Mira Review: Is Mira’s at-home fertility tracker reliable?

In the United States alone, about 19% of married women from ages 15-49 are unable to conceive after one year of trying. And 26% of married women in the same age range suffer from impaired fecundity (difficulty carrying a pregnancy to term).1 The effects of infertility aren’t only physical, but psychological and emotional. One study of 200 heterosexual couples experiencing infertility found that half of the women and 15% of the men felt that infertility was “the most upsetting experience of their lives.”2

Minorities also tend to face unique fertility struggles. Women of color, for example, are more likely to be blamed for their infertility or have their concerns dismissed.3 And lesbian and bisexual women have overall poorer pregnancy success rates than heterosexual women.4 Additionally, while fertility statistics aren’t as readily available for transgender or gender non-conforming people, gender-affirming surgery or medical treatment may negatively impact fertility.5 6

With fertility concerns being a widespread issue affecting many different groups, companies like Mira aim to make fertility tracking more accessible to everyone who wants or needs it. Since typical infertility testing and treatments can be costly, invasive, and time-consuming, the option of at-home non-invasive hormone tracking at a lesser cost can be an excellent alternative. But is Mira the ideal choice for you? For this review, we conducted hands-on testing of Mira’s products and examined the science behind fertility tracking and reproductive health to see if the company’s claims hold up.

Mira’s fertility tracker is a convenient, effective, and easy-to-use device for better understanding your cycle, ovulation, fertility, and hormone levels. And the additional fertility health products have generally positive scientific backing. However, while Mira is initially cost-effective, purchasing additional testing wands can add up over time.

Over the past two decades, Innerbody Research has helped tens of millions of readers like you make more informed decisions to live healthier lives. We conduct thorough research and hands-on testing of each health service and product we review.

Fertility health is a highly personal topic, and every family-building journey is unique. In order to provide you with the information you need to decide if Mira is the fertility tracker for you, our team has spent over 150 hours testing and researching Mira, its close competitors, fertility testing, and reproductive health in general. Whenever we evaluate products or services, we also examine their adherence to quality, the latest medical evidence, and current health and safety standards.

Additionally, like all health-related content on this website, our review of Mira was thoroughly vetted for accuracy by one or more members of our Medical Review Board.

Mira is a quickly expanding company, introducing new products to meet its customers’ needs — from fertility tracking and prenatal vitamins to tea and vaginal lubricant. We chose our evaluation criteria to provide you with a comprehensive view of the company. Specifically, we considered Mira’s efficacy, customer experience, cost, and privacy.

Efficacy

When it comes to at-home fertility products, Mira sets a pretty high standard. According to a clinical trial evaluating the Mira fertility tracker, it effectively determines fertile and nonfertile days and the onset of ovulation.7 Some competitors also show similar efficacy to Mira. In particular, Clearblue’s fertility monitor was compared to Mira in the aforementioned clinical trial, and the two were considered equivalent in effectiveness and patient satisfaction.7

Mira doesn’t just offer a fertility tracker; the company also sells various other products aimed at supporting fertility health. These include a male fertility test, prenatal vitamins, menstrual cups, a fertility-friendly lubricant, teas, and more. Many of these products have a decent amount of positive evidence suggesting that they can aid people who are trying to conceive (TTC) in one way or another. We delve further into that research later on in this review.

And even if you aren’t TTC, Mira’s monitoring can help those with hormone concerns, like PCOS or endometriosis, individuals looking to avoid pregnancy, and pretty much anyone with ovaries who may benefit from (or simply want to) monitor their cycles with more precise information than that offered by simple calendar-based period trackers.

The company also contributes to ongoing research to better understand fertility and improve its products to meet customers’ diverse needs.

Customer experience

Two of the major perks of Mira versus traditional fertility testing is that it ships right to your door and you don’t have to send your sample away for testing. Collecting your sample (in the provided silicone collection cup) is as easy as taking an at-home pregnancy test. The Mira Analyzer is intuitive, and the instructions provided in your test kit and on Mira’s website are clear and comprehensive. You also don’t have to wait days or weeks to get your results. On average, the device takes between 10-16 minutes to provide your reading. And, once your test is complete, the analyzer sends the results directly to the Mira mobile app via Bluetooth.

