7 At-Home PCOS Tests We Recommend for Teens and Parents

For Hormone Testing: Everlywell Women’s Health Test

Key Specs

• Cost: $249 (subscriptions available)
• Medical Consultation Required: No
• Accepts Insurance: No
• Free Shipping: Yes

Why We Chose It

The Everlywell Women’s Health Test screens for 11 biomarkers that can indicate PCOS and thyroid disorder, making it one of the most comprehensive at-home hormone tests available to parents and kids who are 18+. 

Pros & Cons

Overview

Whether you’re trying to get pregnant or wondering if your teen might have a hormonal imbalance, the Everlywell Women’s Health Test measures 11 biomarkers to help you identify common clues that may indicate PCOS and/or a thyroid condition, all from the comfort of home.

These biomarkers are tested which are indicative of PCOS: 

• Estradiol is the main form of estrogen in people who can get pregnant. Your levels may be lower than normal if you have PCOS.
• Progesterone is an androgen that prompts the uterine lining (endometrium) to build up during your cycle to prepare for a possible pregnancy. These levels may be elevated with PCOS.
• Cortisol is stress hormone that may be elevated with PCOS.
• Dehydroepiandrosterone sulfate (DHEA-S) converts sex hormones like estrogen and testosterone and can be slightly elevated with PCOS.
• Free testosterone is an androgen that can be normal or elevated with PCOS.
• Follicle stimulating hormone (FSH) stimulates egg growth in the ovaries. FSH levels fluctuate throughout your cycle, peaking the day before you ovulate. Abnormally high levels can indicate PCOS, among other conditions (like menopause or an ovarian tumor).
• Luteinizing hormone (LH) regulates the release of eggs and, like FSH, is also usually at its peak the day or so prior to ovulation. High levels can point to conditions like PCOS.

Since thyroid disorders like hypothyroidism are common and can cause many of the same symptoms as PCOS—including fatigue, anxiety, and infertility—it’s important to find out exactly what’s going on so that you or your teen can seek the proper treatment. Luckily, the Everlywell Women’s Health Test also measures thyroid-stimulating hormone (TSH), free T3 (triiodothyronine), free T4 (thyroxine), and thyroid peroxidase antibodies to give you a clearer picture of your overall hormonal balance.

Each Women’s Health Test costs $249 and will be shipped free directly to your home, usually within four days (though it may take up to eight business days). While the company does not accept insurance, you can pay with your HSA/FSA card, and you can reduce your costs on ongoing testing if you opt for a semiannual, quarterly, or monthly subscription. In fact, you can pay as low as $186 per test with the monthly option. 

After receiving your testing kit, you’ll have to collect samples of your blood (with a finger prick test) and saliva on the third and 19th days of your menstrual cycle. Once you mail your samples back on the 19th day, they’ll be evaluated at a lab with Clinical Laboratory Improvement Amendments (CLIA) certification and potentially also accreditation by the College of American Pathologists (CAP). Both hold labs to the highest standards of handling, processing, and analyzing samples. 

Your results will then be reviewed by a board-certified physician before becoming available to you on Everlywell’s HIPAA-compliant digital platform within five to seven days. There, you’ll see a personalized health report and an educational webinar about what your levels might mean. If you have questions or concerns, you can schedule a telehealth visit with one of Everlywell’s licensed nurse practitioners; major health insurance plans are accepted for these services.

For Medical Support: LetsGetChecked PCOS Test

Key Specs

• Cost: $139
• Medical Consultation Required: No
• Accepts Insurance: No
• Free Shipping: Yes

Why We Chose It

With a team of qualified healthcare providers on standby for virtual consultations, the LetsGetChecked PCOS Test is a good option for adults who want medical support both during and after the at-home testing process.

Pros & Cons

Overview

The LetsGetChecked PCOS Test earns its place in this list for not only being one of the only at-home tests we saw that was created specifically to screen for PCOS (rather than general hormone health), but for also having telehealth providers available to provide guidance, treatment plans, and more support throughout the testing process.

