The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (2024)

Table of Contents
Why we like Everlywell Women’s Fertility Test as best overall What our experts say What customers are saying Specs Best at-home fertility test for customized testing: Modern Fertility Hormone Test Best at-home fertility test for customized testing Modern Fertility Hormone Test Key product features What you should know Why we like Modern Fertility Hormone Test as best for customized testing What our experts say What customers are saying Specs Best at-home fertility test for males: BeliBaby Men’s Fertility Test Best at-home fertility test for males BeliBaby Men’s Fertility Test Key product features What you should know Why we like BeliBaby Men’s Fertility Test as best for males What our experts say What customers are saying Specs Best at-home fertility test for PCOS: LetsGetChecked PCOS Test Best at-home fertility test for PCOS LetsGetChecked PCOS Test Key product features What you should know Why we like LetsGetChecked PCOS Test as best for PCOS What our experts say What customers are saying Specs Best at-home fertility test for ovulation tracking: Mira Hormone Monitor Best at-home fertility test for ovulation tracking Mira Hormone Monitor Key product features What you should know Why we like Mira Hormone Monitor as best for ovulation tracking What our experts say What customers are saying Specs Best at-home fertility test for females: Proov Complete Testing System Best at-home fertility test for females Proov Complete Testing System Key product features What you should know Why we like Proov Complete Testing System as best for females What our experts say What customers are saying Specs Best wearable at-home fertility test: Ava Bracelet Best wearable at-home fertility test Ava Bracelet Key product features What you should know Why we like Ava Bracelet as best wearable What our experts say What customers are saying Specs Our at-home testing methodology Testing criteria How to choose the best at-home fertility test Hormones tested Collection method Cost Accuracy Result time How do at-home fertility tests work? Hormone tests Ovulation tracking Semen analysis Benefits of home fertility tests Convenience Cost Discretion Empowerment Are home fertility tests accurate? FAQs Our experts Corey Jungwirth, NBHWC About Author

Pros

Tests reviewed by board-certified physician

Tests five hormone levels

You can opt into a subscription

Free shipping and prepaid return shipping

CLIA-certified and HIPAA-compliant

Cons

It requires two samples, while some competitors only require one

Provider consultation costs an extra $59 per visit

Why we like Everlywell Women’s Fertility Test as best overall

Everlywell Women’s Fertility Test offers valuable information about five critical hormones involved in the fertility process: estradiol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid-stimulating hormone (TSH), and total testosterone. Because fertility depends on a complex series of hormonal events, we appreciate that this test provides a comprehensive look at various factors that can impact the process and women’s health. ( 3 )

After ordering your test, you can have it delivered for free within two to eight business days. The box has everything you need inside to complete the test, including the collection supplies and a prepaid shipping label to send it back to the lab. At-home testing can sometimes feel confusing, so we were especially impressed with Everlywell’s clear instructions, which you can read through on the printed form or watch instructional videos.

The test requires two separate blood samples taken at different times during your cycle. The first helps establish your fertility baseline; the second is taken later in your cycle, during ovulation. This can feel like a straightforward process for individuals with a regular cycle. However, during my infertility journey, my cycles were so irregular that I found it challenging to time tests like these according to the recommended collection days. Additionally, performing two finger pricks per test may feel stressful for those who don’t like dealing with the pain or blood.

After sending your sample to the CLIA-certified lab, the waiting game can be tough, but Everlywell communicates well to let you know the status and when you can expect your results. ( 4 ) We found it takes only a few days to get your results after the lab receives your samples, and they’re conveniently delivered through the mobile app or website.

The color-coded results are easy to read and give insight into whether your hormone levels fall within the normal range or outside of it. Moreover, you can see additional information to help you understand what your results might mean in the context of overall fertility and your likelihood of getting pregnant. Still, you may not know what to do with that information, so Everlywell offers optional telehealth calls with a medical provider for $59 to discuss your results and potential next steps.

You can take the test once for $149 per kit or sign up for a $39 monthly subscription to track your hormones over time, which can help give valuable insight into what’s happening inside your body. If you sign up for the subscription, you earn one monthly credit, which you can use toward more test kits or telehealth appointments. Everlywell offers many additional options for at-home testing, including cholesterol, A1c, metabolism, food sensitivities, thyroid, and more. We love the convenience of easily tracking health metrics through various tests and the intuitive app, which allows you to set goals and monitor your progress.

What our experts say

“The Everlywell Women’s Fertility Test is one of the best, if not the best, fertility test out there,” said Dr. Aneesha Dhargalkar, MD., a board-certified emergency medicine physician. “Fertility is a complex biological process involving the interplay of numerous hormones in both women and men. Testing multiple hormones at different points within your menstrual cycle ensures that you will get the most accurate fertility assessment. Everlywell’s step-by-step instructions make obtaining your blood sample and sending it off for testing easy and convenient. ”

“Measuring the five big hormones linked to fertility allows for a comprehensive overview of your hormones health,” said Dr. Fatema Dawoodbhoy, MBBS, BSc, an Academic Doctor with expertise in Obstetrics & Gynaecology. “The subscription model is a good offering to allow you to track your hormone over multiple cycles to establish a pattern, as not all cycles are the same, especially for those with irregular periods or gynecological conditions. It is important to note that TSH is not a fertility-specific hormone but does impact fertility and ovulation, so it is important for fertility. The option to talk to a medical provider afterward is favorable. Still, it should not come at an extra cost and should be tied into the value as medical test results, and ranges should only be interpretable with some medical guidance.”

What customers are saying

The Everlywell Women’s Fertility Test is also available on Amazon and gets decent reviews. Only 58 users have reviewed the product so far, giving it an overall rating of 3.8 out of five stars. Most customers mention how easy and informative it is.

Mary is an Amazon customer who shared their testing experience, saying, “I was hoping to jumpstart conception for the second time. I purchased Everlywell Women’s Fertility Test to see where my hormone levels are at since I’m a geriatric woman (late 30s). It has simple instructions. I mailed it in and got my (delayed) results within a couple of weeks via their website. It provides straightforward information about where you stand in the range and helps you discuss things with your OB/GYN should you need further assistance bringing levels to the “normal” range. I’m not sure why there are negative comments on the difficulty of instructions. I plan to take another one since it’s been a year already, and we will be actively “trying” in a few months.

“It’s a simple process, and I got the results five days after sending them back to the company!”

Kathryn, Amazon reviewer

Amazon reviewer Jacqui mentioned that how much blood you have to collect for each sample can feel like a lot: “Doing the test itself was a little challenging because you have to fill six circles with blood, but thankfully, they provide enough finger sticks to do it. There are two cards to fill at two different times of day. Overall, I think it was okay and cheaper than going to the lab for $199.”

