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Infertility affects 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.

Infertility affects women and men equally.

Based on data from the Society of Reproductive Medicine, in about 40 percent of infertile heterosexual couples, the male partner is either the sole cause or a contributing cause of infertility.

On the other hand, some fertility issues are related to the female partner alone, like problems with ovulation. And in 15 and 30 percent of cases, the cause of infertility is unknown.

At-home fertility tests are a great option for those wanting an answer as soon as possible. Read on for the best at-home fertility test options.

At-home hormone tests for women usually involve collecting a small blood sample at home, then sending it off to a lab for testing. These tests look at a variety of hormones, including:

  • Ones that indicate ovarian reserve, like 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 (LH), which increases right before ovulation. “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 LH blood tests.
  • Thyroid hormones, such as thyroid-stimulating hormone (TSH). “Thyroid problems can contribute to irregular or absent periods and thus problems with infertility, which is why a TSH test is ordered,” notes Allison Petrini, MD, a reproductive endocrinologist at Texas Fertility Center in Austin, TX.

Fertility tests for men generally involve a sperm analysis, which can indicate the health and viability of a man’s sperm.

A semen analysis looks at many factors, but there are three main ones to know about:

“At-home semen analysis testing will tell you if there’s sperm in the ejaculate. Many will provide sperm quantity, but most won’t tell you if the sperm are moving (motility),” Kallen says.

In other words, at-home semen analyses are not usually as detailed as doctor-ordered tests. Still, they can provide information as a starting point for those who are concerned about sperm count and quality.

When researching at-home fertility tests, we read online reviews to determine the best tests on the market. We also asked fertility doctors for their input on what to look for.

“If someone is exploring using a send-out test, I would look for a U.S. Food & Drug Administration (FDA) approved test, performed in a CLIA certified laboratory, ideally with interpretation by a physician,” Kallen says.

Best overall

Modern Fertility

  • Price: $159

One of the best-known companies in the at-home fertility testing space, Modern Fertility offers a fertility test that looks at seven different hormones:

  • AMH
  • TSH
  • FSH
  • estradiol
  • free thyroxine
  • prolactin
  • LH

An option that makes the Modern Fertility test unique is that you can customize it to account for being on hormonal birth control. 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.

When you purchase the test, you can decide whether you’d like to collect your blood sample at home with a finger prick or have your blood drawn at a Quest Diagnostics lab.

All the tests Modern Fertility uses are FDA approved. Before you get your results report, a doctor reviews it. If you want, you can also schedule a call with one of Modern Fertility’s fertility nurses to go over your results.

You can expect to find out some information about your ovarian reserve, if your hormones indicate any potential problems with ovulation, and some basic information about how well your thyroid is functioning.

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.

But most customers are really happy with Modern Fertility’s test, saying it’s helpful, informative, and allowed them to decide if they wanted to get fertility help.

Best budget pick

LetsGetChecked

  • Price: $129

One of the most affordable options on the market, this fertility test evaluates:

  • FSH
  • LH
  • prolactin
  • oestradiol

These hormones can give you an idea of whether you’re ovulating normally or experiencing a hormone imbalance.

It’s worth noting that this 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.

LetsGetChecked laboratories are CLIA approved, and results are reviewed by a doctor before being sent out. That said, the nursing team will only contact you if your results indicate a problem. You can, however, call the LetsGetChecked helpline to discuss your results with a nurse.

Reviewers love the price of this test, along with how quickly they got their results. Other reviewers find the instructions for the test unclear, and were frustrated that, if day 3 of their cycle fell outside Monday to Thursday, they had to wait until the next cycle to take the test.

Overall, though, customers are happy with their experience with this test.

Best ovarian reserve test

Everlywell

  • Price: $49

Testing for ovarian reserve can help you understand how many eggs you have left, which can give you an idea of how many years of fertility you have ahead of you.

Sometimes, women use this test to help determine whether they should freeze their eggs. Other times, the test is used to help evaluate if further investigation is needed by a fertility specialist.

Everlywell’s test specifically looks at FSH on day 3 of your cycle. A normal FSH level can be an indicator that you have a normal 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).

Similar to other tests on this list, Everlywell uses a CLIA certified lab and has a physician review all results before sending them out.

Some reviewers mention that they hoped their results would be more detailed, and that they found it difficult to get enough drops of blood to complete the test.

On the whole, though, customers are happy with this test, particularly because customer service was responsive to questions, and they got their results quickly.

Best for cycle tracking

Mira

  • Price: $199

While some fertility hormones can only be measured through a blood test, 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 LH levels in your urine. All you have to do is test your urine first thing on the days the app tells you to, and you can track your ovulation over the course of a cycle.

