Is Thailand's IVF technology reliable?

Thailand's reproductive medical technology is world-leading, especially in 3rd generation IVF and PGD/PGS genetic screening. Our partner hospitals are all JCI internationally accredited top medical institutions with success rates of 65-90%.

How long does the entire treatment cycle take?

Depending on the treatment plan, the duration varies. Generally, an IVF cycle takes 25-28 days, and a surrogacy cycle takes 12-14 months. We will develop a detailed schedule based on your specific situation.

What are the approximate costs? What is included?

Costs vary depending on the treatment plan. IVF costs approximately ¥150,000-250,000, surrogacy services approximately ¥600,000-1,000,000. Fees include medical costs, service fees, translation fees, etc. We provide detailed fee lists to ensure transparency with no hidden charges.

What about language barriers?

No need to worry at all. We provide full professional Chinese medical translation services. From consultation, examination, treatment to follow-up tracking, Chinese team accompanies you to ensure smooth communication with doctors.

Is surrogacy legal in Thailand? Are there legal protections?

Thailand has clear legal regulations for assisted reproduction in specific situations. We will provide professional legal consultation based on your specific circumstances to ensure the entire process is legal and compliant, with complete legal documentation to protect your rights.

Is the success rate guaranteed? What if it fails?

Our partner hospitals have an overall success rate of over 85%. Although medicine cannot guarantee 100% success, we will develop the optimal plan based on your physical condition. Some packages provide multiple treatment guarantees. Please consult our medical advisors for details.

After three egg retrievals and multiple failed transfers in China, 38-year-old "Lisa" decided to try IVF with PGT-A in Thailand. This is her honest account of the journey — the doubts, the process, and the positive blood test.

After Three Failed IVF Cycles in China, I Finally Got Pregnant in Thailand — A 38-Year-Old's Story

Disclaimer: This is a real patient's experience, published with her consent. Names and identifying details have been changed to protect privacy. The medical information described is her personal experience and does not constitute medical advice.

It Started With a Post Online

I first came across "IVF in Thailand" in a forum post. It was late 2023. I had just received a blood test result after my second embryo transfer: β-hCG of 7. A biochemical pregnancy — implantation that couldn't sustain.

I sat on a bench outside the hospital for a long time.

My husband and I had been trying to have a child for three years. I was 37, with an AMH of 0.6 ng/mL — a result my doctor called "significantly diminished ovarian reserve." We needed to act fast.

By that point in our journey, we had been through:

2021: Three IUI cycles — all failed
2022: First egg retrieval — 3 eggs, 2 fertilized, 2 Day 3 embryos transferred, no implantation
Early 2023: Second retrieval — 4 eggs, 3 fertilized, 1 Day 5 blastocyst (4BB grade), transferred — biochemical pregnancy
Late 2023: Third retrieval — 2 eggs, 1 fertilized, no blastocyst development

Three retrievals. Ten eggs. One blastocyst that made it. Then gone.

Seriously Considering Going Abroad

The forum post I read was written by a woman with a similar profile — 39, low AMH, multiple failures in China. She'd done PGT-A (preimplantation genetic testing for aneuploidies) in Thailand, transferred one chromosomally normal embryo, and succeeded.

I read it several times.

My initial hesitations:

"Is Thai medical care good enough?" Researching further, I found that Thailand's reproductive medicine sector is advanced, and some clinics are ahead of China in the adoption of certain genetic testing technologies. Thailand passed a formal Assisted Reproduction Act in 2022 with clear regulatory standards.

"What about the language barrier?" Major fertility hospitals have Chinese coordinators. Many patients from China have been through this. The language concern dissolved.

"What if I go all the way there and fail again?" I sat with this one for a while. Then I realized: if I stayed in China and kept trying, my AMH would continue declining. Trying a different approach — PGT-A to select a genetically normal embryo — was a new variable worth introducing.

"Is it much more expensive?" A complete cycle with PGT-A in Thailand is somewhat more than basic IVF in China. But compared to everything I'd already spent domestically, the gap wasn't as large as I'd feared. More importantly, PGT-A wasn't being offered to me as a standard option in China — but it seemed to be the obvious recommendation for my situation in Thailand.

In January 2024, my husband and I made our decision: we'd try Thailand.

First Trip: Consultation and Assessment

We booked through a reliable fertility coordination service and made an appointment at a major Bangkok fertility hospital. (I'm keeping the clinic name private.)

We flew over in February 2024. The purpose was consultation and workup.

Tests done:

Blood work: hormone panel (FSH, LH, E2, AMH, thyroid function, clotting)
AMH result: 0.54 ng/mL — slightly lower than the previous year
Ultrasound: uterine anatomy, endometrial pattern, antral follicle count (AFC: 2 right, 1 left = 3 total)
Husband: semen analysis — normal

My doctor (a female specialist, with a Chinese-speaking coordinator present) reviewed my complete history and said something I still think about:

"Your 4BB blastocyst was a good-quality embryo by morphology, but the biochemical pregnancy suggests it may have had chromosomal problems. Given your age and history, I recommend we do PGT-A on all embryos this cycle. With limited reserve, we want to maximize the value of every egg."

