Best At-Home Fertility Tests

Private, certified fertility results in the comfort of your own home

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At-home fertility tests allow you to manage your reproductive health from the comfort of your own home. Many of these tests may not consider certain medical conditions that affect hormones, such as polycystic ovarian syndrome (PCOS). Home fertility tests can be a good starting point for tracking fertility and help you figure out if your hormone levels are healthy. Measuring your hormones can also help if you want to get pregnant. 

Recently, there has been a rise in male home-fertility testing, which is good news as male fertility issues account for about 40% to 50% of fertility issues with couples. 

We looked at the different at-home fertility tests offered and reviewed hormones tested, cost, ease of use, and reliability before settling on our top seven. With the exception of a few ovulation tests, a doctor reviews the test results before the results are released to you. 

However, while there are many reliable brands of at-home hormone tests, they shouldn’t replace medical advice from a healthcare professional. If you have concerns about your fertility or hormone levels, consider talking with your healthcare provider for a personalized treatment plan. 

Here are our picks for the best at-home fertility tests.

Best At-Home Fertility Tests of 2022

Best Overall : Modern Fertility


Modern Fertility

 Modern Fertility

Key Specs
  • Cost: $159
  • Delivery: Shipping to all states 
  • Results: In 7 days
Why We Chose It

Modern Fertility has made a name for itself in the home testing world. Not only does it offer a wide range of fertility hormone testing, but it also provides a personalized hormone profile and a community of people who want to learn more about their fertility.

Pros & Cons
Pros
  • Offers subscriptions for ovulation tests

  • Results are easy to understand

  • Community support available

  • Provides consultation with a fertility nurse

Cons
  • Doesn’t offer testing for men

  • Relatively higher cost compared to other tests

  • Can be difficult to collect enough sample to test

Overview

Modern Fertility is the whole package when it comes to fertility health from home with a high degree of accuracy and personalized results. 

You can order your test online, and it takes about seven to 10 days to receive results once your test reaches the lab. If you’re on birth control, you can get your test customized for the most accurate results. Being on birth control means you can’t take all seven tests because birth control can affect the accuracy. However, it’s easy for you to customize your order. Modern Fertility offers home test kits or the ability to test at a Quest Diagnostics lab.  

The hormone test kit looks at:

  • Anti-mullerian hormone (AMH)
  • Thyroid-stimulating hormone (TSH)
  • Follicle-stimulating hormone (FSH)
  • Estradiol
  • Free thyroxine
  • Prolactin
  • Luteinizing hormone (LH)

Make sure you order your test in advance, as you need to take it on day three of your cycle. You’ll collect a sample of blood using a lancet to prick your finger and then mail the kit back in a secure package. 

Results come back in about seven to 10 days after the lab receives the kit. They’re first viewed by a doctor and then are released to you in a personalized fertility profile. You can also have a free consultation with a fertility nurse to review your results. In addition, Modern Fertility offers a community where you can ask questions to help understand your test results. 

Modern Fertility offers a mobile app for tracking your cycles and when you’re ovulating. The Hormone Test costs $159 with free shipping. The company accepts HSA and FSA but doesn’t take insurance. Users also have the option of a subscription for ovulation tests.

Overall, people report positive reviews and participate in the large community of other users. However, some noted disappointment with their results as they weren’t as detailed as expected.

Best for Rapid Results : Ava Fertility Bracelet


Key Specs
  • Cost: $279 to $359
  • Delivery: Available in 49 states 
  • Results: Immediate
Why We Chose It

For those who don’t want to prick their finger, use urine ovulation sticks, or track basal body temperature, the Ava Fertility Bracelet lets you wear a bracelet at night to track ovulation. Instead of testing urine or blood samples, the tracker uses data from temperature, heart and breathing rates, pulse, and sleep to predict ovulation. 

Pros & Cons
Pros
  • No blood or urine sample needed

  • Comes with an app to sync with bracelet

  • Can use as a pregnancy tracker

Cons
  • Can take a few months to get accurate data 

  • Cycles need to be between 24 and 35 days 

  • Higher price than other testing options

Overview

The Ava Fertility Bracelet is easy to use because there’s no blood or urine testing involved. You just need to remember to wear your bracelet at night and your fertility data is always at your fingertips. Get your results immediately after syncing your bracelet to the mobile app using Bluetooth. The company website has an extensive FAQ page and a refund option for an additional fee.

