The Pros and Cons of Ovulation Predictor Kits (OPKs)

Learn all about OPKs before relying on them, then check out our three picks for the best ovulation predictor kit.

Find out how to know what time of month you are most fertile with Dr. Obosa Osawe.

Many couples rely on ovulation predictor kits, or OPKs, to identify when the woman is most fertile. OPKs can detect a surge in the production of luteinizing hormone (LH), which occurs roughly 36 hours before ovulation. By timing intercourse shortly after the LH surge, you can increase your odds of bringing sperm and egg together at the time when conception is most likely to occur.

Sounds easy, right? In a perfect world, OPKs would infallibly detect ovulation, and ovulation would inevitably lead to pregnancy. The reality is more complicated, so be sure to consider the pros and cons of OPKs before trusting your fertility exclusively to this method.

Pros of Ovulation Predictor Kits

1. OPKs are more precise than other methods of monitoring ovulation. Used correctly, the major-brand OPKs are more than 97 percent effective in detecting an LH surge, which is used as a marker for ovulation.

2. OPKs are convenient. OPKs are used only in the middle of your cycle, during the time when you would be most likely to ovulate (note that it helps to have a sense of your typical cycle length, so start keeping track now if you haven't already). Other methods, such as charting your basal body temperature (BBT), require a daily commitment.

3. OPKs are widely available. You can get them over the counter at drugstores, pharmacies, and even major supermarkets and convenience stores, without a prescription.

4. OPKs are easy to use. Ovulation kits are similar to home pregnancy tests – you simply urinate on the test stick, activating a chemical that can detect your LH surge. Most OPKs contain between five and nine test sticks.

Cons of Ovulation Predictor Kits

1. OPKs do not test for ovulation. Ovulation predictor kits measure the LH surge that precedes ovulation, but can't confirm whether you have actually ovulated. Occasionally, an egg fails to emerge from its follicle after the LH surge has occurred, a condition known as LUFS (luteinized unruptured follicle syndrome).

2. OPKs don't indicate whether cervical mucus is conducive to fertilization. The mucus produced by the cervix in midcyle, which you experience as vaginal discharge, must have a certain consistency (clear and elastic, like egg whites) in order to provide a fertile environment for sperm to swim through. OPKs do not monitor cervical mucus.

3. OPKs don't work when certain fertility drugs are present in the system. OPKs do not function reliably when injectable fertility drugs such as Pergonal or the hormone hCG (e.g., Profasi) are present in the system.

4. OPKs do not work consistently on women over 40. Some women in their 40s, especially those approaching menopause, have increased levels of LH in their systems at all times, rendering the tests invalid.

5. OPKs don't come cheap. These kits cost between $15 and $50 depending on the brand and number of tests included. Each is good for a single cycle.


Should I Use an OPK?

Although in most cases, OPKs provide an accurate forecast of your LH surge and subsequent ovulation, they are most effective when used together with other monitoring methods. Along with an OPK, try examining your cervical mucus and charting your basal body temperature – the term refers to your lowest, or baseline, temperature, and is usually taken first thing in the morning. These methods combined can greatly increase your chances of becoming pregnant.

Three Best Ovulation Predictor Kits

Trying to get pregnant? Check out our picks for the best ovulation predictor kits.

Clearblue Advanced Digital Ovulation Test

The Clearblue test detects your four most fertile days (most kits usually predict two) by tracking both LH surge and estrogen. Test once per day until estrogen levels rise, indicating high fertility (displayed with a flashing smiley face). Peak fertility happens after the LH surge, and it’s displayed with a static smiley face. The Clearblue Advanced Digital Ovulation Test is 99% effective, and it’s safe for women with regular and irregular periods (but not PCOS). $39.99.

First Response Daily Digital Ovulation Test

Use the First Response ovulation test, which comes with a digital reader and 20 sticks, to test your LH levels each day. The reader remembers your levels throughout the month, so it can effectively alert you of an LH surge (displayed with a simple YES+ or NO- on the screen). Chances of conception increase for 24-36 hours after the surge is detected. First Response claims their test kit is over 99% accurate. $39.99.

Wondfo One Step Ovulation (LH) Test Strips

The Wondo ovulation test identifies LH surge quickly and efficiently. Here’s how to use it: Pee in a cup (much like at the doctor’s office), dip a paper strip into the liquid, and wait five minutes. Compare the color on the stick to the control line to figure out if you’re ovulating. The ovulation predictor kit comes with 50 test strips, and you can find it for a very reasonable price. $16.75.

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