This framing was different from what I'd heard in China. The idea of using every retrieval as an opportunity to screen for genetic abnormality — rather than transferring on appearance alone — made immediate sense to me.

Stimulation plan: Minimal stimulation protocol (to conserve limited ovarian reserve).

Second Trip: The Egg Retrieval Cycle

I returned to Bangkok in April 2024 to start the cycle.

Stimulation

I started injections on Day 3 of my cycle, at a lower dose than my previous Chinese protocols (which had used high-dose short protocols with poor response). This time: minimal stimulation with an antagonist protocol.

Monitoring:

Day 3: Stimulation begins, AFC 3 follicles
Day 6: 2 follicles on right (14-15mm), 1 on left (12mm)
Day 8: Right follicles 17-18mm, left 14mm — HCG trigger given
Day 10: Egg retrieval

Result: 3 eggs retrieved — one more than my worst cycle in China.

Fertilization and Culture

ICSI fertilization: all 3 eggs fertilized normally (2PN). 100% fertilization rate.

Day 3: All 3 developing normally.

Day 5:

Embryo 1: 5AA blastocyst (highest grade)
Embryo 2: 4BB blastocyst
Embryo 3: Developing more slowly, not yet at blastocyst stage — continued culture

Day 6:

Embryo 3: 3BC blastocyst

All three blastocysts were biopsied and sent for PGT-A analysis.

During the wait for results, I wandered around Bangkok — visited temples, ate too much mango sticky rice, tried not to think about numbers. My husband said: no matter what, we have each other.

The Report That Changed Everything

About a week later, the PGT-A results arrived:

Embryo 1 (5AA): Euploid (chromosomally normal) ✓
Embryo 2 (4BB): Aneuploid (trisomy 22) ✗
Embryo 3 (3BC): Euploid (chromosomally normal) ✓

I stared at the results for a long time.

The 4BB was abnormal.

I couldn't stop thinking about it: my 4BB from 2023 — the one that implanted and then stopped — had it been abnormal too? If we'd done PGT-A then, would we have known?

There's no way to rewrite the past. But now I had two normal embryos.

Third Trip: The Transfer

I returned to Bangkok in July 2024 for the frozen embryo transfer.

Endometrial preparation: artificial cycle (estrogen from Day 2, monitored until lining reached 12.5mm with trilaminar pattern, then progesterone for 5 days before transfer).

Transfer day: the 5AA euploid blastocyst. The procedure took about 15 minutes. No pain. I rested for 30 minutes and walked out of the clinic on my own.

I stayed in Bangkok two more days, then flew home to wait.

The Longest 14 Days

I didn't buy a home pregnancy test. My biochemical pregnancy had taught me that early self-testing only multiplied the emotional rollercoaster. I decided to wait for the blood test on Day 14.

Every night I'd put my hand on my stomach and whisper: Are you there? Hold on.

On the morning of Day 14, I had blood drawn at a private clinic.

That afternoon, the result came:

β-hCG: 368 mIU/mL

I stared at the number. Then I sent a screenshot to my husband with shaking hands.

He called. I said "it implanted" and then couldn't say anything else for a while.

What Happened Next

Day 21 hCG: 14,280 mIU/mL — strong doubling pattern.

Day 28 ultrasound: Intrauterine gestational sac, yolk sac visible, fetal heartbeat detected.

I remember the moment that heartbeat sound came through the speaker. I bit my lip as hard as I could so I wouldn't cry in the examination room.

At 12 weeks, my NT scan came back normal. I graduated to the obstetrics department.

What I Want to Say to Anyone Still on This Road

1. Failure is information, not a final answer Three retrievals and multiple failed transfers taught me my egg quantity was limited and my chromosomal abnormality rate was high. That knowledge eventually pointed me toward PGT-A. Every failed cycle told me something.

2. Your age is pressure, not a sentence 38, AMH 0.54. One normal embryo was enough.

3. Sometimes changing the approach matters more than changing the clinic I'm not saying Thailand is better than China. I'm saying that for certain patients, in certain situations, a particular technology (PGT-A) can be the decisive variable. If your situation resembles mine, it's worth asking whether genetic screening is appropriate for you.

4. Take care of your emotional health This journey depletes you psychologically far more than physically. Talk to someone. Allow yourself to grieve the cycles that didn't work. Allow yourself to hope again.

A Final Note

That 5AA blastocyst has a heartbeat now.

Two years. Three retrievals. Two countries. I can finally start preparing for a small person.

If you're considering treatment in Thailand, our Thailand IVF Travel Packing Checklist can help you prepare practically. For understanding why PGT-A often involves frozen rather than fresh transfer, see our Frozen vs Fresh Embryo Transfer Comparison.

To everyone still on this road: I hope you find your two lines too.