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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.

Infertility affects women and men equally.

Based on data from the Society of Reproductive Medicine, in about 40% 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 30% of cases, experts do not know why infertility happens.

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

You’ll notice that the language used in this article to share stats and other data points is pretty binary, fluctuating between the use of “male” and “female” or “men” and “women.”

Although we typically avoid language like this, specificity is key 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 (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, 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:

“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 people concerned about sperm count and quality.

At Healthline, we thoroughly vet any product we recommend for medical credibility, good business practices, and social impact.

We put each product through our vetting process to assess the scientific evidence backing the product, industry best practices, third-party validation, Food and Drug Administration (FDA) approval and warnings, and other criteria.

When researching at-home fertility tests, we read online reviews to determine the best tests on the market. We looked through the reviews for accuracy, ease of use, and overall user experience.

We also asked the fertility doctors Amanda Kallen, MD, an associate professor in the department of endocrinology and fertility at Yale Medicine, and Allison Petrini, MD, a reproductive endocrinologist at the Texas Fertility Center in Austin, Texas, 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 CLIA certified laboratory, ideally with interpretation by a physician,” Kallen says.

Pricing guide

Price is indicated by a dollar sign as follows:

  • $ = under $100
  • $$ = $100–$150
  • $$$ = over $150

Best overall

Modern Fertility Hormone Test

  • Price: $$
  • Results in: 7–10 days
  • Collection method: Finger prick
  • Pro: results reviewed by a doctor, option available to speak with a nurse about your results
  • Con: test results aren’t always accepted by your personal doctor, fertility doctor may request additional testing

One of the best-known companies in the at-home fertility testing space, Modern Fertility, which is part of Ro Health 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 and the 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 TSH, two hormones critical for 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.

You’ll get your results in about 7 days after your sample arrives at the lab. So that’s around 10 days after you drop your sample in the mail, meaning you might get your results slightly quicker by visiting the lab in person.

All the hormone tests that Modern Fertility uses are FDA approved and all tests are conducted in a CLIA and CAP accredited lab, according to their website. 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 concerns 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 and informative, and it allowed them to decide if they wanted to get fertility help.

Pros

  • results reviewed by a doctor
  • option to speak with a nurse about your results

Cons

  • test results aren’t always accepted by fertility doctors; your fertility doctor may request additional testing

Best customer reviews

LetsGetChecked Female Hormone Test

  • Price: $–$$
  • Results in: 2–5 days
  • Collection method: Finger prick
  • Pro: fast results, option to speak with a nurse about your results
  • Con: 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
  • LH
  • prolactin
  • estradiol

These hormones can give you an idea of whether you’re ovulating as expected 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 says, the nursing team will contact you only if your results indicate a concern. 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 found 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.

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 needs to be collected and sent back on the same day, only Monday through Thursday

Best budget buy

Everlywell Ovarian Reserve Test

  • Price: $
  • Results in: 5–7 days
  • Collection method: Finger prick
  • Pro: relatively inexpensive, reliable customer service
  • Con: test can only be taken on day 3 of your menstrual cycle, only gives you insight into your ovarian reserve

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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, people use this test to help determine whether they should freeze their eggs. Other times, the test is used to help evaluate whether 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 number 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 provides everything you need to take a finger-prick blood sample, including lancets, a sterile wipe, a bandage, and a collection card. Here’s how to do it:

  1. Puncture the side of a finger with the lancet, then squeeze until blood appears.
  2. Allow a drop of blood to fall onto each of the five circles on the collection card.
  3. Apply the bandage to your finger. Leave the card for 30 minutes or until completely dry.
  4. Fill in your details on the card, place it inside the biohazard bag, and place it into the box.
  5. Return the box using the prepaid shipping label.

Similar to other tests on this list, Everlywell uses a CLIA-certified lab and has a physician review all results before sending them out. Expect to get results within 5 to 7 business days, though the Everlywell app notifies you if there are delays or changes.

Some reviewers mention 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.

