Prelude Fertility

What Prelude Fertility does

Prelude Fertility, Inc. operates The Prelude Network, the largest and fastest-growing fertility clinic network in North America, comprising 90+ clinic locations across the United States and Canada that have collectively helped bring over 165,000 babies into the world. The network is wholly owned by Inception Intermediate Holdings (Inception Fertility) and provides the full clinical spectrum of reproductive care — in vitro fertilization (IVF), intrauterine insemination (IUI), fertility preservation and egg freezing, preimplantation genetic testing (PGT), third-party reproduction (donor eggs, donor sperm, gestational carriers), reciprocal IVF for same-sex female couples, and gestational surrogacy — through both owned clinics and acquired brands retained under their original names (e.g., Reproductive Biology Associates, NYU Langone Fertility Center, Advanced Fertility Center of Chicago, Aspire Houston Fertility Institute, IVFMD, Main Line Fertility).

Revenue is generated predominantly through transaction-based, per-cycle fees for fertility procedures and diagnostics, with average per-cycle economics driven by procedure type, geographic location, and individual patient needs. Pricing is quote-based and determined at consultation, with insurance coverage verification, financial counseling, and patient financing provided through partners Bundl Fertility (package pricing with optional refund protection) and Future Family. The company pursues a hybrid go-to-market combining direct-to-consumer patient acquisition via website, clinic locator, and educational content with enterprise-style practice acquisition, recruiting independent fertility clinics into the network. Supporting ecosystem partnerships include MyEggBank (donor eggs, owned since 2016), NutraBloom (fertility supplements with affiliate referral economics), and academic affiliations such as NYU Langone Reproductive Specialists of New York.

The business is built on a roll-up model: Prelude raised $200M in 2016 and executed a series of clinic acquisitions including Reproductive Biology Associates and MyEggBank (2016), Pacific Reproductive Center (2017), Vivere Health (2017), and Advanced Fertility Center of Chicago (2018), culminating in the 2024 merger with CCRM Fertility to form the largest U.S. fertility network. The company emphasizes inclusive care for LGBTQ+ families, single aspiring parents, and oncology fertility preservation patients as a core differentiator, supported by educational content, a dedicated LGBTQ+ microsite, and emotional wellness programming through Dr. Alice Domar.

Name

Prelude Fertility

Legal name

Prelude Fertility, Inc.

Website

https://preludefertility.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Prelude Fertility operates The Prelude Network, the largest fertility clinic network in North America with 90+ clinics in the U.S. and Canada, providing IVF, IUI, egg freezing, PGT, and third-party reproduction to individuals, couples, LGBTQ+ families, and oncology patients.

Ownership category

akta.pro rank

Product category

Fertility Services

NAICS

Family Planning Centers (621410)

SIC

Services-Health Services (8000)

akta.pro primary industry

Fertility, Reproductive Endocrinology & IVF Centers (HLAFAJAD)

akta.pro secondary industries

Reproductive Endocrinology & Infertility (IVF/Fertility) (HLAKAJAC), Prenatal, Newborn & Reproductive Diagnostics (NIPT, IVF/PGT, newborn screening) (HLAAALAJ)

Keywords

• Fertility clinic services
• In vitro fertilization
• Fertility preservation
• Reproductive medicine
• Third-party reproduction

Headquarters

HQ city

Franklin

HQ country

United States

HQ region

North America

Offices51 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Fertility treatment procedures: Revenue is generated through patient-paid and insurance-covered fertility treatment procedures including IVF cycles, IUI treatments, egg freezing, fertility medications, diagnostic tests, and genetic screenings. Costs vary by procedure type and geographic location.
2. Fertility treatment packages (Bundl): Bundl Fertility offers fertility treatment packages combining multiple treatments and medications for a single up-front cost, providing financial protection if treatments are unsuccessful. Prelude refers patients and receives economic benefit from package enrollments.
3. Third-party reproduction services: Donor egg and donor sperm services, gestational carrier arrangements, and reciprocal IVF for LGBTQ+ patients, which involve additional fees for donor compensation and agency coordination.
4. Nutraceutical partnerships: Partnership with NutraBloom for fertility supplements and vitamins (Ovarian Support Kit, PCOS Conception Kit, Male Fertility Kit, Couple's Conception Kit, prenatal vitamins) with referral revenue from patient purchases.
5. Insurance and financing coordination: Insurance coverage verification and financial counseling services help patients navigate coverage. Financing partners (Bundl, Future Family) provide patient financing, creating referral economics.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