Ava is an online women’s health company that launched the wearable fertility tracker in 2016. It gained FDA approval in early 2021 and is CE certified, which means the bracelet meets the requirements of the European Economic Area. 

After wearing the Ava Bracelet overnight, you’ll sync the bracelet to your mobile app in the morning to view your results. It can help you narrow down your most fertile days and detect which phase you’re at in your menstrual cycle. It does this by monitoring:

  • Skin temperature
  • Sleep
  • Resting pulse
  • Stress levels by measuring heart rate and respiration 

These measures fluctuate depending on which phase of your menstrual cycle you’re in. 

You can get a cycle report that gives a 12-month picture of ovulation, the length of your cycles, menstrual flow, and your luteal and follicle lengths. You can download this report to bring to your healthcare provider. 

Order online from the website, and your bracelet, USB charger, and instructions will arrive in three to five business days. The app works on both iOS and Android devices. 

The Ava Fertility Bracelet costs $279 for the basic plan. For $309, you can get a pregnancy e-book and a full refund if you’re not pregnant within 12 months of using the bracelet. For $359, you can get a refund if you’re not pregnant in six months. All options come with free shipping. Insurance won’t usually cover the cost, but you can use an FSA or HSA for payments.

The company reports a high level of accuracy with the bracelet, but you do need to wear it every night to get the best results. Users state the bracelet is easy to use and convenient, and many reviews say it helped them get pregnant. However, some reported challenges with syncing the bracelet to the device, and said their ovulation prediction wasn’t accurate.

Best for Accuracy : LetsGetChecked


LetsGetChecked

 LetsGetChecked

Get 25% off with code VERYWELL25

Key Specs
  • Cost: $129
  • Delivery: Ships to all U.S. states 
  • Results: 5 days
Why We Chose It

Let’sGetChecked is one of the original home testing companies and has plenty of positive reviews. At $129 a test, it’s a good option for those on a budget. With a quarterly subscription, you can get it even cheaper at just $90. 

Pros & Cons
Pros
  • Affordable testing options

  • Free nurse consultation if results are out of range

  • Subscriptions available

Cons
  • Fewer hormones checked than other tests

  • Not as quick a turnaround as other tests

  • No additional support with membership

Overview

Let’sGetChecked is affordable, with subscription options if you want to track data over time. The company got its start in Ireland in 2014 and became available in the U.S. in 2017. LetsGetChecked offers a female hormone test to look at four fertility hormones that help determine ovulation and whether your levels are in the normal range:

  • FSH
  • LH
  • Prolactin
  • Estradiol

The test should be taken on day three of your cycle and then sent back to the lab on the same day. Avoid taking the test on a Friday or weekend; if day three falls outside of Monday through Thursday, you’ll have to wait until your next cycle. 

Simply prick your finger using the provided lancet and return the sample that day. Once the sample is received at a certified lab, a clinician reviews the data, and you’ll be notified of the results through a secure online account. You can also download the app on both Android and iOS devices to view results. Note that a nurse will only contact you if your results are out of range.

The female hormone test costs $129 with free shipping to all states. Users can get the test for $90 with a subscription. The company doesn’t take insurance but does accept FSA or HSA. It takes about five to seven days to ship the kit to your home. 

The company has many positive reviews and says its tests are similar to the ones you take in a clinic. Overall, users are happy with the quick turnaround of getting their test results, but some found the instructions to be confusing.

Best for Ease of Use : Everlywell


Everlywell

 Everlywell

Key Specs
  • Cost: $149
  • Delivery: Purchase in 49 states 
  • Results: 1 to 2 business days
Why We Chose It

Test kits were quick to come in one business day and results were back in one to two business days. The company also tests a good range of hormones for the price. With its responsive customer service and clear instructions, Everlywell is a good option for fast results.

Pros & Cons
Pros
  • Subscriptions offered for regular testing

  • Good customer service

  • Quick results

Cons
  • Results aren’t as detailed as some other tests

  • Can be difficult collecting enough sample

Overview

Everlywell is easy to use, with straightforward testing methods and clear instructions. 