The Mira app itself is also user-friendly, providing all of your testing information at your fingertips. The calendar tracks your period, ovulation, and testing days, while the chart shows all of your test results and provides you with your fertile window. You can also buy products and read news and blog posts from the app. While the interface is simple, it provides you with everything you want to know about your results and your fertility in one place. If you’re not a fan of having to connect your phone with your fertility monitor, then an all-in-one option like Clearblue’s touchscreen fertility monitor might be an ideal alternative for you.

However, even though the Mira app stores your information, it doesn’t interpret it. For example, when you receive your first results, you may wonder if your hormone levels are in a normal range or if you should be concerned, which is a perfectly natural thing to wonder when receiving this information. While the Mira Analyzer does not provide an answer, Mira’s customer support page includes more in-depth information about questions like this. The Mira Analyzer does clearly explain ovulation tracking details, though.

The Mira customer support page houses an extensive FAQ with articles on nearly every aspect of its products, including the app, analyzer, wands, and other offerings. This page also includes articles about shipping, returns, warranties, payment, and financing. The articles are searchable and provide thorough responses. This is similar to the depth and helpfulness of the FAQs from competitors OvuSense and Modern Fertility.

If you don’t find the answer to your question on the FAQ page, you can email customer support or start a chat. Typically, you should expect a response within 48 hours. One of our testers received a response in less than 24 hours with a clear and understandable answer.

Cost

With only 21 U.S. states having any kind of insurance coverage laws for fertility, the expense of fertility testing and monitoring can be cost-prohibitive for many people, not to mention time-consuming and invasive.8 Now, with home testing options like Mira allowing you to test from the privacy of your own home for a fraction of the cost, fertility testing and tracking have become much more accessible — especially since many of them (including Mira) are HSA/FSA eligible.

Mira offers four different bundles that include the Mira Analyzer device and various different testing wands depending on the bundle. Later on, we examine these bundles in further detail, but here are the basic prices:

• Mira Starter Kit: $199
• Mira Max Starter Kit: $229-$249
• Mira Clarity Bundle: $259
• Mira Confirm Bundle: $249

Packs of replacement wands cost between $40 and $89.99, depending on the type and quantity of wand you choose. You can also subscribe to have the wands delivered to you monthly or bi-monthly for a savings of 10% or 5% off, respectively. Additionally, shipping on orders over $148 is free (otherwise it’s about $9).

It’s important to keep in mind that one of the benefits of Mira is the data you collect about your cycle and hormone levels. So, the more data you collect, the more accurate your results and the better your understanding of your hormone patterns will be. This may mean testing more often and consistently. The bundles come with some testing wands, which are single-use. If you decide to keep testing, you’ll need to purchase additional wands, which can definitely add up.

If you prefer a one-and-done testing approach and don’t mind pricking your finger to give a blood sample, then Modern Fertility may be an ideal option for you. This alternative costs $179. Clearblue’s fertility monitor and sticks need to be purchased separately from the outset (unlike Mira, which includes some wands to start with) and it will run you about $120 for the monitor and $55+ (depending on the retailer) for a 30-pack of sticks.

Privacy

In a post Roe v. Wade America, you’re not alone if you’re worried about period or fertility tracking apps sharing your data.51 Because of this, Mira is currently working on implementing an “Incognito Mode” feature into its app. This will allow you to use the app without any personally identifying information (like an email address), and all data about your device will be fully encrypted. Mira explains that this will leave the company with no way to identify the user or share data if requested by law enforcement.

Otherwise, Mira collects personal and fertility-related information but has processes in place to keep your info safe (the company calls these processes “reasonable security precautions”). If you’re a resident of California, then you can opt out of the sale of your personal information in compliance with the California Consumer Privacy Act (CCPA). However, Mira notes that it does not “sell” your information in exchange for profit, but instead may disclose certain information to third parties who provide Mira with various services (like interest-based advertising). Either way, you can still opt out.

On the research end of things, Mira may use your anonymized fertility information as a part of the company’s “mission to better understand fertility and help women make powerful and informed choices.” Mira may also share your personal info like age or test results (again, with identifying information removed) with other third-party researchers.

