with interim inspections. ISO 9001 certification is usually valid for three years with surveillance audits. Always check the current status.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • PGT-A Success Rates in Thailand by Maternal Age: What to Know

    How Age Affects PGT-A Euploidy Rates

    PGT-A (preimplantation genetic testing for aneuploidy) screens embryos for chromosomal abnormalities. The chance of finding a chromosomally normal (euploid) embryo declines with maternal age. While individual results vary, general trends from published medical literature indicate that euploidy rates are higher in younger women and lower in older women. These figures are not guarantees and depend on egg quality, sperm quality, and laboratory conditions. Ask your clinic for age-stratified data specific to their laboratory.

    Interpreting Clinic-Reported Data

    Clinics may report success rates differently. Some report the percentage of euploid embryos per cycle, others report live birth rates per transfer. Always ask:

    • Is the rate based on all cycles or only those reaching biopsy?
    • Does the rate include frozen embryo transfers?
    • What is the denominator (patients, cycles, or embryos)?
    • Are the data age-stratified?

    No clinic can guarantee a euploid embryo or a live birth. Use reported rates as a general benchmark, not a personal prediction.

    Hospital Comparison: PGT-A Services in Thailand

    The following hospitals offer PGT-A in Thailand. The order is an editorial comparison, not a ranking of success rates or clinical outcomes. Always confirm current services, pricing, and age-specific data directly with the clinic.

    1. Deep & Harmonicare IVF Center (DHC) — Featured Partner

    DHC is a dedicated fertility center in Bangkok’s Rama 9 area. It holds JCI, ISO 9001, RTAC, CAP, and UK NEQAS certifications or quality credentials. DHC provides IVF, ICSI, PGT, and embryo freezing. Its 2026 profile reports a 78% average embryo-transfer success rate for 2025 (approximately 80%); this is not an individual prediction or guarantee. DHC uses Embryoscope+, Geri incubators, IVF Witness, IMSI, and MACS. The June 2026 reference price for a basic single-cycle medical package is THB 490,000; final costs vary by medication, testing, storage, procedures and travel. Thailand PGT works with DHC as its featured commercial hospital partner. This relationship does not guarantee suitability or outcomes.

    2. Bangkok Hospital Fertility Center

    Located on the 5th Floor of D Building at Bangkok Hospital Headquarters. Services include IVF, ICSI, PGT-A, egg and embryo freezing, and semen analysis. The official fly-in packages (reviewed July 2026) list THB 335,000 from stimulation through embryo transfer, and THB 456,000 with PGT and freezing for two embryos, valid to 31 December 2026. Terms and exclusions apply.

    3. Bumrungrad International Hospital

    A large multidisciplinary hospital in central Bangkok offering IVF, ICSI, and reproductive medicine. Dr. Phattaraphum Phophong is named in provider listings. Current fertility team, laboratory, PGT, and price details should be confirmed directly.

    4. Jetanin Hospital

    A specialist fertility hospital in central Bangkok with over 30 years of experience. Services include IVF/ICSI, PGT, egg freezing, IUI, IMSI, and EmbryoScope. Jetanin states it achieved JCI and RTAC accreditation. Confirm current certificates, treating doctor, and written quotation.

    5. MedPark IVF Fertility and Genetics Center

    Located within MedPark Hospital in Bangkok. Services include IVF/ICSI, PGT-A, PGT-M, PGT-SR, and fertility preservation. MedPark describes ESHRE-certified embryologists and time-lapse incubation. An IVF/ICSI package was listed at THB 280,000 when reviewed; validity, inclusions, and exclusions require written confirmation.

    6. Superior A.R.T. Thailand

    A specialist assisted-reproduction and genetics center established in 2007. Emphasizes IVF, ICSI, and PGT pathways. Confirm treating doctor, laboratory plan, PGT method, and age-specific outcome definitions directly.

    Key Questions to Ask Your Clinic

    • What is your euploidy rate for my age group?
    • How many PGT-A cycles did you perform last year?
    • Do you report per cycle, per retrieval, or per transfer?
    • What is your live birth rate per euploid embryo transfer for my age?
    • Are your embryologists certified by ESHRE or similar bodies?

    Always request a written quotation and treatment plan before committing.

