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IVF over 40 — which clinics get the best results?

Success rates drop after 38, but some clinics achieve birth rates well above average. Compare 82 UK clinics by their over-38 outcomes and cost per live birth.

Best clinic

37%

UK average

19%

Clinics

82

What you need to know

IVF success rates decline significantly with age because egg quality and quantity decrease. For women over 38 using their own eggs, the average UK birth rate per egg collection is around 19%, compared to 30-35% for under-38s.

However, there is enormous variation between clinics. The top-performing clinic achieves 37% — that's 1.9x the average. Choosing the right clinic matters more at this age than any other.

Cost per live birth matters more here

When success rates are lower, the headline cycle price becomes misleading. A clinic charging £5,000 with a 10% success rate has a cost per live birth of £50,000. A clinic charging £7,000 with a 20% rate costs £35,000 per baby.

The more expensive clinic is actually better value. That's why we show cost per live birth alongside price.

Top clinics for IVF over 38

Top 10 at a glance

ClinicBirth rate 38+All-in costCost/live birth
1. Assisted Reproduction and Gynaecology Centre37%£3,500£9,459
2. Edinburgh Fertility Centre35%£6,900£19,714
3. Reproductive Genetics Institute32%£2,445£7,641
4. Assisted Reproduction Unit (ARU), University Hospital of Hartlepool30%£3,595£11,983
5. TFP Wessex Fertility28%£6,610£23,607
6. Care Fertility Bath28%£4,950£17,679
7. TFP Thames Valley Fertility28%£6,610£23,607
8. Ninewells Hospital27%£4,550£16,852
9. St Mary's Hospital27%£3,500£12,963
10. London Women's Clinic, Wales27%£3,700£13,704

Clinics 4–15 by 38+ birth rate

All rates are HFEA-verified births per egg collection for patients aged 38 and over using own eggs. Individual results depend on many factors. Consult a fertility specialist for personalised advice.