The company started in 2015 and has a wide variety of at-home testing options, including women’s and men’s fertility testing. Labs that contract with Everlywell are CLIA-certified and approved by the FDA. Because of this, Everlywell says its labs go through the same quality assurance testing as the ones healthcare providers use to ensure a high level of accuracy. 

The test covers five hormones:

  • Estradiol
  • FSH
  • LH
  • TSH
  • Free testosterone

These tests can help you figure out your ovulation and overall fertility health. If one or more of these levels are out of range, it might make getting pregnant more challenging. 

Everlywell does have a test for ovarian reserves, which can help tell you how many remaining eggs you have. It does this by checking your FSH levels at the beginning of your cycle on day three. Though not as reliable as some other tests, such as anti-mullerian hormone, it can help begin a conversation with your healthcare provider on your future fertility. 

You can order a test kit online, and when it arrives in about one business day, you’ll register it on the website. The kit comes with lancets for pricking your finger, a blood collection card, and included instructions for collecting the sample and mailing it back. Your results are released online within a few days of the lab receiving the sample and are reviewed by a doctor. 

The Women’s Fertility test costs $149 with free shipping to 49 states. (Note that New York is not a participating state.) Users can get 15% off with a subscription. Insurance won’t usually cover the cost, but you can use an FSA or HSA for payments. 

Overall, users report mostly positive experiences with Everlywell. They are satisfied with the company's responsiveness and customer service, but some say there’s some difficulty in getting enough blood for a sample.

Best on a Budget for Women : PREGMATE Ovulation Tracking Kit


Key Specs
  • Cost: $10.95
  • Delivery: All states 
  • Results: Immediate
Why We Chose It

For a no-frills, budget-friendly approach to fertility testing, ovulation test strips are a good option if you’re looking to determine when ovulation occurs. For just under $11 for 25 test strips, PREGMATE is a much more cost-effective way to monitor your fertility than many other home fertility tests.

Pros & Cons
Pros
  • No painful blood test

  • Inexpensive

  • Immediate results

Cons
  • May be messy collecting the urine sample

  • Results aren’t as reliable for those with shorter or longer cycles

  • Only tests LH

Overview

PREGMATE Ovulation tests are simple to use and get the biggest bang for your buck if you’re only looking to track ovulation. This makes it affordable and easy to perform. PREGMATE checks for surges in LH found in low levels in the body, except for the time near ovulation. If you get a positive result on the test, you will probably ovulate within 24 to 48 hours. 

You can order the tests on their website or on other third-party sites such as Amazon. Most users start testing about 11 days after the start of their menstrual cycle. You use one strip daily for five days. It’s easiest to dip the test strip in a cup of urine for three to five seconds before laying it flat. Check your results in five minutes: A positive result is two colored lines on the test strip; a negative result is one line or a test line that’s lighter than the control. 

PREGMATE offers friendly customer service to get your questions answered, but you aren’t able to consult with a healthcare provider to discuss your results.

The PREGMATE Ovulation Tracking Kit costs $10.95 for 25 strips with free two-day shipping. Insurance usually won’t cover the cost of test strips.

Users have reported mostly positive success in ovulation tracking and in getting pregnant. However, for those who have cycles shorter than 21 days or longer than 38, results aren’t as reliable in detecting an LH surge.

Best for Men : Legacy


Key Specs
  • Cost: $195
  • Delivery: Ships to all 50 states 
  • Results: 48 hours
Why We Chose It

Legacy offers a complete sperm analysis, a bonus of a fertility expert for helping you understand your results, and sperm storage options. The company states that it tests semen just like a fertility clinic. It also holds free virtual events on male fertility. 

Pros & Cons
Pros
  • Fast results

  • Full-spectrum sperm analysis

  • Ability to work with a fertility expert

Cons
  • More expensive than other men’s fertility testing

  • Newer company so fewer reviews out there 

  • Costs can accrue with ad-ons

Overview

Founded in 2018, Legacy is one of the best male fertility testing options on the market. Clinicians are available by phone or video call to discuss test results and family planning. You can order the test online from the website and the kit is delivered within one day.