    Frequently asked questions

    What is a good euploidy rate for PGT-A?

    Euploidy rates vary by age. For women under 35, rates of 50–70% are common; for women 40–42, rates may be 20–30%. These are general trends, not guarantees. Ask your clinic for age-stratified data.

    Does PGT-A guarantee a healthy baby?

    No. PGT-A screens for chromosomal abnormalities but cannot detect all genetic disorders or guarantee a live birth. Embryo transfer success also depends on uterine health and other factors.

    How do I choose a clinic for PGT-A in Thailand?

    Consider accreditation, embryology lab standards, age-specific success rates, and transparent pricing. Request a written quotation and confirm the treating doctor and laboratory pathway.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • Embryo Storage Costs in Thailand: What to Expect for Annual Fees

    Understanding Embryo Storage Costs in Thailand

    After completing IVF and preimplantation genetic testing (PGT), many patients choose to store surplus embryos for future family building. Annual storage fees are a recurring cost that should be factored into your long-term planning. While exact prices vary by clinic and are not published here, this guide explains the typical components of storage costs, what to ask when comparing quotes, and how to prepare for ongoing expenses.

    What Is Included in Annual Storage Fees?

    Annual embryo storage fees generally cover the following:

    • Cryopreservation maintenance: The cost of keeping embryos in liquid nitrogen tanks, including monitoring and refilling.
    • Administrative fees: Record-keeping, reporting, and coordination with the embryology lab.
    • Facility overhead: Proportion of clinic or storage facility operating costs.

    Some clinics may bundle the first year of storage into the overall IVF package, while others charge separately. Always confirm what is included in the quoted fee.

    Typical Fee Range and Payment Schedule

    Annual storage fees in Thailand generally fall within a range that depends on the clinic, location, and number of embryos stored. Fees are typically quoted per year and may be due upfront or in installments. Some clinics offer discounts for multi-year prepayment. When comparing quotes, ask:

    • Is the fee per embryo or per batch?
    • Are there discounts for paying annually vs. monthly?
    • Does the fee include any handling or transfer costs if you later move embryos?

    Contract Terms and What Happens If Payment Is Missed

    Storage agreements are typically renewed annually. It is important to understand the clinic’s policy on missed payments. Common terms include:

    • Grace period: Some clinics allow a short window (e.g., 30 days) after the due date before taking action.
    • Notice requirements: You may be required to provide written notice if you wish to discontinue storage or donate/discard embryos.
    • Disposition of embryos: If payment is not made and no contact is established, embryos may be discarded or donated according to the consent forms you signed. This is a serious consequence, so keep your contact information current with the clinic.

    Always read the storage agreement carefully and ask about the clinic’s specific policy before signing.

    Additional Costs to Consider

    Beyond annual storage, there may be other costs associated with long-term embryo storage:

    • Initial cryopreservation fee: A one-time charge for freezing embryos, often separate from storage.
    • Embryo transfer costs: When you decide to use stored embryos, there will be fees for thawing and transfer procedures.
    • Shipping fees: If you move embryos to another clinic or country, transport costs apply.
    • Legal or administrative fees: For updating consent forms or changing disposition instructions.

    Questions to Ask Your Clinic

    When comparing storage options, consider asking the following questions:

    • What is the exact annual storage fee, and what does it cover?
    • Is there a minimum storage period?
    • What is the policy on missed payments? Is there a grace period?
    • Can I prepay for multiple years at a discount?
    • What happens if the clinic closes or changes ownership?
    • Are there any additional fees for documentation or reporting?

    Planning for Long-Term Storage

    Embryo storage is a long-term commitment. To avoid surprises:

    • Set a reminder for annual renewal dates.
    • Keep your clinic informed of any address or contact changes.
    • Review your consent forms periodically to ensure your wishes are documented.
    • Consider the total cost of ownership over the planned storage period.

    For more information on overall IVF costs in Thailand, see our guide on IVF cost in Thailand. For additional resources, visit our patient resources page. If you have specific questions, contact us for personalized assistance.

    Frequently Asked Questions

    How much does embryo storage cost per year in Thailand?

    Annual storage fees vary by clinic and are not fixed. Typically, fees cover cryopreservation maintenance, administration, and facility costs. Contact your clinic for an exact quote.