Prelude Fertility operates The Prelude Network, a network of 90+ fertility clinics across the United States and Canada that delivers comprehensive reproductive healthcare services. The network provides IVF, IUI, fertility preservation (egg freezing), preimplantation genetic testing (PGT), third-party reproduction (donor eggs, donor sperm, gestational carriers), reciprocal IVF, gestational surrogacy, LGBTQ+ family building services, and fertility evaluation and testing to individuals and couples experiencing infertility.

Product overview

Prelude Fertility operates The Prelude Network®, a comprehensive fertility clinic network offering a full spectrum of reproductive healthcare services across 90+ clinics in the United States and Canada. The network provides core fertility treatments including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), fertility preservation (egg freezing), and Preimplantation Genetic Testing (PGT). Third-party reproduction services encompass donor egg programs, gestational surrogacy, and reciprocal IVF for LGBTQ+ families. The company also offers financing through partner services like Bundl Fertility and provides educational resources including downloadable fertility guides and webinar programs.

Differentiator

Problem solved

Functional benefit

Products and services

• In Vitro Fertilization (IVF) Assisted reproductive technology involving ovarian stimulation, egg retrieval, laboratory fertilization, and embryo transfer to improve chances of conception. Offered to individuals and couples experiencing infertility across all 90+ Prelude Network clinics in the US and Canada.
• Intrauterine Insemination (IUI) Fertility treatment procedure placing prepared sperm directly into the uterus during ovulation. Less invasive and less expensive than IVF with success rates of approximately 10-20% per cycle using donor sperm. Available across Prelude Network clinics.
• Fertility Preservation / Egg Freezing Human oocyte cryopreservation services allowing individuals to preserve their eggs for future family building. Particularly relevant for oncology patients prior to treatment and individuals electing to delay parenthood through the Fertility Health Span program.
• Preimplantation Genetic Testing (PGT) Embryo screening technology testing for chromosomal abnormalities (PGT-A) and monogenic conditions (PGT-M) prior to transfer. Considered a standard of care across The Prelude Network to help ensure healthy outcomes and can decrease miscarriage risk and increase pregnancy likelihood per embryo transferred.
• Third-Party Reproduction Services Comprehensive donor services including donor egg and donor sperm programs and gestational carrier coordination for individuals or couples requiring donor tissue or surrogacy arrangements. Integrated with MyEggBank donor egg network for donor matching.
• LGBTQ+ Fertility Services Comprehensive inclusive fertility care including donor egg IVF, donor sperm IUI, reciprocal IVF, and gestational surrogacy specifically designed for LGBTQ+ individuals and couples. Supported through the pride.preludefertility.com microsite, LGBTQ+ Ambassadors, and clinic-specific inclusive care programs.
• Fertility Evaluation and Testing Diagnostic services including female fertility testing, male fertility testing and semen analysis, medical history assessments, blood work, imaging studies, and PGT genetic screening. Available across The Prelude Network for individuals planning pregnancy or investigating infertility.
• Reciprocal IVF Shared motherhood fertility treatment where one female partner provides eggs fertilized with donor sperm, and the other partner carries the pregnancy. Designed for same-sex female couples seeking biological family building.
• Gestational Surrogacy Fertility service for same-sex male couples and individuals requiring a gestational carrier to carry their biological child. Coordinated with IVF using donor eggs and full gestational carrier arrangement support.
• Bundl Fertility Treatment Packages Fertility treatment financing package combining multiple IVF retrievals, treatments, and medications into a single up-front cost. Includes optional financial protection if treatments are unsuccessful and can include genetic testing and egg bank access.

Quantifiable outcome

• 165,000+ babies born through Prelude fertility clinics
• +2 more outcomes

Named customers5 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered core and minor.

