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Infertility affects around 186 million people worldwide and can have far-reaching implications on your ability to start a family. While fertility problems present in different ways and can be caused by various factors, the result is often the same: an inability to conceive without help. With the rise of home testing kits, though, it's easier than ever to take control of your fertility journey.
At-home fertility tests allow you to track specific biomarkers that can help paint a picture of how fertile you currently are, such as hormone levels and the total number of healthy eggs in your ovaries. All that can tell you what your chances are of conceiving a baby. They can also help identify underlying issues that could prevent conception, such as hormone imbalance. Plus, home tests are relatively easy to use. They involve collecting blood, saliva, semen, or urine samples for analysis and, depending on the test, may provide results instantaneously—or it may take days or weeks. Either way, the data offers an opportunity to identify concerns, educate yourself on fertility, and begin to plan a path forward. So to help you determine the best tests to better understand your reproductive health, we did the research to compile a list of the best at-home fertility tests on the market. Here are the ones we recommend.
Our Top 8 Picks for At-Home Fertility Tests of 2023
- Most Comprehensive: Modern Fertility Hormone Test
- For Fast Results: MyLabBox Female Fertility Test
- Most Affordable: Proov Predict & Confirm
- For Sperm Test: For Today by Legacy
- For Long-Term Tracking: Natalist Ovulation Test
- For Ovulation Tracking: Mira Max Starter Kit
- For Wearable Test: Ava Fertility Tracker
- For PCOS: LetsGetChecked PCOS Test
Home testing and diagnostic companies often use the words “male” and “female” and "men" and "women" to describe who their tests are meant for. These terms refer to the sex someone was assigned at birth based on their external genitalia.
Gender exists on a spectrum that extends beyond these binaries, and can change over time. We don’t condone the use of non-inclusive language, and strive to use more accurate descriptions.
Most Comprehensive : Modern Fertility Hormone Test
- Cost: $179
- Results (time to receive): 7 to 10 days
- Insurance accepted? No
The Hormone Test from Modern Fertility measures up to seven key hormones associated with fertility, so you can take control of your reproductive health and future family planning with ease.
Customized based on birth control method
Results reviewed by physician
Community platform with fertility experts
Doesn't process insurance
Not available in New York or Rhode Island
Tests fewer hormones if taking hormonal birth control
Founded in 2017, Modern Fertility was acquired by the telemedicine platform Ro in 2021. Its at-home Fertility Hormone Test is one of the most comprehensive on the market, measuring up to seven hormones associated with fertility. Hormones that may be tested include:
- Anti-Mullerian hormone (AMH) is present when there are immature eggs (follicles) in your ovaries.
- Thyroid-stimulating hormone (TSH) can alert you to any thyroid conditions which may prevent ovulation.
- Follicle-stimulating hormone (FSH) stimulates the growth of eggs in the ovaries. FSH is highest just before an egg is released.
- Estradiol (E2) is a sex hormone produced by the ovaries that helps maintain and regulate the reproductive system.
- Prolactin (PRL) can stimulate milk production and pauses ovulation after you give birth.
- Luteinizing hormone (LH) controls the release of eggs during the menstrual cycle and tends to surge during ovulation.
The test results provide insights into ovulation, ovarian reserve (how many eggs you have), and your chances of conception. Your purchase also includes access to a community platform to connect with fertility experts for additional support. After completing the finger-prick test and waiting seven to 10 days, you can view your physician-reviewed results in your online account. Unlike some testing services, Modern Fertility provides exact hormone levels rather than ranges, which can be helpful if you’re tracking them over time with your doctor. The test was also peer-reviewed in a Modern Fertility-sponsored study. The report is also easy to understand and provides helpful information on how each hormone affects your body.
The downside? Modern Fertility isn't available in New York or Rhode Island and doesn't accept insurance. However, you can use your health savings account (HSA) or flexible spending account (FSA) to pay. In addition, it’s worth noting that if you're taking hormonal birth control, your test is limited to two hormones, FSH and AMH, because the other fertility hormone levels mentioned above can be affected by it.
