It isn’t always obvious how common fertility struggles are: up to one-quarter of all women in the United States trying to have a child struggle to get pregnant or carry a fetus to term. Fertility is the core of reproduction, but we can run into problems at every stage in the reproductive process because of anything from an unknown intersex status to being too stressed. If you and your partner are thinking about starting a family, have been trying for a few months with no success, or just want to be informed about any potential roadblocks in your future, checking your fertility may be the next best step. It’s never been easier to analyze your sperm or check your ovarian reserve at home.
We thoroughly researched and tested the best at-home fertility tests on the market to give you the best information possible. This guide will explain the best tests’ pros, cons, and details of the best tests, covering everything from sperm motility to ovulation tracking.
If you’re in a hurry, here’s a list of our top picks.
Ro’s Sperm Kit is our top choice for at-home male fertility testing. It provides convenient sperm storage and quality analysis at a very reasonable price.
Ro’s Sperm Kit is easy to use, and results are both fast and accurate. Analyze sperm count, concentration, and motility. Enjoy free shipping on all orders.
Everlywell is our overall top choice for female fertility testing. Their hormone tests offer helpful insight into family planning.
Everlywell is an affordable and accurate option for women looking to conceive. They have excellent customer service, and shipping is free for all purchases.
These fundamental considerations naturally formed our evaluation criteria when comparing at home testing options.
Most major insurance providers won’t cover proactive fertility testing – fertility testing in a lab before you’ve run into problems trying to conceive. You’ll need to prove that you’ve been trying to get pregnant for at least a year for many providers. That’s a long time and a lot of heartbreak. These tests often cost thousands of dollars out-of-pocket in a doctor’s office. When it comes to fertility testing, at-home tests are almost always the best option for your budget. But even within this category, some tests are more expensive than they might be worth.
Of course, just looking at the price isn’t a good measure of the test’s value. A cost-effective test must also be accurate – eliminating the need for pricy re-tests – and give you substantial information.
Your fertility wanes as you age, particularly after you turn 30. Those over 35 are less likely to get pregnant quickly, and the time between 35 and menopause is relatively risky for pregnancy. No matter how old you are, saving time while testing your fertility is critical. The less time you spend waiting for your results to come back, the more time you have to either try to conceive or schedule an appointment with a fertility specialist.
While looking for the best at-home fertility tests, how fast you get your results left a big impact on our testers. There are two machines that let you test your fertility at home – Mira and YO Male Fertility Test – which can get you results in minutes. But they can’t check several major biomarkers for fertility problems, such as your total sperm count or FSH levels, like some more traditional laboratory tests. If you want or need a laboratory test, rest assured that some can get the results back to you in two days flat.
Because fertility is such a key part of so many people’s lives, a fertility test should be accurate to save you any potential heartbreak. Whether the news is good or bad, you should know exactly what situation you’re walking into. An at-home fertility test should not only produce reliable, accurate results, with results verified in a CLIA- and CAP-certified laboratory if you aren’t checking them yourself, but it should also be measuring the correct markers for fertility. If you want to know your ovarian reserve, the test should measure different hormones than if you’re looking for active ovulation.
Dozens of things can impact your fertility and that of your partner. Discovering the root cause may take several tests (and even then, it may be something like a genetic mutation that you won’t be able to pick up on using an at-home test, or a doctor might not be able to find one at all). An at-home fertility test isn’t going to measure every single value that a lab test can; you won’t be able to get an ultrasound to check for physical abnormalities from your couch.
When researching and rating the best tests, we considered the scope and number of different tests each company offered. A company with the widest variety of at-home fertility tests will be able to get you answers without you having to juggle multiple log-ins, different wait times, or even confusion about what test you sent where.
Fertility is a complicated subject, but the device or test you use to check your status shouldn’t be. Convoluted devices or at-home tests with too many steps can get frustrating, leading to minor errors that can cause inaccurate results – or none at all. In order to minimize those mistakes and make sure that the process isn’t more complicated than it needs to be, our best tests are easy to use and return. A few require testing on certain days (or over multiple days) to get accurate results, but others don’t need you to do anything beforehand. Simply prick your finger or use a dipstick test at your leisure.
