Family leave
Time off for IVF: UK employer guide
There is no legal right to paid time off for IVF or fertility treatment appointments in the UK. Acas says employers should treat IVF appointments the same as any other medical appointment, and IVF-related sickness the same as any other sickness. Once an employee reaches the embryo transfer stage, they have the same rights as a pregnant worker, and if the treatment is unsuccessful they remain protected against pregnancy discrimination for 2 weeks after finding out.
- To paid time off for IVF appointments
- No legal right
- Point at which pregnancy rights apply
- Embryo transfer
- Protection after finding out IVF was unsuccessful
- 2 weeks
- Typical length of one full IVF cycle, per Acas
- 3 to 6 weeks
Guidance for England, Scotland and Wales. Northern Ireland employment rules can differ. Checked against Acas, GOV.UK and legislation.gov.uk in November 2026.
Do employers have to give time off for IVF?
No. Acas says there is no legal right to paid time off for IVF appointments, and no legal right to time off work for IVF treatment as such. What Acas does say is that employers should treat a worker's IVF appointments the same as any other medical appointment.
In practice that means applying your normal approach to medical appointments: if your contract or policy gives paid or unpaid time off for appointments, IVF appointments should get the same treatment. Acas also says it is a good idea to be open to requests for flexible working, paid time off, unpaid time off or holiday.
Acas notes that a full cycle of IVF takes around 3 to 6 weeks to complete, and someone might need more than one cycle. Appointments are often booked at short notice around the treatment timetable, so a flexible approach is usually easier to manage than case-by-case negotiation.
Source: Acas: IVF treatment · Acas: antenatal appointments, including IVF appointments
Is time off for IVF paid?
Only if your contract or policy says so. Because Acas treats IVF appointments like other medical appointments, and Acas says time off for medical appointments might be unpaid, the starting point is whatever your policy gives for medical appointments generally.
Paid antenatal time off is different. It is a statutory right for pregnant employees, but it applies to antenatal care during a pregnancy, not to fertility treatment before one. GOV.UK also says employees cannot take time off for antenatal appointments until they have told their employer about the pregnancy.
| Stage | Time off | Protection |
|---|---|---|
| Appointments before embryo transfer | No legal right; treat like any other medical appointment | Your normal policies apply |
| IVF-related sickness | Treat the same as any other sickness | Normal sickness and sick pay rules apply |
| From embryo transfer | Same rights as a pregnant worker | Protected against pregnancy discrimination |
| Treatment unsuccessful | Normal policies apply again | Protection lasts 2 weeks after finding out |
| Pregnancy confirmed and employer told | Reasonable paid time off for antenatal care | Full pregnancy and maternity rights |
Source: Acas: IVF treatment · Acas: time off for medical appointments · GOV.UK: working when pregnant, your rights
When does pregnancy protection start with IVF?
Acas says that when a worker reaches the embryo transfer stage, they have the same rights as a pregnant worker. They do not have to tell their employer at this stage, but Acas says it can help because the employer could then offer support.
If an employer knows a worker might be pregnant, the worker is protected against discrimination. Acas points out it can take several more weeks for a pregnancy test to confirm whether the pregnancy is successful, so the protection covers that waiting period too.
The underlying law is section 18 of the Equality Act 2010, which makes it unlawful to treat a woman unfavourably because of her pregnancy, or because of pregnancy-related illness, during the protected period. Where a woman does not go on to have maternity leave, the protected period ends 2 weeks after the end of the pregnancy.
What if IVF is unsuccessful?
Acas says a worker whose IVF is unsuccessful is still protected against pregnancy discrimination, and is protected by law for 2 weeks after finding out. Decisions about their job, pay or absence made in that window because of the treatment carry real legal risk.
Finding out that IVF was unsuccessful can be upsetting. Acas suggests an employer might allow the person to work flexibly so they can recover. Short-notice holiday, a few days of unpaid leave or a temporary change of hours are all reasonable things to offer, and any absence caused by illness should be handled under your sickness policy.
Source: Acas: IVF treatment
How should IVF-related sickness be treated?
Acas says employers should treat IVF-related sickness the same as any other sickness. If the employee is too unwell to work, for example after a procedure or because of side effects, record it as sickness and apply your normal sick pay rules.
Be careful with attendance triggers. Once the employee has reached embryo transfer, section 18 of the Equality Act protects against unfavourable treatment because of pregnancy-related illness during the protected period, so counting that absence against a Bradford Factor or warning trigger is risky. The simplest approach is to exclude fertility-related absence from triggers altogether.
Can partners take time off for IVF appointments?
There is no statutory right for a partner to take time off for fertility treatment appointments. The general medical-appointments approach in your policy, holiday or unpaid leave are the usual routes.