Most Accurate : LabCorp Women's Fertility Package
- Cost: $219
- Results (time to receive): 2 to 4 days
- Insurance accepted? No
Trained phlebotomy technicians collect samples at a local lab, reducing the risk of contamination and improper sample collection that could skew results.
Test orders are reviewed and approved by independent physicians
Results are available on a secure online portal
Thousands of lab locations across the U.S.
Must visit a lab in-person
Only measures three hormones
Doesn't assess egg quality
User error is a potential disadvantage of at-home testing kits, as sample collection isn't always done correctly. The Women's Fertility Package from LabCorp minimizes this risk with trained phlebotomy technicians taking blood samples at a local lab. The test is also backed by several peer-reviewed studies. The package tests for three critical hormones associated with fertility:
- FSH, which plays a role in egg production
- AMH, which helps indicate the number of eggs remaining in your ovaries
- Estradiol, a form of estrogen that lends insight into ovarian function and egg quality
After ordering your test online, a physician will review and approve your request without an appointment. You can then visit any Labcorp location to collect your blood sample, though the test should be done on the third day of your menstrual cycle. Results are delivered via a secure online portal within four days. Your personalized reports break down exact hormone levels and explain the importance of each metric.
Labcorp OnDemand tests don't accept insurance, but HSA and FSA funds can be used to pay for services. Additionally, this test does not adequately measure egg quality. However, Labcorp is a leading provider of clinical lab testing and has thousands of locations across the U.S., making it a convenient option that reduces the risk of collection errors.
For Fast Results : MyLabBox Female Fertility Test
- Cost: $149
- Results (time to receive): 1 to 5 days
- Insurance accepted? No
This at-home test includes a collection kit and return postage to send your sample back for lab-certified results within five days.
Free physician consultation
Optional upgrade for overnight shipping
CAP- and CLIA-certified labs
Not available in New York state
Results can't diagnose infertility
Tests fewer hormones than similar options
The Female Fertility Test from MyLabBox allows you to take a finger prick and saliva sample at home to get lab-certified results within five days. This test measures four key hormones, including estradiol, FHS, LH, and testosterone—a reproductive hormone produced in both men and women. In females assigned at birth, high testosterone may signify polycystic ovary syndrome (PCOS) or another underlying condition related to infertility.
You'll receive a box containing everything you need for sample collection, including instructions, lancets, collection swabs, and return postage. Once your sample is collected, it's sent to a CAP (Certified Analytics Professional) and CLIA (Clinical Laboratory Improvement Amendments)-certified lab (which are accreditations that help ensure laboratories provide precise test results) for testing. Results display on an easy-to-read dashboard for easy viewing. MyLabBox also provides a physician consultation for those with questions or concerns.
Insurance is not accepted, though you can use HSA or FSA funds to pay. Additionally, results may not be used to diagnose infertility and are more of an informational tool for better understanding your body. Still, it's a fast option and provides helpful insight into the reproductive hormones associated with fertility, and, if the results are abnormal, it could help give people the push they need to go see a doctor.
Most Affordable : Proov Predict & Confirm
- Cost: $39
- Results (time to receive): 10 minutes
- Insurance accepted? No
Users can predict their two-day fertile window, confirm successful ovulation, and access digital insights and tracking tools for around $40 each cycle.
Results within minutes
Enough testing supplies for a complete cycle
Proov app provides ovulation scores
Numerical data lacks lab-verified accuracy
Long-term costs with regular use add up
Only measures ovulation
Founded by Amy Beckley, PhD, a scientist and infertility veteran, Proov Predict & Confirm is a home fertility test that measures LH for peak ovulation prediction and PdG (the main urine marker of progesterone in the body) to confirm ovulation after it happens. With a urine sample and 10 minutes each day, you can begin tracking the best time for conception and get the peace of mind that comes from knowing ovulation has occurred. This test includes enough testing supplies for one cycle and a digital tracking app that provides daily scores and analysis of your data.