Specs

Price $149
Collection method Finger prick
Results in A few days (from the lab receiving samples)
Shipping Free
Hormones tested Estradiol, LH, FSH, TSH, total testosterone
Platforms Online, mobile app

Best at-home fertility test for customized testing: Modern Fertility Hormone Test

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (1)

Best at-home fertility test for customized testing

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (2)

The Modern Fertility Hormone Test is tailored to your current situation based on whether you’re on hormonal birth control or not.

Fortune Score:

4.4 / 5

Key product features

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (3)

Results time Three days

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (4)

CLIA-certified Yes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (5)

FSA/HSA Accepted

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (6)

Mobile app iOS

What you should know

The Modern Fertility Hormone Test by Ro offers personalized hormone analysis, depending on your birth control method. Whether you collect your sample at home or in a lab, you’ll receive information about two to seven hormone levels vital to the reproductive system.

  • You can perform the finger stick yourself and collect your sample at home, or you can do it at a Quest Diagnostics lab.
  • The $179 cost is higher than most competitors’, but it offers more personalization and, depending on the number of tests performed, the potential for more hormone information.
  • Since the test is adjusted based on your situation, you don’t have to discontinue your birth control to take it.
  • Two blood samples may be required depending on which hormones are being tested.

Pros

Customized testing if you’re on birth control

Analyzes up to seven different hormone levels

Offers free virtual events with fertility experts

You can collect your sample at home or in a lab

Includes access to a community platform

Cons

The mobile app isn’t available on Android devices

Limited to two hormone tests if you’re on birth control

Not available in New York or Rhode Island

Why we like Modern Fertility Hormone Test as best for customized testing

Most of the hormone fertility tests we reviewed included disclaimers that hormonal birth control will impact the results, but the Modern Fertility Hormone Test offers a helpful solution to that. Instead of delivering skewed results or requiring you to be off hormonal medications for months beforehand, the test adapts to your current situation.

This test can analyze between two and seven different hormone levels to help you understand your fertility health. If you’re taking hormonal birth control, you’ll receive results for Anti-Mullerian hormone (AMH) and TSH levels. This is the only test on the list that includes AMH, one of the most critical hormones for determining your ovarian reserve and how well you may respond to fertility medicine. ( 5 )

For those not currently taking birth control, the test will also evaluate FSH, estradiol (E2), prolactin (PRL), and LH. Moreover, if your TSH levels indicate the need for additional testing, you’ll be sent a second testing kit to learn more about your free thyroxine (fT4) levels. This is the most comprehensive hormone kit we evaluated, and it can potentially test up to seven hormones.

Another distinguishing factor of Modern Fertility is that you can perform the finger prick and retrieve your sample at home, with free return shipping to a CLIA-certified and CAP-approved lab. Or, you can head into a local Quest Diagnostics lab if you feel nervous about collecting the sample yourself or prefer to have a professional do it to ensure it’s done correctly.

Either way, you’ll receive your results three to seven days after the lab receives your sample. We found the report well-written and easy to understand as it describes whether your hormones are within the normal ranges and what abnormal results may mean for your fertility journey. Furthermore, you’ll have access to personalized reports to help you learn more about your fertility health based on your age, hormones, and additional information you provide in a health survey.

Ro continues to excel in the support category by offering a free online Modern Community where you can connect with others on a similar journey and have your questions answered by fertility experts. You can also attend free virtual events with fertility experts to learn about various reproductive health topics.

One area in which we would like to see more transparency is the company’s privacy policies. The website mentions it complies with relevant privacy laws, but it doesn’t state anything specifically regarding HIPAA compliance.

What our experts say

“Fertility testing is significantly affected by hormonal birth control since many of the commonly tested hormones are part of most hormonal contraceptives,” said Dr. Dhargalkar. “The Modern Fertility Hormone Test addresses this issue by measuring only those hormones that are not affected by birth control if you do have hormonal birth control. This allows you to remain on your birth control, which can be very helpful. I would highly recommend this test for women in this particular situation.”

“The product mentions offering testing for those on contraception; however, the two hormones tested for AMH and TSH are not impacted by hormonal birth control,” warns Dr. Dawoodbhoy. “These tests will only show marginal insight into your fertility. Providing an alternative lab option for blood collecting is favorable as at-home blood kits are painful and tiring procedures.”

What customers are saying

Positive Amazon reviews cite the ease of use and accuracy as two significant highlights of the Modern Fertility Hormone Test. It garners four stars overall with almost 400 reviews.

Ron is an Amazon customer who explained how simple it was to take the test and how informative the results were: “My husband and I have always wanted kids but have been waiting for a few job/life milestones to happen. We want to start trying soon, and it’s too early to see a doctor about anything, but I wanted to get a read on where my fertility stands. This test was super easy to order and came straight to my house. I could take the test at home following their directions, and it was much easier than getting a doctor’s appointment and going to a lab. The customer service was also responsive when I had questions about timing around my period and the test. Emails kept me updated on my test status, and I could see my results in my online account. I thought the visualizations and explanations were terrific. They went into much depth about ovarian reserve, egg freezing, even menopause, and some general health stuff. I especially liked that they explained a lot of the bigger-picture concepts so I could put my results in context. The test also comes with a webinar and nurse consult if we wanted to ask questions and get live answers, but honestly, I got so much information from the report it wasn’t necessary.”

“It’s super easy to use, and you get quick results. The results are very thorough, which is nice.”

Ashleigh, Amazon customer

Another Amazon customer emphasized the importance of reading the fine print to help you understand what tests will be run based on your birth control and menstrual cycle: “I wasn’t aware before purchasing that if you don’t have your menstrual cycle, you can only test two levels. You are supposed to do the test on the third day of your cycle. It’s good information; I wish I knew that only two tests would be valid.”

Specs

Price $179
Collection method Finger prick
Results in Three to seven days
Shipping Free
Hormones tested AMH, TSH, FSH, estradiol, fT4, PRL, LH
Platforms Online, mobile app

Best at-home fertility test for males: BeliBaby Men’s Fertility Test

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (7)

Best at-home fertility test for males

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (8)

BeliBaby Men’s Fertility Test provides insight into three key three hormones that can significantly impact men’s reproductive health.

Fortune Score:

4.5 / 5

Key product features

What you should know

The BeliBaby Men’s Fertility Test uses a small blood sample to analyze testosterone, FSH, and LH levels. The results generate a fertility score to help you understand your potential to conceive.

  • The at-home finger stick blood sample collection allows for quick, discreet testing.
  • The $149 cost can save money in the long run by reducing unnecessary testing if a problem is found with the male’s fertility.
  • The results provide insight into your potential to conceive and personalized recommendations to help optimize your fertility.
  • BeliBaby does not offer medical consults, so if you have questions or concerns about your results, you should contact your doctor.

