Best At-Home Fertility Tests

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.

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 for the kit to arrive. If you’re on birth control, you can get your test customized for the most accurate results. Being on birth control means you aren’t able to 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 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 go over 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 they were expecting.

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 best predict ovulation. 

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 with both iOS and Android users. 

The Ava Fertility Bracelet costs $279 for the basic plan. For $309, you can get a pregnancy ebook 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 are able to 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 that their ovulation prediction wasn’t accurate.

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. 

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 was 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 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 one of their certified labs, 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 you’ll only be contacted by a nurse 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.

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.

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 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 are able to 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.

For a no-frills, budget-friendly approach to fertility testing, ovulation test strips are a good option if you’re looking to find out when ovulation is occurring. For just under $11 for 30 test strips, PREGMATE is a much more cost-effective way to monitor your fertility than many other home fertility tests.

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 which are found in low levels in the body, except for the time near ovulation. If you get a positive result on the test, it means 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 30 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.

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 virtually. 

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 24 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, it costs $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.

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.

A Dadi 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 24 hours), Dadi offers a personalized report of each marker tested and detailed information about what your results mean for you. 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 next steps.

Dadi 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. Dadi 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, Dadi is an extremely safe and detailed product to consider when investing in your fertility future.

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.

The Mira Fertility Plus Kit helps you to track ovulation over time throughout your cycle instead of taking a single test. Kits usually arrive in 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 as long as your order totals $148. Insurance won’t usually cover the cost, but you are able to 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 since other tests on the market may not accommodate irregular cycles.

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.

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 man’s 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 that are used 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).