Question 1

Is IVF painful?

Accepted Answer

Most patients experience mild discomfort during injections and some cramping after egg retrieval. Procedures are performed with sedation to ensure comfort.

Question 2

How long does the IVF process take?

Accepted Answer

A typical IVF cycle takes about 4–6 weeks from the start of ovarian stimulation to embryo transfer. The full journey, including consultations, preparation and EPA approval may take longer depending on individual needs.

Question 3

Who is a good candidate for IVF?

Accepted Answer

IVF may be recommended for individuals or couples experiencing fertility challenges such as blocked or damaged fallopian tubes, male factor infertility, endometriosis, ovulation disorders such as PCOS, unexplained infertility, or previous unsuccessful fertility treatments. Age is also one of the most important factors in fertility. Many people need treatment because motherhood has been delayed, and egg quality and pregnancy chances decline with age. Starting assessment and treatment at the right time can therefore be important, especially where waiting lists may delay care. IVF is also available for different family models, including single women and female same-sex couples, subject to clinical assessment and Maltese regulatory requirements. A consultation with our fertility specialist will help determine the most appropriate treatment plan for you.

Question 4

What is IVF (In Vitro Fertilization)?

Accepted Answer

IVF is a fertility treatment in which eggs are retrieved from the ovaries, fertilized with sperm in a laboratory, and then the resulting embryo is transferred into the uterus.

Question 5

What should I do if I have spotting after embryo transfer?

Accepted Answer

Light spotting can occur and does not necessarily indicate that treatment has been unsuccessful. Continue your prescribed medication and contact the clinic if the bleeding becomes heavy, is accompanied by significant pain, or causes concern.

Question 6

Can I exercise after embryo transfer?

Accepted Answer

Light daily activity is generally acceptable, but strenuous exercise and heavy lifting may be discouraged for a period after treatment. Please follow the personalised advice given by the clinical team.

Question 7

Should I rest after embryo transfer?

Accepted Answer

Prolonged bed rest is not normally required after embryo transfer. Most patients can continue with gentle everyday activities. Please follow the specific instructions provided by your clinical team and avoid activities they advise against.

Question 8

What if the cycle is not successful?

Accepted Answer

If a cycle is unsuccessful, your doctor will review the results and discuss next steps, which may include another cycle, frozen embryo transfer, or adjusting your treatment plan.

Question 9

What happens after embryo transfer?

Accepted Answer

You will continue medications as prescribed and return for a pregnancy blood test approximately 10–14 days after transfer.

Question 10

Up to what age can I freeze my eggs and have fertility treatment in Malta?

Accepted Answer

Egg Collection: Oocyte retrieval can be carried out up until a woman reaches the age of 46. Therefore, eggs must be collected and cryopreserved before her 46th birthday. Egg Freezing: Eggs that have been collected and frozen before the age limit of 46 can remain in cryostorage and may subsequently be used for treatment. Embryo Transfer: Embryo transfer procedures can be carried out provided the intended carrying parent has not yet reached the age of 49. Frozen Eggs or Embryos: The age limit of 49 applies when previously frozen eggs are being used to create embryos, or when embryos created from a previous cycle are being used for a frozen embryo transfer. In simple terms, egg collection must take place before the age of 46, while treatment using previously frozen eggs or embryos can take place before the woman reaches 49 years.

Question 11

Age Limits

Accepted Answer

IVF/ICSI and embryo transfer procedures can be carried out as long as the woman has not yet reached the age of 49 (i.e., up to age 48). Oocyte Retrieval: Oocyte (egg) retrieval stops when a woman has reached age 46.

Question 12

Should we tell our child about donor conception?

Accepted Answer

Many experts encourage age-appropriate openness. Counselling services can help families navigate this decision thoughtfully.

Question 13

Will the child be genetically related to us?

Accepted Answer

With donor sperm: The child is genetically related to the mother (if using her eggs). With donor eggs: The child is genetically related to the father (if using his sperm). With both donor egg and donor sperm: The child is not genetically related to the intended parents but is fully their legal child.

Question 14

Can both egg and sperm be from donors?