Pros

Measures testosterone, FH, and LH levels

Learn your sperm potential and fertility score

Includes personalized insight to help improve fertility potential

Free shipping to you and back to the lab

Accepts HSA/FSA

Cons

Doesn’t include a full semen analysis

Doesn’t ship to Canada or anywhere else outside the U.S.

No option for a medical consult through BeliBaby to discuss the results

Why we like BeliBaby Men’s Fertility Test as best for males

BeliBaby Men’s Fertility offers a convenient, discreet option for male fertility testing without requiring a semen sample. With about one-third of cases caused by male reproductive issues and another one-third being a result of both male and female problems, infertility isn’t just a women’s problem . ( 6 ) For that reason, testing male reproductive health can be a critical part of the fertility journey. Collecting a semen sample at home or in a clinic can feel awkward or embarrassing for some, but that’s not needed with this test, which uses a blood sample instead.

The kit is delivered discreetly to your home with the few supplies you’ll need to collect your sample and mail it back. It requires a finger stick to gather a small blood sample that will be used to analyze critical hormone levels involved in male reproductive health. The instructions are clear and straightforward, but if you’re unsure about any part, we found multiple users who noted that the customer service team is incredibly helpful and knowledgeable.

After collecting your sample, you send it back to the lab in the prepaid envelope. The lab will receive your sample and, within a few days, provide you with results in your secure online portal. The test looks at testosterone, FSH, and LH levels to help gather insights about potential fertility issues and what may be impacting them.

These three hormone levels can provide vital information regarding men’s reproductive health. Low testosterone levels can correlate with a lower sperm count, low libido, and erectile dysfunction. ( 7 ) FSH and LH also have a direct connection to the amount of sperm a male produces and how healthy they are. ( 8 , 9 ) To help conceive successfully, a male must produce enough sperm, which also must be able to move and function properly. ( 10 )

While semen samples can provide valuable information regarding the amount and vitality of the semen, this test goes deeper into potential underlying issues that may be impacting those results. It gives additional health insight and personalized recommendations for lifestyle changes that may help optimize fertility.

One downfall to BeliBaby is that you don’t have the option to consult a medical provider if you have any questions or concerns about your results. Instead, you’re advised to consult with a medical professional on your own. Still, your test results will provide an excellent starting point as you begin those conversations.

What our experts say

“Endocrine testing can offer key insights into hormonal imbalances which can be a major contributor to infertility due to low sperm quantity, abnormal morphology, or other factors, “ according to Dr. Aneesha Dhargalkar, MD. “The three main hormones to test in men when evaluating for infertility are testosterone, FSH, and LH. Abnormal levels in any one or a combination of these hormones can be diagnositic for a variety of medical conditions that lead to fertility problems.”

She adds, “The BeliBaby’s Fertility testing kit evaluates these three hormones, but unfortunately does not provide a medical consult to dicuss your results. Therefore, it is essential that you connect with your medical provider to discuss the results of your tests and determine next steps regarding evaluation and treatment.”

What customers are saying

BeliBaby’s products are sold exclusively through its website, so we turned to Trustpilot to hear customers’ thoughts. Most of the reviews comment on the company’s popular prenatal supplements for men and women, but many customers also comment on their general positive experience with the company and its customer service team.

Trustpilot reviewer Zoraida says, “Beli has been a great company all around, yet to find an issue; great product, better service.”

“Beli is a great company to purchase from,” says another Trustpilot reviewer, Stephanie. “It is easy to order and if I ever have extra needs or questions they respond promptly and kindly.”

Rob B. is another customer happy with the buying process: “As an avid online shopper, the website was perfect for me. I got the description of the product fairly easily and was able to pay for it. The shipping happened a few hours after I made the purchase, so as of now, I am still waiting for the product. I feel comfortable with Beli.”

Most of the negative reviews focused on the supplement subscription process. Many people commented that it can be challenging to cancel before being charged for the next order.

Specs

Price $149
Collection method Finger prick
Results in A few days
Shipping Free
Hormones tested Testosterone, FH, LH
Platforms Online

Best at-home fertility test for PCOS: LetsGetChecked PCOS Test

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (13)

Best at-home fertility test for PCOS

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (14)

The LetsGetChecked PCOS Test is an at-home finger prick test that analyzes several hormones commonly linked to PCOS in women.

Fortune Score:

4.3 / 5

Key product features

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (15)

CLIA-certified Yes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (16)

FSA/HSA Accepted

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (17)

Clinical consult Included

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (18)

Mobile app iOS, Android

What you should know

Through blood and saliva samples, the LetsGetChecked PCOS Test provides significant information regarding seven hormones often associated with PCOS. A nurse consultation is included to help discuss abnormal results.

  • The results are fast, easy to understand, and provide additional information regarding the hormones tested.
  • At $139 per test kit, it’s one of the most affordable on our list.
  • If you suspect you may have PCOS, this test can be an excellent starting point to help you and your medical provider understand if additional testing is appropriate.
  • The test is not available in New York due to state restrictions.

Pros

Tests seven different hormone levels

Fast results in only two to five days

Includes AMH testing

CLIA-certified and CAP-accredited lab

Free nurse consultation for abnormal results

Cons

Cannot diagnose PCOS only through blood testing

NY residents cannot use the test due to state restrictions

Oral contraceptives and hormone replacement therapy can impact results

Why we like LetsGetChecked PCOS Test as best for PCOS

Polycystic ovarian syndrome (PCOS) is one of the most common causes of infertility in women, and the LetsGetChecked PCOS Test offers convenient at-home testing that can help you understand whether what you’re experiencing may be linked to this condition. ( 11 ) PCOS is a result of excess hormones produced by the ovaries, causing irregular menstrual cycles, missed periods, and unpredictable ovulation. ( 12 ) As one of the best at-home hormone tests , LetsGetChecked provides results for seven different hormones associated with the condition.

For this test, you’ll collect both blood and saliva samples. Like the Everlywell test, you must collect samples on specific cycle days (days three to seven). Because PCOS can significantly impact the regularity of your cycle, some women may find this more difficult. However, the instructions say taking the test anytime is okay, even if you don’t get your period. While you’ll likely need to follow up with your healthcare provider, taking this test first may save you time since you can bring the results to your appointment with helpful insight to start the discussion.

We love that this kit has a phlebotomy assistance device that helps make blood collection more effective. It can help ensure you get enough blood for the sample in as few finger pricks as possible. We also recommend following the directions closely, as they explicitly state that you need to collect the saliva sample first since a finger prick can impact cortisol levels. ( 13 ) Additionally, you must collect your sample on a weekday and ship it back the same day.

