Written by the Progyny Editorial Team — December 2025.
Some clinics are part of large medical centers, while others are small boutique practices. Each offers different advantages depending on what you value most — from personalized attention to access to advanced technologies.
Understanding these differences can help you find a clinic that feels right for you.
Large centers vs. boutique practices
Large centers often have multiple physicians, advanced on-site labs, and connections with hospitals or academic programs. They may offer more appointment availability and a wide range of procedures under one roof. These clinics can be a great choice if you prefer a team-based approach or need specialized services.
Boutique clinics are typically smaller, with one or two physicians who may take on fewer patients. This can mean more direct access to your doctor and a highly personalized experience. These clinics may appeal to people who value continuity with one provider and a more intimate setting.
Neither is better or worse. It’s about which environment helps you feel supported and confident in your care.
Affiliated hospitals or university programs
Some fertility centers are connected to hospitals or medical schools. These affiliations can offer access to research programs or clinical trials and may be beneficial if your care involves complex medical factors.
Private practices may offer greater scheduling flexibility or faster turnaround times. It’s worth asking about a clinic’s affiliations and whether they participate in ongoing research, donor programs, or fertility preservation initiatives.
Labs, technology, and treatment options
Behind every fertility clinic is an embryology lab, which plays a key role in IVF and related procedures. Lab quality and technology can directly influence success rates.
When comparing clinics, consider asking:
- Do you have an on-site lab or work with an external partner?
- What technology do you use for embryo culture and storage?
- How do you monitor and maintain lab conditions?
You can also ask about additional services, such as:
- Preimplantation genetic testing for aneuploidy
- Egg or sperm freezing
- Third-party reproduction (using donor eggs, sperm, or embryos)
- Gestational carrier programs
Inclusivity and family-building support
Every family’s path to parenthood is unique. Progyny in-network clinics are experienced in caring for all family types and in supporting individuals with a variety of diagnoses, such as polycystic ovary syndrome or endometriosis.
When you meet with a prospective clinic, you might ask:
- How do you support diverse family structures and gender identities?
- Do you offer gender-affirming care or donor services?
- What emotional or mental health resources are available to patients?
The answers can help you gauge whether the clinic’s environment aligns with your values and comfort level.
Next article: Getting support and finding the right fit