This is similar to the privacy policy of one competitor, Ava, which may use non-identifying data in academic journals, medical conferences, or in other ways to further fertility and reproductive health research.

Scientist Sylvia M. Kang created Mira to provide support to those facing stigma and a lack of information about their fertility concerns. The company’s goal is to help anyone with ovaries monitor and track their fertile and nonfertile days to help them conceive and better understand ovulation patterns.

The Mira fertility tracker analyzes hormones present in urine samples that you take at home. After collecting a urine sample, you dip in one of Mira’s wands, insert the wand into the analyzer, and then wait a few minutes for your results. The Mira mobile app helps you store your personalized fertility information and track your data. If you’re having trouble getting pregnant, knowing this information can help you better understand your hormone patterns and the best time during your cycle to try to conceive.

In addition to the fertility kit, Mira also has several other products that can help with fertility health and monitoring, such as vitamins and teas. Mira also offers an at-home sperm motility test, a fertility-friendly lubricant, and more through its partnerships with other providers.

Mira also has plans to expand and offer:

• Assisted Reproductive Technology (ART) monitoring
• Early pregnancy tracking
• Stress hormone and endocrine system monitoring
• Hormone health courses
• Additional supplements and treatments
• Telemedicine services

Who is Mira for?

Mira’s products can provide a better understanding of your personal hormone levels, fertile and nonfertile days, and menstrual cycle. If you are trying to conceive, this information can be invaluable, especially if you’re among the millions of Americans each year who struggle with infertility.1

And while the main target audience is those trying to become pregnant, Mira does state on its website that its tracker can be for any ovulating person who wants to learn from it — including those who are already pregnant, those in perimenopause, and people with PCOS, endometriosis, or other hormone concerns. We've found more affordable testing options for menopausal or postmenopausal people and would recommend they pursue those higher-value options instead (for instance, a test kit from Everlywell). Also, people with PCOS, endometriosis, and irregular cycles will likely benefit from more rigorous tracking than those with regular cycles.

Additionally, for those trying to prevent pregnancy or those who just want to monitor their cycles, Mira offers more precise information than a simple period tracker. It's important to note, however, that Mira's fertility tracker isn't an FDA-approved contraceptive device.

While Mira’s products can’t treat or solve infertility, the company aims to help you better understand your status, and it can provide you with information that can be shared with your doctor if necessary.

Mira online reviews

If you search for Mira reviews on the Better Business Bureau (BBB) website, you’ll likely find that there are two similar pages using the name “Mira” — Mira Health and Mira Care. The former appears to be a telehealth service, while the latter is the fertility-centered company this review is focused on. Mira is not accredited by the BBB and currently has a B- with a 1 out of 5 rating from eight total reviews. The majority of customer complaints are about Mira devices suddenly not working, with a few billing concerns as well.

Mira’s reviews on Trustpilot aren’t much better; the company currently has 1.8 out of 5 stars from 14 total reviews. Of those reviews, 93% are 1-star, while only 7% are 5-star. The reasons for customer complaints are similar to those on the BBB website, but many Trustpilot reviews also claim Mira’s fertility wands expired quicker than they should have.

On Amazon, however, the Mira Fertility Starter Kit boasts a 4.2 out of 5 rating from 805 reviews. While complaints of devices breaking or wands expiring early can still be found, many more customers report that the Mira device provided them with an easy-to-use method for accurately tracking hormone levels.

Mira offers various products aimed at supporting people with ovaries on their journey to conceive. The main draw of Mira is its fertility tracker and wands, but the company also sells specialized teas, lubricant, a prenatal vitamin, and more. But can these products actually support your chances of getting pregnant?

The chart below breaks down some of the research behind Mira’s various offerings.

Since Mira’s fertility and pregnancy teas each have several ingredients with varying degrees of supporting evidence, we’ve created separate charts for them.

Fertility tea ingredients:

Pregnancy tea ingredients:

The aim of the Mira kit is to track your hormone patterns, help you pinpoint ovulation, and reveal your fertile window (the days in your cycle when you are most likely to conceive). This is done by measuring the various levels of hormones in your urine. The available Mira Wands test for one or more of four hormones: luteinizing hormone (LH), oestrone-3-glucuronide (E3G), pregnanediol-3a-glucuronide (PdG), and follicle-stimulating hormone (FSH).