The prepaid shipping label and return packaging make it easy to send your results to the lab, which is CLIA-certified and CAP-accredited, ensuring it meets high standards for accuracy and testing processes. ( 14 ) Two to five days later, you can access your results through your patient dashboard online or in the mobile app.

We appreciated the intuitive design of the results. They were easy to understand and thoroughly explained the hormones tested and how they impact your health. Moreover, if you receive abnormal results, a nurse will call you to discuss them at no additional cost.

It’s critical to note that PCOS can’t be diagnosed through a blood test. Still, the results from this test can help inform your medical provider whether additional testing, like an ultrasound, may be appropriate.

You should also take into consideration that if you’ve used certain medications, like hormonal contraceptives or hormone replacement therapy (HRT), within the last three months, those can impact your results. You should consult your doctor before discontinuing any medications or to discuss other testing options.

Another concern is that LetsGetChecked doesn’t provide as clear information about its privacy policies as some competitors who explicitly state they’re HIPAA-compliant. Instead, the website simply mentions that measures are taken to keep your information secure and confidential, and your samples are disposed of after being analyzed.

What our experts say

“Polycystic ovarian syndrome (PCOS) is one of the most common causes of infertility in women,” said Dr. Dhargalkar. “It can take some time for this condition to be diagnosed, so the LetsGetChecked PCOS Test is a great way to kick start the diagnostic evaluation. After testing seven different blood and salivary hormones at different points in your menstrual cycle, your results will provide an accurate assessment of your likelihood of having PCOS. When given to your medical provider, these results can then be used to move to the next step in your diagnostic evaluation.

Dr. Dawoodbhoy notes: “PCOS is a condition that has specific diagnostic criteria. Yes, a blood test is one part of that diagnosis, but it is unclear what this PCOS test screening is for. In PCOS, we look for elevated levels of androgens in the blood, like testosterone, and low levels of sex hormone-binding globulin, which might indicate insulin resistance in the future. A PCOS diagnosis also needs an ultrasound and a medical consultation, so I would recommend against just using an at-home testing kit and going straight to an OBGYN if you have concerns about your gynecological health. They will likely retake blood samples for accuracy, which may render this a wasted expense.”

What customers are saying

LetsGetChecked is a highly rated company on Trustpilot, earning a Trust Score of 4.6 stars with over 18,000 reviews. However, the Amazon ratings for the PCOS test are mixed, with an overall rating of only 3.3 stars after 33 reviews.

“Easy to do, well-written instructions, and fast turnaround! I’ve used other at-home kits, and those companies could take weeks to acknowledge anything, and I’d have to follow up to ask about results. LGC texted me every step of the way. I definitely recommend it!”

Laura, Trustpilot reviewer

“This is my second purchase, and both times have been a great experience,” says Trustpilot reviewer Greg. “It’s an easy, flawless process with a quick turnaround time on results. I highly recommend it!”

In the negative reviews on Amazon, some customers note that the blood collection process is challenging due to the amount of blood required. Others found it difficult to plan for the test based on the specific timing for collecting and returning samples.

For example, Amazon reviewer “RAD” explains, “I procrastinated on doing this for some time. The instructions seem tedious when you get them. I read them over half a dozen times. Then, I forgot each morning to do it. Then, I had to plan a day to get this quickly to UPS. Weeks passed, and I finally remembered to do it and got it sent in. The results were pretty detailed—easy to read and understand. It was worth it in the end. I advise avoiding getting overwhelmed by the instructions and planning ahead.”

Specs

Price $139
Collection method Finger prick, saliva
Results in Two to five days
Shipping Free
Hormones tested Testosterone, SHBG, FAI, FSH, LH, cortisol, AMH
Platforms Website, mobile app

Best at-home fertility test for ovulation tracking: Mira Hormone Monitor

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (19)

Best at-home fertility test for ovulation tracking

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (20)

The Mira Hormone Monitor analyzes E3G and LH levels throughout your cycle to help accurately pinpoint your 6-day fertile window.

Fortune Score:

4.5 / 5

Key product features

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (21)

Subscription Available

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (22)

FDA cleared Yes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (23)

Results time 21 minutes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (24)

Mobile app iOS, Android

What you should know

The Mira Hormone Monitor is a digital fertility monitoring device that tracks your full menstrual cycle, including your most fertile window, through at-home urine sample testing. The mobile app provides detailed information about your cycle and hormone patterns.

  • It tests E3G alongside LH to help increase the accuracy of predicting your fertile window.
  • Initially, you’ll pay $199 for the whole kit, but you can order 20 test wand refills for $64.99 for continued testing through future menstrual cycles.
  • You can still get accurate results even if you have an irregular menstrual cycle or PCOS.
  • Results automatically sync to the Mira app, where AI analyzes them to provide helpful insight into your cycles.

Pros

It analyzes E3G and LH throughout your menstrual cycle

Subscriptions are available for discounted test wand refills

Compatible with PCOS and irregular periods

Available to ship worldwide

Offers access to the Mira community

Cons

At $199, it’s more expensive than basic OPKs

The basic kit doesn’t test for ovulation confirmation

Fertility consultations cost an extra $95 per visit

Why we like Mira Hormone Monitor as best for ovulation tracking

With its simple but thorough testing process and more detailed results, we found the Mira Hormone Monitor eclipsed all other competitors in the ovulation tracking category. Because it can significantly increase a woman’s chances of becoming pregnant, tracking ovulation is a vital part of the fertility journey for many who are trying to conceive. ( 15 ) A high-quality hormone kit like this one can make all the difference by offering accurate, easy-to-understand, and actionable results.

Throughout my infertility journey, I tried various OPKs, which only provided results in lines or symbols, like smiley faces, which could be challenging to interpret at times. I found the Mira Monitor provided considerably clearer results by showing actual numbers indicating the hormone levels. Additionally, it adds estradiol metabolite (E3G) into the equation, while many other kits only measure LH levels to help predict your fertile window. Research shows that testing these two hormones together throughout the menstrual cycle increases the conception rate. ( 16 )

The testing process is similar to traditional OPKs. You collect a urine sample in a testing cup and dip the testing wand in it for 10 to 20 seconds. Then, you insert the wand into the Mira Monitor, and your results will be displayed on the monitor screen within 21 minutes. If you’ve downloaded the free Mira app, they’ll also automatically sync to the app and be analyzed by AI to help you learn more about your cycles as you continue to test. This can be particularly beneficial for those with irregular cycles or PCOS, who typically have a more challenging time predicting menstrual cycles and ovulation.

The app’s helpful graphs, charts, and additional information are a bonus. They make it easier to visualize hormone trends and understand what’s happening throughout your cycle. Moreover, Mira has Hormone Health Coaches available to talk to about factors influencing your fertility and lifestyle changes that can help improve your chances of getting pregnant. Each 45-minute session costs $95, or you can buy a three-session bundle for $259.

