At-Home Fertility Tests to Help With Your Reproductive Health

Modern Fertility Hormone Test is our pick for most accurate fertility test

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As many as 19% of people struggle with fertility problems. Officially, you need to have tried to conceive for a whole year before your doctor will diagnose you with infertility. But with today’s technology, there are ways to educate yourself about your ability to conceive much sooner.

There are a number of at-home tests that will give you helpful information about hormones that affect your fertility, sperm health, and ovulation. While these at-home fertility tests don’t replace the advice of medical professionals, they might be able to help you take a little more control over your reproductive health. So to help you choose the best test for your needs, we consulted an industry expert and evaluated the accuracy, pricing, and features of 41 different at-home fertility tests. Here are the ones we recommend.

At-Home Fertility Tests of 2023

Words Matter

Home testing and diagnostic companies often use the words “male” and “female” 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 whenever possible.

Most Accurate : Modern Fertility Hormone Test

Ro logo

Ro logo

  • Cost: $179
  • Results (time to receive): 10 days
  • Insurance accepted? No
Why We Chose It

Modern Fertility’s Hormone Test is affordable and backed by a peer-reviewed study for those who want assurance they’re receiving accurate test results along with support from medical professionals.

Pros & Cons
  • Tests up to seven hormones

  • Fertility nurse consults available

  • Results reviewed by doctor

  • Requires finger prick

  • More expensive than competitors

  • Results take longer than other options


If you’re hoping to cover a lot of ground with your hormone test, and also want to have support analyzing your results, Modern Fertility’s Hormone Test is a great option. With a high level of claimed accuracy that’s backed by a peer-reviewed study sponsored by the company, Modern Fertility’s Hormone Test can analyze the levels of seven hormones through a single finger prick. Those hormones are:

  • Luteinizing hormone (LH): Controls the release of eggs during the menstrual cycle
  • Follicle-stimulating hormone (FSH): Stimulates the growth of eggs in the ovaries
  • Thyroid-stimulating hormone (TSH): Regulates thyroid health and is produced by the pituitary gland
  • Estradiol: Produced by the ovaries; helps maintain the reproductive system
  • Prolactin: Pauses ovulation after you give birth
  • Anti-Mullerian hormone (AMH): Present when there are immature eggs (follicles) in your ovaries
  • Free thyroxine (T4): The main hormone produced by the thyroid

Ordering the Hormone Test on the company website is a straightforward process. While Modern Fertility does not currently ship to New York or Rhode Island, the company claims to ship its products in two days, which is a quicker timeframe than some other options we reviewed.  If you’re on birth control, you can receive a customized test since birth control affects the levels of certain hormones, including LH, estradiol, prolactin, and free thyroxine. It is worth mentioning that the company does require users to have seen a primary care physician within the past three years in order to use its services.

You will want to order your test ahead of when you plan to use it since it should be taken on day three of your cycle. You’ll use the provided lancet to collect a blood sample through a finger prick and then mail your sample back. If you don’t want to collect the sample yourself, Modern Fertility does give users the option to test at Quest Diagnostics, which is a nationwide on-site lab testing service with over 2,000 U.S. locations. 

Every result is individually reviewed by a board-certified medical provider before being sent to you in a fertility profile that you can access via your patient portal. The online report discusses your personal hormone levels, how they interact with one another, your current age, your current ovarian reserve (how many healthy eggs you have), as well as your options for preserving fertility, such as egg freezing and IVF. 

Modern Fertility’s reports use simple terms to help you understand what your results mean within the context of your demographics and overall fertility goals. That said, results do take seven to 10 days to receive, which is longer than other at-home tests.  If you have additional questions or want to discuss what your results mean for your fertility journey, you have the option of virtual fertility nurse consultations within Modern Fertility’s platform.

Most Comprehensive : LetsGetChecked Female Hormone Test

LetsGetChecked Thyroid Antibody Test

 LetsGetChecked Thyroid Antibody Test

  • Cost: $139
  • Results (time to receive): 2 to 5 days
  • Insurance accepted? No
Why We Chose It 

LetsGetChecked’s Female Hormone Test provides a comprehensive look at four hormones commonly used to indicate a person’s fertility at a given point in time, using the same labs as physicians and hospitals do to analyze samples.