Accepted Answer

Yes. In some cases, both donor eggs and donor sperm are used. This option may be appropriate for individuals or couples with combined infertility factors or specific medical circumstances.

Question 15

Ethics

Accepted Answer

The EPA oversees compliance with ethical standards in fertility treatments, ensuring practices meet legal, quality, and safety benchmarks.

Question 16

Informed Consent

Accepted Answer

Both prospective parents (or the single parent) must sign required consent documents for all treatment steps.

Question 17

How soon can treatment begin after the first consultation?

Accepted Answer

The timing depends on the treatment plan, required tests, your menstrual cycle and any necessary regulatory approvals. After the consultation, the team will explain the required steps and provide an estimated timeline based on your circumstances.

Question 18

Can my partner attend the consultation?

Accepted Answer

Yes. Partners are welcome and encouraged to attend consultations where applicable. This can be helpful when reviewing medical histories, test results and treatment options together.

Question 19

Can my first fertility consultation be held online?

Accepted Answer

Online consultations may be available, particularly for patients living abroad or those wishing to discuss their options before travelling. Some examinations, scans or tests will still need to be completed in person.

Question 20

What should I bring to my first fertility consultation?

Accepted Answer

Please bring identification, details of your medical and fertility history, a list of current medications, and any (recent) previous fertility test results or treatment records. Providing these documents in advance can help the team prepare for your consultation.

Question 21

Are financing or payment options available?

Accepted Answer

Financing or payment options may be available depending on the treatment plan. Our patient coordination team can explain the available options, expected treatment costs and payment timing before you decide whether to proceed.

Question 22

How much does IVF cost?

Accepted Answer

Costs vary depending on treatment type, medications, donor requirements and any additional procedures. As a private clinic, we provide clear pricing before treatment and discuss the full expected cost with you during your consultation or coordination process. Financing or payment options may be available depending on the treatment plan. Our patient coordination team can explain the options and help you understand the financial pathway before you decide to proceed.

Question 23

How much does egg freezing cost?

Accepted Answer

Costs typically include ovarian stimulation, egg retrieval, freezing, and annual storage fees. Pricing varies based on medications and number of cycles needed.

Question 24

Are donor details disclosed to the child later?

Accepted Answer

Malta's legal framework supports donor identity records under strict confidentiality and regulatory controls. Specific details on disclosure rights (e.g., when a donor-conceived person can access identifying free information) are governed by EPA protocols and clinic policies.

Question 25

Can intended parents choose the donor characteristics?

Accepted Answer

Yes. Intended parents can review donor unidentifiable free information as provided by the clinic and choose a donor that aligns with their preferences, within what is permitted by clinic availability and legal standards.

Question 26

How are sperm and egg donors screened?

Accepted Answer

Donors must undergo thorough medical, genetic, and infectious disease screening, as well as assessments required by law and by the EPA protocols at licensed clinics. This ensures safety and high standards of care.

Question 27

Can I use a known donor in Malta?

Accepted Answer

Malta may allow the use of a known non-family donor in certain circumstances, subject to legal, clinical and regulatory requirements. Known donor arrangements require careful review and approval before treatment can proceed. The clinic will explain the steps and documentation required for your case.

Question 28

Availability

Accepted Answer

Gametes stored abroad may be brought into Malta only with EPA approval.

Question 29

Use Limit

Accepted Answer

A donor's gametes may be used to create only one family (to limit genetic sharing).

Question 30

Donor Screening

Accepted Answer

Donors must undergo comprehensive screening and comply with regulatory standards set by the EPA.

Question 31

Legality

Accepted Answer

Both sperm and egg donation are legal under Maltese law.

Question 32

Do I need fertility tests before freezing my eggs?

Accepted Answer

Yes. An assessment is usually required before starting an egg-freezing cycle. This may include hormone blood tests, an ultrasound scan and a review of your medical history to help plan treatment.

Question 33

What is the best age to freeze eggs?

Accepted Answer

Egg quality and quantity decline with age. Freezing eggs in the late 20s to early 30s generally offers the highest success potential, but women in their mid-to-late 30s may also benefit. A fertility assessment can help guide timing.

Question 34

Why would someone choose to freeze their eggs?

