Fertility & IVF Practice Database
Fertility & IVF practices represent a high-value, rapidly growing segment of the healthcare market. With an $8 billion annual market size and consistent double-digit growth driven by delayed family planning, expanded insurance coverage, and growing acceptance of assisted reproductive technologies, this specialty offers exceptional opportunities for B2B sales and marketing professionals targeting healthcare providers.
Our comprehensive fertility practice database gives you direct access to decision-makers at IVF clinics, reproductive endocrinology practices, and fertility centers nationwide. Whether you are selling pharmaceuticals, laboratory equipment, practice management software, or marketing services, this data enables precise targeting of a specialty known for high per-patient revenue and significant technology investment.
Market Overview
The US fertility services market generates approximately $8 billion annually and continues to expand at 8-10% per year. Several demographic and social trends drive sustained growth: women are delaying childbearing into their 30s and 40s, same-sex couples and single parents increasingly pursue assisted reproduction, and employer-sponsored fertility benefits have become a key recruitment tool for major corporations.
Over 330,000 IVF cycles are performed annually in the US, with the average IVF cycle costing patients $12,000-$20,000 plus $3,000-$6,000 in medications. The total addressable market for fertility-related products and services spans pharmaceuticals (gonadotropins, hormones), laboratory consumables, cryopreservation equipment, genetic testing services, practice management systems, patient financing, and marketing services.
Twenty states now mandate some level of fertility insurance coverage, expanding the insured patient pool and stabilizing practice revenue. Elective egg freezing has grown 25% annually as women preserve fertility for personal or career reasons, creating an entirely new revenue stream for practices.
Practice Landscape
The US has approximately 500 fertility clinics, ranging from single-physician practices to large regional networks with multiple locations. Practice models include:
Single-Specialty IVF Centers - Dedicated fertility practices with on-site embryology laboratories, often operating multiple satellite monitoring locations for patient convenience. These represent the majority of the market.
Hospital-Based Programs - Academic medical center fertility programs that combine clinical care with research and training. These practices often handle the most complex cases and serve as referral centers.
National Fertility Networks - Large consolidated groups like Shady Grove Fertility, CCRM, and Kindbody that operate across multiple states with centralized laboratory services and standardized protocols.
OB/GYN Practices with Fertility Services - General obstetrics practices offering basic fertility evaluation and treatment (IUI, ovulation induction) before referring complex cases to IVF specialists.
Geographic concentration is highest in major metropolitan areas, particularly the Northeast, California, Texas, and Florida. Urban practices often have multiple competitors, while suburban and smaller markets may have limited options, creating different competitive dynamics.
Key Decision Makers
Understanding the buying hierarchy within fertility practices is essential for effective sales targeting:
Reproductive Endocrinologists (REs) - Board-certified physicians who own or lead practices and make final decisions on clinical equipment, pharmaceuticals, and major capital purchases. Most completed 3-year fellowships after OB/GYN residency.
Laboratory Directors / Embryologists - Critical decision-makers for all laboratory equipment, consumables, cryopreservation systems, and genetic testing partnerships. Many practices employ multiple embryologists with the lab director holding significant purchasing authority.
Practice Administrators / Executive Directors - Oversee business operations including vendor relationships, practice management software, billing systems, patient financing programs, and marketing services. Key contact for non-clinical purchases.
Nursing Directors - Manage clinical staff and influence decisions on patient education materials, medication protocols, and workflow systems.
Marketing Directors - Found in larger practices, responsible for patient acquisition, digital marketing, and brand development. Growing role as patient competition intensifies.
What's In Our Database
Initial Evaluation - Your fertility journey begins with a comprehensive evaluation including medical history review, physical examination, and diagnostic testing. Women typically undergo ovarian reserve testing (AMH, FSH, antral follicle count), uterine cavity assessment, and fallopian tube evaluation. Male partners receive semen analysis.
Treatment Planning - Based on diagnostic findings, your physician will discuss treatment options ranging from medication and timed intercourse to IUI or IVF, explaining success rates, costs, and what each treatment involves.
