Best At-Home Fertility Tests to Help You Conceive and Track Reproductive Health

Best Comprehensive: Hers and His Fertility Starter Kit By Proov

Key Specs

• Cost: $159
• Results (time to receive): Immediately
• FSA/HSA eligible? Yes

Why We Chose It 

The Hers and His Fertility Starter Kit by Proov provides all the equipment you need to determine your ovulation window, check sperm motility, and test for pregnancy when the time is right. One-on-one support is available when you need it.

Pros & Cons

Overview

If having a baby is your goal, it pays to have as much information as possible about how fertile you (as well as any partner or co-parent) are—which means testing not only for ovulation windows but also for sperm count and motility, or how efficiently sperm can move. The Hers and His Fertility Starter Kit by Proov provides the most complete picture of fertility by bundling three products into one. 

The kit includes three separate products offered by Proov. First, the Complete Testing system predicts ovulation windows by testing key chemicals: 

• Follicle-stimulating hormones (FSH) stimulate the growth of eggs in the ovaries. Levels are highest just before an egg is released. 
• Estrone glucuronide (E1G) is an estrogen hormone that prepares the uterus for potential implantation. 
• Luteinizing hormones control the release of eggs during the menstrual cycle.
• Pregnanediol 3-glucunoride (PDG) is a progesterone hormone that signals that ovulation has occurred. 

The Sperm Test measures sperm motility, or how many sperm are moving. Pregnancy tests round out the bundle, which is available at a significant discount compared to purchasing all of the products separately. 

Unlike many at-home tests, the Hers and His Fertility Starter Kit stays at home—urine and sperm analysis is all completed at home using fast-reacting test strips for ovulation and pregnancy and an included analyzation device for sperm motility, leading to almost immediate results that you don’t need to send out to receive. The ovulation test and sperm test both come with an easy-to-use app to help interpret the results. Still need help? Health professionals are on call via Facebook, Instagram, or email to answer any questions you may have as well.

Most Affordable: Modern Fertility Ovulation Test

Key Specs

• Cost: $16
• Results (time to receive): 5 minutes
• FSA/HSA eligible? Yes

Why We Chose It

Tracking your ovulation is seldom a one-month affair when you’re trying to conceive. The Modern Fertility Ovulation Test is affordable and easy to read, with app support to help you track your ovulation cycle over time.

Pros & Cons

Overview 

Getting pregnant can take several months, so keeping costs down when tracking your fertility hormones is key. If finding your optimal ovulation day is your goal, the Modern Fertility Ovulation Test offers trackable, fast results for a low cost of $16 for one month or $15 for a monthly subscription. 

Modern Fertility’s ovulation test comes with 20 test strips—more than enough to cover your ovulation window. All you have to do is pee in a cup, dip one of the test strips for 10 seconds, let it sit for five minutes, and then scan the strip with your camera, which logs results in the Modern Fertility app. This will allow you to see when you have hormone surges. The results will help you track your LH levels and see when your two most fertile days occur during your cycle, even if you have irregular periods.

Modern Fertility tests also come with access to the Modern Fertility Community, where you can ask questions and get answers from quality fertility experts, and meet others on their fertility journey.

Best for Perimenopause: Perimenopause Test by Everlywell

Key Specs

• Cost: $99
• Results (time to receive): 6 days 
• FSA/HSA eligible? Yes

Why We Chose It 

When is an irregular period just a blip, and when is it a sign of perimenopause? The Perimenopause Test by Everlywell assesses the levels of three hormones to determine where you are in your reproductive life, as well as giving insight into what to do with the information. 

Pros & Cons

Overview 

Perimenopause is one of the least talked-about periods of a person with a uterus' reproductive life, but can start having an effect in your 30s and 40s, last for up to 10 years, and can make everyday life a struggle, especially if you’re also running after little ones. As estrogen production begins to slow down, you can experience irregular periods, hot flashes, vaginal dryness, and more. Perimenopause ends when someone hasn’t had a period for 12 months—at which point menopause begins. The Perimenopause Test from Everlywell helps people in their 30s and 40s figure out whether they are nearing perimenopause or experiencing symptoms because of something else, such as ovarian cancer.

The test assesses three hormones known to shift as perimenopause approaches—LH, estradiol, and follicle-stimulating hormone. You prick your finger, put drops of blood on a collection card, then send it back to the CLIA-certified (Clinical Laboratory Improvement Amendments) lab used by Everlywell. The results are returned to you in six days via the company’s secure digital platform. Results are reviewed by a physician and delivered with a report that will help you understand the information, as well as an educational video to explain your results and potential next steps. Given the ambiguous nature of perimenopause, personalized education is a huge advantage.

