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Fertility tests monitor hormone levels and sperm count, which can help when planning a pregnancy. Here, we discuss our top picks of the best at-home fertility tests.
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Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
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A quick look at 7 of the best at-home fertility tests in 2024
Best overall test: Ro Modern Fertility Ovulation Test | Skip to review
Ro Modern Fertility Ovulation Test
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Best comprehensive range of tests: LetsGetChecked At Home Female Fertility Test | Skip to review
LetsGetChecked At Home Female Fertility Test
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Best for PCOS testing: Mira Starter Kit | Skip to review
Mira Starter Kit
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Best wearable fertility tracker: Ava Fertility Bracelet | Skip to review
Ava Fertility Bracelet
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Best hormone testing kit: LetsGetChecked Female Hormone Tests | Skip to review
LetsGetChecked Female Hormone Tests
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Best semen analysis fertility test: Fellow Semen Analysis Kit | Skip to review
Fellow Semen Analysis Kit
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Best for sperm testing: Labcorp OnDemand Men’s Rapid Fertility Test | Skip to review
Labcorp OnDemand Men’s Rapid Fertility Test
Skip to review
Best fertility tests
At home fertility tests often check your follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Some may check other fertility-affecting hormones, such as estrogen and progesterone. In some cases, the tests may check sperm count from a semen sample.
follicle-stimulating hormone (FSH)
luteinizing hormone (LH)
estrogen
progesterone
These hormones also play important roles in puberty, ovulation, and pregnancy.
puberty
ovulation
pregnancy
Below, we list some of the best at-home fertility tests.
Ro Modern Fertility Ovulation Test
Results in: 5 minutes
Collection method: urine sample
Tests for: luteinizing hormone levels
Accepts insurance: FSA/HSA only
Follow-up guidance: no follow-up guidance
$16.00 AT MODERN FERTILITY
*Price may vary.
This daily test helps to find your two most fertile days.
It tracks daily LH levels to find your low, high, and peak LH levels. Ro claims this will give you more insight into your ovulation cycle than competitors.
ovulation cycle
LH levels surge about 36 hours before your ovary releases an egg. Using a test such as Ro’s may help with scheduling sex during your most fertile period, especially as daily testing may make tracking LH surges more accurate.
LH levels surge
36 hours
This test may also be beneficial if you have irregular cycles or LH surges below the average threshold. Ro states that this test can accurately track surges in these conditions. However, it is important to note that Ro does not display any evidence to back up this claim.
irregular cycles
LH surges
This test works with the iOS-exclusive Modern Fertility App, allowing you to log test results automatically using your phone camera. This may be easier to track LH surges than using pen and paper.
Modern Fertility App
To use this test, you urinate into a cup and dip in the test strip for 10 seconds. After letting it sit for 5 minutes, you then match the color of the test strip to the color bar to find your LH concentration.
Ro recommends testing in the afternoon.
Read our Ro review.
Read our Ro review.
comes with an app that may make tracking menstruation and ovulation easier
offers fast results within 5 minutes
color-coded results may be easier to interpret
reportedly suitable for people with irregular cycles or LH levels below the average threshold
daily tracking may give a more accurate view of a person’s fertility
the Modern Fertility App is currently only available on iOS devices, which may make the test less appealing to Android users
you must test daily to get the most accurate results, which may not suit those who find it difficult to keep to a routine
the company recommends testing in the afternoon for the most accurate results, making this option potentially unsuitable for people who are unable to find a private place to test at work
comes with an app that may make tracking menstruation and ovulation easier
offers fast results within 5 minutes
color-coded results may be easier to interpret
reportedly suitable for people with irregular cycles or LH levels below the average threshold
daily tracking may give a more accurate view of a person’s fertility
the Modern Fertility App is currently only available on iOS devices, which may make the test less appealing to Android users
you must test daily to get the most accurate results, which may not suit those who find it difficult to keep to a routine
the company recommends testing in the afternoon for the most accurate results, making this option potentially unsuitable for people who are unable to find a private place to test at work
Shipping: free shipping
Shipping: free shipping
LetsGetChecked At Home Female Fertility Test
Results in: 2–5 days
Collection method: finger prick
Tests for: follicle stimulating hormone, luteinizing hormone, prolactin, oestradiol, anti-Mullerian hormone, progesterone hormone
Accepts insurance: no
Follow-up guidance: clinical team follows up on results outside of an expected range
$99.00 AT HTTPS://WWW.LETSGETCHECKED.COM/HEALTHLINE-FEMALE-FERTILITY-AB/
*Price may vary.
