Learning about your fertility is an essential part of trying to get pregnant. Unfortunately, infertility is a worldwide issue that affects millions of couples and individuals. The World Health Organization states that 15% of married couples of childbearing age struggle with infertility. In addition, around 186 million women worldwide have trouble conceiving.1
In the past, visiting a doctor to get help with infertility was costly and time-consuming. However, companies like Modern Fertility aim to eliminate some of the obstacles that keep patients from getting answers about their fertility. With their at-home hormone testing kit, Modern Fertility provides a fast, discreet, and inexpensive alternative to traditional fertility medicine.
In our review, we’ll cover what Modern Fertility offers and how their products may be able to help you better understand your fertility needs (even if you aren’t currently trying to conceive).
Modern Fertility offers an easy-to-use and accessible test for evaluating up to seven different fertility-related hormones. The amount you can learn from it is greater if you aren't on hormonal birth control. Being under the Ro telehealth brand allows patients further access to other services, such as fertility nurses and prescription birth control. However, we would like to see reassurance from the company about post-Roe protection of user data.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions to live healthier lives. We extensively test each health service we review and evaluate them based on adherence to quality, the latest medical evidence, and current health standards.
Modern Fertility (as well as parent company Ro) offers numerous at-home health products and services for women and people with ovaries. All told, our team has spent over 110 hours researching Modern Fertility, their close competitors, fertility health, and women’s health in general. We also gained thorough hands-on experience with the Modern Fertility Hormone Test to see if the product lives up to the company’s claims.
Additionally, like all health-related content on this website, this review of Modern Fertility was thoroughly vetted for accuracy by one or more members of our Medical Review Board.
When evaluating Modern Fertility, we looked at not only the company’s at-home fertility test and other products, but also how well they all work, what the overall customer experience is like, how much their offerings cost, and how they (and their parent company, Ro) are working to protect your privacy.
Compared to their competitors, Modern Fertility offers the most comprehensive at-home fertility test on the market. It tests for seven hormones and provides extensive information about how your results influence your fertility health. Though it was funded by the company, the Modern Fertility Hormone test underwent a clinical trial to support its validity as a means to test hormone levels.2 But a separate study also appears to back up the accuracy of at-home hormone testing.3
The same can be said for competitors Mira and Clearblue, which use urine testing instead of blood testing for their fertility tracking. These brands were pitted against each other, and both were found to effectively report patients’ fertile days, nonfertile days, and the onset of ovulation.4
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If you’ve ever tested your blood sugar at home, then you already know how to collect your sample for the Modern Fertility Hormone Test — it requires a small finger prick blood sample that you mail to the company. If you’ve never done a blood test like this before, don’t worry: Modern Fertility provides you with clear and thorough instructions about how to collect your sample. But if pricking your finger is something you’d rather not do yourself, then you have the option to have your blood drawn at a Quest lab location.
Our testers opted to collect their samples themselves and found the process to be fairly straightforward. One of our testers did struggle a bit to collect enough blood because of the need to fill two test strips, but Modern Fertility provided ample guidance about how to do so. LetsGetChecked tests can come with similar difficulties — you need quite a bit of blood to fill their provided vials.
After sending in the samples, Modern Fertility processed our testers’ samples quickly and provided results promptly. On average, we received a notification that the lab had received the sample within three days of mailing it, and we had results three business days after that. And when one of our testers reached out to customer support, they received a reply in less than 24 hours. The only wait time one of our testers experienced was waiting for the third day of their cycle to collect the sample. (This specific testing window is commonly required in other hormone blood tests, like those from Everlywell and LetsGetChecked.)
In addition to the fertility test, Modern Fertility offers a variety of other products that can help with your journey, including a free cycle tracker app for iOS devices. The company also provides a series of community-building services to connect you with others, including webinars (called “egginars”) and an online community forum with over 82,000 members. Overall, our testers felt like valued members of the Modern Fertility community when using their products.
While Mira doesn’t offer a gathering place for an online community, they do provide webinars and a guided course hosted by fertility specialists for those who are trying to conceive.