Accepted Answer

Common reasons include: Delaying childbearing for personal or career reasons Not having a partner currently Preserving fertility before cancer treatment or medical procedures Family history of early menopause Low ovarian reserve

Question 35

What is egg freezing?

Accepted Answer

Egg freezing (oocyte cryopreservation) is a process in which a woman's eggs are retrieved, frozen, and stored for future use. When ready to attempt pregnancy, the eggs are thawed, fertilized with sperm, and transferred as embryos to the uterus.

Question 36

Importing Stored Gametes/Embryos

Accepted Answer

Gametes or embryos frozen abroad may be imported into Malta only with EPA authorization and must comply with Maltese law.

Question 37

Embryo Freezing

Accepted Answer

Embryo freezing is permitted under EPA protocols, typically when there is consent for storage and transfer at a later date. Legal frameworks set guidelines on how many embryos can be created and their management.

Question 38

Gamete Freezing

Accepted Answer

Egg and sperm freezing (including social egg/sperm freezing) is legal and available.

Question 39

Embryo Adoption Procedures

Accepted Answer

Embryo adoption procedures — where unused embryos are donated to others — currently exist in law. However, agencies must hold proper licences to process such adoptions, which has created practical delays.

Question 40

Can I continue working during treatment?

Accepted Answer

Most patients continue normal daily activities, including work, during treatment. Some flexibility may be needed for monitoring appointments.

Question 41

Is IVF emotionally difficult?

Accepted Answer

Fertility treatment can be emotionally challenging. We offer counselling support and encourage open communication throughout your journey.

Question 42

Can the clinic interpret fertility tests performed elsewhere?

Accepted Answer

Yes. You may provide recent fertility test results and relevant medical records for review. The consultant may recommend repeating or adding tests if the available information is incomplete, outdated or not directly comparable.

Question 43

How will I receive my fertility test results?

Accepted Answer

Results are normally shared securely by the clinic once they are available. Depending on the test and the findings, you may be advised to arrange a consultation to review the results and discuss possible next steps.

Question 44

Can both partners arrange fertility checks at the same time?

Accepted Answer

Yes. Female fertility blood tests and a semen analysis can be coordinated as part of a couple's fertility assessment. Please contact the clinic so the appointments can be arranged appropriately.

Question 45

Can I do fertility tests if my periods are irregular?

Accepted Answer

Yes. Please contact the clinic so that the most appropriate tests and timing can be discussed with you. Irregular cycles may affect when certain hormone tests or scans should be performed.

Question 46

Do I need to fast before fertility blood tests?

Accepted Answer

Fasting is not usually required for standard fertility hormone blood tests. However, requirements may differ if additional blood tests are requested, so please confirm with the clinic before attending.

Question 47

Can I have an AMH test on any day of my cycle?

Accepted Answer

AMH can generally be tested on any day of the menstrual cycle. Other hormone tests, including FSH, LH, E2 and P4, may need to be scheduled on specific cycle days. Please confirm the timing with the clinic when booking.

Question 48

What does a female fertility assessment include?

Accepted Answer

A female fertility assessment may include hormone blood tests, a review of your menstrual cycle and medical history, and an ultrasound scan where clinically appropriate. The tests recommended will depend on your individual circumstances.

Question 49

Do I need a referral for a fertility check?

Accepted Answer

No referral is normally required to arrange an initial fertility check. You may contact the clinic directly or book through our website. If you have previous test results (that are no older than 6 months) or medical records, please bring or send them before your appointment.

Question 50

Do you treat azoospermia?

Accepted Answer

Yes, we do treat cases of azoospermia. Depending on the cause, sperm may sometimes be retrieved surgically. If sperm retrieval is not possible, donor sperm may also be considered as an alternative. The most appropriate option depends on the individual case, so a formal consultation with our doctor would be required first.

Question 51

I need fertility assessment, what do I need to do?

Accepted Answer

Firstly, you will need to have a hormonal profile (FSH, LH, E2 and P4) and an AMH blood test between Day 1 and Day 3 of your menstrual cycle . Your partner will also need to undergo a semen analysis. For this test, 3 days of abstinence are required, but not more than 5 days . Following these tests, you will need to attend for a follicular scan and consultation with our Consultant on a day between Day 1 and Day 14 of your cycle .