    What happens if I miss a storage payment?

    Policies vary. Some clinics offer a grace period, but if payment is not made, embryos may be discarded or donated according to your signed consent. Always keep your contact information current.

    Can I prepay for multiple years of storage?

    Many clinics offer discounts for multi-year prepayment. Ask your clinic about available options.

    Are there additional fees beyond the annual storage cost?

    Yes, there may be initial cryopreservation fees, transfer costs, shipping fees, and administrative charges. Confirm all potential costs with your clinic.

    Frequently asked questions

    How much does embryo storage cost per year in Thailand?

    Annual storage fees vary by clinic and are not fixed. Typically, fees cover cryopreservation maintenance, administration, and facility costs. Contact your clinic for an exact quote.

    What happens if I miss a storage payment?

    Policies vary. Some clinics offer a grace period, but if payment is not made, embryos may be discarded or donated according to your signed consent. Always keep your contact information current.

    Can I prepay for multiple years of storage?

    Many clinics offer discounts for multi-year prepayment. Ask your clinic about available options.

    Are there additional fees beyond the annual storage cost?

    Yes, there may be initial cryopreservation fees, transfer costs, shipping fees, and administrative charges. Confirm all potential costs with your clinic.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • How Much Does PGT-A Add to the Cost of IVF in Thailand?

    Understanding PGT-A and Its Role in IVF

    Preimplantation Genetic Testing for Aneuploidy (PGT-A) is a screening technique used during IVF to check embryos for chromosomal abnormalities. While it does not guarantee a pregnancy or a healthy child, it can help select embryos with the correct number of chromosomes, potentially reducing the risk of miscarriage and failed implantation. In Thailand, many fertility clinics offer PGT-A as an add-on to standard IVF cycles. The cost can vary significantly depending on the clinic, the number of embryos tested, and whether you choose an inclusive package or a la carte pricing.

    Typical Cost Components of PGT-A

    When budgeting for PGT-A, it is important to understand the different fees involved. These may include:

    • Embryo Biopsy Fee: The procedure to remove a few cells from each embryo. This is usually performed on day 5 or 6 of embryo development (blastocyst stage).
    • Genetic Testing Fee: The actual analysis of the biopsied cells. This is often charged per embryo or per sample.
    • Shipping and Handling: If the biopsy samples are sent to an external genetics laboratory, there may be courier and handling charges.
    • Storage Fees: Embryos may need to be frozen and stored while awaiting test results. Some clinics include initial storage in the package; others charge separately.
    • Consultation and Coordination: Some clinics charge an administrative fee for coordinating the PGT process with the genetics lab.

    Package vs. A La Carte Pricing

    Clinics in Thailand may offer PGT-A as part of an all-inclusive IVF package or as a separate add-on. Understanding the difference can help you compare costs more effectively.

    Inclusive Packages

    Some clinics bundle PGT-A with the IVF cycle, often including the biopsy, genetic testing for a set number of embryos (e.g., up to 8 embryos), and initial storage. These packages can provide cost certainty but may not be cost-effective if you have fewer embryos to test.

    A La Carte Pricing

    Other clinics charge separately for each component. This can be more flexible, allowing you to pay only for the services you need. However, the total cost may be higher if you need to test many embryos or require additional services like extended storage.

    Questions to Ask When Comparing Quotes

    To avoid unexpected costs, ask each clinic the following questions:

    • What is the biopsy fee per embryo? Is it included in the IVF cycle cost?
    • What is the genetic testing fee per embryo? Is there a minimum or maximum number of embryos?
    • Are shipping and handling fees included? If not, what is the estimated cost?
    • How long is initial embryo storage included? What are the ongoing storage fees?
    • Are there any additional administrative or coordination fees?
    • What happens if no embryos are suitable for biopsy? Is there a refund or credit?
    • Do you offer a package that covers multiple IVF cycles with PGT-A?