The test measures the following hormones in people age 20 and up:

• Sex hormone binding globulin (SHBG), a protein that attaches to sex hormones in your bloodstream. Only “free” hormones can be used by the body, so low SHBG levels suggest that too much testosterone is available in your system, potentially due to PCOS.
• Free androgen index (FAI), an overall measure of androgen levels; this is calculated using your results for SHBG and testosterone.
• Anti-Müllerian hormone (AMH), which is tied to how large a supply of eggs are currently in your ovaries, or your ovarian reserve. For healthy people who menstruate, low levels can indicate infertility or impending menopause—but if you have PCOS, you may have elevated AMH.
• Testosterone
• FSH
• LH
• Cortisol

LetsGetChecked’s PCOS Test is FSA-/HSA-eligible and costs $139 per kit. (No subscriptions or bundles are available, and no insurance is accepted.) From the first step in the testing process, LetsGetChecked’s team of licensed healthcare professionals—including both nurses and nurse practitioners—will have your back. After placing your order online, your testing kit will arrive at your home in discreet packaging for your privacy. Like most at-home test kits, the PCOS Test cannot be shipped to New York due to regulatory policies; shipping to any other state is free and typically takes one to five business days.

According to the instructions in video tutorials created by the company’s team of clinicians, you’ll collect both saliva and blood samples on the third, fourth, or fifth day of your cycle (or, if you have irregular or no periods, any weekday that has postal service). Then, send them back the same day with the provided prepaid shipping label. LetsGetChecked only works with CLIA-certified, CAP-accredited labs, so you can feel confident about your results.

Within two to five days, you’ll receive your test results on the HIPAA-compliant LetsGetChecked website or app (available for iOS and Android). Your personalized dashboard will include informative factsheets written by the company’s medical experts, as well as a complete lab report. After your results come back, a nurse will set up a virtual consultation with you to discuss what they mean, as well as potential next steps. Along the way, you or your child can contact the medical team at LetsGetChecked at any time to ask questions.

For Irregular Periods: Natalist Ovulation Test Kit

Key Specs

• Cost: $25
• Medical Consultation Required: No
• Accepts Insurance: No
• Free Shipping: Yes (bundles and orders $35+)

Why We Chose It

If you or your teen has irregular periods, the Natalist Ovulation Test Kit is an easy, user-friendly way to track ovulation across several cycles. The cost for this certified plastic-neutral test kit is lower, likely because it only tests one hormone (LH), making it a less expensive alternative for taking your first test for PCOS.

Pros & Cons

Overview

If you have an irregular cycle—a common PCOS experience—you know how frustrating it can be to not know when your period is coming. Since that also means not knowing when you will ovulate, trying to conceive (TTC) can also be more difficult and take longer, potentially leaving you wondering if it’s infertility or just bad luck that you haven’t gotten pregnant yet. Whether you’re trying to nail down your fertile window or your teen wants to know ahead of time when to stock up on period supplies, the Natalist Ovulation Test Kit is an affordable, easy-to-use option to track LH levels over multiple cycles. It's also a great first step to take before opting for more expensive comprehensive testing.

Natalist, which was acquired by Everlywell in 2021, offers a number of features that make its ovulation test strips stand out from the competition. The $25 kit comes with 30 urine test strips and a physical Cycle Tracker that allows you to store and compare your ovulation window across several cycles at a glance. Plus, Natalist’s packaging and products are all certified plastic neutral—meaning the company removes the same amount of plastic from the environment as it uses to make its products—thanks to a partnership with rePurpose Global.

Natalist’s products are registered with the U.S. Food and Drug Administration (FDA) and certified by Good Manufacturing Practices (GMP), so you don’t have to worry about inaccurate results. And thanks to its HIPAA compliance, your private health information is stored and handled safely. While the company doesn’t accept insurance, its Ovulation Tests and Kits are HSA-eligible. You can also use an FSA card, but you’ll have to pay out of pocket and then submit your itemized receipt for reimbursement. 

Once you’ve received your Natalist Test Kit (usually in two to four days), just follow the English or Spanish instructions to test your urine daily, starting on a specified day of your cycle. The result will appear in just five minutes.

If you’re interested in learning more or getting more advice, the company also offers telehealth ovulation support care services starting at $212. While not eligible for insurance coverage or reimbursement, the cost includes pregnancy and ovulation tests as well as up to two virtual consultations with a licensed doctor who will learn about your needs and create a customized care plan—including medication, if recommended.

