At-Home Fertility Tests to Help Guide Your Fertility Journey

Founded in 2017, Modern Fertility was acquired by the telemedicine platform Ro in 2021. Its at-home Fertility Hormone Test is one of the most comprehensive on the market, measuring up to seven hormones associated with fertility. Hormones that may be tested include:

• Anti-Mullerian hormone (AMH) is present when there are immature eggs (follicles) in your ovaries.
• Thyroid-stimulating hormone (TSH) can alert you to any thyroid conditions which may prevent ovulation.
• Follicle-stimulating hormone (FSH) stimulates the growth of eggs in the ovaries. FSH is highest just before an egg is released.
• Estradiol (E2) is a sex hormone produced by the ovaries that helps maintain and regulate the reproductive system.
• Prolactin (PRL) can stimulate milk production and pauses ovulation after you give birth.
• Luteinizing hormone (LH) controls the release of eggs during the menstrual cycle and tends to surge during ovulation.

The test results provide insights into ovulation, ovarian reserve (how many eggs you have), and your chances of conception. Your purchase also includes access to a community platform to connect with fertility experts for additional support. After completing the finger-prick test and waiting seven to 10 days, you can view your physician-reviewed results in your online account. Unlike some testing services, Modern Fertility provides exact hormone levels rather than ranges, which can be helpful if you’re tracking them over time with your doctor. The test was also peer-reviewed in a Modern Fertility-sponsored study. The report is also easy to understand and provides helpful information on how each hormone affects your body.

The downside? Modern Fertility isn't available in New York or Rhode Island and doesn't accept insurance. However, you can use your health savings account (HSA) or flexible spending account (FSA) to pay. In addition, it’s worth noting that if you're taking hormonal birth control, your test is limited to two hormones, FSH and AMH, because the other fertility hormone levels mentioned above can be affected by it.

User error is a potential disadvantage of at-home testing kits, as sample collection isn't always done correctly. The Women's Fertility Package from LabCorp minimizes this risk with trained phlebotomy technicians taking blood samples at a local lab. The test is also backed by several peer-reviewed studies. The package tests for three critical hormones associated with fertility: 

• FSH, which plays a role in egg production
• AMH, which helps indicate the number of eggs remaining in your ovaries
• Estradiol, a form of estrogen that lends insight into ovarian function and egg quality

After ordering your test online, a physician will review and approve your request without an appointment. You can then visit any Labcorp location to collect your blood sample, though the test should be done on the third day of your menstrual cycle. Results are delivered via a secure online portal within four days. Your personalized reports break down exact hormone levels and explain the importance of each metric.

Labcorp OnDemand tests don't accept insurance, but HSA and FSA funds can be used to pay for services. Additionally, this test does not adequately measure egg quality. However, Labcorp is a leading provider of clinical lab testing and has thousands of locations across the U.S., making it a convenient option that reduces the risk of collection errors.

The Female Fertility Test from MyLabBox allows you to take a finger prick and saliva sample at home to get lab-certified results within five days. This test measures four key hormones, including estradiol, FHS, LH, and testosterone—a reproductive hormone produced in both men and women. In females assigned at birth, high testosterone may signify polycystic ovary syndrome (PCOS) or another underlying condition related to infertility.

You'll receive a box containing everything you need for sample collection, including instructions, lancets, collection swabs, and return postage. Once your sample is collected, it's sent to a CAP (Certified Analytics Professional) and CLIA (Clinical Laboratory Improvement Amendments)-certified lab (which are accreditations that help ensure laboratories provide precise test results) for testing. Results display on an easy-to-read dashboard for easy viewing. MyLabBox also provides a physician consultation for those with questions or concerns.

Insurance is not accepted, though you can use HSA or FSA funds to pay. Additionally, results may not be used to diagnose infertility and are more of an informational tool for better understanding your body. Still, it's a fast option and provides helpful insight into the reproductive hormones associated with fertility, and, if the results are abnormal, it could help give people the push they need to go see a doctor.

Founded by Amy Beckley, PhD, a scientist and infertility veteran, Proov Predict & Confirm is a home fertility test that measures LH for peak ovulation prediction and PdG (the main urine marker of progesterone in the body) to confirm ovulation after it happens. With a urine sample and 10 minutes each day, you can begin tracking the best time for conception and get the peace of mind that comes from knowing ovulation has occurred. This test includes enough testing supplies for one cycle and a digital tracking app that provides daily scores and analysis of your data.

While the test itself shows two lines for a positive ovulation prediction and confirmation, the Proov app provides additional insight and numerical data based on pictures you upload via the app. After testing your urine using the included test strips, you can access the app to compare results, view hormone trends, and log symptoms. An end-of-cycle ovulation score provides an overall view of each cycle after you complete all five PdG tests.

The Proov Predict & Confirm test is one of the most affordable options that gives personalized insights. Its efficacy is also backed by a couple of peer-reviewed studies. However, the numerical data lacks lab-verified accuracy and should only be used to track ovulation rather than diagnose problems. Long-term costs can add up if you're regularly testing your cycles. Additionally, this test only measures hormone changes associated with ovulation and cannot detect other fertility issues.

Sperm health is a key factor for male fertility, and For Today by Legacy delivers a complete picture of sperm health with accurate results within days of ordering. This convenient at-home kit includes all the supplies needed to collect and mail your sample directly to the facility. The Legacy lab uses the same technology as fertility clinics to measure sperm volume, concentration, motility (number of active sperm), count, and morphology (size and shape).