Pros & Cons
  • Subscription available

  • Easy-to-read results

  • Free consult with a registered nurse

  • Some people may want a non-invasive approach

  • Company has some negative press reviews

  • Results take longer than other options


When trying to get a clear idea of how fertile you currently are, it’s a good idea to use a test that covers four hormones that are key biomarkers for fertility. LetsGetChecked’s Female Hormone Test analyzes FSH, LH, prolactin, and estradiol.

The Female Hormone Test comes with four lancets and one blood collection tube to prick your finger and collect the blood sample. To make sure you get the most accurate results, you will want to mail back your sample on the same day it is collected, and the company requests it’s done between Monday through Thursday so it doesn’t get stuck in transit over the weekend. You can securely return your sample with the prepaid shipping label and receive your results in two to five days. LetsGetChecked’s labs are CAP-accredited and CLIA-approved (Certified Analytics Professional and Clinical Laboratory Improvement Amendments—accreditations that help ensure laboratories provide precise test results). A hotline to access medical professionals regarding your results is available, too.

When we reached out to the company, customer service stated that LetsGetChecked offers the same accuracy as visiting the doctor. Overall, blood tests can be more accurate than urine testing due to their lessened risk for contamination, which is why LetsGetChecked is a reliable choice in at-home fertility testing.

Due to state regulations, LetsGetChecked does not ship its products to New York state addresses.

Most Affordable : Everlywell Women's Fertility Test

EverlyWell Indoor & Outdoor Allergy Test

EverlyWell Indoor & Outdoor Allergy Test

  • Cost: $149
  • Results (time to receive): 5 to 7 business days
  • Insurance accepted? No
Why We Chose It

Everlywell’s Women’s Fertility Test is the most affordable option to offer accessible customer service, quick shipping, medically reviewed results, and analysis of five hormones.

Pros & Cons
  • Measures five hormones

  • Helpful timeframes for choosing a subscription

  • Good customer service

  • Not a good option for those that want a urine or saliva sample

  • Results take longer than competitors


There are less expensive fertility testing options on this list, but none offer all that the Women’s Fertility Test produced by the home testing giant Everylwell offers. The results will give you a complete look at the levels of five hormones that are important in fertility tracking. The company also provides a personalized report for each one.

The Women’s Fertility Test analyzes levels of estradiol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid-stimulating hormone (TSH), and total testosterone through a finger prick. By including gauze, an alcohol pad, one lancet, a biohazard bag, a test requisition form, and a paid shipping label, it’s clear Everlywell wants to set you up for success while also keeping things simple.

Everlywell’s Women’s Fertility Test ships to your home in two to three business days after you purchase the product online. That said, Everlywell is unable to ship to New York due to state legislation. After you ship your sample back to the company, you can expect to receive digital results within five to seven business days, which is a bit longer than some other companies we reviewed. 

All results from Everlywell are reviewed by a board-certified medical provider, which may factor into this extended length of time. Results also include a personalized report of each hormone as well as information about what your specific results mean overall, which may be why users continue to rate Everlywell and its fertility offerings highly.

Easiest to Use : Natalist Ovulation Test



  • Cost: $30 for 10 test strips
  • Results (time to receive): Instant
  • Insurance accepted? No
Why We Chose It 

With Natalist Ovulation Tests, single-use test strips clearly track ovulation without the need for an app or multiple test devices, so you can quickly get on with your day.

Pros & Cons
  • Straightforward results

  • All results reviewed by a medical provider

  • Positive customer reviews

  • Test strips can be expensive

  • Only tests one hormone


When trying to conceive, people typically track their ovulation for weeks to several months, so having something that’s easy to use is key. Natalist’s Ovulation Tests have a simplistic design and easy-to-read results which create a straightforward approach to ovulation tracking. Although the test strips are more expensive than competitors, Natalist prides itself as a plastic-neutral company, which makes its cost worth it to those who value sustainability.

