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Fertility clinics under pressure to pause price rises, as cost of living crisis forces patients into debt

More than 90 per cent of fertility patients in the UK have experienced financial worries in relation to treatment

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UK fertility clinics have come under pressure to pause price rises, as growing numbers of patients are getting into debt to pay for treatment.

Dr Catherine Hill, Fertility Network UK’s head of policy and public affairs, spoke of a “toxic combination” of the cost of living price hikes and the lack of access to NHS-funded fertility treatment, which could leave patients priced out of the market, with potentially serious repercussions for their mental health.

She said couples are facing “mountains of debt” and some are being pressured into making unwelcome treatment choices.

“Patients should not be facing the decision to discard much wanted embryos because they can’t afford the costs of transferring them or storing them. Patients should not be swayed into donating their eggs or having a double embryo transfer rather than the recommended single transfer in order to afford necessary medical healthcare. And patients should not be having to forego monitoring scans or genetic testing to avoid inherited conditions in order to be able to continue with treatment,” Hill explained.

“With half of UK fertility patients unable to afford to move forward with fertility treatment and others considering potentially risky options to be able to access care, this is a crisis point for fertility patients and the sector.

“It is a scandal for the country that pioneered IVF over 45 years ago and it is rooted in the lack of equitable access to NHS-funded fertility care and the continuing steep cost of private treatment.”

The charity is calling for fertility clinics to expand the financial support for patients struggling to afford treatment, urging private providers to be clear on treatment costs.

“We urge clinics to consider halting price hikes or providing payment pauses for patients facing their stored embryos being destroyed and, for those who don’t already, to offer payment plan packages.”

Clare Ettinghausen, director of strategy and corporate affairs at Human Fertilisation and Embryology Authority (HFEA), said the regulator is concerned that patients are limited in their treatment choices by the cost of storage or transfer of embryos.

“Most fertility patients pay for their own treatment and this can be very expensive, as well as emotionally difficult,” she said.

“Clinics should be giving clear information about the costs of treatment, including any future costs such as storage or embryo transfer to patients before they start treatment.”

A survey by Fertility Network UK of almost 200 patients found that 95 per cent had experienced financial worries in relation to fertility treatment, with 92 per cent saying these problems had been exacerbated by the cost of living crisis.

Half of respondents said a combination of the cost of living crisis, the lack of NHS-funded help and the high cost of private care meant they were unable to move forward with fertility treatment.

One patient, who asked to remain anonymous, told the charity: “We have one frozen embryo left that we spent two years saving for. We can’t afford to have that embryo transferred. Next month the year’s freezing expires so we will have to try and find the money to pay for another year’s freezing or our embryo will be destroyed. Sadly, we can’t do anything more, we are broke.”

Prices for fertility treatments have risen in recent months, in line with inflation throughout the rest of the economy. Many IVF providers said they had no choice but to increase treatment costs to stay afloat.

Dr Suvir Venkataraman, director at Harley Street Fertility Clinic, said: “All clinics are being hit by inflation and as a result price increases are inevitable.

“Harley Street Fertility specialise in treating patients with a complex medical history who seek the optimum treatment for their condition and fertility challenges. Achieving leading success rates as a clinic often leads to higher initial treatment costs.

“Our sample storage fees had remained unchanged since we opened, 13 years ago. However, owing to cost increases in equipment and liquid nitrogen supplies, regrettably, we had to increase our fees for the first time this year.”

Venkataraman said Harley Street Fertility Clinic partnered with three finance companies to offer patients different support packages.

“We work with three partners currently to provide customers with choice and we are open to new financial products from our finance partners. However, as a boutique clinic we are limited in our options. We call on the government and finance industry to come up with improved support for patients.”

Victoria Sephton, chief medical director at Care Fertility, said: “We try and ensure that the costs and treatment pathways for patients are clear at the start of treatment by providing in depth information through our website, information events and social channels.

“We also offer comprehensive fertility assessments for both men and women for those at the start of their fertility journey. By offering patients a clear understanding of their path to parenthood from the start, we allow them to effectively manage the costs associated with their treatment plan.”

Fertility benefits providers, which have grown exponentially since 2019, are pressing employers to do more to support people looking to pursue fertility treatment.

Leila Thabet, VP of global growth at Maven Clinic, said: “Fertility benefits have already become a must-have among US employers, and we’ve started to see many multinational companies with employees in the UK embracing these benefits.