While the test itself shows two lines for a positive ovulation prediction and confirmation, the Proov app provides additional insight and numerical data based on pictures you upload via the app. After testing your urine using the included test strips, you can access the app to compare results, view hormone trends, and log symptoms. An end-of-cycle ovulation score provides an overall view of each cycle after you complete all five PdG tests.
The Proov Predict & Confirm test is one of the most affordable options that gives personalized insights. Its efficacy is also backed by a couple of peer-reviewed studies. However, the numerical data lacks lab-verified accuracy and should only be used to track ovulation rather than diagnose problems. Long-term costs can add up if you're regularly testing your cycles. Additionally, this test only measures hormone changes associated with ovulation and cannot detect other fertility issues.
For Sperm Test : For Today by Legacy
- Cost: $295
- Results (time to receive): 2 days
- Insurance accepted? Yes
This clinic-grade test from Legacy boasts fast results, accurate data on multiple sperm health parameters, and access to fertility advisors for comprehensive support.
Access to valuable fertility resources
Free overnight return shipping
Downloadable report for your physician
Kit must be used within seven days
Can only return Monday through Thursday
Expensive option compared to similar tests
Sperm health is a key factor for male fertility, and For Today by Legacy delivers a complete picture of sperm health with accurate results within days of ordering. This convenient at-home kit includes all the supplies needed to collect and mail your sample directly to the facility. The Legacy lab uses the same technology as fertility clinics to measure sperm volume, concentration, motility (number of active sperm), count, and morphology (size and shape).
Each of these metrics provides critical insight into your fertility and potential health issues impacting it. With results delivered to your online dashboard within two days, you can access your extensive report directly from the Legacy website. Additionally, this test includes free advisory support from Legacy’s team of fertility advisors to guide you through the testing process. You can also book an appointment with a male fertility specialist for a detailed analysis of your results. The test is backed by a peer-reviewed study, so you can feel confident in the results you receive.
Legacy testers with an in-network insurance plan may be eligible for the For Today kit and sperm storage at no cost. This test remains an expensive option compared to similar options—but having access to Legacy’s fertility advisors and specialists may make it worth the cost. Short- and long-term sperm storage options are available. Other payment options include HSA, FSA, and monthly payments through a third-party platform.
For Long-Term Tracking : Natalist Ovulation Test
- Cost: $2 to $3 per test stick
- Results (time to receive): 10 minutes
- Insurance accepted? No
These convenient urine wands help users identify their fertile window within minutes, ideal for long-term ovulation tracking at an affordable price.
Clear instructions for testing and tracking
Subscribe and save options available
Free shipping on bundles and orders over $35
Only measures LH surge
No numerical data given
Required manual tracking
Ovulation wands have become a popular choice for tracking fertility out of pure convenience and affordability. Natalist’s simple at-home Ovulation Test uses urine strips to detect the luteinizing hormone (LH) surge that precedes ovulation. By testing daily during your cycle and looking for a color change on the wand, you can identify when your body is preparing to release an egg.
With regular tracking, this method can help you pinpoint your fertile window with relative accuracy and adjust family planning methods as needed. Natalist also provides a helpful tracking and instructional guide with each order. Customers can choose discounted bundles or subscribe to save on testing supplies over time for increased convenience. The company also offers prenatal and postnatal supplements, pregnancy tests, and essential vitamins for whole-body support.
Although this method of tracking ovulation is convenient, it does not provide the same in-depth look at reproductive health as lab-based tests. Additionally, the wand only measures LH surge, not other hormones. Testers must manually track their fertile window over time for the best reproductive insights. Results aren’t given in numerical form—you must look for a color change on the wand. Despite these potential drawbacks, the tests are more than 99% accurate, according to Natalist. Your purchase is also FSA/HSA eligible.
For Ovulation Tracking : Mira Max Starter Kit
- Cost: $259
- Results (time to receive): 21 minutes
- Insurance accepted? No
The handheld analyzer measures three hormones from a single urine sample to identify your fertile window with 99% accuracy.