Legacy’s labs are CLIA-certified and use five values when analyzing sperm:

  • Volume: The amount of semen produced can determine sperm being able to reach an egg for fertilization to occur.
  • Count: Higher counts can make fertilizing an egg easier. 
  • Concentration: Higher ratios of sperm to fluid mean a higher sperm count.
  • Motility: This detects how well sperm can move in order to reach the egg
  • Morphology: Shape plays a role too: Sperm that are abnormally shaped can have difficulty reaching an egg. 

For an additional fee, you can have sperm DNA fragmentation analysis done. This provides information on sperm genetics, which is important if you’re having trouble conceiving.

The sample is collected in a sterilized collection kit and semen is combined with a fluid that preserves it for the trip to the lab. Place the sample cup in a biohazard bag and the bag into the Legacy kit. You will need to bring the sample to a FedEx shipping facility or dropbox. 

Results are ready in 48 hours of the lab receiving the sample and come with personalized recommendations from healthcare professionals; you also have the option to meet virtually with a clinician to help you understand the data. The company states that its results won’t have you reaching for Google to help you understand your report. 

The test costs $195 with free shipping, which is pricier than other home tests out there. You can check insurance eligibility to see if your kit is covered, but Legacy accepts FSA reimbursement. There is also an option to pay for the test in installments. 

In addition, Legacy offers the ability to store frozen sperm on a monthly, yearly, or five-year basis with varying additional fees. Once ready to use the sperm, you'll pay $250 to transfer it to a fertility clinic. 

Being a newer company, Legacy is still building its reputation, but overall, users like the short turnaround time from ordering to results and appreciate the added support of a fertility clinician to meet with.

Best for Family Planning : Ro


Use code VERYWELL to get $20 off.

Key Specs
  • Cost: Starts at $199
  • Delivery: Ships to all 50 states 
  • Results: 48 hours
Why We Chose It

Ro, formally Dadi, offers free storage for up to one year at the most basic service level provided and high protection levels throughout the entire process: sending the kit, collecting the sample, and testing it.

Pros & Cons
Pros
  • Three types of services: fertility testing, IVF preparation, and family planning

  • Tamper-proof security with double-authorization required to access the sample

  • Free overnight return shipping

  • Fertility experts available to discuss report results and next steps

  • One year of storage included; further time is $99/year

Cons
  • More expensive than other tests

  • $299.99 withdrawal charge when you want to use your sperm

  • More focus on the storage aspect than on providing fertility information

Overview

A Ro Sperm Kit fertility test measures the count, concentration, volume, motility, and morphology of your sperm, all of which contribute to your overall fertility level.

Furthermore, once your report is ready (which only takes roughly 48 hours), Ro offers a personalized report of each marker tested and detailed information about your results. With the service's CLIA-certified fertility testing, you will get advanced diagnostics, and you can purchase a nurse diagnostic to go over the fertility report and discuss the next steps.

Ro offers free sperm storage for up to a year for three vials with fertility testing or six vials with IVF preparation and up to a year with nine vials of storage when you select the family planning option. Ro is more expensive than your run-of-the-mill sperm testing kit, with the basic kit costing $199, all the way up to $599. All in all, Ro is an extremely safe and detailed product to consider when investing in your fertility future.

Best for Ovulation : Mira


Mira Logo

Mira

Key Specs
  • Cost: $199
  • Delivery: Available in all states 
  • Results: On the spot
Why We Chose It

We chose Mira because the test kit allows users to continue testing for ovulation throughout the entire menstrual cycle. With no need for a finger poke, Mira is easy to use and pairs with an app to help track your ovulation over time.

Pros & Cons
Pros
  • Uses urine for test sample

  • Gives a number instead of positive or negative for ovulation status

  • Can use with medical conditions such as PCOS

Cons
  • Less accurate than blood testing

  • No doctor review of results

  • No testing options for men

Overview

The Mira Fertility Plus Kit helps you track ovulation over time throughout your cycle instead of taking a single test. Kits usually arrive three to six business days after ordering online. The starter kit comes with an analyzer device, storage case with charger, 10 wands for testing, and instructions. To use, you’ll collect your urine in a cup and then dip the wand into it for 10 seconds. Insert the wand into the analyzer and use your app to view your results. 