Best for IVF: For Tomorrow Bundle by Legacy

Key Specs

• Cost: $995 (includes two analyzed samples, five years of sperm freezing, and STI testing)
• Results (time to receive): 48 hours once samples are received
• FSA/HSA eligible? Yes

Why We Chose It 

Timing is everything, and the For Tomorrow Bundle from Legacy allows you to test sperm health as well as freeze sperm for future use.

Pros & Cons

Overview 

If your ideal window for parenthood is still a few years off, and aren’t sure you’ll still have healthy sperm at that time, freezing it for IVF (in vitro fertilization)

Unlike most sperm tests that either analyze sperm concentration, volume, or motility, the For Tomorrow Bundle tests for all of them. It will also show sperm size and shape, known as morphology, and total motile sperm count.  For Tomorrow will also freeze a small portion of the provided sperm and then thaw it out, checking to make sure that it will be a good candidate for cryopreservation. The kit even includes an STI test panel so you know the sperm you choose to freeze is free from disease. In addition to the testing and storage capabilities, Legacy gives you the option to book an appointment with a fertility specialist to discuss results and determine a plan of action. 

The For Tomorrow Bundle offers one of the most comprehensive male fertility plans available on the market. While the price tag may be significant, the test has been peer-reviewed, is diagnostically valid, and can be shared with your doctor. And, with the inclusion of five years of sperm storage, the For Tomorrow bundle is a step above the others we researched.

Best App: Mira Fertility Starter Kit

Key Specs

• Cost: $179 (includes 10 LSH and E3G wands)
• Results (time to receive): 21 minutes
• FSA/HSA eligible? Yes 

Why We Chose It 

The Mira Fertility Starter Kit doesn’t just offer fast results—it also uses an app that may give you greater peace of mind that you’re reading the results accurately. No more squinting at lines trying to gauge their color; you’ll have exact measurements in minutes.

Pros & Cons

Overview 

If you've ever struggled to read a fertility (or pregnancy test), you might like this fertility kit. With the Mira Fertility Starter Kit, that guesswork is gone. In addition to the traditional test sticks, the Mira comes with an analyzer that tells you exactly what your hormones are doing and when your best chance of conceiving will occur, all within minutes—21, to be exact. 

Mira also covers more than many ovulation tests—in addition to testing your luteinizing hormone (LH), Mira gauges E3G, a metabolite, or smaller compound, of estrogen—one compound that your body breaks estrogen down into. The combination can give people with irregular cycles or polycystic ovarian syndrome (PCOS) a more accurate picture of their reproductive health and ovulation schedule, all in a short processing time.

Inside the kit, you’ll find 10 testing wands, 10 urine cups, and the Mira analyzer and charger. Pee in a cup, then dip one of the wands into the urine for 10 seconds. Put the wand into the analyzer and your LH and E3G results for the day will display in the Mira app 21 minutes later (just make sure you’re connected to Bluetooth first). 

The kit costs about $180 and includes everything noted above. For a more complete view of your current fertility, expect to test between 10 and 20 times per month. Additional wands test for specific fertility markers, such as LH, FSH, or estrogen markers, and must be purchased separately, and a 20-pack of Fertility Plus wands, (which track E3G and LH) currently costs $59.

Best Sperm Test: OnDemand Men’s Rapid Fertility Test by LabCorp

Key Specs

• Cost: $199
• Results (time to receive): 45 minutes
• FSA/HSA eligible? Yes

Why We Chose It 

Sperm count can be a major factor in successful conception. The OnDemand Men’s Rapid Fertility Test is discreet, easy to take, and can be processed in the comfort of your own home, all within an hour.

Pros & Cons

Overview 

While a lot of emphasis is placed on tracking ovulation when people are trying to conceive and grow their family, problems with sperm account for nearly half of all fertility issues. The OnDemand Men’s Rapid Fertility Test assesses semen volume and sperm count, processes the sample immediately, and provides results in less than an hour. 

The test, which requires a semen sample, costs about $200 and comes with processing fluid that eliminates the need for a visit to a lab and a long wait for results. Since semen and sperm levels can change with lifestyle choices such as smoking, drug use, diet, and caffeine use, refill kits are available for $99, so long-term tracking is possible. 