Provides exact hormone levels
Predicts and confirms ovulation
Uses AI to personalize experience
Wands are single use
Can become expensive over time
Certain medications can interfere with results
The technology behind Mira Max is a revolutionary way to track exact levels of estradiol metabolite (E3G, an estrogen compound that denotes ovarian function and egg quality), LH, and PdG from a palm-sized device in minutes. This unique combination of data is a powerful tool for understanding and tracking ovulation, fertility, and health changes in real time—without stepping foot in a lab. The kit includes an analyzer, a carrying pouch, 10 single-use testing wands, and a silicone cup for collecting urine samples.
After the initial device set-up and app connection, Mira Max uses an intuitive interface to guide users through the testing process. Testers dip the wand in the collected urine sample before inserting it into the analyzer. Results display on the device and app after 21 minutes. The app also makes symptom tracking, cervical mucus monitoring, and menstrual cycle tracking seamless.
Results are highly accurate (99%), according to the company, and can detect subtle changes in hormone levels to help determine the best time for conceiving or avoiding pregnancy. However, some medications, like aspirin and acetaminophen, can interfere with test results. The device comes with a 90-day money-back guarantee (Starter Kit only) and a one-year limited warranty. Pay-later options and FSA/HSA payments are available. While this product is more expensive than traditional ovulation tests, it provides a wealth of data unavailable through other home testing methods.
For Wearable Test : Ava Fertility Tracker
- Cost: $279
- Results (time to receive): Every morning
- Insurance accepted? No
This sleek bracelet monitors your most intimate biological data while you sleep to predict ovulation and fertility changes.
Delivers real-time data
Pinpoints five-day fertile window
Only worn during sleep
Not suitable for cycle length beyond 35 days
Can't have an implanted device like pacemaker
Not waterproof or water-resistant
The Ava Fertility Tracker offers a wearable device that combines state-of-the-art sensing technology with sophisticated algorithms to track and detect key markers of fertility. Ava helps detect up to five fertile days per cycle by measuring the physiological parameters linked to ovulation, including pulse, sleep patterns, heart rate, and body temperature.
The Ava Fertility Tracker is worn on your wrist throughout the night to collect data. Then, the data is synced with Ava's app to reveal your fertile days with 90% accuracy so you can better time conception. The company regularly participates in scientific studies to improve the accuracy of its device and algorithms. Plus, peer-reviewed research suggests the bracelet offers the same accuracy as LH urine tests.
The app is user-friendly and enables you to print cycle data to share with your healthcare providers. Once you are pregnant, the Ava app provides helpful advice and insights about your pregnancy journey. The Ava Fertility Tracker is not waterproof or water-resistant, so it's not suitable for showering. Those with long cycles, implanted devices, or fevers should not use the device. Ava is covered under select fertility benefits packages, or you can use an HSA or FSA card to pay.
For PCOS : LetsGetChecked PCOS Test
- Cost: $139
- Results (time to receive): 2 to 5 days
- Insurance accepted? No
This at-home PCOS test provides an easy and convenient way to evaluate signs of polycystic ovarian syndrome before seeking medical care.
Uses the same labs as physician-ordered tests
Measures seven hormones linked to PCOS
Results delivered to secure portal
Must be 20 years or older
Not available in New York state
Should test on days 3-5 of your menstrual cycle
Polycystic ovary syndrome is one of the most common endocrine disorders among women—it affects around 10% of women of childbearing age—yet diagnosis isn't always cut and dried. The condition affects hormone production and metabolism, causing irregular menstrual periods, ovarian cysts, and fertility challenges. The LetsGetChecked PCOS Test is an at-home testing option that measures seven hormones commonly linked to the syndrome—testosterone, sex hormone binding globulin (SHBG, a protein that carries transporting testosterone and other hormones through the bloodstream), free androgen index (FAI—the ratio of the total amount of testosterone vs your SHBG levels), FSH, LH, cortisol (the stress hormone—high levels of it often overlap with PCOS symptoms), and AMH.
