At-Home Fertility Tests to Help With Your Reproductive Health

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.

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.

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.

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.

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.

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.

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 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.