Mira’s basic Hormone Monitor kit costs $199, which includes enough test wands for 10 tests. If you need to continue testing, you can use the same monitor and simply order test wand refills for $64.99 for 20 wands. If you anticipate testing longer term, you may consider opting into a prescription for easier order refills and supply discounts.

Additionally, Mira offers various kit options. If you prefer a kit with ovulation confirmation, you can upgrade to the Max Kit for $229, which also measures PdG levels. The Clarity Kit, for $259, takes it one step further by adding FSH into the testing process, which is recommended for users 35 years and older

What our experts say

“For those with PCOS or irregular periods, the Mira Hormone Monitor is one of the best tests out there for tracking your fertility window,” says Dr. Dhargalkar. “This kit tests estradiol and LH, two hormones that surge during this window. By tracking these hormones daily for a minimum of 10 days, you can test for additional days for a more complete picture of your fertility, and you will be able to determine when your body is at peak fertility accurately. The quantitative results appeal to the scientist in me – I like seeing data trends in numerical format, and this test does that for you. ”

Dr. Dawoodbhoy says, “Tracking ovulation is a key part of increasing the likelihood of pregnancy. Using an easy at-home urine stick that syncs to an app allows for easy visualization of trends and identification of when ovulation has likely occurred. Incorporating AI into the product gives you better insight into your cycles, especially for those who do not have regular cycles. I like the option to speak to a health coach to learn more about the lifestyle factors that can boost fertility naturally. The refill model means there is less overall cost, and the different tier upgrades allow you to tailor your testing to your needs.”

What customers are saying

Although the basic Mira Hormone Monitor has only 20 reviews on Amazon, it still earns four stars overall for its accuracy and detailed information.

“We used this for three months and now have a 3-month-old baby. It was so much more accurate than any period tracking app on my phone.”

”Amazon12,” Amazon customer

Throughout the few negative reviews, we found those users mentioned the results can be difficult to understand. They also noted how expensive the refill test wands are.

Specs

Price $199
Collection method Urine
Results in 21 minutes
Shipping Free
Hormones tested E3G, LH
Platforms Online, mobile app

Best at-home fertility test for females: Proov Complete Testing System

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (25)

Best at-home fertility test for females

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (26)

The Proov Complete Testing System tracks four key hormones to help you discover your most fertile window while trying to conceive.

Fortune Score:

4.8 / 5

Key product features

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (27)

Results time 10 minutes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (28)

FSA/HSA Accepted

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (29)

Mobile app iOS, Android

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (30)

Ovulation confirmation Yes

What you should know

The Proov Complete Testing System offers detailed insight into key hormones throughout your menstrual cycle to help you understand the best time to try to conceive. Additionally, it tests for critical markers that can verify successful ovulation.

  • You complete the test at home without sending any samples to a lab.
  • This test provides incredible value for your money with comprehensive results at a lower price—$99.99—than all competitors on this list.
  • This test can help women currently trying to conceive or plan to understand their most fertile window in the near future.
  • To use this test, you must have a mobile device compatible with the Proov app.

Pros

99% accuracy

Includes ovulation confirmation

Completely at-home, no need to mail samples into a lab

No finger stick

Most affordable test on the list

Cons

Results not verified by a lab

PCOS and hormonal birth control can affect the results

Cost can add up if you need to use it long-term

Why we like Proov Complete Testing System as best for females

The Proov Complete Testing System goes beyond simply testing your fertile window by confirming ovulation and providing insight into your ovarian reserve. This non-invasive test doesn’t require a finger stick or sending samples back to a lab. Instead, it uses a morning urine sample to provide results for four hormone levels: FSH, E1G (an estrogen marker), LH, and pregnanediol glucuronide (PdG).

When you receive your kit, you’ll have everything you need for one complete testing cycle, which includes 20 tests. In the early days of your cycle, you’ll be prompted to test your FSH levels three times, which helps identify if you’re producing good-quality eggs for fertilization. ( 17 ) These tests stay consistent regardless of your cycle length.

However, the rest of the tests will be customized to your unique cycle to ensure you get the best results. The app will tell you when it’s time to start daily testing to help determine your most fertile window, which can be up to six days long, so you know the best time to try to conceive. Testing will continue after that window to measure progesterone markers (PdG) that will confirm whether you ovulated.

This characteristic stood out most to me after having a long personal history of difficulties ovulating and using basic ovulation prediction kits (OPKs) that only identified the fertile window and nothing more. Knowing that ovulation was successful and your body released enough progesterone to support implantation can be incredibly valuable information when trying to conceive. Furthermore, Proov provides a full cycle analysis when testing is complete to help you understand the complete picture of all the hormones working together in your body.

Before starting this testing, you must download the Proov Insight app. While we found the app intuitive and user-friendly, it’s worth noting that it’s not compatible with all devices. Many popular devices will work, including iPhones running on iOS 10 or above, and select Android models running on Android 10 and above. Still, you should verify your device before buying the kit since it won’t work without the app.

To wrap it up with one more highlight, we love that Proov addresses both sides of the fertility coin by offering male testing kits. You can create a “His & Hers” bundle by buying both kits together to save money.

What our experts say

“What makes the Proov Complete Testing System so unique is its ability to test a progesterone hormone marker,” said Dr. Aneesha Dhargalkar, MD. “Progesterone peaks at the end of your cycle during the implantation window. Therefore, testing this hormone allows us to confirm successful ovulation and evaluate the likelihood of a successful implantation. Not having to send your sample to an outside lab allows you to see your testing results immediately, which can be very helpful when trying to conceive. This company also provides male testing kits. As we will discuss later on, male fertility testing is an essential component for any couple trying to conceive.”

“When it comes to trying to conceive, timing sexual activity around the ovulation window is key to improve chances for conception,” said Dr. Dawoodbhoy. “This is not to say it will guarantee pregnancy, but it definitely boosts the likelihood (considering no other fertility issues). So, using this test to track ovulation is helpful, and getting daily reminders from the app makes tracking easier as life can get in the way and makes it easy to forget. It is unclear how the app measures ovarian reserve with those urine markers, as this is usually measured with anti-Mullerian hormone (AMH). Still, there has also been evidence that the AMH levels are not quite a clear indicator for ovarian reserve.”

What customers are saying

Many Amazon customers praise the Proov Complete Testing System. With 78 reviews, it earns four stars overall.

Alyssa S. says, “It’s a fantastic product! It’s super easy to use. The app prompts and notifies you when to test each day. It’s amazing getting to understand my ovarian reserve and see my fertile window to know when is the best time to start trying for our miracle baby. Seeing my results each day and confirming successful ovulation to ensure I’m ovulating from the comfort of my home without going to the doctor has been amazing. I now better understand how to track pregnancy, and it’s such a great value for the money! Highly recommend!”