For $179, Modern Fertility provides you with a wealth of information about your hormone levels and how they impact fertility. This is much less than you’d typically spend to acquire similar information through more traditional means, especially if you consider that only 21 states possess any kind of insurance coverage laws for fertility tests or procedures.5
Compared to other at-home fertility testing kits on the market, like those from Mira, Modern Fertility’s Hormone Test is both comprehensive and fairly affordable. However, if you only want to test certain hormones, you can find other tests out there that are more targeted and cost less, such as the progesterone ($99) or ovarian reserve ($139) kits from LetsGetChecked.
Most of the other products from Modern Fertility — ovulation tests, pregnancy tests, and prenatal vitamins — can be less, more, or comparable to prices from competitors. For example, Modern Fertility’s ovulation tests ($16) are less expensive than those from Clearblue ($30), and the same is true when it comes to pregnancy tests ($14 compared to $17, respectively). But the Modern Fertility prenatal vitamins cost about $10 more than Mira’s.
We find this rather disappointing, especially considering the additional steps some competitors are taking. Mira, for instance, is working on implementing an “Incognito Mode” into their app to fully encrypt users’ data, rendering the company unable to provide identifying information to law enforcement.
Something we do give Modern Fertility (and Ro) credit for is how they handle the privacy of the online Modern Fertility community. While it's far from foolproof, they do try to make it abundantly clear that the community is exclusively for people with ovaries. And certain channels, like those for LGBTQIA+ and BIPOC individuals, are initially locked to give minority groups a safe space to discuss their unique fertility journeys and struggles.
In 2021, Modern Fertility was acquired by the telehealth company Ro, but the brand was initially developed in 2017 by Afton Vechery and Carly Leahy — two women interested in helping people with ovaries learn more about their fertility, even if they’re not currently trying to conceive. The founders wanted to create a more accessible option for understanding fertility health aside from the traditional, more expensive way.
With help from a team of medical advisors, the founders developed the Modern Fertility Hormone Test to help those with ovaries understand their general reproductive health and “plan ahead.”
In addition to the hormone test, Modern Fertility also offers a handful of other fertility-related products, including:
Modern Fertility’s products are for anyone with ovaries who wishes to know more about their fertility health, whether or not they’re trying to get pregnant. As the founders of the company state, “People with ovaries don’t have the info they need to plan ahead. Modern Fertility is here to change that.”
If you’re a person with ovaries who’s interested in planning for the future or even if you just want to know more about your body, then Modern Fertility could be the solution for you.
It’s important to note that the Modern Fertility Hormone Test is not available in New York or Rhode Island at this time, but all of their other products are.
Since Modern Fertility was acquired by Ro, there are multiple pages you can look at to find reviews for their products and services. Both Ro and Modern Fertility have pages on the Better Business Bureau (BBB) website and on Trustpilot.
On the BBB website, Ro (listed as Roman Health Ventures, Inc.) is accredited, has a B rating, and currently has a customer review score of 1.38 out of 5 stars. There are currently only 26 reviews, and most of the complaints are either about Ro’s subscriptions being difficult to cancel or prescribed medications not working as planned.
Modern Fertility is also accredited by the BBB but has an A+ rating and a 1-star (out of 5) customer review score. The four reviews include complaints about customer service. However, four reviews are a very small amount of feedback to help shape any conclusions, whether positive or negative.
On Trustpilot, Ro has a claimed profile with a 4 out of 5 rating (from 336 reviews), while Modern Fertility’s profile is unclaimed and possesses a 2.6 out of 5 score (from four reviews). As with the BBB pages, most complaints on both Trustpilot profiles are regarding customer service, with a couple being about Ro’s return policy.
Published in Obstetrics & Gynecology, the study collected samples from 130 women using both a traditional blood draw method and a finger prick method. The research found all eight hormone levels tested to be equal for both methods. Therefore, they determined that minimally invasive testing methods can be used to study fertility health.
