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Modern Fertility is our pick for the best overall at-home fertility test for females because it’s the most comprehensive, testing seven different key fertility hormones.

Traditional fertility testing involves an extensive evaluation of key hormone levels at a doctor’s office. But at-home fertility tests are an option for those wanting intel as soon as possible, so we’ve outlined our picks of the best options.

For this article, we focus on fertility tests that measure hormone levels and give insight on your fertility. But if you’ve been trying to get pregnant for more than 6–12 months and you want additional information as you keep trying, you might also consider a fertility tracker or monitor, which can help give you deeper insights.

You’re not alone

You might receive a diagnosis of infertility if you’re 35 years old or older and haven’t been able to get pregnant after trying for 6 months, or if you’re younger than 35 and haven’t been able to get pregnant after trying for a year. This applies whether you’re trying through therapeutic donor insemination or sex without a condom or other barrier method.

According to Centers for Disease Control and Prevention (CDC) data from the years 2015 through 2019, infertility affects 13.4% of women ages 15–49 years in the United States.

Some fertility challenges, such as concerns about ovulation or anovulation, relate specifically to women, but infertility can affect people of any gender (learn more about male fertility testing).

According to the American Society for Reproductive Medicine, for about 40% of heterosexual couples who cannot get pregnant, the male partner presents with medical challenges that are the main cause or a contributing cause of infertility.

In up to 30% of cases, experts do not know why infertility happens.

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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.

The studies and surveys included didn’t report data on — or include — participants who were:

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Modern FertilityLetsGetCheckedMiraEverlywell
What’s tested• AMH
• estradiol
• free thyroxine
• prolactin
• LH
• LH
• prolactin
• estradiol
• LH
• estrogen
• LH
• estradiol
• testosterone
Results7–10 days2–5 days15 minutesunspecified

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

Ovarian reserve

This includes FSH, estradiol, and AMH levels.

“These tests give a general sense of the number of eggs remaining in the ovary,” explains Dr. Amanda Kallen, an associate professor in the division of reproductive endocrinology and infertility at Yale Medicine.

But these tests have not been shown to predict fertility in people who are not experiencing fertility issues.

Note: This test is not advisable when considering egg freezing.

Estrogen and LH

Levels of these hormones increase right before ovulation. LH can be detected in your urine, and this is what home ovulation predictor kits detect, Kallen says.

Thyroid hormones such as TSH

“Thyroid problems can contribute to irregular or absent periods and thus problems with infertility, which is why a TSH test is ordered,” says Dr. Allison Petrini, a reproductive endocrinologist at Texas Fertility Center in Austin, Texas.

At Healthline, we thoroughly vet any product we recommend for:

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We put each product through our vetting process, which considers, among other criteria:

  • the scientific evidence backing the product
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When researching at-home fertility tests, we read online reviews to determine the best tests on the market. We looked through reviews to get a sense of their accuracy, ease of use, and overall user experience.

We also asked fertility doctors Kallen and Petrini for their input on what to look for.

If someone is exploring using a send-out test, Kallen says she would look for an FDA-approved test performed in a CLIA-certified laboratory, ideally with interpretation by a doctor.

If you want a wider analysis of hormones, Modern Fertility could be a suitable option. But if you’re looking for help tracking ovulation, Mira or an ovulation prediction kit could be the better option.

Keep in mind that ovarian reserve testing is not recommended as a way to determine whether to freeze your eggs if you’re not having fertility issues. Additionally, it does not predict future infertility in those who are not currently experiencing infertility.

There’s no perfect choice for everyone because what’s best for you will depend on what you’re looking to assess. You can talk with a doctor if you want help figuring out which option is best for you.

At-home fertility testing isn’t necessarily better than in-person testing. There are pros and cons to weigh before you make a decision.

Pros of at-home fertility testing

  • You can get results without having to leave the comfort of your home.
  • If you don’t have insurance, at-home tests may be more affordable than in-clinic options paid out of pocket.
  • You may be able to do testing sooner, as many fertility clinics and insurance companies prefer to wait to start testing until you’ve had difficulty conceiving for 6–12 months.

Cons of at-home fertility testing

  • If you have insurance, at-home tests may be more expensive than in-clinic options covered by insurance.
  • The tests aren’t reliable for everyone. For example, if your hormone levels are outside of expected ranges, tests that depend on specific hormones (such as ovulation tests) may be less accurate.
  • The tests may not be accurate if you have a health condition that affects reproduction, such as PCOS.
  • Results may be inaccurate if you do not follow the specific directions for your test.
  • Some tests may include results that aren’t indicators of infertility, such as prolactin if you have typical menstrual cycles or ovarian reserve testing if you’re not experiencing infertility.
  • It’s hard to replace working with an in-person doctor who is familiar with you, your health history, your specific concerns, and your previous lab results.
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At-home fertility testing provides a broad overview of your reproductive status. But it’s best to follow up with a medical expert for a complete fertility evaluation and to explore underlying factors that could be contributing to infertility.

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

Generally, medical experts recommend trying to conceive for about 1 year before meeting with a fertility doctor for help conceiving.

But if you have a health condition that affects fertility, such as PCOS or endometriosis, or you have a partner with fertility issues, experts recommend getting a fertility evaluation when you’re starting to try to conceive.

If you’re 35 years old or older and have not conceived after 6 months or if you’re over 40 years old, you may want to meet with a fertility doctor sooner than 1 year after starting to try.

If you have any questions about your reproductive health, don’t hesitate to talk with a doctor.

According to the Office on Women’s Health, infertility is defined as not getting pregnant after 1 year of trying, or not getting pregnant after 6 months of trying in women 35 years old or older. Not getting pregnant is the number one way to know whether you have infertility.

A fertility specialist can perform tests to find out why you’re not getting pregnant. At-home fertility testing may also give you some information. Some causes of infertility are treatable, while others are not.

To find out for sure what your fertility status and outlook are, follow up with an OB-GYN or a fertility specialist.

At-home fertility tests, such as those from LetsGetChecked, Everlywell, and Modern Fertility, can check some of your key hormone levels through an at-home blood test. While at-home tests are unlikely to provide you with enough data to make fully informed decisions about your family planning, they can be a helpful place to start.

“I would consider at-home testing a potential supplement, rather than a replacement, for testing and evaluation in a clinic,” says Dr. Amanda Kallen, an associate professor of reproductive endocrinology and infertility at Yale Medicine.

Dr. Allison Petrini, a reproductive endocrinologist at Texas Fertility Center in Austin, Texas, agrees. She adds that measuring hormone levels alone isn’t the best way to evaluate whether someone 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,” she adds.

Before testing your fertility, a doctor will ask about your medical history, including:

  • menstrual and pregnancy history
  • birth control usage
  • medications
  • lifestyle factors

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

Additional tests to check for fertility may include a number of hormone tests and an ultrasound of your uterus and ovaries.

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.

“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 under 35 years old who have been trying for more than a year or those ages 35 and older 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,” she explains.

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 a 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. But experts emphasize that it’s not a replacement for medical advice and testing with a 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.