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Clinical review
An independent reading of your workup and previous cycles, with a written second opinion.
Meridian FertilityFertility Advisory
The clinical judgement of an IVF team,
the independence of an advisor.
Considered decisions, clinically and legally grounded.
We guide patients through IVF programmes that are expressly regulated by law, in partner centres we have audited on site, with one point of contact from the first review to the handover to your obstetrician.
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Reply within 48 hours · No commission taken from clinics · Nothing owed for a first conversation
Led by the medical file
Every recommendation starts from your workup, read by a physician — never from a catalogue.
Regulated jurisdictions only
We work where the law provides for it, with a dated review by counsel admitted locally.
An audited network
Nine partner centres, visited on site, with laboratory indicators we have actually seen.
Independent by design
Paid by you, never on commission from a clinic. That is what makes the advice worth having.
Why we work this way
A journey abroad is decided long before the flight.
It is decided in the file, the laboratory and the law.
How we help you
Four stages, one point of contact. The detail of each is something we go through with you directly.
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Jurisdiction and centre
A dated legal memorandum, then two audited centres compared on what happens in the laboratory.
3
Coordination
Cycle calendar, travel, accredited medical interpreter, and telephone standby during the stay.
4
Follow-up
Post-transfer support, a full report for your own physician, and a debrief if the cycle fails.
Our expertise
We do not sell a trip. We read a medical file.
Every journey begins with an independent review of your workup by a reproductive medicine physician. That clinical competence — not a catalogue of clinics — is what separates a well-indicated cycle from a wasted attempt.
Independent reading of your file
Before any referral, your file is reviewed by a reproductive medicine physician: hormone profile, ovarian reserve, semen analysis, history of previous attempts and transfers.
- Independent review of the workup (AMH, FSH, antral follicle count, semen analysis, uterine assessment)
- Analysis of previous cycles: protocols, doses, response, embryo quality
- Written second opinion within seven working days
Protocol and laboratory selection
The difference between two centres is decided in the laboratory. We compare technical platforms, not brochures.
- Documented comparison: time-lapse incubation, vitrification, PGT-A, laboratory KPIs
- Protocol matched to profile: antagonist, duo-stim, modified natural cycle, ICSI, IMSI
- Qualification criteria for embryologists and annual cycle volume
Legal security of the project
We only operate in countries where IVF and, where relevant, gamete donation are expressly regulated. The framework is verified as at your departure date.
- Country legal memorandum, dated and reviewed with local counsel
- Eligibility check against your own situation (status, age, medical indication)
- Anticipation of parentage recognition in your country of residence
Logistics and on-site coordination
One coordinator, reachable, who speaks your language and the clinic's. No additional middlemen.
- Cycle calendar synchronised with your work constraints
- Accredited medical interpreter at the key consultations
- Transfers, accommodation near the centre, pharmacy and treatment follow-up
Follow-up after transfer
The journey does not end at the airport: we remain your point of contact until your usual team takes over.
- Complete medical report, ready to hand to your gynaecologist
- Luteal phase support protocol and blood test schedule
- Coordination of the obstetric handover in your country
Independence and ethics
We are paid by our clients, never on commission from a medical procedure. That is the condition of honest advice.
- No kickback received from partner centres
- Fixed fees, known in advance
- Documented refusal of files without a serious medical indication
Our partners
A deliberately small network, contracted and audited.
We work with nine centres. Each one has been visited on site, its outcomes examined age band by age band, its embryology laboratory assessed. Around them we have contracted the competences that actually make a journey safe: medical law, genetics, psychology, medical interpreting.
- — On-site audit at entry, then an annual review
- — Written agreement, transparent pricing, no kickbacks
- — Removal from the network on pricing drift or a clinical incident
IVF centre
Reproductive medicine centre
Tbilisi, Georgia
Reference centre of the Georgian programme: stimulation, retrieval, embryology laboratory and transfer.
Genetics laboratory
Preimplantation testing platform
European Union
PGT-A / PGT-M on trophectoderm biopsy, with a bilingual report.
Law firm
Medical law practice
Tbilisi, Georgia
Eligibility verification, drafting and review of consents, legislative watch.
Gamete bank
Licensed gamete bank
Europe
Egg and sperm donation, strictly within the legal framework of the country of treatment.
Psychological support
Network of fertility psychologists
Video consultation, EN / ZH
Preparation before the journey, support through the wait, care after a failed cycle.
Medical logistics
Stay and interpreting partners
Tbilisi, Batumi
Accommodation near the centre, transfers, accredited medical interpreters.
Destinations
Five destinations, chosen for your situation.
Long-standing partners across regulated jurisdictions, to widen what is genuinely open to you.
Georgia
Tbilisi
A long-established IVF sector, short waiting times and controlled costs.
Thailand
Bangkok
Strong hospital infrastructure and well-equipped laboratories, easily reached from across Asia.
United States
California, New York, Colorado
Published clinic-level outcomes and accredited laboratories.
Kyrgyzstan
Bishkek
Short waiting times and costs below the Georgian level, within easy reach of central Asia.
Japan
Tokyo, Osaka
Exceptional laboratory standards and meticulous clinical follow-up.
Which one suits you depends on your own situation — couple or single, married or not, with or without donor gametes. We establish that with you before anything is booked.
Questions about your own case? Add us on WeChat — that is where the detail is handled.
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Fees
Paid by you, never by the clinics.
Our fees are fixed and known in advance. We take no commission on medical procedures — that is the only way to guarantee that the centre we recommend is the one your file calls for.
Second opinion
€490
To know where you stand before deciding anything.
- Full file review by a reproductive medicine physician
- Written report of six to ten pages
- 45-minute video debrief
- List of further tests worth doing
Most chosen
Guided journey
€2,900
The core package, from choosing the centre to coming home.
- Everything in the second opinion
- Dated legal memorandum for your destination
- Comparison of two centres and a consolidated quotation
- Cycle and stay coordination, medical interpreter
Multi-cycle programme
€4,800
For longer journeys, where several attempts are anticipated.
- Everything in the guided journey
- Up to three cycles or transfers over 24 months
- Medical debrief after each attempt
- Arbitration of a change of protocol or of centre
Let's talk about your file, not about destinations.
Add us on WeChat and tell us where you are. You get a straight answer: what is possible, what is not, and on what conditions.
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Meridian Fertility is an independent advisory firm. We perform no medical procedures and issue no prescriptions. Treatment is delivered by partner centres licensed in their own country, under the responsibility of their physicians. Nothing on this site is medical advice or personalised legal advice.