Find Out How Fertile You Are With the Best At-Home Fertility Test

Most Comprehensive: LetsGetChecked Home Female Hormone Test

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Key Specs

• Cost: $139, subscribe and save is $97 for a test every three months
• Type of Test: Multi-hormone blood test
• Time for Results: 2-5 days

Why We Chose It

LetsGetChecked Home Female Hormone Test is an affordable, straightforward way to test the levels of four important fertility-related hormones. The kit is easy to use, with nurses on call 24/7 to answer questions or talk through your results.

Pros & Cons

Overview 

LetsGetChecked Home Female Hormone Test checks your levels of four fertility-related hormones: follicle-stimulating hormone (FSH), luteinizing hormone, prolactin, and estradiol (a form of estrogen). FSH prepares the ovaries for ovulation, LH regulates the menstrual cycle, prolactin blocks hormones that cause ovulation, and estradiol helps female sex organs function. 

This at-home fertility test requires you to use a lancet to procure a small amount of blood. Before taking your sample, register your unique barcode on LetsGetChecked's website and thoroughly read the directions. The sample collection itself is straightforward. After cleaning one of your fingers with the alcohol swab, use one of the included lancets to prick your finger and drip the required amount of blood into the provided tube (a few drops will do).

Because hormone levels fluctuate throughout the month, you’ll need to use the testing kit on a certain day (typically day three of your period). The brand has a handy calculator on their website to help you pinpoint this day.

Collect your sample in the morning and return your sample on the same day using the prepaid return label. From there, it will be analyzed in a CLIA-approved and CAP-accredited laboratory. These are the same labs used by physicians and hospitals. Labs certified through the Federal Government’s Clinical Laboratory Improvement Amendments (CLIA) must meet stringent testing and accuracy requirements; those accredited by the College of American Pathologists must follow best practices in lab procedures, which also ensures high levels of testing accuracy.

 Your results will be sent to your online account or the LetsGetChecked app within two to five days. Results are clearly displayed in writing and colorful graphs, which is helpful for those who process visual information better. The company also has a clinical team and nurses, one of whom will call you to walk you through your results, and who are available 24/7 for questions.

Plans & Pricing 

The LetsGetChecked Female Hormone Test costs $139 and ships for free. Insurance is not accepted, but the kit can be purchased with flexible spending account (FSA) or health spending account (HSA) cards. For those looking to test their hormones regularly, there is a subscribe and save option that costs $97 every three months, which works out to a 30% savings.

Most Affordable: Pregmate Ovulation Test Strips

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Key Specs 

• Cost: $21 for 100 tests
• Type of Test: Ovulation (luteinizing hormone)
• Time for Results: Within minutes

Why We Chose It 

Pregmate Ovulation Sticks are very affordable, especially when it comes to bulk buying: the largest pack includes 100 testing strips and comes to about 21 cents a stick. 

Pros & Cons

Overview 

Using ovulation strips is one of the best ways to hone in on your fertile window. With bundles of tests ranging from $11 to $21, Pregmate Ovulation Sticks are a cheap, easy way to track luteinizing hormone (LH) levels. A “surge” in LH means you will ovulate in the next 12 to 48 hours, so if you’re trying to get pregnant, you should have sex as soon as you see the positive result.

How do you use these? It’s pretty easy. First, pee in a cup and dip the strip up to the max line for five seconds. You can do this any time of day, but try to do it at a consistent time each day and limit fluid intake for an hour or two before testing as it could dilute your hormone level. Lay the strip flat to rest and read your results within five minutes. Unlike a pregnancy test, you’ll likely see two lines every time you test, but a positive result is when the test line is as dark as or darker than the control line.  

At just over 20 cents a test, Pregmate Ovulation Sticks are a cost-effective way to gather more information about your fertility.

Plans & Pricing 

• 25 tests: $11
• 30 tests: $13
• 50 tests: $16
• 60 tests: $17
• 100 tests: $21

Pregmate Ovulation Sticks are not covered by insurance but you can use an FSA/HSA account to pay for them.

Best for Couples: Proov His & Hers Starter Kit

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Key Specs

• Cost: $159
• Type of Test: Sperm motility test for men, FSH & multi-hormone test for women
• Time for Results: Varies, but within days

Why We Chose It

Proov His & Hers Test is an affordable, easy, and comprehensive way for both members of a heterosexual couple to get a clearer picture of their fertility.