Since fertility testing covers a wide range of subjects, we’ve broken our top recommendations down into a few charts so that you can quickly and easily compare information on exactly what you need.
|Ro Sperm Kit||YO Male Fertility Test|
|Sperm storage||3 vials free for one year|
|Time to results||2 days||5 minutes|
|Lets Get Checked Ovarian Reserve Test||myLAB Box Ovarian Reserve Test||myLAB Box Ovulation Confirmation Test||Everlywell At-Home Ovarian Reserve Test|
|Price with Innerbody promotion||$104.25||$79.20||$25.60||$36.75|
|Method of testing||Fingerprick||Fingerprick||Urine||Fingerprick|
|Time to results||5 days||2-5 days||5 minutes||2-5 days|
Broadly speaking, fertility is a measurement of one’s ability to have children. It relies on a sperm meeting, penetrating, and fertilizing an egg, and that egg implanting into the uterine wall to begin developing into an embryo. However, having strong fertility requires both partners’ hormonal, physical, and biological processes to work optimally.
Since there are so many different ways that something can inhibit conception, there are several different ways to measure fertility. Many tests are specifically designed to analyze one potential cause but can have rippling effects across multiple areas of your sexual health.
You might see estrogen and estradiol used interchangeably. While we talk about estrogen like one hormone, it’s actually a small category of three different hormones: estrone (E1), estradiol (E2), and estriol (E3). Estradiol is the most prolific sex hormone in women of child-bearing age and is responsible for the development of secondary sex characteristics and fertility (after menopause, estrone takes over as the dominant hormone). The level of estradiol in your body changes depending on where you are in your menstrual cycle. While it can be a good indicator of your ovarian reserve, when you’ll ovulate, and your overall estrogen levels, it’s less accurate than other hormonal indicators when trying to figure out a cause for infertility.
Follicle-stimulating hormone (FSH) is one of the first appearing and most important hormones for everyone’s fertility. It’s one of the two hormones released by gonadotropin-releasing hormone (GnRH) to trigger the start of puberty. FSH helps start the growth and development of an egg follicle early on in the menstrual cycle, which prepares an egg for release and eventual fertilization. It also helps to release testosterone, allowing the testes to develop and produce sperm. Low FSH counts can affect everyone’s fertility, resulting in low sperm counts or no eggs prepared for ovulation.
Luteinizing hormone (LH) is one of the most essential hormones for fertility. Like its hormonal twin FSH, LH is made in the pituitary gland. LH specifically triggers the act of ovulation, or the release of an egg out of its follicle and down the fallopian tubes, where, if everything goes correctly, it’ll float down to be fertilized by sperm. Since a lack of ovulation is one of the biggest causes of infertility, most at-home fertility checks will look at your LH level to ensure it’s where it needs to be. Fertility trackers that follow your hormones to help you identify ovulation – and the moment when you’re most fertile in a month – track your LH levels to look for their peak. Not having enough LH means that you’re not likely to ovulate, which is a big problem if you’re trying to conceive.
Anti-Müllerian hormone (AMH) is a hormone secreted by specific cells in an ovarian follicle. This hormone is present in everyone but has the biggest impact on women. It’s also a great indicator of your ovarian reserve – or the number of eggs and follicles available for potential fertilization. Your AMH levels decline as you get older, so checking AMH can tell a medical professional if the reason for your infertility is related to your overall egg count (or if you’re closer to menopause than you think). AMH is also the hormone that differentiates the sex of an embryo: high levels of AMH will stop a vagina from forming. Sometimes, having too little AMH in an embryo can lead to intersex conditions.
Progesterone is a unique hormone that helps to prepare the uterus for a potential pregnancy by thickening the uterine lining. It’s important to keep progesterone levels high during early pregnancy, as dropping progesterone levels are a common cause of early miscarriages; it’s mandatory to take it as a supplement for many in vitro fertility (IVF) clinics. While none of our favorite at-home tests that measure progesterone levels are FDA-approved and thus can’t be used as diagnostic tests, having low progesterone levels may be a reason why you or your partner aren’t getting pregnant.
Prolactin is a hormone with an important, if not under-reported, role in the menstrual cycle and fertility. When prolactin is released from the pituitary gland, it drops the levels of FSH and GnRH – which produces both LH and FSH – to stop ovulation. This is because prolactin primarily causes breast growth and milk development. Having high prolactin levels outside of pregnancy can cause irregular menstrual periods due to a lack of ovulation but are generally identifiable by the sudden, unintentional development of breast milk if high enough.