• MyEggBankcoreChannel Partner/ Reseller/ DistributorMyEggBank is described as the premier network of donor egg banks and is the preferred partner for The Prelude Network in sourcing donor eggs. The Prelude Network recommends MyEggBank to aspiring parents who are searching for an egg donor, allowing them to set up a profile and filter egg donors according to their preferences. MyEggBank sends email notifications when new donor matches are added.
• NutraBloomminorChannel Partner/ Reseller/ DistributorNutraBloom is a fertility supplement brand partnered with The Prelude Network. Products include Ovarian Support Kit, PCOS Conception Kit, Male Fertility Kit, Couple's Conception Kit, prenatal vitamins, and specialty supplements. NutraBloom supplements are formulated by physicians with more than 80 years of combined medical experience. Prelude recommends NutraBloom supplements to patients for fertility and reproductive health support.
• CCRM Fertility (merged)coreStrategic or Co-development PartnerPrelude Fertility merged with CCRM Fertility to form the largest U.S. fertility network, combining their clinic networks, specialists, and reproductive technology capabilities under The Prelude Network brand.
• Inception FertilitycoreOthersInception Fertility (Inception Intermediate Holdings) is the parent company of Prelude Fertility and The Prelude Network. Inception encompasses patient-centered, tech-enabled fertility brands that together seek to redefine the fertility patient experience. Dr. Jamie Grifo serves as Chief Executive Physician at Inception Fertility. Inception also owns practices acquired over time and has developed the Unclaimed Tissue Policy for its network.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• CCRM Fertility: CCRM was a leading US fertility clinic network focused on IVF and reproductive medicine until its 2024 merger with Prelude. It is the most direct comparable given identical service offerings, geographic overlap, and target patient population prior to the merger.
• Shady Grove Fertility (US Fertility): One of the largest fertility clinic networks in the US, operating under US Fertility alongside RMA. Offers the same core IVF/IUI/PGT services with comparable geographic coverage and is a primary competitive alternative to Prelude.
• Kindbody: Tech-enabled fertility clinic network offering IVF, egg freezing, and fertility benefits across multiple US markets. Comparable to Prelude in core clinical services while differentiating through employer-benefit partnerships and modern brand positioning.
• Boston IVF: Established US fertility clinic network providing IVF, IUI, PGT, and third-party reproduction services. Comparable clinical offering and patient demographic to Prelude, with strong presence in the Northeast.
• Reproductive Medicine Associates (RMA / US Fertility): RMA is a major fertility clinic network under US Fertility, operating multiple sites across the Northeast and beyond. Comparable in core services and academic-affiliated clinical quality, and a direct competitor for affluent IVF patients.

Emerging players

• Progyny: Public fertility benefits platform that directs employer-covered patients to a curated network of fertility clinics. Adjacent to Prelude — Prelude is a potential in-network provider, but Progyny also shapes patient flow that could affect Prelude's competitive position.
• Carrot Fertility: Fertility and family-building benefits platform serving employers globally. While not a clinic operator, Carrot channels patient demand to fertility providers and is reshaping how patients access fertility services — directly relevant to Prelude's go-to-market.
• Extend Fertility: Specialty egg freezing and fertility clinic operator with locations in major US metros. Comparable in core fertility services but focused more narrowly on elective egg freezing and early-stage fertility evaluation.
• Maven Clinic: Virtual care platform for women's and family health, including fertility benefits and telehealth. Not a clinic operator but is increasingly capturing fertility-related employer benefit dollars and routing patients to clinics — adjacent to Prelude's service ecosystem.

Broad incumbents

• NYU Langone Fertility Center: Academic medical center fertility program affiliated with NYU Langone Health. Comparable in IVF/IUI/PGT service offerings and now part of the Prelude Network via the RSNY affiliation — relevant as a high-credential competitor and a benchmark for academic quality.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/prelude
• Facebookfacebook.com/preludefertility
• Instagraminstagram.com/prelude_fertility
• LinkedInlinkedin.com/company/prelude-fertility

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries18 records

Funding overview

Funding rounds2 records

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A5 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Prelude Fertility