Founded in 2019, Natalist is relatively new to the fertility testing scene, yet positive customer reviews and its use of science support the company’s reliability. Natalist’s Ovulation Tests monitor levels of luteinizing hormone (LH) to track ovulation times (LH levels surge when you’re ovulating). Tracking ovulation can help you know when you are more likely to get pregnant, whether you want to conceive or avoid an unwanted pregnancy. Luteinizing hormon plays a role in starting ovulation by triggering the release of an egg from the ovary.

The tests ship two to four days after your online purchase and cost $30 for 10 strips. When you first get up in the morning and urinate, you dip the strips midstream to collect your urine sample. Results will appear in 10 minutes, with a control line to indicate the test is working and a test line that appears with a positive result. A positive result means you are currently ovulating or will ovulate within 24 to 48 hours.

For Couples : Proov Hers and His Fertility Starter Kit

Proov logo


  • Cost: $159
  • Results (time to receive): Not disclosed
  • Insurance accepted? No
Why We Chose It 

The Hers and His Fertility Starter Kit from Proov is one of the only fertility kits on the market that tests both male and female biomarkers, giving couples a clearer view of their combined fertility.

Pros & Cons
  • Tests and reports available for both partners

  • Results can be read in the app

  • Meets FDA standards

  • Website does not state how long results take

  • App only lets you submit one photo

  • Does not offer free shipping


When you’re having trouble conceiving, the causes of infertility aren’t immediately known—and there can be many causes. Infertility can be a result of problems with sperm, hormone levels, or both, which is why a kit to measure both can be a great choice. Proov’s Hers and His Fertility Starter Kit provides a unique alternative to fertility tests by bundling sperm tests and female hormone testing together. 

The Hers and His Fertility Starter Kit includes Proov’s Complete Testing System, a sperm test, and a Check package. The Complete Testing System comes with 3 FSH tests and 17 multi-hormone tests to track hormonal levels over the course of one cycle. You will need to take the FSH and multi-hormone tests on day five of your period. Both tests involve urine samples, and you'll need the Proov Insight app to read the results of the test strips. At the end of your testing cycle, your results will tell you your ovarian reserve status, hormonal levels, and whether or not ovulation was successful.

Proov’s Sperm Kit measures motile sperm concentration (MSC), meaning how many moving sperm there are per sample. Proov partners with YO, which is an FDA-cleared Wifi device that allows users to analyze their sperm. The device records a video of the sperm sample and determines the MSC. Along with the YO Wifi device, Proov’s Sperm Kit includes two sets of collection cups, YO slides, pipettes, and liquefaction vials.

Proov’s Check package includes 10 hCG tests (hCG is a hormone produced by the placenta during pregnancy) to indicate pregnancy. These tests require urine samples, too. There appears to be a pattern of customer complaints regarding the app only letting you submit one photo of the test strips per day. If the lighting is off or if the photo is blurry, you are not given the choice to re-submit a higher-quality photo for a more accurate reading. This can be frustrating when you want to establish a pattern for your hormone levels.

Though it doesn’t state how long results take to appear, users will receive their results at home via the app. You also have the option to speak with a healthcare provider if you want to ask questions or learn more about your test results, adding a personalized element to at-home fertility testing.

For Sperm Testing : Ro Sperm Kit



  • Cost: $199 for 1 kit
  • Results (time to receive): 48 hours after sample receipt
  • Insurance accepted? No
Why We Chose It 

What sets the Ro Sperm Kit apart from other sperm testing kits we reviewed is that it provides free sperm storage as well as prioritizes the protection of all sperm samples.

Pros & Cons
  • Two security IDs on the sample

  • Fertility experts available to discuss results

  • Free overnight shipping back to lab

  • Sperm withdrawal fee is $299

  • Must pay for sperm storage in addition to analysis report

  • Additional costs for continuing to store sperm after one year


If you’re a male assigned at birth and trying to understand your fertility, it is important to know your sperm count—how many sperm are in one sample—as well as your sperm concentration—how many sperm there are in relation to the volume of the sample. Sperm motility also plays a role by indicating how fast or how slow your sperm are moving. These factors provide insight into potential causes of infertility. The Ro Sperm Kit measures all of these levels with a quick turnaround, but what really makes it stand out is its reputable sperm storage options. Aside from giving people with sperm the opportunity to learn more about their overall fertility levels, Ro’s kits can help them prepare for possible intrauterine insemination (IUI) or in vitro fertilization (IVF). 