However, there is potential for bias due to the study being funded by Modern Fertility. While there aren’t very many other studies currently out there for at-home fertility testing, there is a 2022 study that found anti-müllerian hormone (AMH) home testing to be “non-inferior” to traditional blood draws.3
More research is definitely needed on home fertility testing, but for now, it seems like Modern Fertility’s methods have at least some evidence supporting their accuracy.
Fertility health is a vital subject that often goes undiscussed until you decide to start having children. Many people with ovaries are often not provided with essential information on how various hormones affect their bodies — and how unique those effects can be from person to person.6
Modern Fertility’s hormone test is a $179 at-home blood test that measures up to seven hormones to provide you with information about your reproductive and general health. This test has risen in price over the past couple years, while tests from some competitors such as Everlywell have become more affordable. Nonetheless, for the information it provides, the kit remains a good value.
While there’s currently no known absolute predictor of fertility, learning about your hormones can help you better understand your body and help inform your choices. These hormones can indicate early menopause, high or low egg count, and health conditions like polycystic ovary syndrome (PCOS).
Anti-müllerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2) are some of the hormones that can help determine how many eggs you have left, or what is known as ovarian reserve.7 This can give you a better understanding of your options for having children, including egg freezing, in vitro fertilization (IVF) possibilities, potential age of menopause onset, and more.
The Modern Fertility Hormone Test evaluates these seven hormones:
Ovarian follicles produce anti-müllerian hormone. The levels of this hormone reflect the number of eggs that remain.8
Follicle-stimulating hormone supports the maturation of the follicle, which can also indicate how many eggs are in reserve.9
Your ovaries produce the sex hormone E2. E2 levels can affect the level of follicle-stimulating hormone.10
LH is a hormone produced by the pituitary gland. It plays an essential role in the menstrual cycle by signaling the ovaries to produce estradiol and prompting the ovaries to release eggs during ovulation.11
Produced by the thyroid, TSH regulates thyroid health, which can impact fertility.12
Along with TSH, testing for fT4 paints a fuller picture of your thyroid health, which can affect fertility.
This hormone triggers milk production and a pause in ovulation after birth. PRL inhibits follicle-stimulating hormone. High prolactin levels (hyperprolactinemia) may cause infertility.13
The Modern Fertility test kit measures all seven hormones for those not on hormonal birth control. If you’re on hormonal birth control, the kit measures two crucial ovarian reserve hormones: AMH and FSH.
Like all fertility testing options, Modern Fertility’s Hormone Test can’t determine infertility or provide a diagnosis. However, your test results can be a helpful starting point for investigating possible red flags that may be affecting your fertility.
The Modern Fertility Hormone Test can provide information about whether:
The test results provide a starting point for more informed discussions about your fertility health, general health, and family planning. You might have these discussions with a Modern Fertility (or Ro) nurse, your healthcare provider, or your partner.
Overall, Modern Fertility’s Hormone Test gives you an affordable and convenient way to get this initial information so you can begin to plan. As long as you keep in mind the test’s limitations, you may find this information quite useful. Our testers were impressed by their experiences with Modern Fertility, including the company’s openness about the strengths and limits of the information provided.
Similar to Mira, Modern Fertility’s main draw is their testing kit, but the company’s offerings don’t stop there. There are four other products available to support you as you learn more about your hormones and fertility for the future.
The Modern Fertility Prenatal Multivitamin ($35 per month, or $90 every three months) is designed to be taken before, during, and after pregnancy. The formula contains various essential prenatal vitamins and nutrients, including:
Mira’s prenatal vitamin contains everything Modern Fertility’s does, with the exception of iron, omega-3s, and biotin. Additionally, Modern Fertility’s folate is in the form “methylfolate,” which is easier for your body to absorb and use than folic acid (the form of folate Mira uses).18
The one-time purchase includes a one-month supply (60 capsules) of multivitamins in a reusable glass jar. If you opt for the 3-month subscription, the company will ship refills to your home every three months. Modern Fertility emphasizes that the pills are vegetarian, gluten-free, and made with no preservatives.
