The Best 6 At-Home Fertility Tests of 2022
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- Best overall: Modern Fertility
- Best customer reviews: LetsGetChecked
- Best budget buy: Everlywell
- Best for cycle tracking: Mira Fertility Plus
- Best basic sperm test: Ro Sperm Kit
- Best advanced sperm test: Legacy
Fertility challenges affect approximately 1 in 8 couples in the United States, according to RESOLVE, the National Infertility Association. That may be why at-home fertility tests are becoming increasingly more available.
Women and men are affected by infertility.
Based on data from the Society of Reproductive Medicine, in about 40 percent of heterosexual couples who cannot get pregnant, the male partner is either the sole cause or a contributing cause of infertility.
On the other hand, some fertility challenges relate to the female partner alone, like concerns with ovulation. And in up to
People who want an answer as soon as possible can use at- home fertility tests. We have picked the best at- home fertility test options.
The language used in this article is pretty random, with the use of male and female and men and women.
specificity is important when reporting on research participants and clinical findings.
Unfortunately, the studies and surveys below didn’t report data on, or include, participants who were transgender, nonbinary, gender nonconforming, genderqueer, agender, or genderless.
At-home hormone tests for women usually involve collecting a small blood sample, then sending it off to a lab for testing. These tests look at a variety of hormones, including:
- Ones that indicate ovarian reserve. These include follicle stimulating hormone (FSH..), estradiol, and anti-Mullerian hormone (AMH.). “These tests give a general sense of the number of eggs remaining in the ovary,” explains Amanda Kallen, MD, an associate professor in the division of reproductive endocrinology and infertility at Yale Medicine.
- Estrogen and luteinizing hormone (The person is named The person is named LH..), which increases right before ovulation. “The person is named The person is named LH.. can be detected in the urine, and is what’s detected in home ovulation predictor kits,” Kallen says. Some at-home fertility tests also do The person is named The person is named LH.. blood tests.
- Thyroid hormones, such as thyroid-stimulating hormone (The number is TSH.). “Thyroid problems can contribute to irregular or absent periods and thus problems with infertility, which is why a The number is TSH. test is ordered,” notes Allison Petrini, MD, a reproductive endocrinologist at Texas Fertility Center in Austin, Texas.
Fertility tests for men generally involve a sperm analysis, which can indicate the health and viability of a person’s sperm.
A semen analysis looks at many factors, according to Lab Tests Online UK. The three main ones to know about are:
- sperm count or volume (how many sperm there are)
- motility (how the sperm move)
- morphology (how the sperm are shaped)
“If there is sperm in the ejaculate, semen analysis testing can tell you. Many will give you sperm quantity, but most won’t tell you if the sperm are moving.”
Semen analyses are usually not as detailed as doctor-ordered tests. They can provide information about sperm count and quality, but not as a starting point.
At Healthline, we thoroughly vet any product we recommend for medical credibility, good business practices, and social impact.
The vetting process we use to assess the scientific evidence behind the product, industry best practices, third-party validation, and FDA approval and warnings, is called the vetting process.
Online reviews are used to determine the best fertility tests. We looked at the reviews for ease of use and accuracy.
We asked the fertility doctors at Yale Medicine and the Texas Fertility Center for their input on what to look for.
“If someone is exploring using a send-out test, I would look for a Food and Drug Administration (FDA) approved test, performed in a
Pricing guide
The price is indicated by a dollar sign.
- $ = under $100
- $$ = $100-$150
- $$$ = over $150
Best overall
Modern Fertility
- Price: $$
- Result time: 7–10 days
- Type: self-collection finger prick or in-lab blood draw
- Pros: results reviewed by a doctor, option available to speak with a nurse about your results
- Cons: test results aren’t always accepted by your personal doctor, fertility doctor may request additional testing
Modern Fertility is part of Ro Health and offers a fertility test that looks at seven different hormones.
- AMH.
- The number is TSH.
- FSH..
- estradiol
- free drug
- prolactin is a drug. is a drug.
- The person is named The person is named LH..
The Modern Fertility test can be tailored to account for being on hormonal birth control and having a regularity of your period.