“Over 60 per cent of IVF treatment is privately funded in the UK and, certainly, during a cost of living crisis, employers who prioritise investment in this critically under-supported phase of life will be substantially easing the pressure on their employees, given the prohibitive cost of care for many families.

“Employers have historically focused on the financial aspect of fertility benefits, but there is a growing realisation that, although this is vital, it’s not the only role employers can play, as employees also lack critical, emotional and clinical support through the fertility journey.”

Jenny Saft, co-founder and CEO of the fertility benefits platform Apryl, added: “Fertility treatments can be financially demanding. In a situation where individuals are already grappling with increased living costs, the additional burden of fertility treatment expenses can be overwhelming.

“Fertility benefits play a vital role not just as a healthcare provision but as a crucial support system for couples and individuals embarking on their fertility journey. With the financial pressures that the cost of living crisis brings, these benefits become even more significant.”

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Features

Embryos saved after patients win high court consent case

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More than a dozen fertility patients have won a High Court battle to save their embryos, eggs and sperm from destruction after paperwork mistakes.

The ruling followed errors that meant patients did not renew consent to store their biological material within the 10-year window required by law.

In some cases, fertility clinics failed to notify those affected.

Lawyers for 15 groups affected by the errors, including some former cancer patients, asked the court in London to declare it would be lawful for the embryos or cells to remain in storage, despite consent expiring in June 2025.

In an unusual move, the application was unopposed, with no objections from the clinics, the Human Fertilisation and Embryology Authority or the health secretary.

Mrs Justice Morgan ruled that it would be lawful in 14 of the 15 cases for the material to continue to be stored and used. She said laws around human fertilisation and embryology were “unbending” but added that “the rigidity of the scheme is not rigidity for its own sake”.

She continued: “It is surely consent that is important, not consent by an immutable date.

“I find it hard to conclude that parliament intended the possibility of parenthood should be removed by the ticking of a clock, not in the cliched phrase, the ticking of the biological clock, but by the ticking of the clock beyond midnight of the day when existing consent expires, whatever might be the circumstances.”

Under the law, fertility clinics need written consent from clients every 10 years to continue storing biological material.

The rules are intended to prevent cells being kept or used without people’s knowledge or permission.

Because of delays and difficulty accessing fertility treatment during the pandemic, the law allowed a two-year extension, meaning people using the service on 1 July 2020 were granted extra time. Confusion caused by the extension meant some clinic users were not notified when they needed to renew consent, so it lapsed.

In the one case where the judge ruled against the request, the circumstances were legally different.

Morgan said the pair involved had not originally consented to an embryo being stored, but one had been retained accidentally and they now wished to use it.

She said: “There was never, on their case, a consent to renew.

“To be permitted to take advantage of the storage of the embryo which they say ‘contradicted’ their express wishes because the clinic acted on the wrong consent form to change their mind is not in my judgment renewing consent. It is a change of consent.”

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Fertility

Is your fertility innovation award-worthy?

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If you’ve been asking yourself whether your fertility innovation deserves a place among the Femtech World Awards nominees, understanding what judges value can help you see your work through their eyes.

Ultimately, the judges are seeking solutions that demonstrate genuine impact on people’s fertility journeys.

This means your innovation should address a real and significant challenge that individuals face when trying to conceive, preserve their fertility or understand their reproductive health.

Perhaps you’ve developed a diagnostic tool that catches issues earlier, created a treatment option that’s more accessible or affordable, or designed a platform that provides support during an emotionally challenging time.

The key is showing how your solution makes a meaningful difference to real people.

True Innovation Takes Many Forms

Innovation itself takes many forms, and judges appreciate this diversity.

Your entry might feature cutting-edge artificial intelligence that predicts optimal conception windows, a novel medical device that improves IVF success rates, or even a brilliantly simple approach that removes barriers to existing treatments.

What matters is that you’re doing something distinctly different or better than what currently exists. Judges want to understand not just what your innovation does, but why the traditional approach fell short and how your solution represents a genuine leap forward.

Evidence Matters

Evidence carries considerable weight in the judging process. While every innovation begins with a vision, the strongest entries demonstrate that their solution actually works.

This doesn’t necessarily mean you need years of clinical trials or thousands of users, though such data certainly strengthens your case.

Even early-stage innovations can present compelling evidence through pilot results, user testimonials, expert validation or proof-of-concept studies.