You may choose LetsGetChecked if you want a comprehensive overview of your fertility.
It offers three tests for women’s fertility: progesterone, a female hormone, and an ovarian reserve test. Although, you need to pay for each test individually.
Progesterone test
The progesterone test costs $99 and can confirm if ovulation occurred seven days before the expected period.
progesterone test
LetsGetChecked states that you must take this test Monday to Friday, seven days before you expect your period to start. The company often says this is on the 21st day of your cycle, although this may vary. If this day falls on the weekend, the company recommends waiting until a month when it falls on a weekday.
Female hormone test
The female hormone test checks the levels of several female sex hormones, including FSH and LH. It costs $139.
female hormone test
However, it is unsuitable for those who have taken hormonal contraceptives or hormone replacement therapy (HRT) within the last three months. Those who take biotin supplements should wait eight hours from their last dose to take this test.
hormonal contraceptives
hormone replacement therapy (HRT)
biotin supplements
You must take a sample on days 3 to 7 of your cycle. This means 3 to 7 days after the first day of your period. LetsGetChecked states you must take the sample in the morning.
Learn more about the different stages of the menstrual cycle.
the different stages of the menstrual cycle
Ovarian reserve test
The third fertility test LetsGetChecked offers measures the number of eggs you have left. The number of eggs peaks while you are still developing in the womb and start decreasing with age. Women age 30 have an average of less than 50,000.
number of eggs
less than 50,000
While this test cannot tell exactly how many eggs you have left, the quality of the eggs, or whether you have infertility, it may indicate a response to ovarian stimulation.
This test is unsuitable for those who have taken hormonal contraceptives or HRT in the last 3 months.
The company advises users to collect the sample in the morning Monday to Friday and send it off the same day. LetsGetChecked goes on to say it does not matter when in your menstrual cycle you take the sample.
LetsGetChecked says this test is only suitable for people ages 18 to 55. It costs $139.
Read our review of LetsGetChecked.
Read our review of LetsGetChecked.
offers three tests that may provide a more comprehensive overview of reproductive health
all tests are suitable for people with irregular cycles, although people must disclose irregularities when interpreting results
LetsGetChecked details who can and cannot take the tests clearly on the websites
the company offers 24/7 medical support
if you want to buy all three tests, it is very expensive
LetsGetChecked does not combine tests for one comprehensive panel
many tests are not suitable for people who take hormonal contraception or HRT
you will need to wait up to 5 days to receive test results
many tests require testing days to fall on a weekday
the ovarian reserve test cannot predict future fertility for non-infertile females
offers three tests that may provide a more comprehensive overview of reproductive health
all tests are suitable for people with irregular cycles, although people must disclose irregularities when interpreting results
LetsGetChecked details who can and cannot take the tests clearly on the websites
the company offers 24/7 medical support
if you want to buy all three tests, it is very expensive
LetsGetChecked does not combine tests for one comprehensive panel
many tests are not suitable for people who take hormonal contraception or HRT
you will need to wait up to 5 days to receive test results
many tests require testing days to fall on a weekday
the ovarian reserve test cannot predict future fertility for non-infertile females
Shipping: free shipping
Shipping: free shipping
Mira Starter Kit
Results in: 15 minutes
Collection method: self-collection urine
Insurance coverage: insurance not accepted, but may be able to use FSA/HSA cards for payment
Follow-up guidance: none
$199.00 AT MIRA
*Price may vary.