Pros & Cons

Overview 

The Proov His & Hers Test assesses the fertility of both members of a couple when one person's biological sex is male and the other's is female, for a lower price than buying the kits separately. This is important as up to 50% of infertility cases are “male factor,” but men aren’t always initially tested.

This fertility test for couples is actually three separate tests Proov also offers individually: The Complete Testing System for biological females, a sperm test, and ten early pregnancy tests. 

In the female kit, there are three FSH tests to be used on menstrual cycle days five, seven, and nine (remember cycle day one is the first day of your period). FSH levels are correlated with egg count, so a low result may indicate that you have fewer eggs than expected for your age, which can make getting pregnant more challenging.

The multi-hormone tests check E1G (an indicator of estrogen), LH, and PdG (an indicator of progesterone). These hormones offer a holistic picture of the full fertility window from when it begins (as indicated by a rise of EIG) to peak fertility and ovulation (when a mature egg is released from the ovary and is ready to be fertilized, indicated as a rise in LH), to confirm that successful ovulation occurred, which is marked by a rise in PdG.

Begin testing on day five of a cycle (day one is the start of your period). Pay careful attention to the instructions since the day you test is important; if you receive your test after day five of your cycle, you’ll need to wait until the following month to test. After a month of using the complete system, you’ll have insights into your ovarian reserve status, hormone levels, and balance, and whether ovulation was successful.

The sperm kit measures motile sperm concentration (the amount of sperm that are moving per small amount of semen) and sperm quality. One of the things that set this test apart from other brands is that you do not have to mail your sample or visit a doctor’s office to give a sample, so it feels private. Instead, an included Bluetooth device analyzes the sperm and sends personalized results to your smartphone; it also takes a video of sperm that you can show a doctor if needed.

Ten early pregnancy tests are also included.

Plans & Pricing 

The Proov His & Hers test costs $159. Insurance is not accepted but you can pay with an FSA/HSA savings account.

Best With App: Mira Starter Kit

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Key Specs

• Cost: $199
• Type of Test: LH and estrogen hormone test
• Time for Results: Within 21 minutes

Why We Chose It

The Mira Starter Kit tracks LH, E3G, and PdG to confirm ovulation. It comes with an analyzer box that syncs with the Mira app, making your results crystal clear, and easy to read and share.

Pros & Cons

Overview

The Mira Starter Kit tracks LH, E3G, and PdG levels to help time intercourse around your ovulation and confirm that successful ovulation has occurred, allowing a mature egg to travel into the fallopian tube to await fertilization. Along with 10 testing wands, 10 urine cups, and instructions for use, the kit comes with what’s known as an “analyzer box,” a small egg-shaped Bluetooth device that syncs to the app—there’s also a charger and a carrying case, in case you need to bring the device on-the-go. 

One of the cool things about the Mira device is that you can use it to track your hormone levels even if you have PCOS or irregular cycles, conditions that some fertility tests are thrown off by. The app also makes it easy to track your cycle month-to-month and start to notice trends and patterns; maybe you have a longer cycle than you thought, or maybe your PdG test shows you’re not ovulating every month.

 To use, pee in a cup, then dip the wand tip down into the urine for 10 seconds. Then place the wand flat into the analyzer and your LH, E3G, and PdG results will appear in your Mira app in less than thirty minutes. Results are given numerically, so it’s very clear to understand when levels are rising or falling. The Mira website claims that by tracking both LH and E3G simultaneously you can increase your odds of becoming pregnant by 200%. And if you use the Mira for three months without ever detecting an LH surge, you’re eligible for a refund.

Plans & Pricing 

The Mira Starter Kit is $199, but the company occasionally has sales. You can set up a financing plan where you pay 25% of your order’s total at check-out, then pay 25% bi-weekly with no interest.

Best For Irregular Periods: kegg

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Key Specs

• Cost: $249
• Type of Test: Cervical fluid fertility tracker
• Time for Results: Within minutes

Why We Chose It 

kegg is an FDA-approved, medical-grade test that tests cervical fluid to predict your ovulation and five-day fertility window. Unlike most tests, it’s suitable even for those with irregular periods.