Judges are looking for innovators who’ve moved beyond theory to show real-world promise, even if your solution is still scaling.

Accessibility and Reach

Accessibility and reach matter tremendously in fertility innovation.

The judges consider whether your solution can benefit a broad population or addresses the needs of underserved communities.

Perhaps your innovation reduces the cost of fertility treatments, brings specialist care to remote areas through telemedicine or tackles male fertility issues that have historically received less attention.

Solutions that democratise access to fertility care or serve overlooked populations often stand out because they expand who can benefit from reproductive healthcare advances.

The Team Behind the Vision

The team behind the innovation also factors into judging decisions.

Strong entries come from teams that demonstrate deep understanding of the fertility landscape, combine relevant expertise and show capacity to actually deliver on their vision.

Judges want to know that you’re not just creating something interesting in isolation but that you understand the clinical, regulatory and practical realities of bringing your innovation to those who need it.

Clear Communication

Judges also value clear thinking and communication.

Your entry should articulate your innovation’s purpose, mechanism and impact in language that’s precise but accessible.

The ability to explain complex science or technology in understandable terms often reflects how well you truly grasp your own innovation and suggests you’ll be effective at bringing it to market and educating users.

Future Potential

Finally, judges consider your innovation’s future potential.

Where could this technology or approach lead? Might it inform other areas of reproductive health? Could it scale to help significantly more people?

The most exciting entries often hint at broader possibilities while remaining grounded in current achievements.

Your Innovation Deserves Recognition

If you’re reading this and recognising your own work in these criteria, you’re likely sitting on an award-worthy innovation.

The recognition, visibility and validation that come with being a nominee or winner can open doors, attract investment and ultimately help your solution reach more people who desperately need it.

Find out more about the Femtech World Awards and enter for free here.

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Insight

Study reveals potential causes of infertility

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A 556-gene signature in the uterine lining may help explain why some embryo transfers fail, even when clinics use chromosomally normal embryos, new research suggests.

Even in the best-case scenario, when clinics transfer embryos with a normal number of chromosomes into a woman’s uterus, only about half result in a live birth.

Some transfers lead to pregnancy followed by miscarriage, but in 30 to 35 per cent of cases the embryo does not implant in the uterus at all.

For decades, fertility research has focused heavily on embryo quality, but some scientists suspect the problem can lie in the uterus itself. New findings support that view.

Researchers at Rutgers Health and Michigan State University identified genes concentrated in gland cells in the uterine lining, known as the endometrium, that rise in fertile women during the brief window when the womb can accept an embryo.

The team enrolled 30 patients with regular menstrual cycles and proven fertility.

Participants used ovulation predictor kits and worked with researchers so tissue samples were taken at precise points in the cycle.

Blood hormone levels and microscopic checks were used to confirm timing, adding rigour the researchers said was missing from earlier work.

To track the endometrium’s changing biology, the team used two sequencing approaches: one measuring gene activity across the whole tissue and another measuring it cell by cell. Both pointed to the same pattern.

The biggest molecular shift came as the cycle entered the mid-secretory phase, the stage typically linked with implantation.

The sharpest changes were seen in specialised uterine gland cells that produce molecules thought to nourish an embryo and help coordinate implantation.

Earlier studies had shown these glands matter in mice and sheep, but the authors said this is the first human evidence pointing to a central role for this glandular tissue.

They also noted that their results in mostly Black and Hispanic patients matched findings from mostly white patients in past research, suggesting similar factors may drive infertility across races.

From these patterns, the researchers defined a 556-gene signature they called the Glandular Epithelium Receptivity Module.

When they applied a score based on this signature to published datasets, it was consistently lower in women with recurrent implantation failure or pregnancy loss than in fertile controls.

The work is not yet ready for clinical use.

Nataki Douglas, an associate professor of obstetrics, gynaecology and reproductive health at Rutgers New Jersey Medical School and senior author of the study, said the next steps include shortening the gene list and recruiting patients with implantation failure to test whether the signature predicts outcomes.

“This was one of the first attempts to really look at the menstrual cycle in women who are fertile and try and understand how the endometrium is changing, how it becomes briefly receptive to embryo attachment at the most fundamental level,” Douglas said.

“Once we can identify those who are at risk and the genes that are the most important in this 556, ones that we know code for particular proteins we might be able to add synthetically, then we may be able to work on therapeutic approaches.”

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