Mira checks two hormones: estrogen and LH. These can be detected in the urine and help you understand when you are the most fertile. Set up the app on your mobile device, and when it indicates, you’ll test your urine in the morning when you first wake up. You can keep track of your ovulation each cycle. 

The best thing about using Mira is you don’t have to wait for results, as they show up right away on the analyzer. However, the company doesn’t offer assistance for interpreting your results, so you’ll have to keep your healthcare provider informed if you are trying to get pregnant. 

Mira says its tests are accurate but note that testing your hormone levels with urine isn’t as reliable as with blood testing. 

The kit costs $199 with a money-back guarantee if you can’t detect your LH surge in three months. You can get free shipping worldwide if your order totals $148. Insurance won’t usually cover the cost, but you can use an FSA or HSA for payments. 

Users say the test is convenient with affordable replacement wands. It’s especially useful for those with PCOS as Mira helps to better pinpoint when ovulation is occurring; other tests on the market may not accommodate irregular cycles.

Runner-Up, Best for Men : Fellow


Fellow

 Fellow

Key Specs
  • Cost: $189
  • Delivery: Not available in all states
  • Results: In 36 hours
Why We Chose It

Fellow is an excellent choice if you’re looking for a simple fertility test that gives you all the answers quickly, easily, and securely at a reasonable price.

Pros & Cons
Pros
  • Relatively affordable

  • Easy and direct, while maintaining security and privacy

  • Results within one and a half days

Cons
  • Not available in Maryland, New York, Rhode Island

  • No community of support offered beyond professional medical advice

Overview

Fellow is straightforward regarding male fertility testing because that's all the company does. It provides the total motile count (for overall fertility testing), along with volume, concentration, motility, and sperm morphology, which all contribute to a fertility. It’s also less expensive than its competitors, at $189 per kit.

Fellow is the only mail-in test that operates its own CLIA-certified lab. CLIA certification means that the federal government recognizes it for meeting quality regulations for running tests to help doctors and patients make health decisions. The results are presented online for an easy breakdown of information and details.

Your sample is stored securely in the lab until testing and after it is immediately destroyed, ensuring that your sample will never be used for any other purpose. However, you can add cryopreservation to your semen analysis kit for an additional annual fee. Results are anonymous and only shared with you (unless you want them shared with your doctor).

Final Verdict

At-home fertility tests can’t replace the expertise of a medical provider, but they can be helpful if you prefer testing without going into a clinic. It’s a great first step to learn more about your fertility and hormone health and can be used to start a conversation with your provider. 

Overall, we chose Modern Fertility as the best at-home fertility test because it tests the most hormones. It also gives a personalized approach to your fertility. Results are available in just a few days and are easy to understand. You also have access to a free nurse consultation along with a community of others to connect with.

Compare the Best At-Home Fertility Tests

Company Cost Time for Results States Available Hormones Tested
Modern Fertility Best Overall $159 7 days 50 7
Ava Best for Rapid Results $279-$359 Immediate 49 0
LetsGetChecked Best for Accuracy $129 ($90 with subscription) 5 days 50 4
Everlywell Best for Ease of Use $149 1 to 2 days 49 5
PREGMATE Best on a Budget $10.95 Immediate 50 1
Legacy Best for Men $195 2 days 50 0
Ro Best for Family Planning $199-$599 2 day 50 0
Mira Best for Ovulation $199 Immediate 50 2
Fellow Best on a Budget for Men $189 72 hours 47 0

Guide for Choosing the Best At-Home Fertility Tests

Are At-Home Fertility Tests Worth It?

When it comes to at-home fertility tests, take them with a grain of salt. While they can test hormones, this is only one part of your overall health and ability to conceive. They’re helpful if you want to have some peace of mind knowing if your levels are balanced, or sperm is healthy. However, they should not be considered 100% accurate. 

Your healthcare provider can look at your overall health and better picture your fertility through ultrasounds of your ovaries, fallopian tubes, and uterus. They can also test more hormones than many home fertility tests do. In men, the sperm analysis may be normal, but there could be other factors involved, such as a genetic condition that can make pregnancy more difficult. 