Question 52

Do you offer female fertility testing?

Accepted Answer

Yes. We offer female fertility blood tests, including: AMH FSH, LH, E2 and P4 Please note that the FSH, LH, E2 and P4 tests should be carried out between Day 1 and Day 3 of the menstrual cycle .

Question 53

Do you offer sperm testing?

Accepted Answer

Yes. We offer semen analysis as part of a male fertility assessment. The current fee is €90 , and results are usually emailed to you within three working days . Before providing the sample, please abstain from ejaculation for at least three days . You can book the test through our website or contact the clinic for an appointment or further guidance.

Question 54

When is a donor egg recommended?

Accepted Answer

Age is usually the primary factor when considering donor eggs, because egg quality declines significantly over time. Women over the age of 45 generally require egg donation to achieve a realistic chance of pregnancy. For women between 43 and 45, the recommendation depends on the individual case, ovarian reserve, previous treatment history and medical assessment. Donor eggs may also be recommended for low ovarian reserve, premature ovarian failure, repeated unsuccessful IVF cycles, or where there is a genetic condition that the patient wishes to avoid passing on.

Question 55

When is donor sperm recommended?

Accepted Answer

Donor sperm may be recommended in cases of: Severe male factor infertility Genetic conditions in the male partner Absence of sperm Single women wishing to conceive Female same-sex couples

Question 56

What is ICSI?

Accepted Answer

Intracytoplasmic Sperm Injection (ICSI) is a specialized fertilization technique in which a single sperm is injected directly into an egg to help achieve fertilization. It is commonly used in cases of male factor infertility or when using frozen or donor sperm.

Question 57

What is the success rate with donor eggs?

Accepted Answer

Success rates with donor eggs are generally higher than with autologous (own) eggs, particularly for women over 40, because donor eggs typically come from younger, healthy individuals. Additionally, all our egg donors have proven fertility as they all have at least one child of their own.

Question 58

Can we choose an egg donor?

Accepted Answer

Yes. In Malta, all donors are open-identity in accordance with local regulations. Intended parents can review non-identifying information provided by the clinic to help select an egg donor that aligns with their preferences, within legal and clinical availability. Malta also allows known non-family egg donors in certain circumstances, subject to regulatory requirements and approval. This can be an attractive option for some patients and is a distinctive feature compared with many European jurisdictions. The donor's identity may be accessed by the child upon reaching adulthood, as provided by law.

Question 59

How are egg donors screened?

Accepted Answer

Egg donors typically undergo: Extensive medical screening Genetic carrier testing Infectious disease screening Ovarian reserve testing Psychological evaluation

Question 60

How does ICSI work with donor eggs?

Accepted Answer

Eggs are retrieved from a carefully screened donor and fertilized with the recipient's partner's sperm (or donor sperm) using ICSI. The resulting embryos are then transferred to the recipient's uterus.

Question 61

Can we choose the donor?

Accepted Answer

Yes. In Malta, all donors are open-identity in accordance with local regulations. Intended parents can review non-identifying information provided by the clinic to help select a donor that aligns with their preferences, within legal and clinical availability. Malta also allows known non-family sperm donors in certain circumstances, subject to regulatory requirements and approval. This is a distinctive feature compared with many European jurisdictions. The donor's identity may be accessed by the child upon reaching adulthood, as provided by law.

Question 62

How are sperm donors screened?

Accepted Answer

Sperm donors undergo comprehensive screening, which typically includes: Medical and genetic history review Infectious disease testing Semen quality assessment Psychological evaluation

Question 63

How does ICSI work with donor sperm?

Accepted Answer

Donor sperm is thawed and a single sperm is injected directly into each mature egg using ICSI. This improves fertilization rates.

Question 64

Can I start the process before travelling to Malta?

Accepted Answer

Yes. Many international patients can begin the process remotely by sending medical history, previous fertility results and relevant documents for review. The team will advise which steps can be completed before travel and which appointments, tests or procedures must take place in Malta.

FAQ - Hope IVF Malta