    Factors That Influence Total Cost

    Several factors can affect the final price you pay for PGT-A in Thailand:

    • Number of Embryos Tested: Most clinics charge per embryo, so the more embryos you have, the higher the total cost.
    • Clinic Location and Reputation: Clinics in Bangkok or major cities may have higher overheads, which can be reflected in pricing.
    • Genetics Laboratory: Some clinics have in-house labs, while others outsource to international labs. Outsourcing may add shipping costs and longer turnaround times.
    • Technology Used: Next-generation sequencing (NGS) is the most common method for PGT-A and may be priced differently than older techniques.
    • Additional Services: Some clinics offer genetic counseling or repeat testing if results are inconclusive, which may incur extra fees.

    Hidden Fees to Watch For

    When reviewing quotes, be aware of potential hidden fees:

    • Biopsy Cancellation Fee: If embryos do not develop to the blastocyst stage, some clinics still charge a biopsy preparation fee.
    • Repeat Testing Fee: If a sample fails to amplify or results are unclear, re-biopsy and retesting may be charged.
    • Embryo Disposal Fee: If you choose to discard abnormal embryos, there may be a fee for disposal.
    • Legal or Administrative Fees: Some clinics charge for preparing consent forms or coordinating with international patients.

    Comparing Costs Across Clinics

    Because exact prices vary and change frequently, it is essential to request a detailed written quote from each clinic you consider. Ask for a breakdown of all fees, including any that are non-refundable. Keep in mind that the cheapest option may not always be the best value—consider the clinic’s experience, success rates, and the quality of the genetics laboratory.

    Additional Considerations for International Patients

    If you are traveling to Thailand for IVF with PGT-A, factor in these potential costs:

    • Travel and Accommodation: You may need to stay in Thailand for at least 2-3 weeks for the IVF cycle and embryo biopsy.
    • Medication Costs: Fertility medications are often not included in package prices and can be a significant expense.
    • Currency Exchange: Fluctuations in exchange rates can affect the final cost in your home currency.
    • Insurance: Check whether your health insurance covers any part of IVF or PGT-A; most do not.

    Conclusion

    Adding PGT-A to an IVF cycle in Thailand involves several cost components, from biopsy and genetic testing to shipping and storage. By understanding these fees and asking the right questions, you can make an informed comparison between inclusive packages and a la carte pricing. Always request a detailed, written quote and confirm what is included before making a decision. For more information on IVF costs in Thailand, visit our IVF cost guide. For additional resources, see our patient resources or contact us for personalized assistance.

    Frequently asked questions

    Is PGT-A included in most IVF packages in Thailand?

    Some clinics offer inclusive packages that cover PGT-A for a set number of embryos, while others charge it as an add-on. Always check the package details and ask what is included.

    How is PGT-A pricing typically structured?

    PGT-A is often priced per embryo tested, with separate fees for biopsy, genetic analysis, shipping, and storage. Some clinics offer a flat fee for up to a certain number of embryos.

    Are there any hidden costs with PGT-A in Thailand?

    Possible hidden costs include biopsy cancellation fees, repeat testing fees, embryo disposal fees, and administrative charges. Request a full breakdown from the clinic.

    Does the number of embryos affect the total PGT-A cost?

    Yes, since testing is usually per embryo, more embryos mean higher costs. Some clinics offer discounts for testing multiple embryos.

    Can I get a refund if no embryos are suitable for biopsy?

    Policies vary. Some clinics may refund the genetic testing fee but not the biopsy fee. Confirm the refund policy before proceeding.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • Can You Do IVF with PGT in Thailand Over Multiple Trips?

    Why Consider a Split-Cycle Approach?

    For patients who cannot stay in Thailand for the full IVF cycle (typically 4–6 weeks), a split-cycle approach allows you to divide treatment into two separate trips:

    • Trip 1: Ovarian stimulation, egg retrieval, fertilization, embryo culture, and biopsy for PGT. Embryos are then frozen.
    • Trip 2: Embryo transfer in a subsequent menstrual cycle, after PGT results are available.

    This approach is common for international patients and is offered by many fertility centers in Thailand. It gives you flexibility to return home between procedures while still receiving advanced genetic testing.

