Best At-Home Sperm Test

Legacy was founded in 2018 by Khaled Kteily, who sought to create a more discreet semen collection service after poor personal experiences in traditional fertility clinics. His company offers at-home semen test kits and a cryogenic freezing service that is designed to offer its users discretion, convenience, and comprehensive results. And with the Legacy “For Tomorrow” kit, users can collect their semen samples at home and then send them off to a certified lab for testing and (if desired) cryogenic freezing and storage. Sperm freezing can be particularly useful because men's fertility and sperm health decline with age.

Your results will include analysis of how many sperm you’re producing, how concentrated your sperm are each time you ejaculate, whether the sperm are normally shaped, concentration, and how well they can move around—five key factors of sperm health assessed by fertility doctors. We also like that Legacy offers consultations with fertility experts to help you interpret your results and figure out what your next steps should be.  

All information collected by legacy is confidential and HIPAA-compliant. The test results provide detailed information regarding semen volume, sperm concentration, sperm morphology and motility. Additionally, names are not required and users can be assigned a client ID instead. Legacy uses Halosperm testing technology, which is widely used in the fertility industry. Scientists validated that the method still works well with shipped sperm samples, a stamp of approval that we love to see. But, a word of advice to ensure precise results, from nurse and industry expert Lindsay Modglin: “Use the kit within seven days, abstain from ejaculating up to five days prior, wash hands and genitals before use. User error can affect the accuracy of the test results.”   

This test kit costs $295 and includes comprehensive semen testing and analysis of five key markers: sperm motility and concentration, semen volume, sperm morphology, and total sperm count.

Labcorp’s Men’s Rapid Fertility test allows the user to collect and get a quick semen analysis in minutes, without ever leaving home. The kit measures sperm count and concentration—how many sperm are in an ejaculate, and how densely sperm are packed in a milliliter of semen. The test’s easy-to-read end results make this test a fantastic option for someone wanting to monitor their sperm count on a regular basis; refills are $99. Each kit comes with two vessels so that you can measure any progress and analyze any lifestyle changes and their effect on their sperm count. 

We love that this test is FDA-approved and very easily accessible. However, sperm concentration and semen volume are only two factors that could impact your fertility status. For a complete assessment of your reproductive health, it’s best to consult your physician for s comprehensive fertility panel. The Men’s Rapid Fertility test costs $199. For those wanting to regularly test, refills are $99.

Fellow’s fertility kits’ users praise its ease, comfort, and accuracy. Unlike many testing companies, Fellow owns and operates a CLIA-certified lab (the testing industry’s gold standard). Its semen analysis kits provide comprehensive results on six important fertility markers. It measures semen volume, sperm volume and semen concentration—how much semen you produce, how many sperm are in your semen, and how densely they are packed in a single milliliter, all of which offer an insight into the odds of a sperm reaching an egg. It also analyzes the motility and motile count, figures that tell you how well your sperm swim, and how many of the sperm found in your sample are moving around. And, the test assesses the morphology, or shape, of your sperm, which is a good indicator of whether they are healthy and capable of fertilizing an egg once they reach it.   

While it offers complex insights, the process of semen testing with Fellow is simple and straightforward. Each kit includes a semen sample container, a vial of preservation solution, instructions for use, a temperature sensor, a gel pack, and prepaid return shipping information. A few days after you mail in your sample, results will be available on the Fellow app. Not only is testing with Fellow easy, but the company has gone to great lengths to prove its accuracy and dedication to privacy. “Fellow openly claims they'll never share or sell user data,” says Modglin. “It also claims to destroy testing samples immediately after analysis. Data is stored in an encrypted database and a physician approves all results. The company is peer-reviewed, meaning it's been evaluated for accuracy and efficacy.” 

If sperm cryopreservation is something you are interested in, that is available as well, for $140 a year. It can be an add-on to the sperm analysis test, which costs $189. If you choose cryopreservation, in addition to the test, you will receive three vials that will be preserved by Fellow until you are ready to conceive. 

MyLAB Box offers accessible and accurate at-home fertility testing kits, including its $89 At-Home Male Fertility Test. The results will give you a clear picture of your current sperm count, sperm quality, and motility. Each test kit includes a testing device, two semen analysis test kits, semen collection cups, fertility improvement apps, and user instructions. MyLAB Box recommends testing twice to get an accurate baseline.  

