How to Plan IVF Expenses When You’re Self-Employed or on Variable Income
Managing the cost of IVF is challenging enough — but if you’re self-employed or have a fluctuating income, financial planning becomes even more critical. In this blog, we look at how to budget effectively for fertility treatment when your income isn’t the same each month.
Understand your total cost target Start by understanding the full cost of your IVF journey, including:
- IVF treatment (£5,000–£8,000 per cycle)
- Medication (£1,000–£2,000)
- Add-ons (e.g. ICSI, embryo freezing: £1,000–£2,500)
- Travel, accommodation, time off work
- Potential second cycle or FET
Aim to save or finance a realistic figure — around £8,000 to £12,000 — depending on your clinic and treatment needs.
Build a flexible savings system Use a separate savings account (e.g. ISA or high-interest savings) and contribute a set percentage of your income each month. For example, if you earn £3,000 one month and £1,500 the next, deposit 10–20% of what you make each time. This approach keeps saving consistent without overstretching.
Create a cash buffer Build a three-month emergency fund that can cover basic living expenses if work slows down during treatment. IVF can be physically and emotionally taxing — having financial breathing room can make a major difference.
Prioritise spending categories Track monthly outgoings and trim non-essential areas:
- Limit high-value subscriptions or travel
- Reduce eating out or luxury spending
- Put off major purchases until after treatment
Explore flexible payment plans Some clinics offer staged payments or partner with fertility finance providers. These may allow you to pay over 6–24 months instead of upfront. Always check the interest rate and compare with personal loans.
Consider income smoothing options If you’re a freelancer, look at setting up retainers or recurring billing with clients to create more predictable income. You can also invoice early and negotiate advance payments for large projects where appropriate.
Get support Speak with an accountant who understands self-employment. They can help set up efficient saving structures, tax-efficient withdrawals and forecast future affordability.
Real-life example: Freelance designer Laura created a six-month rolling budget, built up a £4,000 cash reserve, and paid her clinic in two instalments. She adjusted client hours around treatment and leaned on pre-scheduled work to maintain earnings.
IVF with an irregular income requires extra discipline — but it’s entirely achievable. With careful planning, smart saving, and flexibility, you can take control of your finances and focus on what matters most: your fertility journey.