There’s only one drawback of the OnDemand Men’s Fertility Test. While it does test for sperm concentration, it doesn’t assess sperm motility, which is another important factor in sperm efficacy. Considering that, if results show that concentration is optimal, then further testing may be needed.

Best for Ovulation: Ava Bracelet

Key Specs

• Cost: $279
• Results (time to receive): Immediate
• FSA/HSA eligible? Yes

Why We Chose It 

Tracking ovulation in traditional ways can become all-consuming, but the Ava Bracelet takes the pressure off. Simply wear it to bed and sync in the morning for real-time data about your ovulation window, sleep patterns, stress and more.

Pros & Cons

Overview

Fertility testing has long relied on hormone testing to determine ovulation windows. The Ava Fertility bracelet takes a different approach, relying on wrist skin temperature to predict the five most fertile days in your cycle. With measurements taken 25 times per second while you sleep, you’ll wake up to accurate information about what’s happening in your body. 

The bracelet measures five physiological fertility indicators: temperature, heart rate, heart rate variability, skin perfusion (which can indicate blood vessel health), and respiratory rate.

These indicators are markers for fluctuating hormone levels, and all of them combined allows the bracelet to nail down up to five fertile days (traditional LH tests can typically only pinpoint two).

The Ava bracelet is the first of its kind and the only fertility wearable approved by the FDA. At almost $280, it is more expensive than traditional hormone tests, but it offers extensive information with little to no effort for the wearer. The company is so confident in its results that it will guarantee a successful conception in either six or 12 months, depending on the option purchased, or your money back. The bracelet also comes with membership to the Ava exclusive online community where members can ask questions and read the latest articles on reproductive health.

Best for PCOS: PCOS Test by LetsGetChecked

Key Specs

• Cost: $139
• Results (time to receive): 2-5 days 
• FSA/HSA eligible? Yes

Why We Chose It 

PCOS is one of the most common hurdles to a successful pregnancy, with 6% to 12% of American people assigned female at birth struggling with it each year. The PCOS Test by LetsGetChecked analyzes seven different hormones to help clinicians diagnose the condition.

Pros & Cons

Overview

One of the biggest obstacles to conceiving and carrying a baby to term is polycystic ovary syndrome (PCOS)—a chronic endocrine disorder that results in nearly absent ovulation, elevated androgen levels (male hormones such as testosterone), and occasionally cyst development in the ovaries. PCOS can be difficult to diagnose. The symptoms, which range from irregular periods to excess body hair to weight gain, can easily be attributed to several different conditions. But the PCOS Test from LetsGetChecked offers a good starting place for diagnosis by testing seven hormones. 

The test is quite comprehensive and requires both blood and saliva samples. Once you collect the samples at home, you sent them to a CLIA-certified lab in a box with a prepaid label from LetsGetChecked. The samples are then tested for several markers of PCOS, including:

• Testosterone, is also produced in your ovaries (and not just testicles) but if your levels are elevated, it can interfere with menstruation. People with PCOS tend to have increased levels of it.
• Sex hormone-binding globulin (SHBG) is a protein that carries transporting testosterone and other hormones through the bloodstream. When you have PCOS, SHBG levels can be reduced, which then raises testosterone levels in the body.
• Free androgen index (FAI) is the ratio of the total amount of testosterone vs. SHBG levels. A high number here signifies more testosterone in your body, which is a signifier of PCOS.
• Follicle-stimulating hormone (FSH) affects the development of ovarian follicles and the release of an egg during ovulation. The ratio of FSH to LH tends to be higher in people with PCOS.
• Luteinizing hormone (LH) may be elevated in people with PCOS.
• Cortisol is known as the "stress hormone," and high levels of it often overlap with PCOS symptoms.
• Anti-Mullerian hormone (AMH) is a hormone that’s present when there are immature eggs (follicles) in your ovaries. People with PCOS usually have a higher level of this.

While this PCOS test alone isn’t enough to diagnose the condition, it is a great jumping-off point for you and your physician. The LetsGetChecked PCOS Test offers additional support, including the option to discuss your results with a nurse who can answer questions and guide your next steps, and will sharer results with your primary care physician—all at no additional cost. 

The PCOS test costs about $140 out of pocket. Depending on your insurance coverage, the price may be less than what similar physician-ordered tests would be, although purchasing the test would not count toward your deductible. The PCOS test is FSA/HSA eligible.