8 At-Home PCOS Tests That Can Help You Learn About Your Reproductive Health

The Women’s Fertility Test from Everlywell measures five different hormones related to fertility: estradiol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid-stimulating hormone (TSH), and testosterone. The test can help detect potential issues related to infertility in those with PCOS, as up to five million women in the United States alone suffer from PCOS-related infertility.

After ordering the kit online, you’ll receive it within three business days. You collect a blood sample via a finger prick and mail it back, and the results are available in two to five business days. You’ll get access to your results via a secure web portal after an Everlywell physician reviews them. Your hormone report includes a numerical level of each hormone tested and helpful details about your results and how they compare to the reference range. 

If you're interested in regular testing to track fluctuations and changes in your hormone levels, you can sign up for a monthly, quarterly, or semi-annual subscription plan for up to 25% savings. Shipping on all tests is free, and your purchase is flexible spending account (FSA) and health saving account (HSA) eligible. However, insurance isn't accepted. While a physician reviews your results before making them available, medical consultations aren't offered. New York state regulations also restrict the sale and use of this test kit.

Parsley Health goes beyond at-home testing to provide comprehensive care focusing on how your mind and body are connected. Unlike traditional at-home testing, its membership-based program requires regular visits with a team of health experts, including physicians, nurse practitioners, physician assistants, health coaches, and care managers. Together, they create a personalized care plan to address your PCOS health needs. Treatments include nutrition guidance, supplements, prescription medications, stress-management techniques, and more. 

Parsley Health's physicians begin by taking a detailed health history and ordering advanced testing related to genetics, hormones, toxins, gut health, and more. All members get unlimited messaging access to their care team and to a private portal with test results, appointment reminders, and other health information.

Membership costs $2,199 per year or $199 per month. Labs aren't included in the cost. Parsley Health currently accepts select insurance plans in New York and California, including some Aetna, Cigna, United Healthcare, and Blue Shield of California plans. Those with in-network coverage pay a reduced membership fee of $769 per year or $69 per month. You can use FSA and HSA funds to pay for the membership. While Parsley Health is the most expensive platform on our list, it's a reasonable option for one-on-one guidance.

Tracking your hormone levels over time can help you better understand your body and reproductive health. Fortunately, modern technology has made it easier to track hormones at home with products like Mira Max. This handheld device uses urine dipstick test wands to display estradiol, LH, and progesterone levels in just 21 minutes. The test wands can help predict your six-day fertility window and ovulation day and confirm ovulation.

The analyzer syncs to the Mira app to show your results over time so you can better understand how hormones impact your cycle. The data is especially beneficial for those with PCOS, as it can help uncover hormone fluctuations that affect your ability to conceive.

The Starter Kit includes the Mira analyzer, carrying pouch, charging cable, sample collection cup, and 10 single-use test wands that measure all three hormones. The company states users need 10 to 20 wands per cycle. A pack of 20 additional wands costs $89, or you can subscribe for regular deliveries at a discount. Insurance isn't accepted, but your purchase is FSA/HSA eligible. It's important to understand Mira can't diagnose or treat PCOS, but the data it provides could help you conceive faster.

Affordability can be a key factor when selecting a fertility test. The LetsGetChecked PCOS Test is one of the most affordable options for budget-conscious buyers. It measures seven hormones related to PCOS, including LH, FSH, testosterone, sex hormone binding globulin (SHBG), free androgen index (FAI), cortisol, and anti-Mullerian hormone (AMH). Each indicates an aspect of ovarian health and can help determine whether additional diagnosis and treatment are required.

The sample collection process involves a finger stick and saliva sample to be returned in the included box. Your results will arrive in your online portal within five days. If abnormalities or concerns are detected, you’ll receive a free consultation with a LetsGetChecked nurse to review the results and suggest the next steps.

The test kit is $139 and includes free shipping. It's available in 49 states, excluding New York. It's essential to read the instructions carefully, as it's preferred to be on days three to five of your cycle when testing. You should also refrain from eating or drinking (except water) on the morning of testing. Users must be at least 20 years old to order.