Pros

  • relatively inexpensive
  • reliable customer service

Cons

  • test can only be taken on day 3 of your menstrual cycle
  • only provides insight into your ovarian reserve

Best for cycle tracking

Mira Starter Kit

  • Price: $$$
  • Results in: 15 minutes
  • Collection method: Self-collection urine
  • Pro: app with charts and guides to help with fertility, frequent tracking to help find fertile window
  • Con: 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, 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.

Pros

  • has an app that includes 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
  • expensive

Best sperm test with storage

Ro Sperm Kit

  • Price: $$$
  • Results in: 48 hours
  • Collection method: Self-collection semem
  • Pro: free sperm storage for 1 year, detailed report of sperm count and motility
  • Con: fees for storage after the initial 1 year of free storage, withdrawal fee if you wish to use your stored sample

As of September 19, 2022, Ro Sperm Kit is temporarily unavailable on the website. We do, however, still recommend it as one of the best fertility test kits and will update this article as soon as it’s available for purchase again.

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, the Ro Sperm Kit is a great option.

This kit used to be provided by the company Dadi. However, Dadi was recently acquired by the healthcare technology company Ro. They changed the name of this kit to the Ro Sperm Kit.

Ro Sperm Kit provides a unique temperature-controlled kit that protects your sample until it reaches the lab. Here’s how it works:

  1. Register the kit with the code provided.
  2. Provide a semen sample into the collection cup, screw the lid on, and release the preservative.
  3. The cup then fits back into the unit and you close it with a security tie.
  4. Attach the supplied return label and drop it off at your nearest FedEx Ship Center on a business day.

The company recommended not using lubricants when collecting your sample. It’s recommended to abstain from ejaculating for 3 days before collecting your sample to maximize sample size.

Ro Sperm Kit performs sperm analyses in a CLIA certified lab and delivers your fertility report within 48 hours after receiving your home-collected sperm sample.

Another perk of using Ro Sperm Kit 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.

The base kit stores 3 vials of sperm for 1 year. There are upgrades available to store 6 or 9 vials for future fertility treatments.

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

But most customers are impressed with how easy it was to follow the instructions and how well-designed the sperm collection kit is.

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
  • expensive

Best advanced sperm test

Legacy Semen Analysis

  • Price: $$$
  • Results in: 24 hours
  • Collection method: Self-collection semem
  • Pro: full sperm analysis, fast results, free overnight shipping
  • Con: need to upgrade for DNA analysis, newer company with limited reviews

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.

Pros

  • full sperm analysis
  • fast results
  • free overnight shipping

Cons

  • need to upgrade for DNA analysis
  • newer company with limited reviews

Best rapid sperm test

Labcorp OnDemand Men’s Rapid Fertility Test

  • Price: $$$
  • Results in: 6 minutes
  • Who it’s best for: people looking for comprehensive sperm analysis
  • Type: self-collection semen

This Labcorp Rapid Fertility Test is a great option if you’re unable to send results to a lab, or simply don’t want to wait for your results. The FDA cleared self-test provides you with everything you need to take your sample and receive results, including a sample analyzer, containers, and droppers.

According to Labcorp, the test is fast and it’s easy to get information about your sperm concentration and volume. While it’s recommended to see a doctor for an in-depth analysis of your sperm, this can be a good starting point, especially if you’re looking to start a family soon.

Prior to taking the test, avoid ejaculating for 2 to 7 days. You should also avoid using lubricant or condoms when collecting your sample.

Follow these steps to take the at-home test:

  1. Collect your semen sample in the provided cup.
  2. Swirl the cup for at least 15 seconds.
  3. Wait 30 minutes for the sample to liquefy at room temperature. You can still test the sample up to 2 hours after collection.
  4. Place the cup so the liquid is at eye level. Find the top of the liquid from the center and record the volume result.
  5. After recording the volume, swirl the cup for another 15 seconds and then remove the lid. Using the prop test bag, pick up the dropper, squeeze it, and insert it into the deepest part of the sample. Release the dropper to fill it.
  6. Squeeze the top part of the dropper into the center hole of the prop.
  7. Seal the prop with the provided sticker and attach it to the engine.
  8. The engine will spin for 6 minutes. When a green light is emitted, the test results are ready.