Another Amazon customer, Rachel M., enjoys the convenience and cost-effective way to gain information on their fertility journey.

“Proov Complete Kit is super easy to use with easy-to-understand instructions! We’ve been trying to conceive for two years after a loss, and I wanted to know more about my hormones without paying an arm and a leg for blood draws that my insurance may not even cover. The convenience of doing it at home, uploading my results into the Proov app, seeing my values in real-time, and taking my reports to my provider is amazing and gives me peace of mind.”

Rachel M., Amazon customer

Some reviewers who left negative reviews commented on how challenging it can be to capture an acceptable photo of the testing strip for the app to read and record the results.

Specs

Price $99.99
Collection method Urine
Results in 10 minutes
Shipping Free
Hormones tested FSH, E1G, LH-beta, PdG
Platforms Online, mobile app

Best wearable at-home fertility test: Ava Bracelet

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (31)

Best wearable at-home fertility test

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (32)

The Ava Bracelet is the ultimate noninvasive fertility tracker, offering insight through a device worn on the wrist while you sleep.

Fortune Score:

4.3 / 5

Key product features

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (33)

Mobile app iOS, Android

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (34)

FDA cleared Yes

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (35)

Pregnancy tracking Included

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (36)

FSA/HSA Accepted

What you should know

The Ava Bracelet is worn on your wrist while you sleep to collect vital physiological data that can help predict your fertile window. If you conceive, the Ava app becomes a pregnancy tracker, providing information weekly for nine months.

  • This device requires no blood, urine, or saliva samples to track your menstrual cycle and predict fertility.
  • The device costs $279 at full price, but Ava frequently offers discount codes, such as $40 off.
  • To use the Ava Bracelet, you must have a cycle length between 24 to 35 days and not have an implanted device, like a pacemaker.
  • If you don’t become pregnant within 12 months of wearing the device, you can return it for a full refund.

Pros

Real-time fertility tracking

You don’t need to collect any samples

Identifies the five most fertile days

FDA-cleared

Get a full refund if you don’t conceive within 12 months

Cons

You can’t use it if you have an implantable device, like a pacemaker

It’s not waterproof or water-resistant

Your cycle must be between 24 to 35 days to use it

Why we like Ava Bracelet as best wearable

The Ava Bracelet offers convenient, noninvasive fertility tracking by recording five physiological signals while you sleep. This may be an excellent option if you don’t want to deal with blood, urine, or saliva samples. As the first and only FDA-cleared wearable fertility tracker, we feel confident in its effectiveness.

While the Ava Bracelet has shown positive results in various published clinical studies, additional testing is beginning to emerge regarding the overall effectiveness of wearable devices. Early evidence shows promise, with most devices accurately detecting the fertile window, menstrual cycle phases, and menstruation. ( 18 )

It’s arguably the most effortless fertility tracking process of all the tests we reviewed for this roundup. You simply slip the bracelet on before you head to bed, and the device does all the work while you sleep. It tracks heart rate, temperature, breathing rate, sleep, and heart rate variability, which mark hormone changes related to your menstrual cycle. This allows it to predict your five most fertile days, indicating a higher likelihood of conceiving during that time, in each cycle accurately. Additionally, it shows you sleep data, stress indicators, and resting pulse rate to help you gain an even clearer picture of your health.

When you wake up, you sync the bracelet with the app to see your results. The Ava app is free to download and includes charts, graphs, and additional information about your cycle and monthly trends. You’ll need to wear the bracelet consistently to get the most accurate results, and it may take a few months to see a full picture of your hormones and other fertility factors.

You only have to wear the bracelet at night, but you can also wear it during the day if you want. However, it has a 12-hour battery life, so you’ll want to ensure it’s fully charged before drifting off to sleep.

If you get pregnant, you can continue to use the Ava Fertility app to track your pregnancy progress. You can track your weight, mood, symptoms, daily activity, and more. Additionally, you’ll receive weekly content about what to expect throughout pregnancy.

While Ava strongly backs the effectiveness of its product, we appreciate that it recognizes pregnancy may not happen for every user by offering a money-back guarantee. If you purchase the Ava Plus bundle for $309 and don’t become pregnant after using the device continuously for one year, you can return it for a full refund.

Remember that this device has some limitations regarding who it’s suitable for. Your menstrual cycle must fall between 24 and 35 days long. You also can’t use the Ava Bracelet if you have an implantable device, such as a pacemaker.

What our experts say

“Fertility is not just related to specific hormone levels in your blood, urine, or saliva,” said Dr. Aneesha Dhargalkar. “Specific physiologic factors, including temperature, pulse, respiratory rate, sleep, and stress, play an integral role in your ability to conceive. The Ava Bracelet is the only FDA-approved wearable at-home device that evaluates all the above-listed metrics while you sleep. You can track these metrics over time when you sync your device to your AvaFertility app the next morning.”

“Ovulation can be tracked using the physiological sign of an increased basal body temperature,” notes Dr. Dawoodbhoy. “Some studies have shown that heart rate does increase by 2-3 beats per minute during your fertile window. Since this is an FDA-approved product and there have been trials proving its efficacy, it must produce valid results. Its benefit would be the lack of specimen testing with blood or urine, which means this can be incorporated easily into your day-to-day life. Limiting the use of the product in people with specific cycle lengths is important as those with irregular cycles likely have an underlying condition that needs some medical input.”

Check out our roundup of the best fertility apps to see additional app options.

What customers are saying

The Ava Bracelet has been reviewed over 2,000 times on Trustpilot, with an overall rating of 3.3 stars. Many reviewers say they’re more in tune with their body and menstrual cycle than ever before, leading to many successful pregnancies.

“I love the Ava bracelet. I’ve successfully gotten pregnant twice using it! I have also never understood my cycle as well as I do now that I have tracked it and read all of the interesting articles Ava provides describing what is happening in my body. I feel empowered and successful, which is amazing. Thank you!”

Libby, Trustpilot reviewer

“I have been using Ava since 2021, and it has helped me understand and keep track of my cycle and has helped me get pregnant twice,” writes Leanne M. in their Trustpilot review. “It is very easy, and when used correctly and consistently, it begins to know your body very well. I would 100% recommend Ava to anyone who is just tracking their cycle or trying to get pregnant. I think it is worth it.”

Many reviews with lower star ratings mention issues with the band quality, which breaks often for some users. Ava sells replacement brands, but frequently buying new ones can significantly drive up the cost.

In their Trustpilot review, Benita D. describes the issue: “I love everything about the Ava bracelet except for the band, which keeps breaking. I would love a more robust band. The rubber is too soft, and it snaps after continual use.”