For $14 (or $13 per month with a subscription), Modern Fertility will send you a pack of four pregnancy tests. Their tests are designed to detect the hormone hCG, which is released once an egg is fertilized.19 Like many pregnancy tests you might find in a drug store, the tests are 99% accurate, but they’re less expensive than many of the tests sold in stores. In addition to the pregnancy test, you can also access the Modern Fertility app (if you have an iOS device), where you can track your period and your test results for a clearer picture of your fertility journey.
Clearblue’s pregnancy test 4-pack, in comparison, will cost about $17 dollars.
The Modern Fertility 20-pack of ovulation tests ($16, or $15 per month with a subscription) can help you track your ovulation to discover your fertile window — your most fertile days of the month. The tests measure luteinizing hormone (LH) levels in your urine. LH triggers ovulation by signaling that it’s time for your body to release an egg. By knowing your LH level, you can more accurately predict when you’re fertile to increase (or decrease) the chances of conception. And, as with the pregnancy test, you can log your results in the Modern Fertility app to track your LH levels and better understand your cycle.
Both Clearblue and Mira offer ovulation testing, as well. A 20-pack of Clearblue’s ovulation tests costs around $30, while Mira’s 20-pack of fertility wands costs about $40 (and that’s only for the wands, not including the Mira Analyzer itself).
Since becoming part of Ro’s telehealth service, Modern Fertility has started to offer birth control — something not available from any other fertility-testing service. For $19 per month on a quarterly plan ($57 every three months), you can work with a Ro healthcare provider to find a prescription birth control that fits your needs. There are currently 17 different pill options available. Additionally, the online consultation is free, as is shipping, and the prescription is FSA/HSA reimbursable.
Something to note is that Ro includes a single dose of emergency contraception (Plan B) with every first shipment of birth control. This is where our concerns about Ro’s lack of comment on Roe v. Wade come into play, as some U.S. states have adopted various restrictions on emergency contraception.20 While possessing Plan B doesn’t put you at risk for legal action right now, it’s unclear whether or not this will change in the near future.
In this section, we’ll delve into the process of using the Modern Fertility Hormone Test kit. From making the initial purchase to getting your results — we’ve logged it all below.
If you currently reside in New York or Rhode Island, then you won’t be able to purchase the Modern Fertility Hormone Test, but you can still buy their ovulation tests, pregnancy tests, vitamins, and birth control.
As soon as you click “buy now” on the Hormone Test product page, you’ll be presented with several questions — a “virtual visit” — that will help the company personalize your test. These questions include details about your current form of birth control (if any), your period, and your age.
You’ll then receive information about the types of hormones your test will measure and when you should take your test. For example, based on one of our tester’s answers, Modern Fertility personalized their hormone test to monitor ovarian reserve by tracking AMH, FSH, and E2 and checking general fertility by testing for LH, PRL, and TSH. The tester was instructed to take the test on the third day of their period.
The instructions to take the test on around the third day of a menstrual cycle are also commonly seen in other home tests for female hormones, such as those from LetsGetChecked.
After answering the questions to personalize your hormone test, the site prompts you to create an account. You can either sign up using your Google account or with an email address and password. After creating an account, filling out your shipping address, and paying for your test kit (using a credit card, debit card, or PayPal), you’ll be asked another series of questions about your fertility to personalize your experience. These next questions (which can be skipped if you want) include things like:
Once you’ve completed the questions, you’re presented with a consent form regarding participation in a study to advance knowledge about women’s fertility. The consent form outlines the research and explains the pros and cons of participation. You can opt out of involvement without affecting your experience with Modern Fertility. Mira does something similar — using anonymized client data to improve fertility research.
Shipping happens pretty quickly; most of our testers received their test within around five days of ordering. (This is similar to the time it took for our testers to receive various test kits from Everlywell and LetsGetChecked.) The test shipped discreetly in a white bubble mailer with no logo or identifiable information on the package.
The Modern Fertility product packaging is minimalistic and sleek, with the contents packed logically and efficiently. Your kit will include:
Sample collection is a pretty easy process, especially if you’ve ever used a finger-prick blood test before. But if you don’t have experience with a similar test, Modern Fertility provides a lot of instructions in the kit and on their site about collecting your sample and testing correctly. Here are the basic steps:
Insider Tip: Our testers were instructed to test on the third day of their period, fast for eight hours before testing, and drink a large glass of water before collecting the sample.