Mira says this product is beneficial for those with PCOS or other hormone imbalances. The company claims 56% of users with PCOS became pregnant within the first year of using Mira.
56%
The Mira Plus Starter Kit helps track ovulation and fertility via the Mira App, available on Android and iOS. This app tracks hormonal changes in an easy-to-read chart. This test is an ovulation predictor kit (OPK) that can help determine when your fertility is at its peak.
Android
iOS
ovulation predictor kit (OPK)
Read our review of the Mira Fertility Tracker.
Read our review of the Mira Fertility Tracker.
Another name for this period is the “fertile window.” If you use these tests regularly and the result is never positive, it can indicate that ovulation is not happening.
Mira states that this kit will suit you regardless of whether you have regular or irregular menstrual cycles. According to the company, as the product measures hormone levels over several days, it can detect hormonal surges that indicate ovulation with 99% lab-grade accuracy.
However, it is important to note that the company does not provide evidence to back up this claim.
The company recommends testing 10 to 20 times per cycle for a more accurate ovulation window. Mira states that this test informs you of a 6-day window where your chances of conceiving are greater.
To use Mira, you must dip the wand into your urine for 10 20 seconds. Then, you must place the wand into the Mira Analyzer, which will automatically upload and sync results to the Mira App within 21 minutes.
An additional bonus is that the company offers a 100% money-back guarantee if its test kit cannot detect an LH surge after three months of using Mira.
Mira also offers an at-home fertility test which measures various hormones from a finger prick sample, including free testosterone. A person with PCOS may see increased levels of free testosterone in their body. The test costs $179.
at-home fertility test
Learn more about the best fertility tracking apps.
the best fertility tracking apps
the company states this device is suitable for those with PCOS
reportedly suitable for people with regular and irregular periods
you do not need to provide a blood sample
results are available within 21 minutes
the app uses artificial intelligence to provide personalized information about fertility
the Analyzer syncs automatically to the app
the comapny recommends testing up to 20 times per cycle, which may increase the cost as each wand is single-use
the test is very expensive in comparison to other kits that require frequent testing
some buyers could not use the tests as regularly as they wanted due to the price
the company states this device is suitable for those with PCOS
reportedly suitable for people with regular and irregular periods
you do not need to provide a blood sample
results are available within 21 minutes
the app uses artificial intelligence to provide personalized information about fertility
the Analyzer syncs automatically to the app
the comapny recommends testing up to 20 times per cycle, which may increase the cost as each wand is single-use
the test is very expensive in comparison to other kits that require frequent testing
some buyers could not use the tests as regularly as they wanted due to the price
Returns: no returns once the order ships; starter kit eligible for 90-day money-back guarantee
Shipping: free shipping on orders over $148
Returns: no returns once the order ships; starter kit eligible for 90-day money-back guarantee
Shipping: free shipping on orders over $148
Ava Fertility Bracelet
Results: overnight
Collection method: body temperature
Tests for: ovulation window
Accepts insurance: yes
Follow-up guidance: no follow-up guidance
$279.00 AT AVA
*Price may vary.
This wearable fertility tracker helps you to identify your 5-day fertility window. Ava claims that the device can show the window up to 4 days sooner than hormone-based tests, increasing the chances of conception.
The Food and Drug Administration (FDA) has cleared this wearable device, meaning it may receive FDA approval in the future. This product is the first and only wearable fertility tracker that has received FDA clearance.
The bracelet comes with three different purchase options. All options measure the same metrics and provide access to Ava’s online community. However, the more expensive options provide a 100% money-back guarantee if you do not become pregnant within 6 or 12 months.
You must wear this tracker while you sleep. The product will measure metrics whilst asleep and automatically sync it with the Ava App, which is available on Android and iOS devices.
Android
iOS
However, it is worth noting that this tracker is only suitable for those who have a cycle that lasts 24 to 35 days. It is unsuitable for people with irregular cycles.