Specs

Price $279
Collection method Wearable device
Results in Instantly
Shipping Free
Hormones tested N/A
Platforms Online, mobile app

Our at-home testing methodology

Every Fortune Recommends™ at-home testing review is based on real data and insights from hands-on product testing. We ensure all claims made throughout are supported by clinical research and evaluated by healthcare professionals. Additionally, our team of board-certified physicians and registered nurses reviews and fact-checks all information provided. You can read our full at-home testing methodology here.

Testing criteria

Accuracy and reliability—40%

Accurate test results are the most important element of at-home testing kits, as they form the basis for the user’s health decisions. Whether you’re exploring your genetic background, tracking fertility cycles, or identifying food sensitivities, the integrity of the data provided by these tests is crucial. Reliable results help users confidently make informed decisions for personal health management or discussions with their healthcare provider.

Here’s what we look for:

  • Measurement precision
  • Consistency
  • Environmental influence
  • Sample integrity
  • Lab standards
Ease of use and accessibility—30%

The ease of use and accessibility of at-home testing kits determine how effectively individuals can utilize these products. A testing kit may offer the most advanced technology and accurate results, but its benefits are significantly diminished if it is not user-friendly. Ensuring that these kits are accessible and easy to use empowers a broad range of users, including those who may not have prior experience with medical testing or technology. This enhances the likelihood of correct usage, accurate sample collection, and reliable results, ultimately improving the overall experience and satisfaction. We evaluate:

  • Instruction clarity
  • Sample collection process
  • Online platform usability
  • Support resources
  • Accessibility features
Value—20%

Evaluating the value of at-home testing kits is critical, encompassing the initial purchase price, long-term financial implications, and overall cost-effectiveness. A high-value kit delivers reliable results without imposing excessive costs over time, so users can receive meaningful health benefits for their investment.

We evaluate:

  • Cost of the kit
  • Insurance coverage
  • Long-term cost analysis
  • Warranty
Customer experience—10%

A positive customer experience helps users feel supported, informed, and satisfied at every stage of their interaction with the kit. This category considers multiple touchpoints, including customer service, delivery and packaging, user feedback, and return policies. By prioritizing customer experience, we aim to recommend products that not only meet technical and performance standards but also provide a seamless and supportive user experience.

Our factors in this rating include:

  • Customer service
  • Delivery and packaging
  • User feedback and reviews
  • Return policy

How to choose the best at-home fertility test

At-home fertility tests can vary greatly, so you should consider several factors when deciding which kit is best for you, including what you want to test for and how you prefer to perform the tests.

Hormones tested

The most critical factor to consider is what you want to test for. You want to ensure the test you choose provides valuable, relevant information for your fertility journey. Estradiol and LH can be vital hormones for tracking ovulation and predicting your fertile window, while PdG can confirm that ovulation occurred. If you’re concerned about your ovarian reserve, you should consider a test that includes FSH or AMH levels. Some tests may also include TSH, testosterone, cortisol, and other hormones that can impact reproductive health.

Collection method

For many, how the test is performed is another equally important component to weigh. Because you’re producing your samples, you’ll want to feel comfortable with the collection method used in your chosen test. If you’re squeamish around needles, you may avoid tests that require a blood test, opting for urine or saliva samples instead. Furthermore, emerging wearable devices may be the best option if you prefer a noninvasive process.

Cost

The cost of fertility testing and treatment can add up quickly, and because some of these services aren’t covered by insurance, many people have to pay out of pocket. Remember that the best test for you will also fit nicely into your budget. Be sure to consider whether it’ll be a one-time test or one that you expect to repeat.

Accuracy

While many companies will state a high accuracy rate on their website and products, you can also look for additional clues. For tests that involve sending a sample to a lab, CLIA certification ensures the lab meets high standards for reliability and accuracy. Every test on our list meets this criteria. Some labs also earn CAP accreditation, a voluntary certification that requires even more specific quality standards.

Result time

Timing can be everything when you’re planning your family. Some tests provide results instantly, while others can take up to a week or more. Consider how quickly you want to receive your results before choosing your test. Moreover, it can help to read user reviews since many will comment on the time it took to receive theirs.

How do at-home fertility tests work?

At-home fertility tests can provide valuable information about various aspects of your reproductive health. You’ll find many different tests that each analyze different variables involved in the fertility process.

Hormone tests

Hormones play a vital role in fertility and reproductive health, so many at-home tests analyze multiple key hormone levels to help you understand whether they’re within normal ranges. We’ll look at some of the most common ones included in at-home tests.

  • FSH: Follicle-stimulating hormone triggers egg growth and readies them for ovulation. Testing these levels often requires one or two blood draws in the early days of your cycle—usually between days three and five. Abnormal FSH levels can help medical providers identify critical factors that impact fertility, such as ovarian reserve, PCOS, menopause, thyroid diseases, and problems with the pituitary gland. ( 8 )
  • Estradiol: This is the primary form of estrogen in females during their reproductive years and is essential for regulating ovulation. ( 19 ) It’s usually tested via a blood sample alongside FSH on day two or three of your cycle. Irregular baseline levels of estrogen can indicate problems with menstruation or potential ovarian failure. ( 20 ) Other tests may use urine samples to test levels of a metabolite of estradiol (E3G), which increases leading up to ovulation and can help predict your fertile window.
  • LH: Luteinizing hormone levels can be collected through blood or urine samples. An LH surge causes your ovary to release an egg, so test kits use this hormone level to indicate when you’re ovulating and most likely to get pregnant. ( 21 )
  • PdG: Measured through a urine sample, pregnanediol glucuronide is used to confirm ovulation, which is essential when evaluating fertility. Even if you see increases in estrogen and LH that indicate ovulation is likely, it doesn’t mean it always happens successfully. Measuring PdG later in your cycle can confirm ovulation. ( 22 )
  • TSH: Thyroid-stimulating hormone plays a significant role in achieving a successful pregnancy. ( 23 ) Irregular TSH levels can interfere with ovulation, increase the risk of early miscarriage, and be linked with unexplained infertility. ( 24 , 25 )
  • AMH: Testing for anti-Mullerian hormone can strongly indicate ovarian reserve or the number of healthy, immature eggs you have left that can potentially ovulate. ( 26 ) You can test AMH through a blood sample at any point during your cycle. While AMH levels naturally decline as you age, damage to the ovaries can also diminish ovarian reserve.

Many of these are collected through blood, urine, or saliva samples, and the testing kits come with everything you need to produce your samples. Blood and saliva samples must be sent to a lab to be analyzed. In contrast, you can often see urine sample results within minutes at home.