For Comprehensive Testing and Care: Parsley Health

Key Specs

• Cost: $69–$199+ per month membership (yearly discounts available; testing/other services are extra)
• Medical Consultation Required: Yes
• Accepts Insurance: Yes
• Free Shipping: Yes
  

Why We Chose It

Parsley Health is a great choice for families looking for ongoing, holistic medical support for PCOS and many other conditions—as well as advanced diagnostic testing of up to 35 hormones that affect PCOS and fertility. 

Pros & Cons

Overview

Parsley Health is a subscription-based telehealth platform that offers evidence-backed, holistic primary care, as well as care for PCOS and other hormonal imbalances, in 44 states and D.C. It accepts several insurance plans in New York (including Aetna, Cigna, Empire BCBS, and two UnitedHealthcare plans) and two in California (Aetna and Blue Shield). Teens age 13–18 can use the service with parental permission—and as fertility, pregnancy, and postpartum care are also available, the company is a great all-around choice for comprehensive, ongoing care for anyone in the family with PCOS.

If paying out of pocket, an annual Parsley Health membership runs for $199 per month, or $2,199 if you pay upfront, and includes:

• Five yearly virtual visits with a licensed healthcare provider 
• Five yearly virtual visits with a health coach
• Prescription medications if necessary

Additionally, you will have access to follow-up provider visits, a care manager, a personalized health plan, discounted supplements and diagnostic lab testing, symptom tracking, and unlimited messaging with your care team via a HIPAA-compliant digital platform. You can pay with FSA/HSA funds, and the company reports that many of its clients have successfully received out-of-network coverage using a superbill.

While no family plans or other bundled subscriptions are available, Parsley Health’s providers pledge to work within your budget to make sure you get the care you need. (You can also enter the coupon code PH150 at checkout to get $150 off your membership.) 

If using insurance, your annual Parsley Health membership will include the same features for $69/month or a discounted $769 upfront; this includes your five health coach visits, but you will need to pay your usual copay for visits with your healthcare provider. 

Parsley Health offers advanced hormonal screenings and a customized plan that emphasizes the “whole person,” meaning your or your child’s personalized treatment plan may include prescription medicines and supplements, as well as recommendations to optimize gut health, sleep, nutrition, exercise, stress levels, and overall lifestyle.

Parsley Health uses BioReference, Quest, and LabCorp (all CLIA-certified and CAP-accredited) labs for in-person testing, but it can also ship a number of discounted test kits directly to your door—including Precision Analytical Inc.’s range of research-backed Dried Urine Testing for Comprehensive Hormones (DUTCH) tests.

Perhaps the most relevant DUTCH test for those with PCOS is the Cycle Mapping Plus kit, which involves collecting 21 first morning urine samples throughout your cycle and then four urine samples and five to six saliva samples throughout the final day. The full-price costs for DUTCH test panels range from $299 (to see how well your body handles stress by measuring only your cortisol awakening response, or CAR) to $700 (for the full Cycle Mapping Plus panel). As a Parsley Health member, though, your final cost will be discounted, making this highly comprehensive at-home PCOS testing more affordable. 

This Cycle Mapping Plus test is a bit of a commitment to take, as there are many instructions to follow regarding collection timing, avoiding certain foods and substances on certain days, and letting your urine samples dry for 24 hours. But considering how much information you’ll get, and that the Parsley Health care team is there to help you test correctly, all the effort can be worth it to get such a detailed look at your hormone balance. 

The DUTCH panel evaluates a total of 35 hormones and their metabolites (i.e., what’s left over once your body uses, or metabolizes, hormones and other substances). These include:

• Estrogen and 10 of its metabolites
• Progesterone and two of its metabolites
• Testosterone 
• DHEA-S
• Free cortisol
• Six organic acids (OATS) that measure nutrition and neurotransmitter metabolites (and may indicate deficiencies)

Once you’ve taken your final day’s samples, use the prepaid shipping label to send them all to Precision Analytical Inc.’s CLIA-certified and CAP-participating lab immediately, either by scheduling a UPS pickup or by dropping them off at a UPS location. Your report may take several weeks to come back, but when it does, the Parsley Health care team is there to help explain your results and adjust your treatment plan accordingly.