The test requires a saliva and finger prick blood sample collected using instructions from the test kit. After collecting the samples, you simply seal and ship the test kit back to the lab. Results are available in your secure online account within five days. A physician reviews every result and will contact you if additional steps are recommended.
Though helpful, this test can't diagnose PCOS or any other condition. If you suspect PCOS, it's important to talk to your healthcare provider about all available testing options. It's also not suitable for everyone. Those with bleeding disorders and certain skin disorders, or who are taking hormonal medications, should not use the test. Insurance isn't accepted, but the test is HSA/FSA eligible.
At-home fertility testing is an excellent alternative for those looking to better understand their reproductive health before seeing a healthcare provider. The Modern Fertility Hormone Test provides comprehensive, at-home access to your levels of up to seven hormones involved in fertility and reproductive health.
If budget is a deciding factor, Proov Predict & Confirm makes tracking your LH surge to understand ovulation simple. And for those interested in sperm analysis, For Today by Legacy unlocks valuable insights about sperm health so you can confidently plan your future.
Compare the Best At-Home Fertility Tests
|Modern Fertility Hormone Test Most Comprehensive||$179||7 to 10 days||No|
|LabCorp Women's Fertility Package Most Accurate||$219||2 to 4 days||No|
|MyLabBox Female Fertility Test For Fast Results||$149||1 to 5 days||No|
|Proov Predict & Confirm Most Affordable||$39||10 minutes||No|
|For Today by Legacy For Sperm Test||$295||2 days||Yes|
|Natalist Ovulation Test For Long-Term Tracking||$2 to $3 per test stick||10 minutes||No|
|Mira Max Starter Kit For Ovulation Tracking||$259||21 minutes||No|
|Ava Fertility Tracker For Wearable Test||$279||Every morning||No|
|LetsGetChecked PCOS Test For PCOS||$139||2 to 5 days||No|
Guide to Choosing the Best At-Home Fertility Test
What Do At-Home Fertility Tests Do?
At-home fertility tests are educational tools that provide insight into your reproductive health without visiting your healthcare provider. These tests help you understand your fertility and hormone levels, track ovulation, and identify factors affecting conception.
Most tests require a blood sample via a finger prick or blood draw, while some require a saliva or urine sample. Sperm analysis tests require a semen sample.
Though not intended to diagnose or treat any condition, at-home fertility tests empower you to make informed decisions about the next best step in your reproductive journey. If your results indicate a potential issue, you can use the information to better inform a conversation with your healthcare provider or fertility specialist.
What Can an At-Home Fertility Test Help With?
Hormone regulation is a key factor in fertility and reproductive health. Hormonal imbalances can lead to irregular menstrual cycles, infertility, and other issues affecting your ability to conceive. Taking an at-home fertility test may be especially helpful if you’re trying to get pregnant or have irregular periods or other signs of hormonal imbalance.
Every test measures a different combination of hormones, so it’s important to understand which test best meets your needs. Hormones commonly tested include luteinizing hormone (LH), follicle-stimulating hormone (FSH), estrogen, progesterone, testosterone, and anti-Mullerian hormone (AMH).
Urine tests that help predict and confirm ovulation for better timing of intercourse and conception are also available. Sperm analysis tests are great for understanding sperm quality, quantity, and motility to identify potential red flags.
Home tests offer many benefits, but it’s important to note that they’re not substitutes for visits with your healthcare provider. If results indicate any issues or if you have symptoms of a condition, talk to your doctor about further testing and treatment options.
Who Should Not Take an At-Home Fertility Test?