Testosterone, commonly thought of as the “dominant male hormone,” is present in everyone’s body. Women require a small amount of testosterone for regulating sleep, mood, and libido, and it can help promote proper follicle development (the structures eggs sit in while they mature). Having too much testosterone is often caused by a hormonal disorder called polycystic ovarian syndrome (PCOS), one of the leading causes of infertility among women. Of course, not having enough testosterone can also lead to infertility, as the eggs need somewhere to develop to be released for potential fertilization. And in men, having high enough testosterone is vital to get and maintain erections and have a libido high enough for natural conception.
Thyroid-stimulating hormone, or TSH, is a hormone released by the pituitary gland to tell your thyroid to make more or fewer thyroid hormones. If your TSH is high, your thyroid is not producing enough; conversely, your thyroid is making too much if your TSH is low. TSH is sometimes checked when testing your fertility because both hypo- and hyperthyroidism can delay or stop ovulation.
Special Offer from LetsGetChecked: 25% OFF the Best Ovarian Reserve Test With Code INNERBODY25
Usually, a standard set of steps happens every month to get ready for possible conception.
Typically, an egg is fertilized while still in the fallopian tube, but it can sometimes travel down to the uterus before being fertilized by sperm.
Problems with your ovarian reserve refer to the number and quality of the eggs that can be randomly picked to develop. The number of eggs decreases throughout your life, whether or not they’re being menstruated or fertilized, and unlike sperm, new eggs can’t be created. You’re born with every egg you’ll ever have; the typical newborn has about 2 million eggs in their ovaries, and about 11,000 die every month before they even hit puberty. By the time they hit 40, they’ll likely have only a few thousand left.
Egg quality is relatively straightforward. It doesn’t mean that it’s less likely to thrive or that the embryo it creates will be less likely to succeed. Instead, it looks at the number of chromosomes in the cell itself. A normal egg cell has half of your DNA, with one of each paired chromosome chosen randomly. An egg with poor quality has more or fewer chromosomes than expected, whereas a good quality egg has the right amount. The older you are, the more likely you will run into egg quality problems as the mechanisms that keep their cellular DNA intact get rusty with inactivity.
Sperm is the second kind of gamete that contains half of the parent’s DNA. Sperm are microscopically small cells that move thanks to a flagellum (a small tail). Production begins mid-puberty and will continue for the rest of your life. Unlike egg cells, sperm are made and refreshed every 72 hours by the testes. Like egg cells, however, the quality of sperm is one of the major determining features in their success.
A sperm cell’s quality consists of a handful of different factors. They can struggle with the same problems properly dividing genetic material like eggs, leaving sperm vulnerable to having too many or too few chromosomes. Quality also refers to the size and shape of the sperm itself. Common defects in the morphology of sperm are as varied as the number of sperm themselves.
A couple of sperm in every batch might develop one or more defects. Most of the time, there is enough sperm produced that it won’t affect your fertility. After all, an average ejaculation contains anywhere between 40 and 925 million sperm. However, when too many abnormal sperm or not enough normal sperm are made, it can affect your fertility. At least 60% of your sperm should have a normal morphology to be considered “normal.” If you’re not making enough sperm, you’ll find that semen analyses count less than 20 million normal sperm per milliliter. Ensuring your fertility requires looking at the sperm’s motility (ability to move forward), morphology (shape), and overall count and concentration (sperm per milliliter of semen).
Some fertility tests can’t be done at home. While these aren’t often the first tests that doctors and medical professionals recommend to check your fertility, they are useful to have on your radar. Often, these are tests used to clarify the cause of the problem or ensure you're reproductively healthy before trying intrauterine insemination (IUI) or IVF. These mainly apply to women who are struggling to get pregnant and include:
A problem at any step in the reproductive cycle can affect your fertility. Reproduction is a complicated process that needs to work perfectly for a healthy baby to be carried to term.
If you have eggs, every egg you’ll ever menstruate or fertilize exists in your body at birth. No new eggs are created during your lifespan, and while it seems a little counterintuitive, eggs do have a best-by date. For most people, this is around age 35. From the time you’re 30, your eggs’ quality begins to decline, speeding up after you hit your 40s until menopause. This means that a “geriatric pregnancy” in someone over 35 has a higher likelihood of problems conceiving, having health problems perinatally like preeclampsia, and having a baby born with chromosomal disorders due to problems with egg quality. If you’re in your 30s or 40s and want to conceive, checking on your ovarian reserve (and, therefore, egg quality) will help you figure out your first steps.