Each of these metrics provides critical insight into your fertility and potential health issues impacting it. With results delivered to your online dashboard within two days, you can access your extensive report directly from the Legacy website. Additionally, this test includes free advisory support from Legacy’s team of fertility advisors to guide you through the testing process. You can also book an appointment with a male fertility specialist for a detailed analysis of your results. The test is backed by a peer-reviewed study, so you can feel confident in the results you receive.

Legacy testers with an in-network insurance plan may be eligible for the For Today kit and sperm storage at no cost. This test remains an expensive option compared to similar options—but having access to Legacy’s fertility advisors and specialists may make it worth the cost. Short- and long-term sperm storage options are available. Other payment options include HSA, FSA, and monthly payments through a third-party platform.

Ovulation wands have become a popular choice for tracking fertility out of pure convenience and affordability. Natalist’s simple at-home Ovulation Test uses urine strips to detect the luteinizing hormone (LH) surge that precedes ovulation. By testing daily during your cycle and looking for a color change on the wand, you can identify when your body is preparing to release an egg.

With regular tracking, this method can help you pinpoint your fertile window with relative accuracy and adjust family planning methods as needed. Natalist also provides a helpful tracking and instructional guide with each order. Customers can choose discounted bundles or subscribe to save on testing supplies over time for increased convenience. The company also offers prenatal and postnatal supplements, pregnancy tests, and essential vitamins for whole-body support.

Although this method of tracking ovulation is convenient, it does not provide the same in-depth look at reproductive health as lab-based tests. Additionally, the wand only measures LH surge, not other hormones. Testers must manually track their fertile window over time for the best reproductive insights. Results aren’t given in numerical form—you must look for a color change on the wand. Despite these potential drawbacks, the tests are more than 99% accurate, according to Natalist. Your purchase is also FSA/HSA eligible.

The technology behind Mira Max is a revolutionary way to track exact levels of estradiol metabolite (E3G, an estrogen compound that denotes ovarian function and egg quality), LH, and PdG from a palm-sized device in minutes. This unique combination of data is a powerful tool for understanding and tracking ovulation, fertility, and health changes in real time—without stepping foot in a lab. The kit includes an analyzer, a carrying pouch, 10 single-use testing wands, and a silicone cup for collecting urine samples.

After the initial device set-up and app connection, Mira Max uses an intuitive interface to guide users through the testing process. Testers dip the wand in the collected urine sample before inserting it into the analyzer. Results display on the device and app after 21 minutes. The app also makes symptom tracking, cervical mucus monitoring, and menstrual cycle tracking seamless.

Results are highly accurate (99%), according to the company, and can detect subtle changes in hormone levels to help determine the best time for conceiving or avoiding pregnancy. However, some medications, like aspirin and acetaminophen, can interfere with test results. The device comes with a 90-day money-back guarantee (Starter Kit only) and a one-year limited warranty. Pay-later options and FSA/HSA payments are available. While this product is more expensive than traditional ovulation tests, it provides a wealth of data unavailable through other home testing methods.

The Ava Fertility Tracker offers a wearable device that combines state-of-the-art sensing technology with sophisticated algorithms to track and detect key markers of fertility. Ava helps detect up to five fertile days per cycle by measuring the physiological parameters linked to ovulation, including pulse, sleep patterns, heart rate, and body temperature.

The Ava Fertility Tracker is worn on your wrist throughout the night to collect data. Then, the data is synced with Ava's app to reveal your fertile days with 90% accuracy so you can better time conception. The company regularly participates in scientific studies to improve the accuracy of its device and algorithms. Plus, peer-reviewed research suggests the bracelet offers the same accuracy as LH urine tests.

The app is user-friendly and enables you to print cycle data to share with your healthcare providers. Once you are pregnant, the Ava app provides helpful advice and insights about your pregnancy journey. The Ava Fertility Tracker is not waterproof or water-resistant, so it's not suitable for showering. Those with long cycles, implanted devices, or fevers should not use the device. Ava is covered under select fertility benefits packages, or you can use an HSA or FSA card to pay.

Polycystic ovary syndrome is one of the most common endocrine disorders among women—it affects around 10% of women of childbearing age—yet diagnosis isn't always cut and dried. The condition affects hormone production and metabolism, causing irregular menstrual periods, ovarian cysts, and fertility challenges. The LetsGetChecked PCOS Test is an at-home testing option that measures seven hormones commonly linked to the syndrome—testosterone, sex hormone binding globulin (SHBG, a protein that carries transporting testosterone and other hormones through the bloodstream), free androgen index (FAI—the ratio of the total amount of testosterone vs your SHBG levels), FSH, LH, cortisol (the stress hormone—high levels of it often overlap with PCOS symptoms), and AMH.

The test requires a saliva and finger prick blood sample collected using instructions from the test kit. After collecting the samples, you simply seal and ship the test kit back to the lab. Results are available in your secure online account within five days. A physician reviews every result and will contact you if additional steps are recommended.

Though helpful, this test can't diagnose PCOS or any other condition. If you suspect PCOS, it's important to talk to your healthcare provider about all available testing options. It's also not suitable for everyone. Those with bleeding disorders and certain skin disorders, or who are taking hormonal medications, should not use the test. Insurance isn't accepted, but the test is HSA/FSA eligible.