Once there is a pregnancy, partners do have a limited statutory right. Under section 57ZE of the Employment Rights Act 1996, an employee in a qualifying relationship with a pregnant woman, including a husband, civil partner or a partner of either sex living with her in an enduring family relationship, can take time off to accompany her to up to 2 antenatal appointments, for up to 6.5 hours each. Acas says this time off is usually unpaid.
Source: Employment Rights Act 1996, section 57ZE · Acas: antenatal appointments, including IVF appointments
Flexible working during fertility treatment
GOV.UK says all employees have the legal right to request flexible working, and can make a request from their first day in a job. An employee going through IVF might ask for changed start times, home working on treatment days or a temporary reduction in hours.
Acas encourages employers to be open to these requests. A short informal arrangement for the length of a treatment cycle is often simpler than a permanent contract change, and you can still use the statutory process if the employee wants a formal change.
Source: GOV.UK: flexible working · Acas: antenatal appointments, including IVF appointments
What to put in an IVF or fertility treatment policy
A written policy means employees know what to expect without having to disclose more than they want to, and managers apply the rules consistently. Keep it short and practical.
- Whether IVF and fertility appointments are paid, unpaid, made up or taken as holiday, and any annual limit.
- That fertility appointments follow the same rules as other medical appointments as a minimum.
- That employees do not have to say the time off is for IVF, and who they can talk to confidentially if they choose to.
- That IVF-related sickness is handled under the sickness policy.
- That fertility-related absence is not counted towards attendance triggers.
- How short-notice requests, flexible working and time to recover after unsuccessful treatment are handled.
- That partners can use the same appointment rules, holiday or unpaid leave.
Source: Acas: IVF treatment · Acas: antenatal appointments, including IVF appointments
Recording IVF time off
Fertility treatment is sensitive health information, so record as little detail as you need. A neutral leave type such as "medical appointment" or "fertility treatment" keeps the time separate from holiday and sickness without putting medical detail in front of everyone who can see the calendar.
In Leavely you can create a separate leave type with its own yearly allowance and half-day booking, and choose whether it applies to everyone or only selected employees, so appointments are tracked without touching holiday balances or sickness records.
Source: Acas: IVF treatment
In practice
An employee starts a round of IVF
Priya tells her line manager she is starting IVF and will need several mornings off over the next month, often at a few days' notice. Your policy gives up to 2 paid days a year for medical appointments, then lets staff make up time or use holiday. You record the first appointments as paid medical appointment time and agree she can start late and make up the hours on other days once the paid allowance runs out.
After egg collection she is unwell for a day and a half; you record it as sickness and exclude it from attendance triggers. She tells you when the embryo transfer has happened, so from that date she has the same rights as a pregnant worker. Two weeks later she finds out the treatment was unsuccessful. She remains protected for 2 weeks after finding out, and you agree a week of working from home and a day of holiday at short notice while she recovers.
Common questions
Do employers have to give time off for IVF in the UK?
There is no legal right to paid time off for IVF appointments. Acas says employers should treat IVF appointments the same as any other medical appointment and be open to requests for flexible working, paid or unpaid time off, or holiday.
Is time off for IVF paid?
Only if the contract or policy says so. IVF appointments follow the same rules as other medical appointments, which can be unpaid. Paid antenatal time off only applies once there is a pregnancy and the employer has been told.
When do IVF patients get pregnancy rights at work?
Acas says that when a worker reaches the embryo transfer stage, they have the same rights as a pregnant worker, including protection against pregnancy discrimination.
How long is someone protected if IVF fails?
Acas says a worker whose IVF is unsuccessful is still protected against pregnancy discrimination for 2 weeks after finding out.
Is IVF sickness counted as sick leave?
Yes. Acas says employers should treat IVF-related sickness the same as any other sickness. Counting it against attendance triggers is risky, especially after embryo transfer, when pregnancy-related illness is protected.
Does an employee have to tell their employer they are having IVF?
No. Acas says they do not have to tell their employer, but it can help because the employer could then offer support.
Your next steps
- Treat IVF appointments the same as any other medical appointment.
- Treat IVF-related sickness the same as any other sickness.
- Remember the employee has pregnancy rights from embryo transfer.
- Keep protection in mind for 2 weeks after unsuccessful treatment.
- Be open to flexible working, holiday and unpaid leave requests.
- Do not insist the employee discloses that the time off is for IVF.
- Keep fertility-related absence out of attendance triggers.
Sources and review
Reviewed against the official guidance below on 2 November 2026. Rates and employment rules can change; use the linked guidance for a decision about an individual case.
- Acas: IVF treatment
- Acas: antenatal appointments, including IVF appointments
- Acas: time off for medical appointments
- GOV.UK: working when pregnant, your rights
- Equality Act 2010, section 18
- Employment Rights Act 1996, section 57ZE
- GOV.UK: flexible working
Contains public sector information licensed under the Open Government Licence v3.0. Crown copyright. This is Leavely's independently written guide.
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