    Typical Timeline for Two Trips

    Trip 1: Stimulation, Retrieval, and Biopsy

    Plan to be in Thailand for approximately 14–18 days. This includes:

    • Initial consultation and baseline blood work and ultrasound (1–2 days)
    • Ovarian stimulation with daily injections (10–12 days)
    • Egg retrieval procedure (1 day, outpatient)
    • Embryo culture and biopsy for PGT (5–7 days after retrieval)
    • Embryo freezing and shipment of biopsy samples to a genetics lab (if not done on-site)

    After the biopsy, you can return home. PGT results typically take 2–4 weeks, depending on the laboratory and type of testing (PGT-A, PGT-M, or PGT-SR).

    Waiting Period at Home

    During this time, your clinic will coordinate with the genetics lab. You will receive a report on which embryos are chromosomally normal (euploid) and, if applicable, free of a specific genetic condition. You can discuss the results with your doctor via telemedicine.

    Trip 2: Embryo Transfer

    Plan to return to Thailand for a shorter stay of about 5–7 days. This includes:

    • Monitoring of your natural menstrual cycle or a medicated cycle to prepare the uterine lining (can be done partially at home with local monitoring, but final checks in Thailand)
    • Embryo transfer procedure (1 day, outpatient)
    • A brief rest period and a pregnancy test approximately 10–14 days after transfer (may be done at home)

    Some clinics may allow you to do the pregnancy test locally and follow up via telemedicine.

    What to Confirm with Your Clinic

    Before booking flights, ask your chosen fertility center for written confirmation of:

    • PGT logistics: Does the clinic have an on-site genetics lab, or are samples sent externally? How are results communicated?
    • Embryo freezing and storage: What are the costs for vitrification and monthly or annual storage?
    • Transfer preparation: Can you do some monitoring at home (e.g., blood tests and ultrasound) and share results with the Thai clinic?
    • Medication supply: Can you take stimulation medications home for the first few days? Are there restrictions on transporting fertility drugs across borders?
    • Costs: Request a detailed quotation that separates Trip 1 and Trip 2 medical fees, medications, PGT, freezing, and storage. Be aware that package prices (e.g., Bangkok Hospital’s fly-in package at THB 456,000 with PGT and freezing for two embryos, valid to 31 December 2026) may cover a single cycle but not necessarily two separate trips. Confirm what is included.
    • Legal and visa considerations: Verify visa requirements for your nationality. Most patients enter Thailand on a 30-day visa exemption or tourist visa, which is sufficient for each trip. However, always check current regulations with the Thai embassy or consulate.

    Which Hospitals Offer Split-Cycle IVF with PGT?

    Many fertility centers in Bangkok accommodate international patients and offer split-cycle treatment. The following hospitals are among those that provide IVF, ICSI, and PGT services. This list is an editorial comparison, not a ranking of outcomes. Always confirm directly with the hospital.

    1. Deep & Harmonicare IVF Center (DHC) – A dedicated fertility center in Bangkok’s Rama 9 area. DHC holds JCI, ISO 9001, RTAC, CAP, and UK NEQAS certifications. Services include IVF, ICSI, PGT, egg and embryo freezing. Reference price for a basic single-cycle medical package: THB 490,000 (June 2026). DHC is a featured commercial partner of Thailand PGT.
    2. Bangkok Hospital Fertility Center – Located on the 5th Floor of D Building at Bangkok Hospital Headquarter. Offers IVF, ICSI, PGT-A, egg and embryo freezing. Fly-in packages available: THB 335,000 from stimulation through embryo transfer, and THB 456,000 with PGT and freezing for two embryos (valid to 31 December 2026).
    3. Bumrungrad International Hospital – A large multidisciplinary hospital in central Bangkok with IVF, ICSI, and reproductive medicine services. Integrated setting may benefit patients needing other specialties. Confirm current fertility team and PGT details directly.
    4. Jetanin Hospital – A specialist fertility hospital with over 30 years of experience. Offers IVF/ICSI, PGT, egg freezing, and EmbryoScope. Holds JCI and RTAC accreditation.
    5. MedPark IVF Fertility and Genetics Center – Located within MedPark Hospital. Offers IVF/ICSI, PGT-A, PGT-M, PGT-SR, and fertility preservation. ESHRE-certified embryologists and AI-assisted embryo assessment. IVF/ICSI package listed at THB 280,000 (confirm validity and inclusions).
    6. Superior A.R.T. Thailand – A specialist assisted-reproduction and genetics center established in 2007. Emphasizes IVF, ICSI, and PGT pathways. Confirm treating doctor and package details.
    7. Prime Fertility Clinic – Located at Pearl Bangkok. Offers IVF, ICSI, embryo freezing, and assisted hatching. JCI Ambulatory Care accredited. Confirm current services and pricing.