But what do the levels of these hormones actually mean for fertility or ovulation? The chart below breaks this information down.

Some of Mira’s competitors, like Modern Fertility and Clearblue, also measure various hormones. But some options don’t, like Ava and OvuSense, and instead rely on things like your body temperature or heart rate.

The main attraction of Mira’s products is its fertility tracker, which you can purchase as one of the company’s four bundles. All Mira kits and bundles are eligible for HSA/FSA or pay-in-four installment financing through Shop Pay, and they ship for free. Prices are as follows:

• Mira Starter Kit: $199
• Mira Max Starter Kit: $229-$249
• Mira Clarity Bundle: $259
• Mira Confirm Bundle: $249

While each kit and bundle comes with the Mira Analyzer device, the main difference is the included wands. These wands measure different hormones — luteinizing hormone (LH), oestrone-3-glucuronide (E3G), pregnanediol-3a-glucuronide (PdG), or follicle-stimulating hormone (FSH). These hormones play different roles in fertility, as discussed in more detail in the above section.

The following list shows which wands each bundle or kit comes with and the quantities.

• Starter Kit: A 10-pack of Fertility Plus Wands (E3G and LH)
• Max Starter Kit: Either a 10- or 20-pack of Max Wands (LH, E3G, and PdG)
• Clarity Bundle: A 10-pack of Max Wands (LH, E3G, and PdG) and a 10-pack of Ovum Wands (FSH)
• Confirm Bundle: A 10-pack of Fertility Plus Wands (E3G and LH) and a 10-pack of Confirm Wands (PdG)

Something we appreciate about Mira is that all of the bundles and kits come with some wands to start with. Clearblue, for instance, requires that you buy its tracker and wands separately from the get-go, making the initial cost higher than Mira’s.

All of Mira’s kits and bundles also come with a user guide, charging cord, silicone cup, and carrying pouch. When you receive your bundle or kit, you’ll have to download the Mira app, which is free and compatible with all iOS and Android devices. The app connects to the analyzer via Bluetooth and keeps track of your testing data.

Which Mira bundle is for me?

While anyone with ovaries can use any kit or bundle they’d prefer to help keep track of their hormones and fertility windows, Mira does list some information on the product pages that may help you figure out which one is best for you.

In addition to the wands that come with the kit, you can also purchase 20-packs of replacement wands (with an additional 10-pack option for the Ovum Wands). Currently, Mira offers five types of wands, and each type tests specific hormones. The names of four out of five of the wands are very similar, which can get confusing. The list below breaks down the hormones measured by each wand type.

• Mira Fertility Wands: LH
• Mira Fertility Plus Wands: LH and E3G
• Mira Fertility Max Wands: LH, E3G, and PdG
• Mira Fertility Confirm Wands: PdG
• Mira Ovum Wands: FSH

The Mira Analyzer used to only come with the Mira Fertility Wands that test for LH levels alone. But now even the basic Mira Starter Kit comes with the Fertility Plus Wands that test for both LH and E3G.

Clearblue’s testing sticks, on the other hand, only come in one variety and only measure two hormones — estrogen and luteinizing hormone. Modern Fertility tests some of the same hormones as Mira and Clearblue, but it also looks at some thyroid hormones for a broader picture of your health.

Pricing

Mira’s wands, like its bundles and kits, are HSA/FSA eligible and have the option to be purchased using pay-in-four installment financing. Mira also offers subscription deals for its wands, which can save you up to 10%. And shipping on orders under $148 is about $9 in the U.S.

Mira Wand pricing details (and hormones checked, for reference) are in the following chart. Monthly savings are 10% off, while bi-monthly is 5% off.

In comparison to the cost of Mira Wands, Clearblue’s testing sticks range in price online from $54.99 to $78.57 at the time of this review.

After purchasing your Mira kit or bundle, it should arrive in about 3-6 days according to the company. However, while Mira explains that it tries to ship orders within 2-3 business days, shipping may take longer due to demand. For instance, one of our testers received shipping confirmation (with tracking info) three days after ordering, and the product arrived in discreet packaging a total of eight days after purchase.