You can expect your Sperm Kits to ship in two business days. That said, Ro is unable to ship sperm kits to Rhode Island or New York, at the time of writing, due to state restrictions. Each kit includes up to three vials for sperm storage, a sperm analysis report within 48 hours, and one free year of sperm storage. Pricing depends on the number of kits you want to purchase:

  • $199 for one kit
  • $349 for two kits
  • $499 for three kits

You may consider buying more than one kit if you want to store more than three vials of sperm and increase future opportunities of IUI or IVF. Each kit includes one year of free sperm storage per three vials. If you want to store your samples for longer, or store more than three at a time, then you can expect an additional cost of $149 per year.

It’s important to note that STI screening is recommended prior to submitting a sperm sample in order to reduce the possible risk of transmission to the pregnant person and baby. Between its attention to sperm health and education as well as its two-factor authentication for securing samples, it’s clear Ro prioritizes the privacy and overall experience of its users.

For Ovulation Tracking : Mira Fertility Starter Kit

Mira Logo


  • Cost: $179
  • Results (time to receive): 21 minutes
  • Insurance accepted? No

Use YOURMIRA30  for $30 off Mira kits and bundles

Why We Chose It 

The Mira Fertility Starter Kit is a great choice to pinpoint ovulation for a variety of people, including those with irregular cycles or PCOS.

Pros & Cons
  • Provides rapid results

  • Positive customer service reviews

  • 3-month money back guarantee

  • Less accurate than blood test

  • Results not viewed by medical provider

  • Recommends testing 20 times per cycle


Sylvia Kang, a mom and scientist, created Mira with the desire to bring women more information about their bodies. Kang wanted to personalize fertility and bring accurate results into the home, which is what the Mira Fertility Starter Kit achieves. With one urine sample, the Mira Fertility Starter Kit measures levels of:

  • Estrogen-estradiol metabolite (E3G), which can be associated with medical conditions that affect fertility like PCOS or endometriosis
  • Luteinizing hormone (LH), which signals the ovary to release an egg for ovulation
  • Follicle-stimulating hormone (FSH), which signals an egg follicle to grow
  • Pregnanediol 3 glucuronide, which increases after ovulation has occurred

The Mira Analyzer, the main device in the starter kit, reads hormone levels and identifies patterns over time in an effort to “get a clear view of your fertility window.” Mira states that its Fertility Starter Kit is accurate for individuals with irregular cycles or PCOS.

Priced at $179, the kit includes the Mira Analyzer, a carrying pouch, a charging cable, 10 single-use test wands, one silicone cup, and an instruction guide. The Mira Analyzer is a digital device that reads the test wands and provides numeric results of your exact hormone levels. The company recommends you test urine 10 to 20 times per cycle, which is more than their competitors. You may need to purchase more testing wands at an additional cost, since the Starter Kit only comes with 10 wands.

For Wearable Fertility Tracker : Ava Fertility Bracelet

Ava logo


  • Cost: $279 to $359
  • Results (time to receive): Instant
  • Insurance accepted? No
Why We Chose It 

Ava Fertility Bracelet users just have to wear it at night to track their ovulation. This non-invasive, passive testing option keeps fertility tracking simple and comfortable. 

Pros & Cons
  • FDA-approved

  • Comes with an app to sync the bracelet

  • Simple and easy to use

  • Refund available if you don't get pregnant

  • More expensive than other options

  • Accurate results may take a few months

  • Cycles must be between 24 and 35 days


For people tracking their ovulation over several weeks or months, regularly testing urine and/or blood can get tiresome. The Ava Fertility Bracelet is a wearable that just needs to be worn at night, allowing users to simply wake up to their ovulation results in a corresponding app. 

The bracelet reads five physiological signs, including temperature, heart rate, heart rate variability, breathing rate, and skin perfusion—key markers of fertility and the reproductive cycle. The results are available via an app to help you detect your five most fertile days per cycle. Shipping in three to five business days, your bracelet will arrive with a USB charger and instruction manual, which will include how to sync your bracelet to the app.