However, all of these tips can be condensed into a visit to a Quest lab location if you’d prefer someone else collect your sample instead.
After gaining experience with a multitude of home health kits, our testers realized a few ways to make the process easier if you need to (or choose to) collect blood yourself through a finger prick. These tips include:
You’ll receive an email from Modern Fertility when your results are ready — typically within 3 business days of the lab receiving the samples. The results are presented in an easy-to-understand and supportive way. They show you information on the hormones tested, your levels, what your levels mean, and a plan for next steps. We appreciate how Modern Fertility explains what your levels actually mean, as some competitors, like Mira, only explain what your levels of certain hormones are.
The results page shows each of the tested hormones, the tester’s levels, and whether each level is low, normal, or high. You can hover over each hormone name for a description of it.
The next section provides you with a summary of what these readings mean. This section includes info on ovarian reserve, ovulation, and general wellness. These categories will vary depending on the hormones tested.
At the bottom of the results page, you can sign up for an “egginar” — one of Modern Fertility’s webinars about fertility health — or opt for a consultation with a fertility nurse. You can also choose to look at your insights page, which goes into more detail about your results.
Our testers’ insights page included 13 reports about their results. These reports go into further detail about each fertility concept and advise you about potential next steps.
After reading your results, you’ll be prompted to select your plan and answer some questions about what you want to do with your results. These questions ask if you are trying to conceive, prevent pregnancy, or just learn more about your fertility. Your chosen plan is divided into three sections: learn, track, and care. The content of the sections is a mixture of informational articles, other Modern Fertility products, and reminders about things like your annual OBGYN appointment. Each section is set up checklist-style to encourage you to move through the plan efficiently.
Ro has an extensive Modern Fertility FAQ page that covers just about every question you might have about their testing and products. If you wind up with a question not covered in the FAQ, you can click on “submit a request” in the top right-hand corner of the page to send an email. Ro currently doesn’t offer customer support via phone or chat. In comparison, Mira and Clearblue offer more ways to get in contact with customer support — including an in-browser chat option. We hope to see Modern Fertility (and Ro) eventually add additional avenues of contact.
When one of our testers contacted customer support via email, they received a response in less than 24 hours. The customer service representative was knowledgeable and thorough in answering their questions.
If you have an iOS device, then you have the option of using the Modern Fertility app to track your menstrual cycle, fertile window, and any results from using the company’s ovulation or pregnancy tests.
Some other app features include a shop link and access to the Modern Community (Modern Fertility’s online community). You can message other Modern Fertility users, share your experience, and learn more about the fertility journey.
Mira offers a similar cycle-tracking app, which logs each Mira test you take and scores your fertility chances on a scale of 1-10 each day.
In addition to products offered by Modern Fertility, the company also provides ways to connect with others who’ve used their products. Once you create an account with Modern Fertility, you’ll start to receive emails prompting you to join the community. The Modern Community includes:
If you’ve ever used the social apps Slack or Discord, then the layout of this community will look quite familiar — there are different “channels” (marked by a pound sign or hashtag) for various topics that you can join and participate in. Through the community, you can also schedule a visit with a fertility nurse to get additional help with your test results if you’d like.
The company also organizes Q&A sessions with fertility experts and provides other essential info at weekly “egginars.”
Modern Fertility (or Ro) states that they try to keep your information confidential — unless required by law — and only collect the information you provide in the forms and through their services.
The company incorporates commercially reasonable safeguards to help protect and secure it, including encrypting your data while it is at rest and in transit. They’ve designed and implemented measures to secure your personal information from accidental loss and unauthorized access, use, alteration, and disclosure. All personal information you provide to Modern Fertility is stored on their secure servers behind firewalls. Any payment transactions will be encrypted using SSL or other encryption technology or will use their third-party payment processors, who will also use appropriate security procedures.
As at-home testing options have become more and more popular, so too have the at-home options for women and those with ovaries to learn more about their fertility. You can find several different hormone-testing brands and services on the market, but with so many choices out there, we’ve decided to highlight our top alternatives to Modern Fertility.