In young people, hormone imbalances are the number one cause of fertility problems. PCOS is a common disorder that skyrockets the amount of testosterone in your body, which then causes irregular (and painful) periods and inconsistent ovulation. Most hormonal problems cause a lack of ovulation, except for progesterone which thins the uterine lining enough that a fetus cannot implant properly. Other hormones that may be out of balance include:
Physical problems that create blockages or inabilities to release or fertilize an egg can also happen. These include:
Those who contribute sperm to the fetus have many problems that can arise. It’s a myth that infertility only comes from the egg’s side; about one-third of fertility problems come from the father-to-be. If you don’t have enough sperm, or if they have a defect that makes them incapable of getting to and penetrating the egg, the likelihood of pregnancy drops off significantly.
Sperm morphology problems are a common cause of infertility. A few amorphous sperm aren’t anything to worry about, but if more than 40% of your sperm aren’t of a typical shape and size, you might start running into fertility problems.
The head of a sperm cell needs to be symmetrical with two regions: one part attaches the head to the rest of the sperm, and the acrosomal region acts like a shovel to bury into the egg cell. Common defects include a detached head, too large, too small, too long, irregularly textured, amorphous, and a small (or no) acrosome. Some sperm can even develop two (or more) heads.
Improper support where the head of the sperm connects to the tail means that the sperm may have difficulty moving and keeping both halves of the sperm connected. Common defects include an asymmetric or bent connection; a thin, thick, or irregularly sized neck; and excess residual cytoplasm from normal cytoplasmic droplets.
The flagellum allows sperm to move. No one goes anywhere when it’s defective, and no eggs are fertilized. Common defects include a tail coiled in on itself, a bent tail (at a hairpin or wider, broken angle), a tail that’s too short, or more than one tail on a single sperm.
The volume of semen that you produce – the fluid that sperm live in – also plays a role in fertility. On average, each ejaculation creates between 2 and 5mL of semen. Having too much semen points to a diluted sperm count, whereas having too little implies a low number of sperm. This is often related to physical blockages, diabetes, or low testosterone.
Physical blockages that prevent sperm from being produced or released are among the most common reasons to see low sperm counts. A varicocele, or an enlarged vein (like a varicose vein) on your testicle, is one of the most common physical blockages that prevent sperm from leaving the testes. About 40% of all men with infertility struggles have a varicocele.
If you don’t have a varicocele, low testosterone or FSH is another reason you may have a low sperm count. Without either of those hormones, your testes won’t receive the signal that they should be making sperm. Men are slightly more likely to have genetic disorders or silent intersex conditions, like having XXY chromosomes, that can cause infertility due to the high levels of AMH required to transform an embryo.
All that said, about half of male infertility cases will never have a firm answer.
Some things can affect anyone’s fertility.
Obesity can cause fertility problems in all genders. It’s a common symptom of PCOS, making the disorder a double-edged sword as obesity in women causes reduced fertility no matter the method of conception. It also stresses sperm production, decreasing the overall quality of sperm and the DNA it provides. Being too underweight can also compromise a normal ovulation cycle, leading (in dangerously low weights) to amenorrhea. At too low of a weight, your body wouldn’t be able to divert nutrients to support a growing fetus, as it doesn’t even have enough nutrients to sustain itself.
Type 1 and type 2 diabetes also have a hormonal role in infertility. Glucose metabolism, or how well your body breaks down sugar – which is impaired when you have diabetes – is critical for sperm production and for that sperm to have total motility. It’s thought that diabetes can also disrupt the way DNA is broken down in the sperm creation process, leading to genetic and epigenetic changes in any potential embryos. Women with diabetes often start their periods late and go into menopause early, shortening their reproductive window. It's often irregular when they have a period, making it difficult to pinpoint ovulation and conceive. And, of course, having elevated blood sugar during pregnancy can harm the baby, whether your diabetes is type 1, type 2, or gestational (discovered for the first time during pregnancy).