A unique feature of the Ava Fertility Bracelet is that it offers six-month and 12-month guarantees that you can purchase at additional cost. The bracelet itself is priced at $279. For a twelve-month guarantee, you'll pay $309, while the bracelet with six-month guarantee costs $359 due to its quicker timeframe. If you add this feature, you will receive a full refund if you do not become pregnant in the time chosen. 

Final Verdict

The at-home fertility test you pick will depend on your specific needs. The Ava Fertility Bracelet might be a better option if you prioritize simplicity over a comprehensive window into your fertility. If you don’t love technology and are only looking to track your ovulation, then the Natalist Ovulation Tests are a great choice. 

These tests can get expensive, and sometimes affordability with maximum return on investment is key. By testing more hormones than its competitors, Modern Fertility’s Hormone Test can help individuals who want a comprehensive look at their fertility at a reduced cost.

Compare At-Home Fertility Tests

Company Cost  Wait Time for Results  Insurance Accepted? 
Modern Fertility Hormone Test Most Accurate $179 10 days No
LetsGetChecked Female Hormone Test Most Comprehensive  $139  2 to 5 days  No 
Natalist Ovulation Test Easiest To Use  $30 for 10 test strips  Instant  No 
Proov Hers and His Fertility Starter Kit For Couples  $159  Not disclosed  No 
Everlywell Women’s Fertility Test Most Affordable $149  5 to 7 business days  No 
Ro Sperm Kit For Sperm Testing  $199 for 1 kit  48 hours  No 
Mira Fertility Starter Kit For Ovulation Tracking  $179  21 minutes  No 
Ava Fertility Bracelet For Wearable Fertility Tracker  $279 to $359  Instant  No 

Guide to Choosing the Best At-Home Fertility Test

What Can At-Home Fertility Tests Tell You About Your Reproductive Health? 

At-home fertility tests are a great option for individuals who want to keep track of their hormone levels, monitor their menstrual cycles and ovulation, or better understand their sperm concentration and motility without an additional doctor’s visit. 

“At-home fertility tests are kits that allow you to collect information about your hormone levels and health at home,” says Lindsay Modglin, a registered nurse and one of our subject matter experts. “The goal is to learn more about your reproductive health, assess your fertility, and identify possible issues that may need further evaluation.” They are also helpful for individuals and couples struggling to get pregnant who are looking to possibly take steps to conceive with medical intervention.

Are At-Home Fertility Tests as Accurate as Fertility Lab Tests?

While many at-home fertility testing companies claim 99% accuracy, it’s important to know that reliability can vary, especially when the tests aren't analyzed at CAP- or CLIA-certified labs (laboratory accreditations that help ensure laboratories provide precise test results). With at-home fertility tests, there is also a greater risk of sample contamination since the sample is collected in your home instead of a sterile environment. Additionally, individuals may not follow the required guidelines for packing and shipping the sample to ensure maximum accuracy. 

Inaccuracies might also arise due to the shipping speed and processing time compared to fertility lab tests that read results immediately in a lab.

What Are the Common Types of Hormones Tested?

The most common types of hormones tested for women in at-home fertility tests include luteinizing hormone (LH), follicle-stimulating hormone (FSH), and pregnanediol glucuronide (PdG). Each of these hormones plays an important role in the menstrual cycle and overall fertility. Luteinizing hormone triggers ovulation by signaling the body when to release an egg, while FSH encourages the growth of follicles, an important step in fertility prior to releasing an egg. Pregnanediol glucuronide helps in understanding levels of progesterone in the body.

Other hormones tested can include testosterone, which is important in understanding men’s hormonal health as well as women’s risk of PCOS or infertility, and anti-Mullerian Hormone (AMH), which helps understand ovarian volume and follicular count.

