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Fertility tests monitor hormone levels and sperm count, which can help when planning a pregnancy. Here, we discuss our top picks of the best at-home fertility tests.
A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
At home fertility tests often check your follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Some may check other fertility-affecting hormones, such as estrogen and progesterone. In some cases, the tests may check sperm count from a semen sample.
These hormones also play important roles in puberty, ovulation, and pregnancy.
Below, we list some of the best at-home fertility tests.
The following table compares the best at-home fertility tests as presented in this article.
| Sample type | Claimed accuracy | Features | Price | |
|---|---|---|---|---|
| Ro | urine sample | 99% | fast results, suitable for people with irregular cycles, daily tracking | $16 for a one-time purchase |
| LetsGetChecked | finger prick | uses certified labs | comprehensive tests, suitable for people with irregular cycles, offers medical support | from $99 |
| Mira | urine test strip | 99% | suitable for people with PCOS, fast results, does not require a blood sample | from $199 |
| Ava Fertility | physiological signals | 99% | wearable tracker, money-back guarantee if the wearer does not become pregnant | from $279 |
| Fellow | semen | uses certified labs | cryostorage plans, provides an overview of sperm health | $189 |
| LabCorp | semen | not stated | basic test, fast results | $199 |
MNT chooses at-home tests that meet the following criteria where possible:
- Laboratories: MNT will select companies that process test samples in
CLIA-certified labs. This means that they follow state and federal regulations. - Budget: MNT chooses at-home tests that are suitable for a wide range of budgets.
- Privacy: MNT includes companies that offer robust and transparent privacy measures, such as data protection and discreet packaging.
- Test result communication: MNT selects companies that inform customers when they will receive their test results and whether they will receive them via email, app, or phone.
- Further support: MNT will indicate whether a company offers further support, such as a follow-up phone consultation with a doctor to discuss test results.
Medical News Today follows a strict product selection and vetting process. Learn more.
Choosing the best at-home fertility test can be difficult when so many options are available. Some factors to consider include:
- Which hormones companies test: Understanding hormone levels is another important part of learning about fertility. If you want to determine whether your hormone levels are optimal for fertility, a test that offers extensive hormone test panels is advisable. Hormone testing for females is likely to include estrogen, progesterone, and luteinizing hormone.
- Male fertility tests: Males will need to use a sperm test and can consider whether they want to store their sperm afterward. Many sperm tests offer storage, but it can be expensive.
- Lab accreditation: If you choose an at-home test that requires sending a sample to a lab for analysis, it is important to only purchase from companies that use accredited labs.
- Results speed: Some tests offer results faster than others. For example, Mira will provide information about your ovulation cycle within minutes.
Our expert’s take on at-home fertility tests
“Home fertility tests may be convenient, but they’re not always the most accurate. They cannot give you a diagnosis or cause for possible infertility, and you will still need to see your physician or medical provider to help you interpret the results.”
— Stacy A. Henigsman, DO
You may wish to speak with a doctor before choosing which is the best at-home fertility test for you, as in-person testing may be more beneficial for some people.
If any fertility test indicates that conceiving may be challenging, it is best to contact a doctor. They can perform additional testing and recommend what steps to take next. If you are interested in fertility supplements, you can also discuss these with a doctor.
If you are under
It is possible for you to check your fertility at home.
Female fertility tests involve urine tests that show your most fertile days, and male fertility tests show the volume and health of your semen. Many companies offer results via app or email for convenience.
Yes, finger-prick tests for fertility are available. While no test can tell whether you are fertile or infertile, finger-prick blood tests can check whether hormones are within typical ranges for your age and sex.
Most at-home fertility tests check hormone levels in the urine or blood. These levels fluctuate during the month due to the menstrual cycle, and surges can indicate the best time to conceive. An at-home fertility test for females may help with women’s fertility.
Most tests claim to be close to 99% accurate. However, this may not be the case.
A 2020 study showed that people who purchase direct-to-consumer tests find them empowering in their family planning but also confusing and misleading.
People who have questions or are still finding it difficult to get pregnant can consult a doctor about their results and the next steps.
Insurance companies do not have to cover fertility testing — both at home and in facilities — in most states. Only 15 states require any type of coverage, but it is often insufficient to offset the cost.
A hormone test or sperm test can help to indicate fertility. These hormone tests are available as at-home test kits. However, at-home test kits should never replace a doctor’s appointment. If you are concerned about your fertility after performing an at-home test, you should seek medical advice. A doctor may perform blood tests, chlamydia tests, ultrasound or x-ray scans, laparoscopy, or semen analysis tests.
At-home fertility tests can help you tell when you are most likely to conceive. The tests check specific hormone levels and sperm characteristics.
However, fertility tests should not take the place of a doctor’s appointment. It can help to interpret the results with a healthcare professional who can provide additional advice and, if necessary, treatment.