(Note: The DUTCH test panel may not be available to ship to New York, Maryland, or Rhode Island; if you live in one of these states, Parsley Health will likely have you do other diagnostic tests at your local lab.)

For Fast Results: myLAB Box Female Fertility Test

Key Specs

• Cost: $149
• Medical Consultation Required: No
• Accepts Insurance: No
• Free Shipping: Yes (expedited shipping available)

Why We Chose It

The myLAB Box Female Fertility Test measures four key hormones involved in PCOS and fertility. With results typically available digitally in just one to five days, you can get a clearer picture of your overall reproductive health and hormonal makeup right away. 

Pros & Cons

Overview

If you’re a busy parent, you may be putting off PCOS testing for yourself or your child because, well, who has time or energy to get time off from work to make yet another trip to the doctor? An at-home test that delivers fast screening results might be a good solution; you can use the results to decide if in-person testing is necessary. We recommend the myLAB Box Female Fertility Test, as your results will be available as soon as one day after the lab receives your samples. 

The myLAB Box Female Fertility Test allows you to test for four key hormones that can affect your ability to get pregnant: estradiol, FSH, LH, and testosterone. Raised levels of testosterone or LH may be a red flag for PCOS. Your results can also give you a better sense of your or your child’s overall risk profile for infertility-related diagnoses and other possible conditions. 

myLAB Box is a HIPAA-compliant at-home testing company that works only with CLIA-certified and CAP-accredited labs. The company is listed by the Centers for Disease Control and Prevention (CDC) on its GetTested directory of national testing resources, so you can be assured that your results are accurate, reliable, and secure. 

The FSA-/HSA-eligible Female Fertility Test is available to people 14+, costs $149 per test (no bundles or subscriptions available, unfortunately), and is available in all states except New York. Standard three- to five-business-day shipping is free; you can also opt for two-day shipping for $7 or overnight for $45. Once you receive the Female Fertility Test in the mail, you’ll retrieve your saliva and blood samples with a quick oral swab and finger prick test. 

After mailing them back with the prepaid postage, you should receive your digital results within one to five days after the lab receives your samples. Also, you’ll get a free physician’s consultation via phone if your results are abnormal.

For Trying to Get Pregnant: Mira Max Starter Kit

Key Specs

• Cost: $229–$249 
• Medical Consultation Required: No
• Accepts Insurance: No
• Free Shipping: Yes (bundles and orders $148+)

Why We Chose It

For those hoping to conceive, the Mira Max Starter Kit offers a user-friendly way to assess your peak fertile days. If you have PCOS, you may benefit from the detailed monthly charts, which allow you to track your cycles and hormone concentrations even if they’re irregular. 

Pros & Cons

Overview

If you have PCOS and want to start or grow your family, you may be wondering how best to figure out your fertile window each month—meaning, the day of ovulation plus the five days leading up to it. Because sperm cells are able to live inside your reproductive tract for up to five days, having sex during your fertile window can lead to pregnancy. For adults age 18 and up, if trying to conceive is your concern, the Mira Max Starter Kit can help you gain a deeper understanding of more aspects of your cycle (even if it’s irregular) and improve your chances of conception. 

The FDA-approved Mira Max Starter Kit includes a Fertility Analyzer and either 10 or 20 Max Wands, which measure your estrogen, progesterone, and LH levels throughout your cycle. Just dip a wand into a urine sample on a specified cycle day, then insert the wand into the Fertility Analyzer, and wait around 21 minutes for your data to be analyzed.

The resulting customized report will include detailed information about your cycle and hormone concentration levels, and be sent to your paired Mira app (available on iOS and Android). Ultimately, the kit will identify up to six peak fertile days per cycle. However, it doesn’t test for androgens, such as testosterone. This may be a downside for some people with PCOS, since up to 80% of people with the disorder have excess androgen levels.

The cost of your test will depend on how many Max Wands you select: $229 for a kit with 10 Max Wands, or $249 for a kit with 20. Mira notes that the exact number of times you’ll need to test will vary by person—and will be determined by the Fertility Analyzer’s patented AI algorithms. To be on the safe side, it might be a good idea to select the kit with 20 Max Wands to avoid running out mid-cycle.