How to Compare At-Home Fertility Tests

When deciding which at-home fertility test to purchase, it’s important to consider your particular needs, including:

  • Hormones tested: If you’re on hormonal birth control, for example, there are certain hormones you shouldn’t test because the results will be skewed. Think about whether you need an overall look at your hormonal health or if you’d rather just monitor the main ones involved in ovulation.
  • Whether your results require laboratory testing: Do you prefer quick, at-home results? Or, if you need to send your samples in to be tested, is the laboratory certified and accredited?
  • Overall cost: The cost of fertility tests varies widely based on how comprehensive they are. Consider what you’re hoping to track, and if your budget is tight, pick a test that covers just those markers and nothing more.
  • Shipping fees: Does the company provide a prepaid shipping label? Are shipping fees for the test extra?
  • Processing speed: Many of the tests on this list offer almost immediate results, but ones that require review by a medical professional may take upwards of a week to process.
  • If consults with medical providers are available: Fertility test results can be complicated, so decide if it would be helpful to have a consult with a medical practitioner who can answer any questions you might have.
  • Overall accuracy: How can you trust if the test is accurate? Are there peer-reviewed studies to support its accuracy claims? 
  • Company reputation and reliability: How old is the company? What is the pattern of customer reviews? Has it been in the news for any scandals?
  • Security of your sample: Does the company offer a system to protect your data? Does your test come with authentication stickers to place on your sample?

Frequently Asked Questions

  • What Type of Sample Is Needed for At-Home Fertility Testing?

    The most common sample types needed for at-home fertility testing include blood, saliva, and urine samples. Tests that offer at-home results, such as ovulation tests, use urine samples, while tests that offer a more comprehensive look at multiple hormonal levels and require laboratory testing often use blood samples instead.

  • When Should You Take an At-Home Fertility Test?

    If you are struggling to get pregnant or have certain risk factors for infertility, such as being over the age of 35 or being diagnosed with PCOS, at-home fertility tests are worth considering to begin the process of pinpointing what might be interfering. For some, at-home tests provide a more convenient or easier way to assess for ovulation, sperm count, or hormonal levels than visiting a doctor. Other people may simply want to equip themselves with more knowledge about their reproductive and hormonal health. That said, these tests can't provide an official diagnosis for conditions such as PCOS, so always consult your doctor if you receive results suggesting you may have one.

  • Who Should Not Take An At-Home Fertility Test?

    It is important to consider your specific needs or medical conditions prior to purchasing an at-home fertility test. “While accessible and convenient, home tests should never be used in place of comprehensive testing and evaluation from an expert,” says Modglin. “Those with existing fertility issues or medical conditions should speak with their healthcare provider before taking any at-home test.”

  • Does Insurance Cover At-Home Fertility Tests?

    Insurance often does not reimburse you for at-home fertility tests. Coverage of fertility testing, as well as IUI or IVF, is difficult to come by. Though many tests are FDA-approved, at-home fertility tests are not deemed medically necessary or accurate in the eyes of insurance providers. That said, you may be able to pay for them with a flexible spending account (FSA) or health savings account (HSA).


To create this round-up and compare the various categories, we reviewed 14 companies and 41 individual fertility products. We took into consideration each company's reputation and overall reliability, out-of-pocket costs and additional fees, shipping speed, the time frame to receive results, and the certification of labs that process the samples. We compared at-home fertility tests based on whether the results are reviewed or shared with a doctor as well as the overall accuracy and FDA approval of the products.

Pregnancy test on pink background

Guido Mieth / Getty Images

Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. U.S. Centers for Disease Control and Prevention. Infertility.

  2. Burke EE, Beqaj S, Douglas NC, Luo R. Concordance of fingerstick and venipuncture sampling for fertility hormones. Obstet Gynecol. 2019;133(2):343-348. doi:10.1097/AOG.0000000000003066

  3. Dayal M, Sagar S, Chaurasia A, Singh U. Anti-Mullerian hormone: a new marker of ovarian function. J Obstet Gynaecol India. 2014;64(2):130–133. doi:10.1007/s13224-013-0482-3

By Riley Blanton
Riley Blanton is a graduate student therapist and writer with three years of experience in the perinatal mental health industry.

Edited by Ally Hirschlag
Allison "Ally" Hirschlag

Ally is a senior editor for Verywell, who covers topics in the health, wellness, and lifestyle spaces. She has written for The Washington Post, The Guardian, BBC Future, and more.

Learn about our editorial process
and Simone Scully

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

Learn about our editorial process