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Astra Fertility Group

Astra Fertility Group logo

4303 Village Centre Crt
Mississauga, ON

4.1(63)

231patients have viewed this clinic

OFP Funded IVFVirtual Consults

Established

2004

Locations

5

Doctors

4

Private IVF

Not listed

About

Astra Fertility Group is an Ontario fertility network founded by Dr. Essam Michael in 2004, with full-service clinics in Mississauga, Brampton, Milton, and Belleville and a satellite monitoring location in Bolton. The Mississauga clinic anchors the group with weekend hours, while Brampton operates alongside Astra Women's Health & Ambulatory Surgery Centre — a centre selected in April 2026 as one of two new clinics funded under Ontario's $100 million expansion of the Ontario Fertility Program. Astra offers IUI, IVF (with ICSI, blastocyst culture, and assisted hatching), egg and embryo freezing, fertility preservation for cancer patients, donor egg and donor sperm programs, donated embryo matching, and gestational surrogacy support.

Genetic testing (PGD/PGS) is available but used selectively rather than routinely. The group runs an in-house male factor and andrology program led by urologist Dr. Rami Elias, allowing couples to assess both partners under one roof. Reproductive surgery is a particular strength: Dr. Essam Michael founded the Astra Minimally Invasive Surgery Unit and works on complex cases including Asherman's Syndrome, severe uterine anomalies, and recurrent pregnancy loss, with patients often referred from other clinics.

Astra is an Ontario Fertility Program participant, accepts self-referrals, and offers an Annual Block administrative fee plus Medicard financing. The clinic is fully accredited by Accreditation Canada and markets a philosophy of pursuing accurate diagnosis and male-factor workup before defaulting to IVF — a positioning that distinguishes Astra from clinics that move patients more quickly into ART pathways.

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What Makes Them Unique

Complex Cases & Specialty Programs

Dr. Essam Michael's bio specifically names Asherman's Syndrome, severe uterine anomalies, and recurrent pregnancy loss as areas of focus. Multiple Google reviews describe patients being referred to Astra after other clinics couldn't diagnose or surgically treat their conditions, with rapid surgical scheduling cited as a strength.

Research & Affiliations

Dr. Amanda Michael publishes in peer-reviewed journals and presents at national and international medical conferences. Dr. Essam Michael has publications, abstracts, and presentations in reproductive medicine. Scientific Director Dr. Alex Varghese (PhD, Senior Embryologist) has authored 40+ manuscripts and edited 8 books in assisted reproduction. Astra Fertility is fully accredited by Accreditation Canada.

Treatments & Pricing

Intrauterine Insemination (IUI)

Monitored intrauterine insemination with timed ovulation triggers and prepared partner or donor sperm. Couples typically pursue 3–4 IUI cycles before considering IVF.

IVF

Full-cycle IVF including ICSI, blastocyst culture, assisted hatching, and embryo transfer. As of April 2026, the Brampton location is newly OFP-funded for IVF; private cycles are also offered at all locations.

Egg Freezing

Vitrification-based oocyte cryopreservation, with 10–12 days of stimulation followed by retrieval under conscious sedation. Both medical and elective preservation supported.

Embryo Freezing

Embryos created during IVF can be frozen and stored for future transfers; embryo donation matching is also coordinated.

Price

Storage fees apply (not published); cycle inclusion not specified

Fertility Preservation

Fertility preservation for both medical and elective indications, including egg, sperm, and embryo freezing. Cancer-related preservation is fully funded under the Ontario Fertility Program.

Price

OFP-funded for medical indications; elective pricing not published

Ovulation Induction

Monitored ovulation induction with ultrasound and bloodwork timing, often as a step before or alongside IUI.

Egg Donation

Donor egg IVF coordinated through Ontario agencies, known donors, or American egg banks, with full medical and psychological screening of the donor.

Sperm Donation

Therapeutic donor insemination is supported for patients using donor sperm with IUI or IVF.

Embryo Donation

Donated frozen embryo program for patients facing both gamete and uterine factors, presented as a pre-implantation alternative to adoption with limited donor information shared for matching.

Surrogacy / Gestational Carrier

Gestational carrier arrangements supported, with mandatory legal and psychological counselling for the carrier and intended parents before treatment begins.

Andrology / Male Fertility

In-house urology and male-factor program led by Dr. Rami Elias, allowing both partners to be assessed and treated under one roof rather than navigating outside referrals.

Genetic Testing (PGT)

PGD/PGS available for chromosomal screening and single-gene defects. Astra explicitly does not perform routine PGS for all IVF patients — testing is offered selectively where clinically indicated.