Pros & Cons

Overview 

kegg is a great option for those with irregular periods who may have trouble finding their ovulation window by using more traditional strips. That’s because, instead of using a urine or blood sample like most at-home fertility tests, this unique device analyzes cervical fluid to find your five most fertile days. As estrogen rises throughout the monthly cycle, it causes the electrolyte levels in cervical fluid to change; kegg can pick up on these electrolyte changes and indicate fertile days in real-time, so you’ll literally know exactly when you are fertile.

It’s simple to use too. Insert the small egg-shaped kegg into the vagina for up to two minutes; it will vibrate once when the reading begins, and it will vibrate twice when the reading is complete and the device can be removed. During the test, kegg uses low-level electrical pulses (it sounds scarier than it is and it won’t hurt or damage your tissue) to sense how your cervical fluid affects those pulses and, from there, the device can determine the electrolyte levels. Once removed, holding the device near your phone sends your results to the cloud to be analyzed in real-time; you’ll see your results for the day displayed in the kegg app almost immediately.

Cervical fluid changes throughout your cycle and as you enter your fertile window it becomes more slippery and viscous (it’s sometimes compared to raw egg whites). While you can track this on your own, kegg takes all the guesswork out of it. Plus, if you use kegg daily, the brand promises a deeper insight into your own unique fertility pattern, which improves your chances of getting pregnant. Plus you’ll never need to replenish the device or buy additional strips or tests; once you own it, it works long-term.

Plans & Pricing 

The kegg currently retails for $249, on sale from $259. It’s not covered by insurance, though it is HSA/FSA eligible. The brand offers a refund if you’re not pregnant within 12 months and have used kegg according to the outlined guidelines.

There is also the option to finance starting at $62/mo with Afterpay.

Best for Beginners: Natalist Women’s Fertility Test

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Key Specs

• Cost: $149
• Type of Test: Multi-hormone blood test
• Time for Results: 2-3 days

Why We Chose It 

Natalist Fertility Test is an easy-to-use test that offers insight into five different female fertility hormones. For someone just starting out their TTC — trying-to-conceive — journey, this test is a way to get a basic barometer of reproductive health.

Pros & Cons

Overview 

Natalist Women's Fertility Test tests five key female fertility hormones: estradiol, FSH, LH, TSH, and testosterone. Your results will help you further understand how many eggs you may have, whether you are successfully ovulating, whether or not there may be an issue with your thyroid, and other insights that are important to your overall reproductive health. 

Comparable to tests done in-office by reproductive endocrinologists, this at-home fertility test is a good option for beginners or those who are just starting to understand their fertility. It’s suitable for those who want to have kids as soon as possible or people who are curious about their fertility but are not actively trying to conceive.

While this test is sold through Natalist, when you receive your kit you’ll register the test on the Everlywell website, Natalist’s sister brand. The kit comes with everything you need to collect your blood sample: lancets, a sample collection card, an alcohol pad, gauze, a prepaid return label, and more. You’ll use the lancet to prick your finger and drip blood onto the collection card in the designated circles; it can be helpful to drink some water and do jumping jacks or other cardio to get the blood moving before pricking yourself. Follow the enclosed instructions, and once your card is fully dry mail it back to the lab in the included biohazard bag. 

Your physician-reviewed results will be delivered digitally via a secure online platform in a few days. You can expect to see whether your levels of each hormone are low, average, or high, and results can be shared with your doctor as needed.

Plans & Pricing 

The Natalist At-Home Fertility Test costs $149. It is not covered by insurance but is HSA/FSA eligible.

Best for Ovulation Tracking: Modern Fertility Ovulation Test

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Key Specs

• Cost: $16 for 20 tests or $15/month with subscription
• Type of Test: Ovulation (tests LH levels)
• Time for Results: Within five minutes

Why We Chose It 

Modern Fertility Ovulation Tests accurately predict your two most fertile days by tracking levels of luteinizing hormone. Users can upload a picture of their test strip to the Modern Fertility app, which will analyze the two lines and log your results, taking some of the guesswork out of reading the test and keeping track of how your levels change over a month.