Monitoring Phase - IVF cycles require frequent monitoring appointments (typically every 1-3 days) for blood tests and ultrasounds to track follicle development and adjust medication dosages.
Egg Retrieval - This outpatient procedure takes approximately 20-30 minutes and is performed under IV sedation. Most women experience mild cramping and can return to normal activities within 1-2 days.
Laboratory Phase - Fertilization, embryo development, and any genetic testing occur in the laboratory over 5-7 days. The embryology team provides regular updates on embryo progress.
Embryo Transfer - A simple procedure similar to a Pap smear, typically taking 5-10 minutes without anesthesia. One or more embryos are placed in the uterus using ultrasound guidance.
Two-Week Wait - The period between transfer and pregnancy test requires patience. Many clinics offer support resources during this emotionally challenging time.
Pregnancy Test - A blood test approximately 10-12 days after transfer determines if the treatment was successful. If positive, early pregnancy monitoring continues at the fertility clinic before transition to obstetric care.
Key Terms
IVF - In vitro fertilization, the process of fertilizing eggs outside the body
IUI - Intrauterine insemination, placement of sperm directly in the uterus
ICSI - Intracytoplasmic sperm injection, injecting a single sperm into an egg
PGT - Preimplantation genetic testing of embryos
Egg Retrieval - Surgical collection of oocytes from the ovaries
Embryo Transfer - Placement of embryo into the uterus
Cryopreservation - Freezing of eggs, sperm, or embryos for future use
Ovulation Induction - Medication to stimulate egg production
AMH - Anti-Mullerian hormone, a marker of ovarian reserve
Blastocyst - An embryo at day 5-6 of development, optimal stage for transfer
ERA - Endometrial receptivity analysis to optimize transfer timing
Gestational Carrier - A woman who carries a pregnancy for intended parents
Donor Gametes - Eggs or sperm from a donor used in fertility treatment
Vitrification - Ultra-rapid freezing technique for eggs and embryos
Industry Statistics
Market Size - $8 billion annually in the US
Number of Practices - ~500 fertility clinics in the US
IVF Cycles - 330,000+ performed annually
Success Rates - 40-50% live birth rate for women under 35
Average IVF Cost - $12,000-$20,000 per cycle (medications additional $3,000-$6,000)
Frozen Embryo Transfers - 60% of all transfers now use frozen embryos
Egg Freezing Growth - 25% annual increase in elective egg freezing
Single Embryo Transfer Rate - 75%+ of all transfers
Insurance Coverage - 20 states mandate some fertility coverage
Training Requirement - 3-year REI fellowship after OB/GYN residency
Frequently Asked Questions
How long does an IVF cycle take?
A typical IVF cycle takes 4-6 weeks from the start of medication to embryo transfer. This includes 10-14 days of ovarian stimulation, egg retrieval, 5-6 days of embryo culture, and transfer. If genetic testing is performed or embryos are frozen, the timeline extends accordingly.
What are the success rates for IVF?
Success rates vary significantly by age. Women under 35 have approximately 40-50% live birth rates per embryo transfer, while women 40-42 have rates around 15-20%. Donor egg IVF maintains high success rates regardless of recipient age.
Is IVF painful?
Most patients describe IVF as uncomfortable rather than painful. Daily injections cause mild discomfort, and the egg retrieval is performed under sedation so you will not feel pain during the procedure. Some cramping and bloating is normal during stimulation and after retrieval.
How many IVF cycles does it typically take to get pregnant?
While some patients succeed on their first cycle, many require multiple attempts. Cumulative success rates after three cycles exceed 60-70% for women under 38. Your physician can provide personalized estimates based on your specific situation.
What is the difference between fresh and frozen embryo transfer?
Fresh transfers occur 5-6 days after egg retrieval in the same cycle. Frozen transfers use cryopreserved embryos transferred in a subsequent cycle. Frozen transfers allow time for genetic testing results, recovery from stimulation, and may offer similar or better success rates.
Does insurance cover fertility treatment?
Coverage varies widely. Twenty states have fertility insurance mandates, but coverage details differ significantly. Many clinics offer financing options, and some employers provide fertility benefits. Always verify your specific coverage before starting treatment.