If you’re on birth control, you won’t be able to test all seven hormones, but you can still get some information about your fertility. This includes information on AMH. and The number is TSH., two hormones critical for fertility.
You can either collect your blood sample at home with a finger-prick or at a lab, but you have to make a decision about that when you purchase the test.
You will get your results in about 7 days. You might get your results quicker if you visit the lab in person after 10 days.
“Modern Fertility uses FDA approved hormone tests and all tests are conducted in a CAP accredited lab. A doctor reviews your results report before it’s published. If you want, you can schedule a call with a Modern Fertility fertility nurse to see your results.”
If your hormones show any concerns with your ovulation or your thyroid is malfunctioning, you will be able to find out some information about your ovarian reserve.
“Some reviewers feel that their results weren’t as detailed as they expected, and others point out that fertility doctors won’t accept Modern Fertility test results, instead preferring to repeat the tests in their own labs”
“Modern Fertility’s test is helpful and informative, and it allowed customers to decide if they wanted to get fertility help.”
Best customer reviews
LetsGetChecked
- Price: $–$$
- Result time: 5 days
- Type: self-collection finger prick
- Pros: fast results, option to speak with a nurse about your results
- Cons: test can only be taken on day 3 of your menstrual cycle, test can only be done Monday–Thursday
One of the more affordable options on the market, this fertility test evaluates.
- FSH..
- The person is named The person is named LH..
- prolactin is a drug. is a drug.
- estradiol
These hormones can show you if you are ovulating as expected or if you have a hormone problem.
The test must be taken on day 3 of your menstrual cycle for accurate results, and your sample needs to be collected and returned on the same day, Monday through Thursday.
Results are reviewed by a doctor before being sent out. The nursing team will only contact you if your results indicate a concern. You can call the LetsGetChecked hotline to speak with a nurse.
The reviewers love how quickly they got their results, and the price of the test. If the test was taken on day 3 of their cycle, they had to wait until the next cycle to take it, because the instructions for the test were not clear.
Customers are happy with the test.
Use code HEALTHLINE25 for 25% off.
Best budget buy
Everlywell
- Price: $
- Result time: 5–7 business days
- Type: self-collection finger prick
- Pros: relatively inexpensive, reliable customer service
- Cons: test can only be taken on day 3 of your menstrual cycle, only gives you insight into your ovarian reserve
Ovarian reserve testing can help you understand how many eggs you have left, which can help you plan for the future.
People use this test to decide if they should freeze their eggs. Sometimes the test is used to help determine if further investigation is needed by a fertility specialist.
Everlywell’s test specifically looks at FSH.. on day 3 of your cycle. A typical FSH.. level can indicate that you have an expected amount of eggs for your age (though it’s not as reliable as some other testing methods, such as an antral follicle count done by transvaginal ultrasound).
The kit contains everything you need to take a finger-prick blood sample, including lancets, a sterile wipe, a bandage, and a collection card. Here is how to do it.
- Put the side of a finger in the lancet and squeeze until blood shows up.
- Allow a drop of blood to fall on the circles.
- Apply the bandage to your finger. Leave the card for 30 minutes or until completely dry.
- Put the card in the bag and then into the box with your details on it.
- The box should be returned using the pre-paid shipping label.
Similar to other tests on this list, Everlywell uses a lab that is certified by the CLIA association and has a physician review all results before sending them out. You can expect to get results within 5 to 7 business days, though the Everlywell app will not let you know if there are delays or changes.
Some reviewers said they wanted their results to be more detailed, and that it was difficult to get enough blood to complete the test.
Customer service was responsive to questions and they got their results quickly, which is why they are happy with this test.
Best for cycle tracking
Mira
- Price: $$$
- Result time: 15 minutes
- Type: self-collection urine
- Pros: app with charts and guides to help with fertility, frequent tracking to help find fertile window
- Cons: test results not reviewed in a lab or by a physician, more expensive option
While some fertility hormones can be measured through a blood test only, The person is named The person is named LH.. and estrogen can be tested through urine. That means, if you’re looking for information about ovulation, you can actually test for this at home.