Pros & Cons

Overview

Modern Fertility Ovulation Test can be used to monitor your LH levels over the course of the month, which means you’ll begin to see trends emerge and will better be able to predict your fertile window. Use the corresponding app to snap a picture of your results and see if your luteinizing hormone (LH) levels are low, high, or peak; the app, which doubles as a period tracker, also shows your most fertile days and uses that information you log to show any days of possible conception.

The testing strips work like most ovulation predictor tests. You’ll pee in a cup, dip the strip in up until the max line, and lay it flat for one or two minutes while you wait for the results. Remember that, unlike most pregnancy tests, two lines on an ovulation test is not a positive. Instead, a positive (meaning your LH levels are surging) is indicated when the test line is as dark as or darker than the control. 

“Ovulation strips can be a helpful addition to your fertility tracking regimen,” says Lindsay Modglin, a nurse, professional writer, and clinical research specialist. “They are an easy and affordable way to measure hormone levels and determine the optimal time for conception. Many couples find them useful when timing intercourse to improve the chances of getting pregnant.”

Modern Fertility is also known for its online community, which consists of forums including “Ask a Nurse,” webinars on fertility-related topics; users can also connect and message with others in the community.

Plans & Pricing 

Modern Fertility Ovulation Tests cost $16 for 20 tests (80 cents a test) or you can subscribe to receive them monthly for $15 (75 cents a test). This product is not covered by insurance but is HSA/FSA eligible.

Best for Hormonal Birth Control: Modern Fertility Hormone Test

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Key Specs

• Cost: $179
• Type of Test: Multi-hormone blood test
• Time for Results: 5-7 days

Why We Chose It 

Modern Fertility At-Home Hormone Test tracks up to seven hormones, including anti-mullerian hormone and thyroid stimulating hormone, which are important, accurate markers of fertility, even for those with IUDs or who are on any method of hormonal birth control.

Pros & Cons

Overview 

Modern Fertility’s Hormone Test is a well-regarded at-home fertility test that checks up to seven hormone levels. One thing that sets Modern Fertility apart from other female fertility test kits is that it can still be used even if you’re currently taking hormonal birth control. 

You can’t test all seven hormones if you’re on birth control, but you will at least be able to test your anti-mullerian hormone (AMH), which is crucial for understanding ovarian reserve, aka approximately how many eggs you have left. Thyroid-stimulating hormone (TSH) can also be tested if you’re on birth control; low levels of TSH may interfere with ovulation. 

When you go to order your kit, you’ll fill out a brief questionnaire, including your birth control type (if you're using any), age, and menstrual history, and they’ll tell you which hormones you’ll be able to test. In addition to the two hormones already mentioned, for those who aren’t on hormonal birth control, Modern Fertility tests FSH, estradiol, LH, prolactin, and thyroxine.

Developed by reproductive endocrinologists, OB-GYNs, and fertility researchers, the test has a lot of science and research behind it but is super-easy to use at home. Once your kit arrives (in a discreet package) be sure to first read all of the instructions. Lay out all included items, use the alcohol pad to prep your finger, and then use the included lancet to prick your finger. More than one lancet is included in case you mess up or need to prick two fingers. If you’re not comfortable pricking yourself, you can visit a Quest Diagnostics center to have your blood drawn by a healthcare professional instead.

Squeeze your finger to drip a small amount of blood onto the circles in the enclosed testing card, then follow the directions for mailing your sample back to the lab. Shipping is free both ways. 

You’ll receive your physician-reviewed results on the Modern Fertility app within five to seven days. Once you receive results, you can use the website or app to connect, for free, with a fertility nurse who can answer questions you may have about how to interpret your results. You’ll also receive access to the Modern Fertility online community which is both a forum and a place to connect with others in a similar place on their reproductive journey.

Plans & Pricing 

The Modern Fertility Hormone Test retails for $179. It is not covered by insurance but it is eligible for FSA/HSA reimbursement.

Best Bracelet: Ava Fertility Bracelet

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Key Specs

• Cost: $249
• Type of Test: Wearable that tracks fertility-related physiological markers 
• Time for Results: In minutes after wearing overnight

Why We Chose It 

The Ava Fertility Bracelet is the only FDA-approved wearable fertility tracker. By wearing the bracelet while you sleep, you will receive insight into key biometrics like heart rate and body temperature that indicate where you are in your cycle.

