Finding the best fertility clinics in Hawaii is a vital first step on your path to parenthood. Medical practices across the islands vary in laboratory capabilities, clinical protocols, and experience coordinating third-party options like gestational surrogacy.

This guide uses official reporting from the Society for Assisted Reproductive Technology (SART) and the Centers for Disease Control and Prevention (CDC) to help you compare Hawaii’s accredited fertility practices on live birth success rates, typical treatment costs, and available services.

If you already have stored frozen embryos or are preparing for an upcoming retrieval, learn more about using frozen embryos in surrogacy or reach out to our specialists to plan your next steps.

Fertility Clinics in Hawaii

Hawaii features established, nationally accredited reproductive endocrinology centers serving intended parents in Honolulu and across the Hawaiian Islands.

• Fertility Institute of Hawaii (Honolulu)
• Advanced Reproductive Center of Hawaii (Honolulu)

The clinics featured in this guide are SART member clinics with laboratory accreditation through the College of American Pathologists (CAP) or The Joint Commission. Unless otherwise noted, success rate data is based on SART’s clinic reporting data.

Fertility Institute of Hawaii

• Location: Honolulu, HI
• Phone: (808) 545-2800
• Website: ivfcenterhawaii.com
• Services Offered: IVF, ICSI, Egg Freezing, Donor Eggs, Donor Embryos, PGT-A / PGT-M, Fertility Preservation, LGBTQ+ Family Building, Male Factor Infertility.

Success Rates of Frozen Embryo Transfers by Age: With PGT-A

Age	<35	35-37	38-40	>40
Clinic Success (Live Birth Per SET)	62.5%	58.3%	52.0%	41.2%

Success Rates of Frozen Embryo Transfers by Age: Without PGT-A

Age	<35	35-37	38-40	>40
Clinic Success (Live Birth Per SET)	47.1%	31.5%	27.8%	11.5%

Advanced Reproductive Center of Hawaii

• Location: Honolulu, HI
• Phone: (808) 949-6611
• Website: archawaii.com
• Services Offered: IVF, ICSI, Egg Freezing, Donor Eggs, Donor Embryos, PGT-A / PGT-M, Fertility Preservation.

Success Rates of Frozen Embryo Transfers by Age: With PGT-A

Age	<35	35-37	38-40	>40
Clinic Success (Live Birth Per SET)	60.0%	55.0%	48.0%	37.5%

Success Rates of Frozen Embryo Transfers by Age: Without PGT-A

Age	<35	35-37	38-40	>40
Clinic Success (Live Birth Per SET)	44.5%	29.0%	24.2%	10.0%

How to Compare Fertility Clinic Success Rates

When evaluating the best fertility clinics in Hawaii, look beyond positive early pregnancy tests and focus on the live birth rate per single embryo transfer (SET). This metric measures actual completed deliveries while emphasizing safety standards that avoid high-risk multiple pregnancies.

Keep these contextual factors in mind when reviewing SART or CDC statistics:

• Patient Population Profile: Practices treating higher proportions of severe diagnoses, recurrent loss, or advanced age factors may show lower overall averages despite operating premier embryology labs.
• Annual Procedure Volume: Clinics performing a high volume of cycles generate more statistically stable outcomes year over year.
• Role of PGT-A Testing: Confirming chromosomal normalcy with PGT-A screening prior to transfer significantly improves delivery rates across all age brackets.

Pairing statistical figures with insights from your reproductive endocrinologist helps you set clear, realistic expectations for your treatment.

Understanding the IVF Process

Before an embryo transfer is scheduled for an intended parent or a gestational surrogate, patients complete several foundational steps through their fertility practice:

1. Diagnostic Workup: Comprehensive blood work, pelvic ultrasounds, and semen evaluation to construct a personalized treatment protocol.
2. Ovarian Stimulation: Administering injectable fertility medications over 10 to 14 days to mature multiple eggs simultaneously.
3. Egg Retrieval: A minor outpatient procedure performed under conscious sedation to collect mature oocytes.
4. Fertilization & Lab Culture: Eggs are fertilized using conventional methods or ICSI, then cultured for 5 to 6 days to reach the blastocyst stage.
5. Preimplantation Genetic Screening (PGT-A): Biopsying outer blastocyst cells to screen for chromosomal health prior to freezing.
6. Embryo Cryopreservation: Vitrifying (flash-freezing) high-quality embryos for future transfer attempts or gestational carrier matching.

If you are transitioning to surrogacy after earlier transfer attempts did not result in pregnancy, read our guide on surrogacy after failed IVF to see how past diagnostic findings shape your next decisions.

Average IVF Costs in Hawaii

In Hawaii, a single standard IVF cycle utilizing an intended parent’s own eggs typically costs between $13,500 and $22,000, excluding prescription fertility medications.

Key expenses generally break down as follows:

• Retrieval & Laboratory Fees: $8,500 – $13,000
• Ovarian Stimulation Medications: $3,500 – $6,500
• Preimplantation Genetic Testing (PGT-A): $2,500 – $4,500
• Embryo Storage (Annual Fee): $800 – $1,500
• Frozen Embryo Transfer (FET): $3,500 – $5,000

Hawaii Insurance Mandate & Limitations

Hawaii law under Haw. Rev. Stat. § 431:10A-116.5 mandates a one-time outpatient IVF benefit for insurance policies offering pregnancy-related benefits. However, strict qualifications apply:

• Couples must have a documented 5-year history of infertility or specific medical conditions (such as severe endometriosis or tubal blockage).
• Fertilization must use the patient’s spouse’s sperm.
• Surrogacy Exclusion: Third-party compensation, surrogate medical monitoring, and agency management fees are excluded from mandatory health benefits, requiring direct out-of-pocket funding.

Questions to Ask Before Choosing a Fertility Clinic

Asking targeted questions during your initial consultation helps determine whether a practice aligns with your clinical requirements and family goals:

• What is your single embryo transfer live birth rate for patients in my specific age group?
• How many total IVF cycles and gestational carrier transfers does your clinic perform annually?
• Do you employ dedicated third-party coordinators to handle surrogate clearances?
• Are all embryology laboratory procedures conducted on-site at your primary facility?
• What financial programs or multi-cycle packages exist if an initial transfer is unsuccessful?

How Fertility Clinics Work with Surrogacy Agencies

When intended parents build their family through gestational surrogacy, the fertility clinic and surrogacy agency manage medical, legal, and travel logistics in close coordination:

1. Surrogate Selection: Intended parents match with a pre-screened gestational carrier through an agency.
2. Medical Record Screening: The fertility clinic’s medical director evaluates the surrogate’s previous pregnancy and delivery histories for clinical approval.
3. In-Person Screening Appointment: The surrogate travels to the intended parents’ clinic for blood work, uterine evaluation, and psychological screening.
4. Legal Contracts: Attorneys finalize legal agreements while the clinic establishes the medication and transfer schedule.
5. Transfer & Early Care: The clinic executes the transfer and monitors early blood work before transitioning the surrogate to an OB-GYN near her home around 8 to 10 weeks of pregnancy.

Note: Agency program fees cover surrogate travel, accommodations, and medical screening expenses as part of overall journey management.

Talk With a Surrogacy Professional About Choosing the Right Fertility Clinic

Evaluating success rates, navigating insurance rules, and coordinating third-party care requires thoughtful planning, but guidance is available every step of the way. Working alongside a dedicated surrogacy team ensures your chosen fertility clinic coordinates smoothly with your surrogate match, legal steps, and personal timeline.