While some of these alternatives are similar in price and what they check for, others can cost more or less than Modern Fertility and be used in more broad or specific contexts. For instance, LetsGetChecked’s tests are less expensive than the one from Modern Fertility and may be ideal if you’re looking to learn the level of a specific hormone instead of a panel, or if you know you want to test for a specific condition like polycystic ovary syndrome (PCOS).
Meanwhile, more expensive panels can also check for a wider array of potentially useful values. Everlywell has two tests that cover similar ground — one more expensive than Modern Fertility, the other less expensive. Both include testosterone, and the more expensive one also includes free T3, dehydroepiandrosterone, and progesterone in its panel. (Neither of the Everywell tests measures AMH, however.) If you can afford the extra $70 and want deeper insights into your thyroid health — which can be useful for identifying underlying causes of fertility issues — this Everlywell test could provide it. But Modern Fertility's test strikes us as a good value in the landscape of fertility tests; it conveys quite a bit about fertility and also helps point many people in the right direction to gain deeper understanding, if necessary, without costing as much as some more expensive options.
Everlywell is an at-home testing company that offers a variety of testing kits related to fertility and women’s health, including:
The Women’s Health Test is the most like the Modern Fertility Hormone Test, with the main differences being that Everlywell’s requires both blood and saliva samples, and it evaluates more hormones while omitting AMH. This test measures the following:
If you’re looking for a test more similarly priced to Modern Fertility’s, the Women’s Fertility Test checks your:
So this provides fewer results but costs about $30 less.
As with Modern Fertility, Everlywell tests ship for free and are FSA/HSA eligible. For more information, you can read our full Everlywell review here.
Mira offers a device — The Mira Analyzer — that can help you track various hormones through urine samples. Unlike Modern Fertility’s need for a blood sample to learn a comprehensive view of hormone levels, Mira requires that you test your urine frequently to track your cycle and discover your fertile window. This can help you to identify when you’re ovulating and recognize patterns in your cycle.
Mira offers five different testing wands that measure different hormones, including luteinizing hormone (LH), oestrone-3-glucuronide (E3G), pregnanediol-3a-glucuronide (PdG), and follicle-stimulating hormone (FSH). The wand varieties are:
You can use the handheld Mira Analyzer device and the Mira app to track your levels of each hormone and gain insight into your fertility health. Mira’s focus is heavier on ovulation than Modern Fertility’s, so it more closely resembles Modern Fertility’s Ovulation Test. Both are urine tests that can have their results logged and tracked in their respective apps.
The pricing structure for Mira is very different from Modern Fertility’s, as it’s a device you use to test your urine multiple times a month instead of a (potentially) one-time blood test. This means that costs for Mira can add up a lot quicker than those from Modern Fertility.
LetsGetChecked offers four tests aimed at helping women with fertility issues:
While it doesn’t analyze nearly as many hormones, the LetsGetChecked test most similar to Modern Fertility’s — the Female Hormone Test — is a finger-prick blood test that checks your levels of:
Like Modern Fertility’s test, you’ll be instructed to collect your blood sample around day three of your menstrual cycle.
The other tests check for the following hormones:
LetsGetChecked doesn’t offer a hormone test as comprehensive as the one offered by Modern Fertility. However, if you only want to check a particular hormone, like your anti-müllerian hormone (AMH) levels, you could save some money by using LetsGetChecked.
Clearblue may be more similar to Mira than Modern Fertility, but they’re a well-known fertility-tracking brand that also offers ovulation and pregnancy tests. This over-the-counter brand doesn’t have a dedicated online store but can be found on the Amazon, Walmart, and Walgreens websites or in physical stores.
Modern Fertility’s ovulation and pregnancy tests are, overall, less expensive than Clearblue’s. However, this could be due to many of Clearblue’s tests being digital — some people may rather pay more to not have to use strips, like those in Modern Fertility’s ovulation tests. The list below shows a quick comparison of the two brands (using one-time purchase prices, not subscriptions):
Innerbody uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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