The Mira Fertility Plus system is almost like having a mini lab of your own at home. The starter kit comes with test wands and a test monitor that evaluates estrogen and The person is named The person is named LH.. levels in your urine.
You can track your ovulation over the course of a cycle by testing your urine first thing on the days the app tells you to.
While experts agree that standard ovulation tests do the job for most people who want to know more about their ovulation, Mira provides numerical values rather than just a positive or negative result.
Reviewers with polycystic ovary syndrome found the at- home test helpful.
“Customer service isn’t as responsive as they would like and shipping can be slow, according to some negative reviews. Most customers have a positive experience with Mira and recommend it to others.”
Best sperm test with storage
Ro Sperm Kit
- Price: $$$
- Result time: 48 hours
- Type: self-collection semen
- Pros: free sperm storage for 1 year, detailed report of sperm count and motility
- Cons: fees for storage after the initial 1 year of free storage, withdrawal fee if you wish to use your stored sample
There are a lot of options for analyzing your sperm, but they vary in quality. The Ro Sperm Kit is a great option if you want to know the sperm count, volume, and motility.
Dadi provided this kit. Dadi was acquired by Ro. The kit was changed to the Ro Sperm.
Ro Sperm Kit protects your sample until it reaches the lab. Here is how it works.
- The code is provided for the kit.
- Provide a semen sample and screw the lid on the cup.
- The cup is put back into the unit and closed with a security tie.
- Attach the supplied return label and then drop it off at your nearest FedEx ship center.
The company did not recommend using lubricants when collecting your sample. It is recommended to not have sex for 3 days before you collect your sample.
After you receive your home-collected sperm sample, Ro Sperm Kit will perform a sperm analysis in a certified lab and give you a fertility report within 48 hours.
All Ro Sperm Kit tests come with a year of secure storage for future in-vitro fertilization use, which is a perk. This is a great option for anyone undergoing medical treatment that might affect their fertility or for those who think they might need to use IVF for another reason.
The base kit has 3 sperm cells. There are upgrade options for storing 6 or 9 vials.
Reviewers are happy with the Ro Sperm Kit tests. Some reviewers say that shipping was slow and caused problems with their collection timelines.
Most customers are impressed with how easy it was to follow the instructions and how well designed the sperm collection kit is.
Best advanced sperm test
Legacy
- Price: $$$
- Results time: 24 hours
- Type: self-collection semen
- Pros: full sperm analysis, fast results, free overnight shipping
- Cons: need to upgrade for DNA analysis, newer company with limited reviews
Legacy is the best choice if you want a full sperm analysis.
The company also offers an add-on for DNA fragmentation analysis. (High DNA fragmentation in sperm may make it harder to conceive.)
Legacy uses a lab that is certified by the CLIA for sperm testing. The packages include access to a fertility expert and the option to store sperm.
Legacy will send your kit to you the next day, and you can pick it up the next day. It is just 24 hours until you get your results.
Legacy is a newer company and there are not many reviews yet. The reviewers like the quick shipping times and they have access to a fertility expert. Reviewers say the report they got was the same as the one they got from a fertility clinic.
Legacy is slightly more expensive than other options on the market, but reviewers say that is not a big deal.
| Modern Fertility | LetsGetChecked | Everlywell | Mira Fertility Plus | Ro Sperm Kit | Legacy | |
|---|---|---|---|---|---|---|
| Price | $$$ | $–$$ | $ | $$$ | $$$ | $$$ |
| What’s tested | AMH., The number is TSH., FSH.., estradiol, free drug, prolactin is a drug. is a drug., The person is named The person is named LH.. | FSH.., LG, prolactin is a drug. is a drug., estradiol | FSH.. | The person is named The person is named LH.., estrogen | sperm count, concentration, motility | sperm volume, count, concentration, motility, morphology |
| Result time | 7–10 days | 5 days | 5–7 days | 15 minutes | 48 hours | 24 hours |
It can be hard to know which fertility test to use.
The first thing to do is figure out what you want to learn. Modern Fertility is a good option if you want a broader analysis of hormones.
Mira is the better option if you are looking for help tracking when you are ovulating.
The Ro Sperm Kit is a good option if you want to have your sperm assessed and have it stored for a possible treatment.