Medical Fertility Preservation

Egg, sperm, and embryo freezing for patients facing cancer or other gonadotoxic treatments. Funded under the Ontario Fertility Program for eligible medical indications.

Price

OFP-funded for eligible medical indications

Pricing & Funding

Private IVF cost
Not listed
Published pricing
On request
OFP-funded IVF
Yes
OFP wait time
Not listed
OFP-funded IUI
Yes
Financing options
Annual Block / Administrative fee (clinic-internal); Medicard
Fertility tax credit info

Medical Team

EM

Dr. Essam Michael

Reproductive Surgery · Asherman's Syndrome · Uterine Anomalies · Recurrent Pregnancy Loss

Founder, Director, and CEO of Astra Fertility since 2004. Royal College of Physicians and Surgeons of Canada and ABOG certified; Queen's University residency (1994); active OBGYN staff at William Osler Health System Etobicoke since 1994. Founder and Director of the Astra Minimally Invasive Surgery Unit (the only Independent Health Facility in Ontario providing ambulatory gynecological surgery). Previously held an Adjunct Assistant Clinical Professor position in OBGYN at McMaster University.

AM

Dr. Amanda Michael

Minimally Invasive Gynecologic Surgery · Reproductive Endocrinology and Infertility

OBGYN; Medical Director of Astra Women's Health & Ambulatory Surgery Centre (Brampton). McMaster MD, University of Toronto OBGYN residency, FRCSC. Active member of CFAS and ASRM; published in peer-reviewed journals and presented at national/international medical conferences. Maintains a full-time OBGYN practice at William Osler Brampton in addition to fertility work. Was the public spokesperson for Ontario's April 2026 OFP expansion announcement at Astra Brampton.

HC

Dr. Henry Cheng

Listed as a treating physician across Astra locations on individual clinic location pages. Detailed bio not published on the website team page at the time of scrape — recommend manual verification.

RE

Dr. Rami Elias

Andrology · Male Factor Infertility · Urology

Urologist anchoring Astra's in-house male factor program. Active member of the Canadian Urology Association and the Canadian Fertility & Andrology Society (CFAS); Fellow of the Royal College of Physicians; hospital privileges at William Osler Health System Etobicoke Campus.

5 Locations

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MainAstra Fertility Mississauga (Main / HQ)

(Full Service)

4303 Village Centre Crt

Mississauga, ON, Canada

Neighbourhood: Mississauga Valley

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Astra Fertility Brampton (with Astra Women's Health & Ambulatory Surgery Centre)

(Full Service)

300 Main St N

Brampton, ON, Canada

Neighbourhood: Downtown Brampton

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Astra Fertility Bolton

(Satellite Monitoring)

12295 Hwy 50, Suite 210, Bolton Medical Centre

Bolton, ON, Canada

Neighbourhood: Bolton

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Astra Fertility Milton

(Full Service)

400 Bronte St S, Unit 105

Milton, ON, Canada

Neighbourhood: Milton

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Astra Fertility Belleville

(Full Service)

220 Dundas St E, Suite 3

Belleville, ON, Canada

Neighbourhood: Belleville (outside GTA — ~2 hrs east of Toronto)

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Wait Times & Referral

Initial consultation
Not listed
Funded IVF cycle
Not listed
Private treatment
Not listed
Self-referral accepted
Yes
Referral notes
Family doctor or OB/GYN referral preferred via email or fax to a specific clinic location. Self-referral by email or phone is also accepted.

What Patients Say

Based on Google: 4.1/5 from 63 reviews

Patients love

  • Dr. Essam Michael's surgical and clinical skill (especially complex/referred cases)
  • Dr. Amanda Michael's OBGYN and pregnancy care
  • Compassionate ultrasound and phlebotomy staff
  • Successful outcomes after other clinics couldn't help
  • Broad service offering under one roof

Common concerns

  • Phone responsiveness — unreturned calls and difficulty reaching staff
  • Billing confusion and unexpected charges
  • Communication breakdowns between nurses
  • Reception
  • And doctors
  • Rushed or impersonal physician interactions
  • Front-desk staff perceived as curt at the Mississauga location

Conditions Treated

endometriosisrecurrent pregnancy losslow ovarian reserveblocked or damaged tubesmale factor infertilityAsherman's Syndromeuterine anomaliesfibroids

Add-on Treatments & Tests

ICSIassisted hatchingblastocyst culturePGD/PGS

Recognition & Connect

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Astra Fertility Group is featured in

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