Once you receive your order, you’ll find that the instructional materials included are thorough and fairly easy to follow. Connecting your analyzer to the Mira app takes only a few minutes, and the app offers many insights into your cycle and fertility. Using the test wands and analyzer is also a simple process, especially if you’ve ever taken an at-home pregnancy test or used a blood glucose monitor.

Using the kit

The Mira Analyzer and testing wands are packaged separately. The first package contains the analyzer, a zippered carrying case, a charging cord, and a card titled, "Get Started with Mira." The testing wand box includes ten wands, a silicone collection cup, and a pamphlet that goes over the basics of the testing process.

The booklets that come with the kit include a lot of in-depth information about correctly collecting a sample, including time of day and proper wand handling. We recommend reading the entire booklet and following the instructions carefully to ensure accurate testing results.

The following list breaks down the basic steps to completing your first test:

1. After turning on the Mira Analyzer, use your Apple or Android phone (both are compatible) to scan the QR code that appears on the screen. This will prompt you to download the Mira app.
2. The app will ask a few questions about your cycle and purposes for using Mira for a more personalized app setup.
3. Next, you’ll pair your analyzer with the app using Bluetooth by following the on-screen instructions. This connection process usually takes only a few seconds.
4. Then, to collect your sample, urinate into the silicone collection cup and then insert the sample end of the wand for 10-25 seconds. After sampling, Mira recommends immediately inserting the wand into the Analyzer.
5. The Analyzer screen will display how long it will take for your results to be ready. Generally, our testers found that it takes between 10-16 minutes.
6. When the results are ready, your analyzer beeps and the hormone levels will show in the app on both the home screen and on the chart.

Mira app

The Mira app provides a comprehensive view of your cycle information and test results, and our testers found it to be user-friendly. Based on the length of your cycle, date of your last period, and testing results, the app provides you with a Fertility Score from 1-10. The higher the score, the more likely you are to conceive on that day.

Mira breaks down the scores as follows:

Another feature of the app, cycle analysis, displays your cycle and period length, as well as your cycle's luteal and follicular phases. The luteal phase is the time after ovulation before your period starts, and the follicular phase lasts from the first day of your period through ovulation.

The chart screen stores your test result information and provides the days of the month that make up your fertile window. You can access the Mira shop from the app and read blog posts, news articles, and success stories on the news screen.

Your profile stores your personal information and includes the Mira FAQ, customer support, and troubleshooting assistance. To receive reminders for when to test, you can also set up push notifications.

Customer support

Mira offers a very thorough FAQ page that includes dozens of articles about using all of Mira’s products. If you end up with a question or concern, one of these articles is likely to have the answer. If you don’t find the answer you’re looking for, you can reach out to customer support directly via email (support@miracare.com) or through the website’s chat option (the little envelope icon at the bottom right of the page). Messages sent to Mira should receive a response within 48 hours, as was the case with our testers.

In addition to its fertility testing options, Mira sells a collection of various other products to provide additional support to those who are TTC. The only competitor mentioned in this review that offers additional products is Modern Fertility, which sells ovulation tests, pregnancy tests, birth control, and prenatal vitamins.

Fertility and pregnancy teas

Mira Fertility Tea is an organic, caffeine-free herbal tea made from goji berry, ginger root, chaste tree berries, nettle leaf, raspberry leaf, and peppermint. Mira claims this tea can help naturally support your reproductive system, but research on the ingredients and their relationship with fertility is sparse. (Many of the studies showing benefits were conducted on rodents, not humans.) However, many people find drinking tea to be soothing, and there is some research suggesting that stress reduction may be beneficial to fertility.46

Mira’s Pregnancy Tea is the company’s other organic and caffeine-free herbal tea option. This one is purported to help with common pregnancy symptoms, like nausea, anxiety, heartburn, and more.