Pros & Cons

Overview 

Ava Wearable Bracelet gives insight into reproductive health by tracking physiological signals of fertility like temperature, heart rate, heart rate variability, and more. It can pinpoint five fertile days and it gets more accurate the more you wear it. One of the best things about this FDA-approved fertility wearable is that it only needs to be worn at night.

It has an adjustable strap so it fits a wide range of wrist sizes and it comes with a USB charging cable so you don’t have to worry about replacing batteries. As you sleep, the bracelet collects data that will then sync to the app. You can see them in the morning. The bracelet collects data a whopping 25 times per second. The website says that the Ava bracelet is able to detect the fertility window in “real-time” so, unlike an ovulation test which predicts future ovulation, you’ll have a good idea of exactly when your fertile window opens.

Because the Ava fertility wearable tracks temperature, sleep, physiological stress, and resting pulse rate, it offers a more robust picture of overall health, which can be helpful information to have when trying to conceive. However, the bracelet does not directly measure fertility hormones.

Plans & Pricing 

Ava offers three pricing tiers:

• Ava Fertility Basic ($279): Includes the Ava bracelet, an app with cycle, fertility, and pregnancy tracking, membership in Ava’s online community, and free shipping.
• Ava Fertility Plus ($309): Includes everything above plus a  full refund if you’re not pregnant within 12 months (and you meet certain criteria including wearing the bracelet regularly), plus “The Ultimate Guide to Getting Pregnant” ebook.
• Ava Fertility Premium ($359): The same as Fertility Plus except instead of 12 months you’ll receive a full refund if you’re not pregnant within six months.
  

Best for Sperm Testing: Legacy For Today kit

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Key Specs

• Cost: $295
• Type of Test: Semen analysis
• Time for Results: 48 hours

Why We Chose It

At-home sperm testing gives you the option to collect a semen sample without ever leaving the comfort and privacy of home — and Legacy's sleek, discreet kit is one of the best in the business, using proven testing methods.

Pros & Cons

Overview

Between 40 and 50% of infertility cases are due to the "male factor," so being certain that that sperm are healthy is just as critical to fertility as female testing. Our pick for comprehensive, discreet at-home sperm testing is Legacy's For Today kit. Legacy tests for six indicators of fertility via sperm health:

• Semen volume: How much semen, which contains sperm, you are producing
• Sperm concentration: How many sperm are in each milliliter of semen you produce. The more concentrated the sperm are, the better the odds that one will reach and fertilize an egg
• Sperm motility: How well your sperm are moving, and how many of them are swimming around
• Total motile sperm count: The total number of swimming sperm in your semen
• Sperm morphology: The shape of your sperm. Normally shaped sperm are generally genetically healthy and strong
• Post-thaw analysis: Legacy freezes your sperm and thaws it again to see how well the sample survives. This way, you can find out if you're a good candidate for sperm freezing before investing in it.

The kit comes packaged discreetly (and beautifully). It includes a sterile sample collection cup, into which you'll ejaculate. Once you've collected your sample, you'll add the included transport media, which will ensure the sample stays viable. The kit also comes with a "vault," a secure foam container that keeps the sample at a consistent temperature and prevent spilling. Then, you'll ship the kit back to Legacy for free, using the included shipping label. The company uses HaloSperm technology to analyze sperm, a method that's been validated in peer-reviewed journals and is FDA-cleared. We also love that Legacy uses CLIA-certified labs, meaning they're held to the gold standard of testing.

Within 48 hours, you'll get your results in an easy-to-read report that will tell you how healthy your sperm are and whether they survived the freezing and thawing process. Once you've seen the results, you can also choose to freeze sperm with Legacy (for an additional fee).

Plans & Pricing 

Legacy's For Today sperm testing kit costs $295 on its own. You can add on sperm freezing of four vials of semen for an additional $145 a year, with the option to renew annually, or pay $595 for five years of freezing, or $795 for a decade.

Legacy also offers DNA fragmentation testing for sperm, which can tell you more about the health of your sperm. Including this additional analysis, testing will cost $590. The company also sells bundles of testing and freezing kits for between $599 and $3,995, depending on how many tests come in the kit, how much sperm you want to freeze, and for how long.