Some STDs, namely chlamydia and gonorrhea, can lead to infertility when not treated. (If you’re concerned this might be the case, check out our guide to the best at-home STD test.) Chlamydia and gonorrhea can cause pelvic inflammatory disease (PID), an infection of the uterus, fallopian tubes, or ovaries. PID can lead to scar tissue and pockets of tissue that damage the organs when it goes untreated. Chlamydia, in particular, often leads to asymptomatic fallopian tube infection when untreated. It’s always a good idea to take regular STD tests when you’re sexually active to avoid running into complications like this; the CDC recommends that all people 25 or over who are sexually active get tested annually.
Infertility isn’t easy. Those who struggle with it report rates of depression and anxiety similar to – or higher than – those with cancer. But recent studies have started illuminating that, while infertility can cause stress, stress can also hinder your chances of conception. While no reason has been discovered yet, considering the body’s fight-or-flight response shuts down non-vital processes like digestion, the two-way relationship makes sense.
A fertility test won’t be able to tell you definitively whether or not you can have children. Hundreds of complicated factors ultimately determine infertility, and one (or even multiple) at-home tests won’t give you all the answers. Between 15% and 30% of all infertility cases are “unexplained infertility,” where there isn’t any apparent reason why you aren’t getting pregnant.
Instead, an at-home fertility test is a first step to help you determine whether or not you’re likely to run into problems with conception using a variety of different biomarkers that are related to a range of problems, such as:
While at-home testing can help you identify one nature of the problem, it won’t be able to confirm if that’s the cause or a symptom of your fertility concerns. Any signs that you may have problems with infertility (such as low testosterone levels, amorphous sperm, or a low AMH value) should be brought to a doctor. A qualified medical expert will be able to connect you with a professional who can do more in-depth testing and help you overcome fertility problems.
You can take an at-home fertility test proactively – before deciding to begin trying for pregnancy – or after you’ve decided to try and conceive. (This is one of the big bonuses of testing at home since insurance won’t often cover fertility testing until after you’ve been unsuccessfully trying to conceive for over a year.) You can also take a fertility test if you’re debating whether or not to freeze your eggs for future use or if you are transgender and want to start medically transitioning but want biological children in the future (for sperm banking or egg freezing).
Most hormonal fertility tests require you to know where you are in your current cycle or ask that you specifically test on day 3 of your period. This is because all of the hormones that impact fertility shift dramatically throughout the menstrual cycle, so the test needs a specific time-stamp to ensure you’re in the right range for the time of the month. If your periods are irregular or unpredictable, this makes things a little more complicated, but you can test at your convenience; it just might not be as accurate. If you’re regularly missing your period, or it’s completely unpredictable, that’s a big red flag that you have a hormonal imbalance of some kind to begin with, so hormonal testing is often a good place to start.
There comes a point where at-home tests might not do you as much good, and you should instead see a fertility doctor. You should schedule an appointment if you’re:
Some professionals recommend seeing a doctor after failing to conceive for more than three months if you’re over 40, but some see that as too soon to tell.
The exact timing you should take an at-home fertility test varies depending on the test itself. Be sure to read the instructions carefully before taking the test.
Currently, there are more options available for at-home female fertility tests than there are for sperm. Semen – the fluid sperm live in – can be challenging to ship for a proper semen analysis since the sperm can quickly freeze or overheat. Though they can live for up to five days, sperm will also begin to die in shipping, causing your semen analysis test to reflect lower sperm counts than you have.
If you decide to do a semen analysis at home, you’ll need to be ready to test your sample within an hour of producing it. If you aren’t able or ready to do that, there are many more walk-in lab options for semen analysis than for ovarian- or uterine-related infertility that we won’t discuss in this article.
Typically, yes, at-home fertility tests are accurate. Hormones related to fertility are well-studied, and all of the tests we recommend use the most up-to-date science to measure specific aspects of your fertility. All of the laboratories that analyze your blood, urine, saliva, and semen samples are CLIA- and CAP-certified, which is the best indicator that a lab has high safety, quality, and privacy standards. As long as you follow the instructions for each specific test and take it when specified, there’s no reason to suspect an at-home fertility test of being inaccurate. These tests are best for proactive fertility testing or ovarian cycle measurement.
But just because they’re accurate doesn’t mean that they will solve all of your fertility concerns. Since there are so many different features that need to come together in perfect harmony to create a child, there aren’t enough at-home tests to measure everything you’d need to know. Even then, there’s a good chance that medical professionals might not be able to identify why you and your partner are struggling to conceive. Using an at-home fertility test as a first step toward identifying a bigger problem might even help your doctor rule out potential causes and point toward a more obscure underlying cause.