The ingredients in Pregnancy Tea are similar to those in Fertility Tea, but there are some differences. This tea is made from ginger root, lavender, nettle leaf, oatstraw, rosehips, fennel, and peppermint. As with Fertility Tea, most of these ingredients have sparse research suggesting any benefits. The one outlier is ginger, which has several studies suggesting it’s a fairly effective treatment for pregnancy nausea and digestive upset.31 47

Mira’s tea prices are as follows (both items come with 20 tea bags):

• Fertility tea: Single purchase $23.99; monthly subscription $21.59
• Pregnancy tea: Single purchase $22.99; monthly subscription $20.69

Menstrual cup

The Mira menstrual cup ($19) is for those looking for an environmentally-friendly — and less expensive — alternative to pads or tampons. Because of its silicone construction, the Mira Menstrual Cup, like other menstrual cups, can last for about 2-10 years without replacement. You can also safely wear it for up to 12 hours at a time.48

Additionally, some research suggests that menstrual cups can act as a fertility aid by keeping sperm close to the cervix.16

Basal thermometer

For those interested in tracking their basal body temperature as part of their family planning, Mira sells a basal body thermometer for $35. This thermometer connects with the Mira app via Bluetooth to keep track of your temperature readings throughout your cycle.

On its own, basal body temperature may not be as reliable, with research stating it’s only about 22% accurate at predicting ovulation.15 But when paired with the rest of the data available from the Mira fertility tracking system, it may prove to be useful.

Two competing products, the devices from Ava and OvuSense, use your basal body temperature to predict ovulation.

Prenatal vitamins

According to the Mayo Clinic and the CDC, if you’re TTC, then you should start taking prenatal vitamins with adequate amounts of folic acid at least three months before conception to prevent birth defects of the baby’s brain (anencephaly) and spine (spina bifida). Essential components of a good prenatal vitamin include iron, folic acid, calcium, zinc, iodine, vitamin D, vitamin A, vitamin E, vitamin C, and various other B vitamins.12 49

The Mira Prenatal Multi-Vitamins include almost all of those components, with the exception of iron. Vitamin C may help you better absorb iron, but it might be ideal to speak with your OB-GYN about whether or not additional iron supplementation is recommended if you take Mira’s vitamins.13

Mira Prenatal Multi-Vitamins (60 capsules) can be purchased one time for $27.99 or delivered monthly on a subscription for $25.99.

Modern Fertility’s prenatal vitamins include many of the same ingredients as Mira’s, with the addition of iron, omega-3, and biotin. These 60-capsule bottles are $35 per month or $90 for a 3-month supply.

Both Modern Fertility and Ritual’s prenatal vitamins include folate in the form “methylfolate,” which is easier for your body to metabolize than Mira’s choice of folic acid.53

Meditation playlist

While other methods of increasing conception chances have more research behind them, some research shows that mindfulness-based interventions may improve fertility.17 18 If nothing else, infertility can be stressful, and stress also has some research suggesting that it can negatively impact overall fertility.50 So meditation or other relaxation techniques may be beneficial.

Mira's Fertility Meditation Playlist is $4.99 and includes six meditation exercises guided by three women with experience in fertility meditation.

Partner products

In addition to its branded products, Mira also sells products from its partners — a fertility test for men, a fertility-friendly lubricant, and a device to help you correctly do Kegel exercises.

The YO Male Fertility Sperm Test X 2 ($79.95) is a way for users to test the motility and health of their sperm. This can prove to be valuable information, as research shows the partner with male anatomy to be a primary or contributing factor in about 50% of infertility and subfertility cases.11

The YO Male fertility test comes with:

• The YO Cube that connects to wifi
• Two collection cups
• Two vials of liquefaction powder
• Two pipettes
• Two testing slides

Like Mira’s fertility test, it’s fairly easy to use The YO Male one. First, you collect your sample in the collection cup, then add the powder, collect the mixture in the pipette, and place a few drops on the slide. Next, insert the slide into the YO cube. Within a few minutes, the results show motile sperm count, a YO score, customized information about your fertility, and a video of your sperm that you can share with a healthcare professional. The YO mobile app helps to store and track this information.

The BioGenesis Fertility Lubricant ($20) is a water-based lubricant that promotes fertility by not harming or slowing down sperm (which some lubricants can cause).19 22 One order comes with 12 applications and two reusable applicators.