The bracelet has a battery life of 12 hours. The battery is rechargeable. The company states that the bracelet is compatible with iOS 10 or higher, and Android 5 or higher.
Read our Ava Fertility Tracker review.
Read our Ava Fertility Tracker review.
for an extra fee, you can receive a full refund if they do not become pregnant within 6–12 months
it is the only fertility wearable that has received FDA clearance
it collects data while you sleep and does not require any samples
it also tracks sleep and stress
the bracelet is not waterproof or water-resistant
it is very expensive
it is not suitable for people who have irregular, very short, or very long cycles
it is not suitable for people who have implantable electric devices, such as a pacemaker
for an extra fee, you can receive a full refund if they do not become pregnant within 6–12 months
it is the only fertility wearable that has received FDA clearance
it collects data while you sleep and does not require any samples
it also tracks sleep and stress
the bracelet is not waterproof or water-resistant
it is very expensive
it is not suitable for people who have irregular, very short, or very long cycles
it is not suitable for people who have implantable electric devices, such as a pacemaker
Shipping: free shipping
Shipping: free shipping
LetsGetChecked Female Hormone Tests
Results in: 2 to 5 days
Collection method: finger prick
Insurance coverage: HSA/FSA only
Follow-up guidance: option to go over your results with LetsGetChecked’s clinical team
Use code “HEALTHLINE25” for 25% off
$139.00 AT LETSGETCHECKED
*Price may vary.
This hormone test from LetsGetChecked is a comprehensive test looking at the levels of various female hormones that may help provide insight into women’s fertility.
This test requires a finger prick blood sample which you then send to the lab for testing. The company tests the blood sample for four hormone levels, including:
FSH: Responsible for stimulating egg growth in the ovaries.
FSH: Responsible for stimulating egg growth in the ovaries.
LH: Works alongside FSH to release eggs from the ovaries.
LH: Works alongside FSH to release eggs from the ovaries.
Prolactin: Regulates milk production and develops breast tissue during and post-pregnancy.
Prolactin: Regulates milk production and develops breast tissue during and post-pregnancy.
Estradiol: Helps with the growth and release of eggs in the ovaries and also responsible for thickening the uterus lining, helping the eggs to attach.
Estradiol: Helps with the growth and release of eggs in the ovaries and also responsible for thickening the uterus lining, helping the eggs to attach.
You should collect your sample in the morning, ideally on days 3 to 7 of your menstrual cycle. You cannot take this test if you have been taking hormonal contraceptives or if you have had hormone replacement therapy (HRT) within the last three months, as this can alter the accuracy of the results.
Results are available online via your personal account within 2 to 5 days.
the test is suitable for those with irregular menstrual cycles, though you must disclose this
the company provides 24/7 medical support
the company clearly lists on the website who this test is not suitable for and why
people who have taken hormone contraceptives or had HRT in the last three months cannot take the test
results are not immediate
you must test on a weekday so the lab can receive and process the sample
the test is suitable for those with irregular menstrual cycles, though you must disclose this
the company provides 24/7 medical support
the company clearly lists on the website who this test is not suitable for and why
people who have taken hormone contraceptives or had HRT in the last three months cannot take the test
results are not immediate
you must test on a weekday so the lab can receive and process the sample
Returns: no returns or refunds
Shipping: free shipping in the United States
Returns: no returns or refunds
Shipping: free shipping in the United States
Fellow Semen Analysis Kit
Collection method: sperm sample
Tests for: sperm volume, sperm count, sperm concentration, sperm motility, sperm morphology, total motile count
Accepts insurance: no
Follow-up guidance: no follow-up guidance
$189.00 AT FELLOW
*Price may vary.
Fellow offers an at-home semen analysis kit. The company claims that its system and labs are the only ones that exceed FDA standards.