While testing at home can be more comfortable for those who want more privacy or don’t want to go into the clinic, use home fertility tests with caution and understand there is much more to fertility than hormones. 

Comparing At-Home Fertility Tests

There are a lot of home fertility tests out there, and they’re not all created equally. Keep these considerations in mind when deciding which test to take:

  • Cost: Depending on your budget, some tests can get expensive. Look for subscriptions or coupon codes to see if you can get a better deal. 
  • Time for results: Most results come back within seven business days, but some have fast results available. 
  • Availability: Not all test kits ship to every state, so make sure you can have a kit delivered to where you live. Some also won’t ship to PO boxes. 
  • Sample methods: Most tests use blood or urine samples (or semen for men). If you aren’t keen on pricking your finger, you might find a urine test to be a better fit. 
  • Ease of use: Convenience is key when it comes to home testing, so look for ones that are simple to use with easy instructions.
  • Hormones tested: You may be looking to test a specific hormone such as LH for ovulation, or as many as you can to get an overall idea of your fertility. 

Ordering Your At-Home Fertility Test Kit

Most at-home tests can be ordered online directly through the company website. It takes several days for the kits to arrive, and some have to be registered in advance by logging into your account and providing a registration number on the packaging. Instructions are provided, and some companies also have pictures and additional collection details listed on their site. Once you send the kit back, it takes a few days for a clinician to review the results. You’re able to see your results through a secure online portal.

Frequently Asked Questions

How Much Do At-Home Fertility Tests Cost?

Tests can range from around $10 at their most basic to over $300.

Are At-Home Fertility Tests Accurate?

At-home tests don’t replace care from a medical provider, but many tests out on the market have fairly accurate results. There’s the potential for inaccuracies, so it’s always good to bring your results to your provider for follow-up. 

The results are less accurate if you don’t follow all of the instructions in the test kits. Also, if you have certain medical conditions that affect your reproductive system, your tests may not be as reliable.

How Do At-Home Fertility Tests Work?

Many at-home tests work similarly to going into a clinic. For women, testing usually involves a finger prick or urine sample. For men, collecting semen involves exactly what you think. But for both, there’s less stress and awkwardness, along with possibly a cheaper cost than going to a clinic.

Once you’ve collected your sample, you’ll mail it back to a lab and get your results in your secure online account a few days after a clinician review.

Does Insurance Cover At-Home Fertility Tests?

Most insurances don’t cover at-home fertility tests. However, you can always try to get reimbursed. Plus, many companies will allow you to use your HSA/FSA account.

Methodology

We reviewed seven different at-home fertility tests and considered cost, support provided, and ease of use. Some tests provide immediate results, while others are more budget-friendly; we sought out a variety of fertility tests to meet individual needs.

We also aimed for choices in testing: using blood or urine samples, sperm, options such as ovulation test sticks or wearable devices that didn’t measure actual hormones, and analysis for men. 

Most tests we reviewed also have some sort of support available, either through a clinician or a peer community.

A Word From Verywell

At-home fertility tests are considered unreliable by medical professionals. We recommend that you consult a doctor to interpret and confirm test results, and to get advice regarding the best ways to manage fertility.

Best at Home Fertility Tests

Verywell Family / Design by Amelia Manley

Article Sources
Verywell Family 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. Kumar N, Singh A. Trends of male factor infertility, an important cause of infertility: A review of literature. J Hum Reprod Sci. 2015;8(4):191. doi:10.4103/0974-1208.170370

By Risa Kerslake
Risa Kerslake is a registered nurse, freelance journalist, and content marketing writer, and editor with more than a decade of experience in the health and parenting space. After spending the last decade blogging about her infertility treatments, she completed her family in 2019 after donor egg IVF. She's passionate about infertility and helping others advocate for their own health.

Originally written by
Stephanie Trovato
Stephanie Trovato writes about health and business.

​Stephanie Trovato is a writer who specializes in researching consumer topics, and creating easy-to-understand articles to help consumers make informed decisions. Her experience in healthcare includes e-commerce, insurance advisements, mental health wellness and vitamin and supplement information.    

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