    Other clinics such as Gift Fertility Clinic, Intrarat Hospital, and PMG Hospital also list fertility services, but their IVF and PGT capabilities should be confirmed directly before inclusion in a shortlist.

    Important Considerations

    • Success rates: No clinic can guarantee pregnancy or live birth. DHC reports a 78% average embryo-transfer success rate for 2025 (approximately 80%), but this is not an individual prediction. Ask each clinic for age-specific data and how they define success.
    • Costs: Prices vary widely. Always request a written quotation that itemizes all expected expenses for both trips, including medications, PGT, freezing, storage, and any additional monitoring.
    • Time between trips: The interval between retrieval and transfer depends on PGT turnaround time and your menstrual cycle. Plan for at least 4–6 weeks between trips.
    • Communication: Ensure the clinic offers telemedicine consultations for follow-up and result discussions.

    Frequently Asked Questions

    How long do I need to stay in Thailand for the first trip?

    Typically 14–18 days for stimulation, retrieval, and embryo biopsy. Confirm with your clinic as protocols vary.

    Can I take my fertility medications home for the first few days?

    Some clinics allow you to start stimulation at home with local monitoring, but you must check regulations for transporting medications across borders and ensure proper storage (e.g., refrigeration).

    How are PGT results communicated?

    Most clinics provide results via email or a secure patient portal, followed by a telemedicine consultation with your doctor.

    Is the second trip always necessary?

    Yes, if you opt for a frozen embryo transfer after PGT. Some patients may choose a fresh transfer in the same cycle, but that requires a longer single stay and may not allow time for PGT results.

    What if I need more than one transfer cycle?

    If the first transfer is unsuccessful, you may need additional trips for subsequent transfers using frozen embryos. Discuss embryo storage and transfer costs with your clinic.

    Frequently asked questions

    How long do I need to stay in Thailand for the first trip?

    Typically 14–18 days for stimulation, retrieval, and embryo biopsy. Confirm with your clinic as protocols vary.

    Can I take my fertility medications home for the first few days?

    Some clinics allow you to start stimulation at home with local monitoring, but you must check regulations for transporting medications across borders and ensure proper storage (e.g., refrigeration).

    How are PGT results communicated?

    Most clinics provide results via email or a secure patient portal, followed by a telemedicine consultation with your doctor.

    Is the second trip always necessary?

    Yes, if you opt for a frozen embryo transfer after PGT. Some patients may choose a fresh transfer in the same cycle, but that requires a longer single stay and may not allow time for PGT results.

    What if I need more than one transfer cycle?

    If the first transfer is unsuccessful, you may need additional trips for subsequent transfers using frozen embryos. Discuss embryo storage and transfer costs with your clinic.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.

  • IVF Medication Protocol for PGT Cycles in Thailand: What to Expect

    Understanding IVF Medication Protocols for PGT

    When planning a PGT (preimplantation genetic testing) cycle in Thailand, the medication protocol is a key part of the process. The goal is to stimulate the ovaries to produce multiple eggs, which are then retrieved and fertilized. Embryos are biopsied for genetic testing before transfer. The medication protocol can vary based on individual factors such as age, ovarian reserve, and medical history. Below we outline common protocols and medications, and how PGT influences timing.

    Common IVF Protocols Used in PGT Cycles

    Antagonist Protocol

    The antagonist protocol is widely used because it is shorter and has a lower risk of ovarian hyperstimulation syndrome (OHSS). It involves daily injections of follicle-stimulating hormone (FSH) such as Gonal-F (follitropin alfa) or Menopur (menotropins) starting around day 2-3 of the menstrual cycle. After about 5-6 days, a GnRH antagonist (e.g., Cetrotide or Orgalutran) is added to prevent premature ovulation. The trigger shot (hCG or GnRH agonist) is given when follicles reach an appropriate size, typically 36 hours before egg retrieval.