You collect the semen sample at home and send it to the lab. The results come back quickly and include various information related to sperm health, including:
number of sperm per milliliter (mL) of fluid
number of sperm swimming
their shape
how many sperm cells are present in total
Once the results are in, you can review them on your preferred personal device using the app.
Like other companies, Fellow offers cryopreservation in CLIA-registered labs. However, you must pay $140 per year to store semen.
according to the company, the test exceeds FDA standards for semen analysis methods
the company claims it is a doctor-approved test
the app makes results easy to understand
the company charges $140 per year for sperm storage
it is unavailable in New York and Rhode Island
you cannot use lube when providing a sample
according to the company, the test exceeds FDA standards for semen analysis methods
the company claims it is a doctor-approved test
the app makes results easy to understand
the company charges $140 per year for sperm storage
it is unavailable in New York and Rhode Island
you cannot use lube when providing a sample
Shipping: free shipping
Shipping: free shipping
Labcorp OnDemand Men’s Rapid Fertility Test
Results in: 6 minutes
Type: self-collection semen
Collection method: self-collection semen
Insurance coverage: not available, but HSA/FSA eligible
Follow-up guidance: none, but you can purchase additional tests to monitor your sperm count over time
$199.00 AT LABCORP
*Price may vary.
This FDA-cleared sperm test allows you to receive your test results rapidly within 30 minutes.
However, you will need to go 2 to 7 days without ejaculating before collecting the sample. This test only measures sperm concentration and semen volume, making it a more basic test than the other options in this article.
The company states you can interpret your results based on the following:
Optimal (above 55 mL): You may conceive quicker.
Moderate (between 15 and 55 mL): It may take you longer to conceive.
Low (15 mL or below): You may be at risk of infertility.
infertility
However, you may wish to speak with a healthcare professional to help interpret your results and receive more testing or treatment as necessary.
you can test from home without sending the sample to a lab
it is less expensive than other options
results are available in 30 minutes
it has FDA clearance
it does not include sperm storage
you cannot ejaculate for up to a week before providing a sample
it does not provide a very in-depth analysis
you must be over age 18 years to use this test
you can test from home without sending the sample to a lab
it is less expensive than other options
results are available in 30 minutes
it has FDA clearance
it does not include sperm storage
you cannot ejaculate for up to a week before providing a sample
it does not provide a very in-depth analysis
you must be over age 18 years to use this test
Shipping: shipping calculated at checkout
Shipping: shipping calculated at checkout
Comparing the best at-home fertility tests
The following table compares the best at-home fertility tests as presented in this article.
Ro
LetsGetChecked
Mira
Ava Fertility
Fellow
LabCorp
How we chose the best at-home fertility tests
MNT chooses at-home tests that meet the following criteria where possible:
Laboratories: MNT will select companies that process test samples in CLIA-certified labs. This means that they follow state and federal regulations.
CLIA-certified
Budget: MNT chooses at-home tests that are suitable for a wide range of budgets.
Privacy: MNT includes companies that offer robust and transparent privacy measures, such as data protection and discreet packaging.
Test result communication: MNT selects companies that inform customers when they will receive their test results and whether they will receive them via email, app, or phone.
Further support: MNT will indicate whether a company offers further support, such as a follow-up phone consultation with a doctor to discuss test results.
Medical News Today follows a strict product selection and vetting process. Learn more.
Learn more.
How to shop for the best fertility tests
Choosing the best at-home fertility test can be difficult when so many options are available. Some factors to consider include:
Which hormones companies test: Understanding hormone levels is another important part of learning about fertility. If you want to determine whether your hormone levels are optimal for fertility, a test that offers extensive hormone test panels is advisable. Hormone testing for females is likely to include estrogen, progesterone, and luteinizing hormone.
Male fertility tests: Males will need to use a sperm test and can consider whether they want to store their sperm afterward. Many sperm tests offer storage, but it can be expensive.
Lab accreditation: If you choose an at-home test that requires sending a sample to a lab for analysis, it is important to only purchase from companies that use accredited labs.
