Test Your Fertility and Motility with these At-Home Sperm Tests

The Legacy For Today semen analysis provides a comprehensive analysis of sperm health along with the option to add cryogenic freezing. The test kit comes with a high-quality collection kit designed to ensure safe transportation, with the option for same-day pickup. Sperm analysis is performed at a CLIA-certified lab, meaning it meets the federal regulations for quality laboratory testing. The analysis offers a comprehensive look at five factors of sperm health:

• Volume: The amount of semen produced 
• Count: The total number of sperm in the sample; a higher sperm count can increase the chances of conception.
• Concentration: The number of sperm per milliliter of semen
• Motility: The percentage of sperm that are moving properly; in order to reach the egg, sperm must be motile.
• Morphology: The percentage of sperm that are the proper size and shape; abnormally shaped sperm can have a more difficult time reaching an egg.

Results are ready and available online within 48 hours of the sample being received. You can schedule a video call with a fertility expert to review your results and provide guidance on your next steps. Your personalized results will also include evidence-based recommendations on how to improve your fertility based on your lifestyle.

Legacy also offers DNA fragmentation analysis, which looks at the genetic health of your sperm, and cryogenic sperm freezing. There are several package options to choose from:  

• For Today includes a comprehensive semen analysis for the price of $395 with the option to add cryogenic storage for four vials of sperm for $145 per year
• For Today + DNA Analysis has a comprehensive semen analysis and DNA fragmentation analysis for the price of $590
• For Tomorrow offers two comprehensive semen analyses, one STI test kit, and cryogenic storage for five years for the price of $995
• Forever includes three comprehensive semen analyses, one STI test kit, one DNA fragmentation analysis, and lifetime cryogenic storage for the price of $3,995

Even if you don’t opt for a storage plan, you can add sperm freezing to the analysis for $145 a year. While Legacy is one of the pricier sperm test options, insurance and HSA or FSA benefits are accepted.

The Labcorp OnDemand men’s rapid fertility test is a fast and reliable at-home sperm test. It’s FDA-approved and engineered to provide the most accurate measurement available.

In addition, it’s a good option for those who want a more reliable test without sending a sample to a lab or waiting for the results. The entire process is done at home, and everything you need is provided in the kit, including the battery-operated analyzer engine, semen containers, droppers, and batteries.

Once you collect your sample, you will need to wait 30 minutes for the sample to liquefy at room temperature before you can run the test. You can wait up to two hours to perform the test. After that, you will add the sample to the engine according to the instructions. The engine will spin automatically and a green light will come on to indicate when the test has been completed, which takes about six minutes.

The total time for the test from start to finish is approximately 45 minutes. Two key sperm factors are analyzed:

• Sperm Concentration: Three possible results are indicated—low (15 million sperm per mL), moderate (between 15 and 55 million sperm per mL), or optimal (above 55 million sperm per mL).
• Semen Volume: Two possible results indicated—low (1.5 mL or below) and normal (above 1.5 mL).

At $199, this self-administered sperm test is more expensive than most, but LabCorp does offer a refill kit for $99. You will need to keep the analyzer engine, but additional containers and droppers are provided.

The other negative with the OnDemand fertility test is the risk of user error. Although it’s a relatively quick test, the process is much more complicated than other at-home sperm tests. In addition, LabCorp has come under some controversy in recent years due to a data breach from 2019-2020 that exposed millions of patient records.

Fellow’s at-home sperm test has clinically proven results that have been peer-reviewed and published in a scientific fertility journal. In addition, the analysis is done in a CLIA-certified lab and looks at a total of six factors for sperm health: volume, count, motility, total motile count, and morphology.

Once the analysis is complete, the results are reviewed by a doctor to ensure accuracy before being shared with you. You will get a full report within one-and-a-half days.

Along with sperm testing, Fellow offers the option of cryopreservation which can be added for an additional $140 per year.  

You can also get an itemized receipt to submit to your HSA or FSA plan for reimbursement. Fellow is currently available in 48 states with the exception of New York and Rhode Island due to state restrictions.

SpermCheck is a quick and simple way to check your overall sperm count with no need to mail in your sample. It only looks at your sperm count, so it’s a more basic fertility measure than many of the other tests, but it’s a good starting point since a low sperm count is the leading cause of male infertility.

The test works like an at-home pregnancy or Covid test, so it’s easy to use and understand. To use, mix your semen sample with the solution provided. You then place drops of the mixture on the testing device (much like an at-home Covid test) and within minutes, colored lines will appear on the device to indicate your results.

However, it is also the most basic. It only looks at sperm count, and rather than giving an estimated number, the results are either normal or low. In addition, it is an entirely self-contained test, meaning that you take the test and review the results entirely on your own with no professional support or guidance.

The ProoV at-home YO male fertility test kit comes with two FDA-approved sperm tests which measure sperm concentration and motility, and the free YO app for additional support. The company also offers professional support in the form of virtual doctor visits and community support with its Facebook group. 

The YO sperm test measures sperm concentration and motility and provides a video of your swimmers in action that you can share with your doctor. Results are ready in minutes and after testing. The app provides fertility improvement tools along with fertility experts near you. 

ProoV also offers virtual doctor visits with a board-certified reproductive endocrinologist. There are two doctor consultation options to choose from: 

• 10-minute consultation ($60): Includes a thorough interpretation of your test results along with recommendations for next steps.
• 30-minute consultation ($165): The doctor will take a complete medical history for both partners, analyze your test results, and offer recommendations for next steps. 

Reviewers have often mentioned the company’s incredible customer service.

ProoV offers a His and Hers Fertility Starter Kit that comes with three at-home tests: one to check sperm health, one to check your partner’s hormones and ovarian reserve, and a pack of 10 pregnancy tests. 

Urine analysis is done using fast-reacting test strips for ovulation and pregnancy and sperm analysis is completed with an at-home device. Both the ovulation and sperm test come with an app that can help interpret the results and provide tools and tips to improve fertility. Along with that, health professionals are on call seven days a week via email to provide assistance.

For even more help, you can schedule a virtual doctor visit with a board-certified reproductive endocrinologist (costs $60 to $165 for a 10- or 30-minute consultation).

It’s worth noting that the complete fertility test for her only measures hormone changes associated with ovulation and doesn’t detect other fertility issues. It also only covers one full cycle, so regular testing can be costly. 

myLabBox offers a number of at-home health tests including the YO+Sperm Test which measures sperm motility and concentration. The kit comes with two tests for under $100, making it the most affordable comprehensive test kit we reviewed. 

The test provided is the FDA-approved YO-Sperm testing system with a free YO app. The app also includes fertility improvement tools, such as resources for diet and exercise recommendations. Testing is done entirely at home and takes less than 30 minutes to complete. Results will tell you if your sperm count is in the low, moderate, or optimal range. They also include a live video of your sperm as it appears under a microscope which can be shared with your doctor.

Although the company offers a free physician consultation for positive STI test results, there doesn’t appear to be the same level of support offered for fertility testing.