Pros

  • can be done completely at home
  • rapid results
  • FDA cleared device
  • can order refill tests for $99

Cons

  • lengthy process
  • expensive

Modern FertilityLetsGetCheckedEverlywellMira Fertility PlusRo Sperm KitLegacyLabcorp OnDemand Men’s Rapid Fertility Test
Price$$$$–$$$$$$$$$$$$$$$
What’s testedAMH, TSH, FSH, estradiol, free thyroxine, prolactin, LHFSH, LG, prolactin, estradiolFSHLH, estrogensperm count, concentration, motilitysperm volume, count, concentration, motility, morphologysperm volume and concentration
Result time7–10 days5 days5–7 days15 minutes48 hours24 hours6 minutes

With so many options available, it can be difficult to know which at-home fertility test to choose.

The first step is figuring out what information you want to learn. If you want a wider analysis of hormones, Modern Fertility could be a good option for you.

On the other hand, if you’re looking for help tracking when you’re ovulating, Mira could be the better option.

If you’re looking to have your sperm assessed and want storage for a possible IVF treatment, the Ro Sperm Kit may be a good fit.

There’s no perfect choice because it depends on what you’re looking to have assessed. Talk with your doctor if you want help figuring out what option is best for you.

For many individuals, fertility testing is an emotional or even stressful experience. At-home kits mean there’s no need to leave the comfort of home while discovering potential causes of fertility challenges. Plus, the prices are more affordable than many in-clinic options.

However, there are some downsides. Plus, these kits can’t replace the level of care you receive from a qualified medical professional.

Although many tests feature promises of a certain level of accuracy, they aren’t reliable for everyone. For example, if someone’s hormone levels are outside expected ranges, tests that depend on specific hormones, such as ovulation tests, may be less accurate.

Likewise, if you have certain health conditions that affect reproduction, like PCOS, you may not ovulate each month, and at-home kits do not account for these factors. Plus, there’ll be further inaccuracies if you don’t follow the instructions in the test kit to the letter.

At-home fertility testing provides a broad overview of your reproductive status. However, it’s best to follow up with a medical expert for a complete fertility evaluation and explore underlying factors contributing to infertility.

Essentially, at-home kits provide estimates rather than accurate figures tailored to your situation, and they cannot diagnose concerns. Although at-home tests may provide useful information, many people also need to see a fertility expert for guidance.

It can take time for couples to become pregnant. Often, it can take 6 months. Still, it’s easy to get impatient when you feel ready to have a baby.

Generally, it’s recommended to try to conceive for about 1 year before meeting with a fertility doctor for help conceiving.

However, if you have any questions about your reproductive health, don’t hesitate to talk with your doctor sooner.

How accurate is an at-home fertility test?

“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 hormone levels alone isn’t the best way to evaluate whether a woman will 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,” Petrini concludes.

What are the signs of infertility in women?

In women, signs of infertility can include not getting pregnant after 1 year of trying if under 35 years old, or not getting pregnant after 6 months of trying if older than 35. Difficulty staying pregnant may also be a sign of infertility.

How is a woman’s fertility tested?

Before testing your fertility, your doctor will ask about your medical history, including menstrual and pregnancy history, birth control usage, medications, and lifestyle factors. Your doctor will also complete a physical exam, including a pelvic exam and Pap smear.

Initial fertility testing may include checking your ovulation, uterine function, and ovarian function. If you have been tracking your ovulation using a fertility monitor, share that information with your doctor.

Additional tests to check for fertility include a number of hormone tests, an ultrasound of your uterus, and a cervical mucus test.

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 look only 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 ages 35 and under who have been trying for more than a year or those ages 35 and over 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.