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 (PCOS) say they found this at-home test especially helpful, since it helps identify ovulation clearly.

Some negative reviews note that customer service isn’t as responsive as they’d like, and that shipping can be slow. Still, the majority of customers have a positive experience with Mira and recommend it to others.

Best sperm test with storage

Dadi

  • Price: $199

If you’re looking to have your sperm analyzed, there are quite a few options out there, but they do vary in quality. If you want a sperm analysis that will tell you sperm count, volume, and motility, Dadi is a great option.

Dadi performs sperm analyses in a CLIA certified lab and delivers your fertility report 24 hours after receiving your home-collected sperm sample.

There’s an upgrade available to add morphology information to your report, which many reviewers added.

Another perk of using Dadi is that all tests come with a free year of secure storage for future in-vitro fertilization (IVF) use. 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.

Overall, reviewers are happy with their Dadi tests. A few reviewers say that shipping was slow, which caused problems with their collection timeline.

Others point out that, in order to talk to a doctor about your results, you need to purchase the mid-level test package rather than the basic one.

But 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: $195

If you want a full sperm analysis that includes morphology, Legacy is your best bet.

The company also offers an add-on for DNA fragmentation analysis. (High DNA fragmentation in sperm may make it harder to conceive.)

Similar to other testing companies on this list, Legacy uses a CLIA certified lab for sperm testing. All the packages include access to a fertility expert and the option to add sperm storage if you need it.

The testing process from start to finish can take as little as a week, because Legacy will send your kit to you overnight, then arrange to have it picked up the next day after you collect your sample. Then, it’s just 24 hours until you get your results.

Because Legacy is a newer company, there aren’t very many reviews yet. Most reviewers note that they like the quick shipping times and that they get access to a fertility expert. Some reviewers even say the report they got was pretty much the same as the report they got from a fertility clinic.

The only downside reviewers mention is that Legacy is slightly more expensive than some other options on the market.

Is at-home fertility testing accurate and reliable?

“I would consider at-home testing a potential supplement, rather than a replacement, for testing and evaluation in a clinic,” Kallen says.

Petrini agrees, noting that measuring a woman’s hormone levels alone isn’t the best way to evaluate whether she’ll conceive without assistance.

“There are many factors that may cause infertility in addition to hormones, including uterine abnormalities, endometriosis, problems with fallopian tubes, or even male factors,” Petrini explains.

“While these types of at-home tests 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), it’s best not to derive any conclusions from them.”

What should women know before taking an at-home fertility test?

First, know that an at-home hormone test can’t fully evaluate you for infertility.

“These don’t evaluate the many other causes of infertility, such as tubal blockage, uterine problems, or male factor infertility,” Kallen says.

“Ovarian reserve testing is generally not recommended in women who aren’t infertile or who have untested fertility. The testing doesn’t predict reproductive potential or fertility… and can cause a false sense of alarm.”

Also, it’s important to follow the instructions included in the at-home fertility test very carefully, Petrini says. This is because 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?

It’s best to avoid sperm tests that only look at whether sperm is present or absent.

According to Kallen, sperm testing in a credentialed laboratory by a trained andrologist gives you much more information, such as morphology, volume of the ejaculate, the pH of the ejaculate, and more.

“These are critical factors in determining whether the sperm is adequate to fertilize an egg (and identifying whether male factor infertility is an issue).”

Is it OK to take an at-home fertility test out of curiosity?

Maybe.

“Couples who have just started trying to conceive might find some reassurance in an at-home test, or could potentially identify a problem a bit earlier,” Kallen says.

But for couples who need a more thorough infertility workup — such as those (aged under 35) who have been trying for more than a year or those (aged over 35) who have been trying for more than 6 months — she suggests skipping the at-home testing and heading into the clinic.

Overall, Petrini recommends thinking of at-home testing as a complement to, not a substitute for, the services offered by fertility specialists.

“While the potential for easier testing and evaluation is exciting, 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’re having trouble getting pregnant, you shouldn’t use the test to draw conclusions about your fertility,” Petrini advises.

Instead, visit a fertility clinic or talk with your healthcare professional about getting a referral for in-person fertility testing.

At-home fertility testing is an exciting new development that can help people feel empowered to learn more about their fertility.

At the same time, experts emphasize that it’s not a replacement for medical advice and testing with your healthcare professional. The at-home fertility test that’s right for you will depend on your reasons for testing and what information you hope to gain.


Julia Malacoff is a London-based freelance editor and writer who covers all things health and wellness. She’s a certified personal trainer and nutrition coach. When she’s not writing, there’s a good chance she’s walking her two cocker spaniels.