At-home fertility tests are designed to provide individuals with an overview of their reproductive health. However, there may be certain groups of people who should not take one of these tests. These include people who have:
- Signs or symptoms suggesting they may have a medical condition related to fertility
- Been diagnosed with a medical condition that affects their fertility, such as endometriosis, polycystic ovarian syndrome (PCOS), and uterine fibroids
- Recently been through any kind of infertility treatment such as IVF, IUI, or surgery
- A history of genetic disorders or birth defects in the family
- Recently taken hormonal medications or supplements, including hormonal birth control
Speak with your care team before taking an at-home fertility test if any of the above relates to you. They can provide more information and help you determine if the test is appropriate for your situation. Additionally, they may be able to recommend other testing options that are better suited to your needs.
How to Compare At-Home Fertility Tests
It's not uncommon to feel overwhelmed by the array of at-home fertility tests available. Here are some key factors to consider when deciding:
- Cost: Know how much each test costs in addition to any extra fees for shipping or doctor visits.
- Insurance: Some tests may be covered by health insurance. Check with your provider to see if yours is eligible. Also, ask if payment through a health savings or flexible spending account is available.
- What the test measures: Some tests on this list cover a wide spectrum of fertility hormones, whiles others focus on testing one or two. Make sure to pick a test that captures the levels you’re hoping to track. If you’re not sure, check with your healthcare provider, or see if you can connect with a healthcare professional via the company from which you’re considering purchasing the test.
- Test accuracy: Make sure your chosen test is backed by scientific research and clinically validated. This means it accurately measures the biomarker(s) of interest, such as hormone levels or sperm count.
- Confidentiality: Confirm that the test results will remain confidential and that your personal information is only shared with your healthcare provider if you choose to do so.
- Turnaround time: Determine how quickly you'll receive your test results. Some tests may provide results in as few days, while others can take several weeks.
- Physician review: See if the test will be reviewed by a physician who can provide you with additional guidance on your results and provide referrals, if necessary.
- Follow-up support: Consider the support offered after you receive your results. Ask if follow-up services or resources are available and, if so, how you can access them.
Frequently Asked Questions
How Do You Use an At-Home Fertility Test?
Each test should include specific instructions for taking a sample and using the test. Wash your hands before use, and collect your sample using only the included testing supplies. Pay close attention to any warnings or cautions, such as the need to keep the sample at a specific temperature or refrain from taking certain medications. Never stop taking any medications without consulting with a medical professional first.
Are At-Home Fertility Tests as Accurate as Fertility Lab Tests?
Many at-home tests process samples in the same labs as those used by doctors and hospitals.However, accuracy is specific to the test and should be reviewed before purchasing.
“The truth is that while home fertility tests can offer valuable insight into a person's potential fertility, their results should never be used instead of professional medical advice,” Nisarg Patel, MBBS, MS, a board certified gynecologist and obstetrician, told Health.
“Laboratory tests measure more hormones and biomarkers than what is available with at-home kits, and they provide more comprehensive data that can give a better picture of overall fertility,” said Patel.
Are At-Home Fertility Tests Supported By Medical Professionals?
Some medical professionals support using at-home fertility tests to learn more about your body and fertility status. However, it's important to understand that these tests are not meant to replace visits with your healthcare professional for diagnosis and treatment. It's recommended that you discuss your test results with your doctor.
Does Insurance Cover At-Home Fertility Tests?
Most insurance companies don't cover at-home tests since they're not deemed medically necessary. However, it's always worth checking with the testing company and your insurance provider to see if any coverage is available. Additionally, many at-home tests can be purchased with a health savings or flexible spending account.
We researched more than 40 companies when looking for the best at-home fertility tests. Our data collection team considered costs, FSA/HSA eligibility, and diagnostic validity of all tests. We prioritized high customer satisfaction ratings, fast results delivery, and either accredited lab testing or at-home processing that was easy to complete with high accuracy. All companies considered use established, peer-reviewed methods with scientific backing.
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Rasquin Leon LI, Anastasopoulou C, Mayrin JV. Polycystic ovarian disease. In: StatPearls [Internet].
Fertility and Sterility. VALIDATION OF SPERM CHROMATIN DISPERSION (SCD) TEST USING A MAIL-IN, AT-HOME SEMEN COLLECTION KIT.
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