Press Release - April 2026

• Aggregate revenue at private centres specialising in assisted reproduction treatments, currently numbering 265, reached €685 million in 2025, up 5% year-over-year.

• The leading specialist groups have strengthened their position in the activity, bringing together a growing number of centres.

• The sector maintains favourable medium- and long-term prospects, although the number of cycles performed shows a trend towards stagnation.

• INFORMA's DBK Sectoral Observatory recently published these insights in the 'Centers for Assisted Reproduction' Special Report.

Madrid, 27 April 2026.- According to INFORMA's (Cesce's subsidiary) DBK Sectoral Observatory—a leading provider of business, financial, sectoral, and marketing information in Spain and Portugal—the aggregate turnover generated by private centres specialising in assisted reproduction treatments reached €685 million in 2025, representing growth of 5.1% year-over-year, following a 5.5% increase in the previous year.

Despite the trend towards stabilisation in the number of cycles performed per year, the upward trend in the average cost per treatment drove sector revenue.

Including activity in this area carried out by public hospitals and private hospitals, the total value of assisted reproduction cycles performed in Spain in 2025 was estimated at around €1.0 billion. Specialist privately owned centres accounted for 68.5%, public hospitals 11.0%, and private hospitals 20.5%. In the latter case, only turnover generated using own resources was considered.

The assisted reproduction sector has favourable medium- and long-term prospects, underpinned by factors such as the decline in the fertility rate, the advance of non-traditional family models, limited public healthcare coverage, the flexibility of national legislation, and the prestige of Spanish centres.

However, operators currently face a trend of stagnation in the number of cycles performed for Spanish female patients, pointing to possible saturation of the domestic market. Meanwhile, demand from foreign female patients remained dynamic.

In March 2026, 265 specialist centres providing assisted reproduction services were operating in Spain. Around 65% of the total were located in the autonomous communities of Catalonia, Andalusia, Madrid and Comunidad Valenciana.

Corporate activity involving acquisitions and mergers, together with the disappearance of small, low-profit establishments, has increased concentration among the leading specialist groups, which bring together a growing number of centres. The top ten operators held a combined 69% market share in 2024.

Data Synthesis

(a) corresponds to 74 specialist companies and 53 gynaecological clinics with a strong focus on assisted reproduction activity.