Of course, research on fertility is still ongoing. Some studies have found that AMH isn’t always a great measure of fertility, even though it’s the best clinical measure of ovarian reserve. Age is almost always the best predictor of how likely you are to have a hard time conceiving on your own, so if you’re over 40 and interested in starting a family, it’s going to be best to avoid wasting time and reach out to your doctor first.
Best male fertility test, best for sperm storage
Ro Sperm Kit is just as much a sperm storage service as it is sperm analysis. For every semen analysis and storage kit you order, you’ll receive three vials to siphon your semen into for cryogenic storage. The kit comes with one free year of storage, but every year after that charges $99. This is relatively inexpensive for sperm storage; many in-person storage facilities charge several hundred dollars a year, often racking up thousands of dollars before you’re ready to use it.
Insider Tip: If you know you aren’t going to be wanting your sperm back any time soon, you should purchase additional years of storage at checkout. Ro will give you a 10% bonus for pre-purchasing time.
In terms of the kit itself, Ro does a marvelous job. Not all of this can be attributed to Ro themselves – they got the sperm kit with their Dadi acquisition in early 2022, but this kit’s little details go a long way to make it our top pick. From two-factor security to ensure that it’s only your or your partner’s sperm going into the kit to a weather- and travel-proof hardshell case, you can rest easy knowing that your sperm has all of the best protections on its way to the storage lab. Ro partners with the New England Cryogenic Center in Boston, MA, one of the largest cryogenics labs in the United States. The lab is thoroughly decked out in CLIA and other health and safety certifications with thorough FDA supervision, so you know your sample is safe.
Shipping is free for both semen analysis and storage kits, and our testers received their kits in a few days. You should get the results of your sperm analysis within 48 hours of shipping your sample to the lab. The analysis doesn’t look at your sperm’s DNA or morphology, instead focusing on their count, concentration, and motility (how well they move).
The base semen analysis and storage kit costs $199; you can purchase an additional six storage vials for $599. When you’re ready to use your sample, Ro will charge you an additional $299.99 to thaw and ship your sample. There are a plethora of different payment options you can choose from:
The only downfall of Ro’s kit that we saw was that many outside sperm storage facilities require proof of a clean infectious disease and STD test before they’ll accept any samples. This is to ensure that the sperm is as healthy as can be and to avoid potentially contaminating any other samples. Ro doesn’t require this, but if you choose to move your sperm to another lab, you should take an STD test before sending in your sample.
Fastest male fertility test
If you’re interested in testing your sperm but want to use it sooner rather than later or have no intentions of storing it, YO’s Male Fertility Sperm Test might be your best option. YO provides a small device you can pair to your phone or computer to do a lab analysis of your sperm yourself. This means you’ll need to do a little bit of at-home chemistry to prepare the sample, but YO makes these steps relatively easy with well-labeled packets and a thorough instruction manual. You’ll need to make sure you have a device with one of the following operating systems to get your results:
Specifically, each kit arrives with two tests’ worth of materials. You’ll produce a sperm sample on your own and then mix in some liquefaction powder to liquefy the sample for easy reading using a pipette (provided to you). You’ll drop some liquid onto a slide and insert it into the tiny machine. The machine itself will give you three data points in about two minutes:
YO doesn’t provide any hard numbers, instead focusing only on percentages and comparative data. While this may be useful for some people or for tracking changes over time, the lack of numerical data can make it difficult to transfer this information to a doctor’s office. (This is also why we don’t recommend the YO Male Fertility Sperm Test for men who’ve had a vasectomy, as all numbers will automatically rank as “low” whether or not you have sperm breaking through.)
YO is the preferred at-home sperm test of both myLAB Box and Mira; they ship identically, but Mira ships the test kit at the same price as YO ($79.95). MyLAB Box adds about $10 to make it an even $89.00. If you order it through YO’s website, you can scale your test to include four or six test kits at $99.95 and $118.95, respectively.
This test is the only one on this list that is not HSA/FSA eligible, but its low price and two test kits available per package sweetens the deal.