The final partner product, kGoal Kegels for Women ($149), is a device intended to help those with a vagina train their pelvic floor muscles. While there’s currently no evidence indicating that Kegel exercises can help you get pregnant, there is some research suggesting that they can help make delivering a baby easier.24

As an additional note: partner products can be purchased using the pay-in-four installment financing option (if totaling over $50), but only Mira-brand products can qualify for free shipping.

Additional resources

At the top of the Mira website, under Fertility 101, you can find a collection of additional resources to help you on your fertility journey. These include:

• The Mira blog with articles on getting pregnant, tracking your cycle, hormones, menopause, birth control, LGBTQIA fertility, and much more
• A collection of 20+ free webinars on fertility hosted by health experts
• Several free ebooks dedicated to various aspects of fertility, pregnancy, and female hormones
• A $19.99 Guided TTC Plan online course hosted by doctors, fertility specialists, and moms. Topics include things like the physiology of fertility, doctor’s visits, lifestyle and psychological factors, exercise, sexual health, and more
• Various discount offers for services such as fertility mentorship, supplements, and nutrition from Mira’s partner companies

Mira’s return policy is fairly strict — the only way for customers to get a full refund is if they cancel the order before the package ships. The company tries to ship orders out within 2-3 business days after you make your purchase, so prompt cancellation is ideal if you decide you no longer want your Mira products.

If you wish to return an order that has shipped, then Mira advises you to keep everything “unopened, unused, and original.” Additionally, the policy notes that items should be kept out of direct sunlight and in a dry environment between 39°F and 86°F.

To return a shipped order, you’ll have to contact Mira’s support team within 20 days of the products being delivered. Shipping and handling charges are non-refundable, and you’ll have to pay for return shipping unless you opt for a paid return label, which deducts 15% of the original purchase price from your refund.

With the exception of Modern Fertility (whose test can’t be returned), all of the other competitors mentioned in this review have return policies that feel much more customer-friendly.

For Mira subscriptions, you can cancel or manage them at any time by:

• Sending the company an “explicit request at least 48 hours before the next order process date”
• Locating your order confirmation email and clicking the “manage subscription” option, then “cancel”
• Logging into your account on the Mira website and navigating to “your subscriptions”

And, finally, the Mira Analyzer device has a one-year limited warranty (same as Ava) starting from your purchase date, not the date you receive the device or start using it. If you find that your Mira Analyzer stops working within that time period, the company will either repair or replace the device at its discretion at no charge. This warranty may come in handy, as many of the complaints found across the internet involve the device suddenly not working properly.

There are many at-home fertility and hormone monitors on the market — and each one is unique, particularly in how and what they test. Overall, though, all of these products have the same goal: to give you an accurate picture of your fertility health. Here’s how Mira stacks up to the competition.

Ava

Ava, unlike Mira, is a wearable device. To use Ava, you wear the bracelet while you sleep each night and the device measures your temperature, resting pulse rate, sleep, breathing rate, physiological stress, and more. Ava claims that this allows it to detect — “not simply predict” — the phases of your menstrual cycle. Similar to Mira, this data is stored and tracked via a mobile app. However, Ava also lets you download this data for your own records or to print and share with your healthcare provider. We hope Mira will eventually add this feature to its app, as well.

If you experience irregular cycles or have PCOS and need help managing your health, Ava may not provide the type of information you’re looking for, since it doesn’t measure hormone levels like Mira. While Mira can be suitable for anyone with ovaries looking to track their menstrual cycle for any variety of reasons, Ava’s main purpose is to help users discover their most fertile days to aid in conception.

For those looking for a completely non-invasive fertility tracker that doesn’t involve any bodily fluids and requires little to no additional time taken out of their day, then Ava could be an ideal option. Ava does have a higher initial price than Mira, but the potential cost of additional Mira Wands could make the price comparable or even lower overall. The choice really comes down to your comfort, what information you’re looking for, and how long you’ll be testing (which is quite often an unknown variable).

The prices and details for Ava’s bundles are as follows (all options include free shipping):

It may seem odd that the more expensive bundle has a shorter refund window, but Ava’s policy requires that you track nearly the entirety of your completed cycles during the specified time. For Fertility Plus, this means tracking 80% for 12 months, and for Fertility Premium it means 90% for six months. So, the higher price of Fertility Premium could very likely be due to having to use the device for a shorter period of time before the refund is available.

