TRIO offers intrauterine insemination including for patients using donor sperm. Monitoring is covered by OHIP; sperm wash and medications are patient-paid.

TRIO runs Canada's longest-operating IVF lab at its downtown Toronto site, handling egg retrievals, transfers, ICSI, and embryo culture to blastocyst with time-lapse incubation.

Elective and medical egg freezing are both available. TRIO also operates a dedicated egg freezing clinic called EVOLVE inside 655 Bay Street.

Embryos are cryopreserved on-site for future frozen embryo transfer. First 6 months of storage is complimentary for non-funded cycles.

Egg and sperm freezing is available for both elective preservation and medical preservation before cancer treatment or gender-affirming surgery.

Medicated cycles with cycle monitoring are offered as part of TRIO's IUI and diagnostic pathway.

TRIO offers three egg donation program pathways, guided by a dedicated third-party coordinator who helps families choose the right route.

Donor sperm is used for both IUI and IVF pathways, with coordination through TRIO's third-party team.

TRIO facilitates embryo donation as a family-building option, coordinated through its third-party reproduction team.

TRIO supports gestational carrier journeys and connects intended parents with agencies through its third-party coordinator.

Reciprocal IVF lets one partner provide the eggs while the other carries the pregnancy — a pathway TRIO explicitly offers to couples both born with eggs and a uterus.

The SEED program is a dedicated male-factor wing with the country's largest andrology and embryology teams. Urology referrals are fast-tracked through partnered specialists.

Pre-implantation genetic testing is offered for aneuploidy, structural rearrangement, and monogenic disorders. Karyotype testing is part of the SEED diagnostic workup.

Medical fertility preservation is offered for patients facing chemotherapy, radiation, or gender-affirming surgery. Eligible Ontarians receive one funded cycle per lifetime.