Most comprehensive fertility test
Modern Fertility – Ro’s female fertility test – is a customizable dream for women starting their fertility journey. They will look at up to seven different hormones which play an essential role in your egg reserve and potential pregnancies. Specifically, it could look at:
Modern Fertility is the only test we recommend that looks at TSH and prolactin, two under-the-rug hormones that can play a hefty role in infertility. While Modern Fertility will still read your hormone levels if you’re on hormonal birth control (which mainly supplements estradiol and progesterone to stop ovulation), the number of hormones they’ll check drops off to just AMH and TSH. However, this is also what an in-person fertility clinic will do when they test your hormones, so it’s not something we look down at Modern Fertility for doing. (It’s also still scientifically sound.)
They also offer some extra community support, which is important considering how alienating and isolating fertility problems can feel. Modern Fertility offers weekly Egginars, seminars about fertility, and a Modern Community forum for other users to collaborate and communicate about their fertility journeys. If you have questions about your results, you’ll be able to connect with a fertility nurse for free.
This test costs $159 and can be performed either as a finger prick test at home or as a blood draw at your nearest Quest Diagnostics lab. There are no differences in price for either option, and shipping is always included with discreet packaging. Either way, expect your results within ten days (a relatively long wait for a hormonal blood test).
Best long-term fertility tracker, fastest female fertility test
Not sure if tracking your basal body temperature to track your ovulation is working? Mira offers a more convenient and accurate ovulation tracking method to help you identify the best time to try to conceive. They've put together a simple at-home testing device that measures your estrogen (E3G) and LH levels using a urine dipstick test, much like a typical pregnancy test. Swirl the dipstick in urine for ten seconds, and then plug it into the analysis device for near-instant information about your hormone levels and where you're at in your cycle.
The Mira Plus Starter Kit includes the Mira Analyzer and ten testing wands, enough for about three weeks or a little less than a complete menstrual cycle if you test every other day. Mira suggests using 10-20 wands per cycle depending on your period's regularity and predictability. Mira offers several different starter packs and test wand refills, such as their Confirm wands which test for high progesterone levels to confirm conception.
|Mira Starter Kit||Mira Analyzer, 10 E3G+LH wands||$199|
|Mira Plus Starter Kit + Confirm Bundle||Mira Analyzer, 10 E3G+LH wands, 10 PdG wands||$259|
|Mira Plus Starter Kit Super Bundle||Mira Analyzer, 30 E3G+LH wands||$258|
|Mira Fertility Plus Wands||20 E3G+LH wands||$65|
|Mira Fertility Confirm Wands||20 PdG wands||$69|
|Mira Fertility Wands||20 LH-only wands||$45|
While Mira provides a simple, straightforward, and easy insight into your most fertile windows, it isn’t an end-all-be-all fertility test. It doesn’t measure other important fertility hormones like FSH or AMH and doesn’t provide any information about your ovarian reserve. It is PCOS-friendly, meaning that it’ll track your fertility no matter how far out of the normal range your hormones are. But that comes with the downside of not knowing how abnormal your hormones might be and how that might play a role in any problems you have conceiving.
Mira’s devices are all HSA/FSA eligible and always have free shipping. You can also enroll in a Subscribe and Save plan for any of the wand refill kits, which delivers once a month (with 10% savings) or every two months (with 5% savings). Canceling your order or skipping a delivery is never a problem either.
Best ovarian reserve test
LetsGetChecked is an at-home testing powerhouse. The company offers the only Ovarian Reserve Test that measures AMH, the most accurate measurement of ovarian reserve in clinical research. Their Female Hormone Test measures equally sensitive and precise hormonal markers, including FSH, LH, prolactin, and estradiol. And their progesterone test is a good – albeit expensive – method of checking to see if you’ve ovulated. They also have some of the best STD tests, including a women’s health bundle with an HPV test (which can cause cervical cancer and infertility if not discovered and treated).
While they take a little longer than some of their competitors to return online results (five days rather than 2-5), their accuracy and reliability make them worth the wait. Our testers almost always got their test kits 48 hours after placing the order, despite standard shipping quotes claiming it could take up to an entire week.