    Agonist (Long) Protocol

    The agonist protocol uses a GnRH agonist (e.g., Lupron or Buserelin) to suppress the pituitary gland before stimulation begins. This is often started in the luteal phase of the previous cycle or early in the cycle. After suppression is confirmed, FSH injections are added. This protocol may be preferred for patients with endometriosis or high ovarian reserve. It is longer and may require more medication.

    Natural or Modified Natural Cycle

    In a natural cycle, minimal or no medication is used. The patient’s own single egg is monitored and retrieved. A modified natural cycle may use low-dose FSH or a trigger shot to time retrieval. This option is less common for PGT because only one embryo is produced, but it may be suitable for some patients.

    Common Medications Used in IVF for PGT

    • Gonal-F (follitropin alfa) – recombinant FSH for follicle growth.
    • Menopur (menotropins) – human menopausal gonadotropin containing FSH and LH.
    • Cetrotide or Orgalutran – GnRH antagonists to prevent premature ovulation.
    • Lupron (leuprolide) – GnRH agonist used in agonist protocols or as a trigger.
    • hCG (e.g., Pregnyl, Ovidrel) – used as a trigger to mature eggs.
    • Progesterone (e.g., Endometrin, Crinone) – used for luteal phase support after retrieval.

    Medication names and brands may vary by clinic and country. Your doctor will prescribe a specific regimen based on your profile.

    How PGT Affects Timing of Trigger and Retrieval

    PGT requires that embryos be biopsied at the blastocyst stage (day 5-6). This does not change the timing of the trigger shot or egg retrieval, which are based on follicle size. However, because PGT involves freezing all embryos (vitrification) and transferring in a subsequent cycle, the fresh transfer is usually not performed. This means that the luteal phase support after retrieval may be minimal or omitted. The trigger shot itself may be a GnRH agonist (e.g., Lupron) instead of hCG to reduce OHSS risk, especially in antagonist protocols.

    What to Confirm with Your Clinic

    Every patient is unique. Before starting a cycle, you should discuss with your treating clinic:

    • Which protocol is recommended for you and why.
    • Specific medications, dosages, and injection schedules.
    • How PGT results will affect the timing of frozen embryo transfer (FET).
    • Any pre-treatment medications (e.g., birth control pills for cycle scheduling).
    • Cost of medications and whether they are included in the package.
    • Monitoring schedule (blood tests and ultrasounds) during stimulation.

    Your clinic will provide a personalized medication calendar. Always follow their instructions exactly.

    Travel Considerations for International Patients

    If you are traveling to Thailand for IVF with PGT, plan to stay for at least 2-3 weeks for the stimulation and retrieval phase. Medications may need to be shipped or purchased locally. Confirm with your clinic whether you can bring your own medications or if they provide them. Some medications require refrigeration. Discuss storage and travel logistics with your clinic and airline.

    For more on the overall process, see our guides on IVF in Thailand and treatment process. International patients can find additional resources on our international patients page.

    Frequently asked questions

    What is the most common IVF protocol for PGT in Thailand?

    The antagonist protocol is commonly used because it is shorter and has a lower risk of OHSS. However, the best protocol depends on individual factors such as age, ovarian reserve, and medical history. Your doctor will recommend a protocol tailored to you.

    Do I need to take medication before starting stimulation?

    Some protocols use birth control pills or GnRH agonists to schedule the cycle or suppress the ovaries. This is determined by your clinic based on your treatment plan.

    How long will I need to stay in Thailand for the medication phase?

    The stimulation phase typically lasts 10-14 days, plus a few days for monitoring and the retrieval. Plan for at least 2-3 weeks in Thailand for the egg retrieval cycle. Confirm exact timelines with your clinic.

    Can I bring my own IVF medications to Thailand?

    It depends on the clinic's policy and Thai customs regulations. Some clinics provide medications, while others allow you to bring them. Check with your clinic and the Thai Food and Drug Administration for import rules.

    Does PGT affect the type of trigger shot used?

    Yes, in antagonist protocols, a GnRH agonist trigger (e.g., Lupron) is often used instead of hCG to reduce OHSS risk. This does not affect PGT, as eggs are still retrieved and fertilized normally.

    Continue your research

    Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.