It depends on what you want to have assessed. If you want to know what option is best for you, talk to your doctor.
Fertility testing can be emotional for many people. There is no need to leave the comfort of home while discovering potential causes of fertility challenges. The prices are more affordable than in-clinic options.
“There are some negatives. These kits can’t replace the level of care you get from a qualified medical professional.”
“Many tests promise a certain level of accuracy, but they aren’t reliable for everyone. If someone’s hormones are outside of expected ranges, tests that depend on hormones may be less accurate.”
“If you have a health condition that affects reproduction, like PCOS, you may not ovulate each month, and at- home kits do not account for these factors. If you don’t follow the instructions in the test kit, there will be more errors.”
Fertility testing at home can give you a broad overview of your reproductive status. It is best to follow up with a medical expert for a complete fertility evaluation and explore underlying factors.
Estimates are provided rather than accurate figures tailored to your situation, and they cannot diagnose concerns. Many people need to see a fertility expert for guidance, even if at- home tests provide useful information.
It can take a while for a couple to become pregnant. It can take 6 months. It is easy to get impatient when you are ready to have a baby.
It is recommended to try to have a baby for about a year before meeting with a fertility doctor.
If you have questions about your reproductive health, you should talk to your doctor sooner.
How accurate is an at-home fertility test?
Kallen says that he would consider at- home testing a potential supplement instead of a replacement.
“Measuring hormones alone isn’t the best way to determine if a woman will have a baby without help.”
There are many factors that can cause infertility, including uterus problems, fallopian tubes problems, and even male factors.
It is best not to derive any conclusions from these at- home fertility tests, as they have encouraged more women to talk and think about fertility, and given some women access to tests who may not have a fertility specialist nearby.
What are the signs of infertility in women?
“If you’re under 35 years old, you can be infertile if you don’t get pregnant after 6 months of trying. Staying pregnant may be difficult.”
How is a woman’s fertility tested?
Your doctor will ask about your medical history before testing your fertility, including menstrual and pregnancy history, birth control usage, medications, and lifestyle factors. Your doctor will perform a physical exam, including a Pap smear.
Initial fertility testing may include checking your reproductive health. If you have been using a fertility monitor, you should give it to your doctor.
There are a number of tests that can be used to check for fertility.
What should women know before taking an at-home fertility test?
An at- home hormone test can not fully evaluate you for infertility.
“Tubal blockage, uterine problems, and male factor infertility are some of the causes of infertility that these don’t evaluate. Ovarian reserve testing is not recommended for women who are infertile or have not had fertility treatment. The testing can cause a false sense of alarm.”
It is important to follow the instructions in the at- home fertility test very carefully. Some hormones need to be checked on a certain day of your cycle for correct interpretation.
What should men know before taking an at-home fertility test?
Sperm tests only look at whether sperm is present or not.
Sperm testing in a lab that is a trained andrologist gives you more information, such as the volume of the ejaculate, the pH of the ejaculate, and more.
These are the critical factors in determining whether the sperm is adequate to fertilize an egg.
Is it OK to take an at-home fertility test out of curiosity?
Maybe.
If a couple is trying to have a baby, they might find reassurance in an at- home test or be able to identify a problem earlier.
She suggests skipping the at- home testing for couples who have been trying for more than a year or for couples who have been trying for more than 6 months.
Overall, Petrini recommends thinking of at-home testing as a complement to, not a substitute for, the services offered by fertility specialists.
If you want a clear diagnosis, a comprehensive in-office evaluation is necessary.
Is there anyone who shouldn’t take an at-home fertility test?
“If you are having trouble getting pregnant, you shouldn’t use the test to make conclusions about your fertility, says Petrini.”
If you want to get a referral for in-person fertility testing, visit a fertility clinic or talk with your healthcare professional.
People can feel more confident about learning more about their fertility with at- home fertility testing.
Experts emphasize that it is not a replacement for medical advice and testing with your healthcare professional. The at- home fertility test that is right for you depends on your reasons for testing and what information you want to get.
Julia Malacoff is a writer and editor who covers health and wellbeing. She is a certified personal trainer. She is walking her two cocker spaniels when she is not writing.