The myLAB Box app will show results of your test two to five days from sample receipt, and as part of the home sperm test, you’ll receive a recorded video of your sample under a microscope, so you can see for yourself how concentrated your sperm are, how their shapes vary, and how well they move around. The feature is popular with users, who found it a helpful way to visualize what their sperm test results mean. The video will be available on the app for download or sharing with doctors or your partner and offers a clear visual reference to complement your motile sperm concentration and score results. 

While these results may be a good starting point in your fertility journey and offer some helpful visual aids, “according to fine print found on the company's website, tests are meant to educate and provide guidance, not diagnose infertility,” cautions Modglin. “Testing shouldn't replace an in-person evaluation from a healthcare provider.”

Proov was founded by scientist Amy Beckley, PhD. She created the company after years of infertility and seven miscarriages. She used her own experience, coupled it with her professional expertise, and started a company to help others with similar struggles. 

The Hers and His fertility starter testing kit is unique in that it offers both male and female fertility testing in one kit so you and your partner can both learn more about what could be causing your fertility issues. While most of the at-home fertility testing companies we reviewed do offer tests for both partners, very few offer them in an all-in-one kit. The bundle offered by Proov costs $159—saving customers a bit over 10% compared to purchasing the three components separately. It includes pregnancy tests and offers the benefit of beginning your fertility journey in unison with your partner. 

Each test kit comes with a sperm concentration test for him, and for her, there are tests for ovarian reserve, tests to indicate fertile days, and an actionable report. For both, the test kit also includes easy-to-read early pregnancy tests. 

Bird & Be is a relative newcomer to the home sperm testing market, founded in 2019. But the company has strategically partnered with YoSperm and Medical Electronic Systems (which owns YoSperm) to offer affordable, discreet home sperm tests. The YoSperm home sperm analyzer is one of the most widely used devices of its kind and among the few that are FDA-cleared. 

Bird & Be claims its at-home sperm test is over 97% accurate at describing your motile sperm concentration and quality. The first metric tells you how many sperm within a single milliliter are moving around healthily enough to swim to an egg, while sperm quality refers to the shape or morphology of your sperm—another indicator of how healthy sperm are. 

You plug the device into a computer or smartphone and connect it to Wifi. Using the included cup, you’ll collect your sample, add a liquifying powder also included in the kit, wait 10 minutes, then put a few drops onto the Wifi-connected sample card. After two minutes, you’ll be able to see a microscope-enhanced video of how your sperm are moving and the results analyzing them on your screen. And it all happens in just 20 minutes. Better yet, the $80 kit comes with two tests, so you can do another test later to see if there have been any changes. 

Peter Foley founded LetsGetChecked in 2015 to provide an easier and faster way to diagnose health concerns. The company offers a host of testing kits that range from general well-being to specific hormones and men’s and women's fertility. The company’s website encourages male sperm and semen testing as well as hormone testing for overall health, not just fertility. It explains that hormonal imbalances in men can cause low energy and sex drive, obesity, anxiety, depression, headaches, blurred vision, low bone density, erectile dysfunction, and infertility. 

Most male fertility tests focus on assessing the quality and amount of sperm a man is producing. But a whole team of hormones is required for healthy sperm to be produced. Prolactin is a hormone that helps predict how much testosterone your body makes. The vast majority of testosterone binds to a protein also measured by the test kit, called sex hormone binding globulin (SHBG), so measuring that protein against your total testosterone indicates how much testosterone is free for other purposes, like sperm production. That figure is called the free androgen index (FAI) Some testosterone gets turned into estradiol, which also assists in sperm-making. This test kit measures all of these hormones and indicators involved in the sperm pipeline, and knowing where they’re going awry can help determine what changes could improve your fertility (and your sex drive and energy levels). 

Additionally, the company uses only CLIA- and College of American Pathologists (CAP)-certified labs. After receipt of your test results, LetsGetChecked’s team of nurses is available 24/7 for support. You can order one of LetsGetChecked’s testosterone test kits for $199. These test kits are flexible spending account (FSA) and health savings account (HSA)-eligible. For 25% off your purchase at checkout, enter the code: Verywell25.