While this return policy may seem rather strict, it still feels more customer-friendly than Mira’s. And both companies’ devices come with 1-year warranties.

Modern Fertility

Modern Fertility, formerly a standalone company, was acquired by the telehealth brand Ro (also known as Roman) in 2021.

The most significant differences between Mira and Modern Fertility are the sample collection method and the number of hormones tested. Modern Fertility is a blood test — the company sends you lancets to prick your finger and test strips for sending your blood sample back to the lab. This process takes longer than Mira’s 15-minute results and is more invasive.

Another difference is the number of and type of hormones each product tests. Modern Fertility looks at seven hormones compared to Mira’s four. The chart below breaks these down.

The Mira Starter Kit and Modern Fertility are similarly priced — $199 and $179, respectively. However, as with Ava, the comparability of Mira’s cost versus its alternatives depends highly on how many Mira Wands you’ll ultimately need. While you can take multiple Modern Fertility tests over time if you wish, it’s not a requirement for getting results. Like Ava, Modern Fertility may not be as ideal as Mira for those with hormonal irregularities or conditions like PCOS who might prefer (and find benefit from) frequent testing with results in a few minutes.

Because Modern Fertility is part of a broader telehealth service, you can also choose to be connected to a fertility nurse to discuss your results.

Like Mira, Modern Fertility also offers an app and additional fertility health items:

• Prenatal vitamins (60 capsules): $35 per month or $90 for three months
• Ovulation tests (20-pack): $16 for a single purchase or $15 per month
• Pregnancy tests (4-pack): $14 for a single purchase or $13 per month
• Birth control (17 pill options): $19 per month on a quarterly basis

OvuSense

Like Ava, OvuSense offers wearable devices — two to be precise. Unlike Ava, though, OvuSense devices only automatically track your body temperature fluctuations. To track other data, you’ll need to enter that manually in the OvuSense mobile app. With the information it collects and what you provide, the app reports your perceived fertile window and when or if you’ve ovulated.

The company recommends starting off with its OvuFirst sensor, a small disc worn close to the skin using an armband or wristband. If you don’t get pregnant after three months of using OvuFirst, then the company will provide you with a free nurse consultation and an OvuCore vaginal sensor free of charge. And, then, if your OvuCore sensor does not confirm that you ovulated within 90 days of consistent use, then you become eligible for a full refund. This is similarly strict to Ava’s policy, but still beats Mira’s.

And unlike Mira and other competitors, OvuSense is a subscription service. Price options are as follows:

• OvuSense Flex plan (OvuFirst sensor): $39 per month
• OvuSense Advanced Fertility Monitor (OvuCore sensor): $35 per month with $99 upfront, $279 per year, or a one-time payment of $399

Clearblue

Clearblue offers three different fertility monitors, all of which collect information about your cycle via a urine sample, similar to Mira. The Digital Ovulation Test and Advanced Digital Ovulation Test are very similar to pregnancy tests and look nearly identical to them. Clearblue’s Fertility Monitor with Touch Screen, however, is more akin to Mira’s Analyzer.

Clearblue’s Fertility Monitor also uses sticks, which are like Mira’s wands, but they only check two hormones: estrogen and luteinizing hormone. Another difference is how Clearblue’s monitor stores data and provides fertility insights — this is all done with the same handheld touch-screen device that analyzes your samples. While some people may prefer this all-in-one setup, it’s important to know that Clearblue’s monitor only stores up to six of your cycles instead of all your testing data.

Clearblue is a fairly well-known, over-the-counter brand. You can buy the fertility monitor online via Amazon, or in retail stores like Walmart or Walgreens. Prices may vary depending on the store. For instance, at the time of writing this review, the monitor is $149 at Walgreens, $120 at Walmart, and $119 at Amazon.

Unlike Mira, Clearblue does not come with testing sticks; you’ll need to purchase those separately. Clearblue test sticks are only available in packs of 30 and cost about $55. Because this monitor is sold OTC in various stores instead of directly from Clearblue, return and refund policies will also vary.