LetsGetChecked is a little pricier than some other tests, but they offer sizable discounts for those who want to join a subscription plan. These plans aren’t available for the Ovarian Reserve Test, which is unavailable for those in New York state. All tests are FSA/HSA eligible and come with free standard shipping. We’ve detailed these prices below for your convenience.
|Ovarian Reserve Test||Female Hormone Test||Progesterone Test|
|Cost with Innerbody promotion||$104.25||$96.75||$66.75|
|Subscription cost - every 3 months||$90.30||$62.30|
|Subscription cost - every 6 months||$103.20||$71.20|
|Subscription cost - annually||$109.65||$75.65|
Best at-home female fertility test, most cost-effective
Everlywell is a people-first, friendly at-home testing company that provides high-quality test kits. Accessibility is their number one priority, and it’s obvious that they’ve gone above and beyond to help make expensive fertility tests available to anyone who wants to start a family.
Everlywell has two major fertility tests: the Ovarian Reserve Test and the Women’s Fertility test. The Women’s Fertility Test is a relatively comprehensive hormonal test that paints a picture of your overall hormonal levels and provides insight into current or future fertility struggles. They don’t currently offer any male fertility tests, but they have a testosterone test worth looking into for cisgender men struggling with fertility.
|Ovarian Reserve Test||Women’s Fertility Test|
|Cost with Innerbody promotion||$36.75||$111.75|
|Monthly subscription cost||$36.00||$111.00|
|Quarterly subscription cost||$39.00||$119.00|
|Semi-annual subscription cost||$41.00||$126.00|
The Women’s Fertility Test measures accurate biomarkers and tests five major hormones, including:
The biggest downfall of this otherwise-excellent starting point is that the test requires you to prick your finger for blood collection on two separate days. Not only will you have to track your cycle, but you’ll also need to remember to do your finger prick on days 3 and 19 of your cycle. This makes the test a little harder to do accurately for those with irregular cycles, but Everlywell has accounted for this in their normal ranges and result analysis.
On the other hand, the Ovarian Reserve Test is an inexpensive starting point for fertility tracking but is best when used by those who are truly just beginning. It’s not a fantastic test kit for people struggling with infertility, as it measures FSH, not AMH, to measure egg reserve. Both FSH and AMH are useful measures of total ovarian reserve, but FSH stimulates the ovaries to produce a follicle, and the growing follicle releases AMH. If your FSH looks normal but you’re still struggling, try using a different test to check your AMH. You’ll also need to take this Ovarian Reserve Test on day 3 of your period for the most accurate results.
Overall, if you’re starting the process of starting your family, Everlywell has some excellent launching points to ensure everything goes smoothly. They’re an inexpensive option to take more than once and get your results back quickly. Shipping is always free with Everlywell, and all tests are HSA and FSA eligible.
Best at-home female fertility test, most cost-effective
MyLAB Box has some of the least expensive prices for a one-time purchase (especially when using our promo code) and gets your results back to you in as little as two days. And when you’re trying to conceive, every day counts. Whether you’re ready to start trying for the first time, are trying to plan gestational surrogacy, or are trying to start investigating why you or your partner haven’t gotten pregnant yet, myLAB Box has a simple, well-made test.
Currently, myLAB Box sells five fertility tests that they brand as “family planning.” All tests are HSA/FSA eligible (though not covered by traditional insurance) and come with free shipping.
|Cost||Cost with Innerbody promotion||Biomarkers tested|
|Male Fertility Test||$89.00||$71.20||Sperm count, motility|
|Female Fertility Test||$149.00||$119.20||Estradiol, FSH, LH, testosterone|
|Ovulation Reserve Test||$99.00||$79.20||FSH|
|Ovulation Confirmation Test||$32.00||$25.60||Progesterone|
The Male Fertility Test that myLAB Box sells is the YO Male Fertility Home Test; note that they charge a slightly higher price than you’d find from the YO homepage or other partner brands like Mira, though our promotional code offsets that. They also offer one of the only testosterone tests taken at home by any gender, though it’s not the most accurate. (You can read our full guide to the best at-home testosterone tests for more information.)
The thread of somewhat-inaccuracy runs through several of myLAB Box’s other products. While technically FSH can be used to measure ovarian reserve, AMH is a more accurate biomarker because it doesn’t fluctuate throughout the month as FSH does. That said, the ovarian reserve test seems to acknowledge this downfall in how they interpret these results, as it gives you a more broad understanding of your FSH levels in general. You’ll have to take this test on a specific day of your menstrual cycle, so be sure to track it as best you can for the most accurate results.
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