Results speed: Some tests offer results faster than others. For example, Mira will provide information about your ovulation cycle within minutes.
“Home fertility tests may be convenient, but they’re not always the most accurate. They cannot give you a diagnosis or cause for possible infertility, and you will still need to see your physician or medical provider to help you interpret the results.”
— Stacy A. Henigsman, DO
When to contact a doctor
You may wish to speak with a doctor before choosing which is the best at-home fertility test for you, as in-person testing may be more beneficial for some people.
If any fertility test indicates that conceiving may be challenging, it is best to contact a doctor. They can perform additional testing and recommend what steps to take next. If you are interested in fertility supplements, you can also discuss these with a doctor.
fertility supplements
If you are under 35 years of age, you should consider contacting a doctor if you experience difficulty conceiving after one year of having sex without birth control. Individuals older than 35 can contact a doctor after 6 months of trying.
35 years of age
Frequently asked questions about at-home fertility tests
It is possible for you to check your fertility at home.
Female fertility tests involve urine tests that show your most fertile days, and male fertility tests show the volume and health of your semen. Many companies offer results via app or email for convenience.
It is possible for you to check your fertility at home.
Female fertility tests involve urine tests that show your most fertile days, and male fertility tests show the volume and health of your semen. Many companies offer results via app or email for convenience.
Yes, finger-prick tests for fertility are available. While no test can tell whether you are fertile or infertile, finger-prick blood tests can check whether hormones are within typical ranges for your age and sex.
Yes, finger-prick tests for fertility are available. While no test can tell whether you are fertile or infertile, finger-prick blood tests can check whether hormones are within typical ranges for your age and sex.
Most at-home fertility tests check hormone levels in the urine or blood. These levels fluctuate during the month due to the menstrual cycle, and surges can indicate the best time to conceive. An at-home fertility test for females may help with women’s fertility.
Most at-home fertility tests check hormone levels in the urine or blood. These levels fluctuate during the month due to the menstrual cycle, and surges can indicate the best time to conceive. An at-home fertility test for females may help with women’s fertility.
Most tests claim to be close to 99% accurate. However, this may not be the case.
A 2020 study showed that people who purchase direct-to-consumer tests find them empowering in their family planning but also confusing and misleading.
2020 study
People who have questions or are still finding it difficult to get pregnant can consult a doctor about their results and the next steps.
Most tests claim to be close to 99% accurate. However, this may not be the case.
A 2020 study showed that people who purchase direct-to-consumer tests find them empowering in their family planning but also confusing and misleading.
2020 study
People who have questions or are still finding it difficult to get pregnant can consult a doctor about their results and the next steps.
Insurance companies do not have to cover fertility testing — both at home and in facilities — in most states. Only 15 states require any type of coverage, but it is often insufficient to offset the cost.
15 states
Insurance companies do not have to cover fertility testing — both at home and in facilities — in most states. Only 15 states require any type of coverage, but it is often insufficient to offset the cost.
15 states
A hormone test or sperm test can help to indicate fertility. These hormone tests are available as at-home test kits. However, at-home test kits should never replace a doctor’s appointment. If you are concerned about your fertility after performing an at-home test, you should seek medical advice. A doctor may perform blood tests, chlamydia tests, ultrasound or x-ray scans, laparoscopy, or semen analysis tests.
may perform
A hormone test or sperm test can help to indicate fertility. These hormone tests are available as at-home test kits. However, at-home test kits should never replace a doctor’s appointment. If you are concerned about your fertility after performing an at-home test, you should seek medical advice. A doctor may perform blood tests, chlamydia tests, ultrasound or x-ray scans, laparoscopy, or semen analysis tests.
may perform
Summary
At-home fertility tests can help you tell when you are most likely to conceive. The tests check specific hormone levels and sperm characteristics.
However, fertility tests should not take the place of a doctor’s appointment. It can help to interpret the results with a healthcare professional who can provide additional advice and, if necessary, treatment.