Every test we evaluated allows you to download your test results to share them with your medical provider. Some online platforms also have healthcare providers and fertility specialists available for telehealth visits so you can discuss your results and potential next steps.

Ovulation tracking

Most ovulation tracking tests are also based on fluctuating hormone levels. While some tests use blood samples, the most common ovulation predictor kits use urine samples. The instructions will indicate which day you should begin daily testing, depending on your average cycle length. LH is the most common hormone measured since rising levels can indicate you’re approaching ovulation. Some tests include additional hormone levels, like estrogen, PdG, or estrogen, to help increase accuracy and provide further information.

Wearable devices are also beginning to emerge in the ovulation tracking category. They are often worn on the wrist, like the Ava Bracelet, and can track your menstrual cycle through physiological changes associated with fluctuating hormones.

Semen analysis

Male infertility can be a significant factor for couples who are experiencing difficulties conceiving. It can be caused by low sperm production, abnormal sperm function, or blockages that inhibit sperm delivery. ( 10 ) For some men, there aren’t any obvious signs that a problem may be occurring, so a semen analysis can help identify any underlying issues. At-home tests require you to provide a sample in a sterile cup, which is then returned to a lab to be analyzed. The results can provide information on the quantity and quality of sperm.

It’s critical to remember that at-home fertility tests cannot diagnose or treat any conditions, and they’re not meant to substitute medical advice from a healthcare professional. However, they can be valuable tools for helping you make informed decisions about the next best steps in your fertility journey.

Benefits of home fertility tests

Home fertility tests can be an excellent way to explore factors that may impact your ability to conceive. While they can’t substitute for medical advice from a healthcare professional, they can provide valuable insights you can share with your provider as you discuss your fertility.

Convenience

These tests offer the comfort and convenience of doing everything in your home. You don’t have to worry about waiting for doctor appointments or making multiple stops at the clinic and lab. Everything is delivered to your door; if it requires a lab, you simply send your sample back via mail.

Cost

At-home tests can often be a more affordable option than in-clinic tests. Because fertility tests and treatments aren’t widely covered by insurance, the cost of doctor’s visits, lab tests, and procedures can build up fast. Home fertility tests can help reduce the financial burden with all options on our list ranging from under $100 to $300.

Discretion

Fertility health and your plans to start a family or not can feel like a very personal matter. You may not be ready to discuss that with your medical team yet. The privacy offered by at-home testing means you can keep it to yourself until you’re comfortable sharing it.

Empowerment

As you gain more knowledge about your fertility health, you may feel more control over your journey and empowered to take proactive steps. Additionally, getting to know your body better can help you feel greater confidence in it and your ability to conceive.

Are home fertility tests accurate?

When performing medical tests at home, accuracy always comes into question. Many at-home testing companies claim high accuracy percentages, and studies indicated that the collection methods used for blood, urine, and semen samples can provide accurate results. ( 27 , 28 ) However, testing reliability can vary significantly from one test to another. You should look for FDA-approved tests and those analyzed in CLIA-certified labs to help ensure the processes used meet high quality and accuracy standards.

You must also remember that how you collect a sample can be critical to its accuracy. A trained professional helps collect your sample in a clinic or lab setting, ensuring proper technique. At home, you’re responsible for ensuring proper collection and handling of each sample, which can leave a lot of room for error.

Additionally, regardless of their accuracy, these tests cannot be used to diagnose conditions or identify causes of fertility problems. They can be an excellent starting point for collecting information. Still, you’ll be able to get a better picture of your reproductive health by visiting a healthcare professional, where you may need to undergo additional testing or procedures.

FAQs

When should you take a fertility test?

You can take a fertility test at any time to help learn more about your reproductive health. However, it can be especially beneficial for those actively trying to get pregnant or who plan to start trying soon. These tests can provide information about hormone levels and be used to help predict ovulation for timed intercourse. Once you’ve received a testing kit, the actual timing of the test will vary depending on how you’re testing and what you’re testing for. You should follow the product instructions carefully to ensure you perform the test correctly.

Are fertility tests worth it?

At-home fertility tests can offer convenience, affordability, and privacy as you embark on your fertility journey. They can help you properly time intercourse to increase your chances of conceiving and provide information regarding critical reproductive hormones. However, they can’t guarantee you get pregnant or diagnose medical conditions. Inaccurate results may also lead to unnecessary stress. Fertility tests performed in a medical office can produce a more comprehensive and reliable look into your health.

When should you see a doctor for fertility?

Experts generally recommend scheduling a visit with your doctor if you’ve been trying to conceive for at least a year (or six months if you’re over 35) and haven’t been able to. ( 29 ) However, you may consider consulting a medical provider sooner if you’re over the age of 40 or have irregular or absent menstrual cycles, a history of endometriosis, PCOS, or another known reproductive issue. ( 30 ) Those who have experienced multiple miscarriages should also seek help. For men, you should see a provider if you have erectile or ejaculatory problems, receive abnormal semen analysis results, or need to reverse a vasectomy. ( 29 )

Our experts

Aneesha Dhargalkar, MD

Dr. Aneesha Dhargalkar is a freelance medical writer and board-certified emergency medicine physician currently practicing in West Chester, PA. She graduated cum laude from John Hopkins University in 2002 and from Jefferson Medical College in 2006. Dr. Dhargalkar is the director of her hospital’s wellness provider program and sits on the executive board of both the Chester County Suicide Prevention Task Force and the Unionville Chadds Ford School District Education Foundation.

Dr. Fatema Dawoodbhoy, MBBS, BSc

Dr. Dawoodbhoy MBBS BSc (she/her) is an Academic Doctor working in London with a keen interest in Obstetrics & Gynaecology. She is a double graduate from Imperial College London with an MBBS and a BSc in Business Management (First Class Honours).

Heather Morsellino

Heather Morsellino is a fact-checker and healthcare writer with over four years of experience working in healthcare. She has worked as a pharmacy technician, emergency room medical scribe, an anesthesia technician, and is finishing up her ADN within the next year.

The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (37)

Corey Jungwirth, NBHWC

Fortune Recommends Staff Writer

About Author

Corey Jungwirth is a National Board Certified Health & Wellness Coach with over 11 years of experience working in health and wellness. Additionally, she has earned certifications as a Behavioral Health Coach and Lifestyle Medicine Coach. For over five years, Corey has enjoyed combining her wellness knowledge with her passion for writing. When she’s not writing about it, Corey enjoys engaging in her own health by running, taking Peloton classes, and playing soccer and volleyball. She also enjoys spending time with her family, reading, and being outdoors as often as possible. Corey lives in a cozy home in the woods in Wisconsin with her two kids, husband, and dog, Kona.

References
The 7 best at-home fertility tests, reviewed by medical experts | Fortune Recommends Health (2024)
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