While Mira ships worldwide, those in the U.S. and U.S. territories can get free three-to seven-day shipping for orders over $148. Mira also offers a number of benefits in terms of payment and convenience, including a variety of financing options. This means you can pay for your Max Starter Kit in several monthly installments rather than all at once—and start trying to get pregnant right away in the meantime. 

You can also reschedule your payment for a later time with no penalties—pay 25% upfront and the rest later—or purchase with your HSA/FSA card. Meanwhile, the company’s money-back guarantee allows you to get 100% of your money back if your product doesn’t detect an LH surge in 90 days of use.  

The data from your Fertility Analyzer and Max Wands can give insight into your hormone balance, but no additional medical support is available, unlike most of the other companies in this roundup. However, if you’re interested in more information on TTC, Mira offers an informative, self-paced online course for $20 taught by expert teachers—including a doctor and PCOS expert who has the condition herself.

For Best Additional Resources: Ro Modern Fertility Hormone Test

Key Specs

• Cost: $179
• Medical Consultation Required: No
• Accepts Insurance: No
• Free shipping: Yes (expedited shipping available)

Why We Chose It

After testing up to seven hormones with the Modern Fertility Hormone Test, you or your teen (18+) will get access to a wealth of Ro’s ongoing resources—from free fertility planning tools and a vibrant online community of peers and fertility experts to telehealth appointments.

Pros & Cons

Overview

Do you want to take an at-home PCOS test now, without stopping your hormonal birth control for three months? Or maybe you’re looking for extra support with your at-home PCOS test? If either (or both!) of these apply, the telehealth/prescription startup Ro may be a great option, as its Modern Fertility Hormone Test can be used while taking birth control. It also comes with access to a knowledgeable, accepting community as well as virtual consultations with healthcare providers.

The Hormone Test is made by Modern Fertility, which was acquired by Ro in 2023, and provides a customized assessment of up to seven hormones, based on your cycle length and regularity, whether or not you take birth control, and your age. These include:

• Prolactin, a hormone your pituitary makes that stimulates breast growth and lactation during pregnancy. If you have high levels while not pregnant, you may be experiencing reproductive concerns like infertility. 
• LH
• AMH
• FSH
• TSH
• Estradiol
• Free thyroxine

If you’re on hormonal birth control, only your AMH and TSH will be tested. Still, this is one of the few at-home PCOS tests we looked at that you can take while on birth control. And the validity of its finger prick test results is backed by a 2019 Modern Fertility-sponsored study.

Shipping is free and discreet, usually taking two business days. At $179, the Modern Fertility Hormone Test may be a bit expensive for some, especially since it’s not eligible for insurance coverage and only eligible for FSA/HSA reimbursement, meaning you’ll have to pay the full cost upfront and submit your receipt to be reimbursed. The test is also not available in New York or Rhode Island, and it is only available to people who have seen a doctor in person at least once within the last three years. 

That said, the Fertility Hormone Test requires just a single finger prick test. Once your sample has arrived at the lab using the prepaid shipping label included with the kit, your fertility hormone report will be available within seven days via the securely encrypted Ro website and/or (iPhone-only) app. From it, you’ll learn more about what each hormone is, what your levels indicate about your fertility and ovarian reserve, and how your numbers compare to other people your age.

It’s easy to download the results from your personalized fertility dashboard, either together or individually, to bring them to your doctor if you suspect you may have PCOS. You also have the option to skip shipping wait times and have your blood sample drawn at a local Quest Lab instead. 

Along with your detailed report, you’ll receive an invite to the Modern Fertility Community. Here, you’ll get online access to supportive peers and fertility nurses who can answer your burning questions in an inclusive, welcoming space. Many of the experts in this community have in-depth knowledge of PCOS.

Other resources that come with your purchase include a weekly webinar to help you understand more about what your test results mean and a personalized fertility planning tool. Although no telehealth consultations are included in the price of the test, Ro has doctors and nurse practitioners who can address a range of health concerns—often for free, according to the FAQ—via messaging, video, or phone.