Tracking a surge in luteinizing hormone can help predict ovulation to confirm the best days to attempt conception. Proov's Predict & Confirm Kit includes 10 ovulation test strips and five progesterone (PdG) confirmation strips for at-home urine testing.

The LH strips detect an LH surge which indicates "peak fertility." After a positive LH test and possible ovulation, the PdG strips can be used to verify ovulation during the implantation window. The instructions and Proov companion app walk you through the testing process, including when to take each test and how to interpret your results.

The kit costs $39 and will work for one cycle. It includes everything you need to test and track via your phone; however, shipping isn’t included. Results take 10 minutes to appear, and the companion app offers a numeric ovulation score and additional insights based on a picture of the test strip. While helpful, this score isn't as accurate as traditional lab testing.

The Proov Hers and His Starter Kit is designed to help you and your partner learn and track your fertility progress through monthly cycle analysis. A one-cycle kit includes everything for both the male and female partner: three follicle-stimulating hormone tests, 17 multi-hormone tests (luteinizing hormone, estrogen, and progesterone), two sperm motility tests, and 10 pregnancy tests. 

After completing the entire month's testing, you can track your cycle with the Proov app and see your complete cycle analysis. The hormone tests require a urine sample, while the sperm motility test requires semen collection. Like Proov's Predict & Confirm Kit, an ovulation score is given to predict your most fertile days.

The Proov Hers and His Starter Kit cost $159 for one cycle or $239 for two cycles. Shipping is included. The app is compatible with iPhone 7 or higher running iOS 10 or above. Most Android models running 10 or 11 are supported. However, not every model is compatible. It's best to contact customer service to ensure your phone supports the app, as your full-cycle insights require app usage. Your purchase is FSA/HSA eligible.

The extensive myLAB Box Women’s Health & Fertility Test measures 11 reproductive hormones: cortisol, dehydroepiandrosterone (DHEA), estradiol, FSH, LH, progesterone, testosterone, thyroid peroxidase antibody (TPO), thyroid stimulating hormone (TSH), triiodo-thyronine (T3), and thyroxine (T4). With this comprehensive testing, you'll better understand how your hormones interact to affect ovulation, fertility, metabolism, and more.

The test uses a saliva and blood spot testing method, which requires collecting saliva and blood in a tube for lab processing. After collection, use the prepaid envelope to ship the samples to the lab for analysis. It takes two to five days for your results to be available in your online portal. If results are outside the reference range, myLAB Box offers a free physician consultation to answer any questions.

MyLAB Box Women’s Health & Fertility Test costs $249, including shipping to and from the lab. Your purchase is FSA/HSA eligible. Make sure to read all testing instructions carefully and follow the collection protocol. It's important to note that you must refrain from vigorous exercise 24 hours before testing and stop taking certain medications (e.g., estrogen) four days before testing. Always get approval from your doctor before stopping medications.

Ava Fertility takes wearable devices to a whole new level. The FDA-cleared bracelet tracks physical signs of fertility while you sleep, including heart rate, breathing rate, skin temperature, and more. Each parameter guides the app in predicting your fertile window, which you can track over time to learn more about your cycle.

After sleeping with your Ava bracelet on your nondominant wrist, you'll open the app each morning to sync the data. With consecutive nightly wear of at least 4 hours, the Ava app can accurately predict your cycle phases, including peak, high, and low fertile days. You can print a cycle report with up to 12 months of data to share with your doctor. The Ava app also transitions into a pregnancy tracker with week-by-week insights if conception occurs.

There are three package offerings available, ranging from $279 to $359, with two including a money-back guarantee based on how long it takes you to conceive.

• Ava Fertility Basic: $279 to conceive at your own pace
• Ava Fertility Plus: $309 with a full refund if you're not pregnant within 12 months
• Ava Fertility Premium: $359 with a full refund if you're not pregnant within six months

Your Ava ships free and will arrive within five business days. You can use FSA or HSA funds to pay. The product has a one-year limited warranty for material defects. Be sure to read the warranty and money-back guarantee, as both come with certain restrictions.