We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Fertility tests monitor hormone levels and sperm count. They may inform people about their reproductive health and how to improve fertility. At-home fertility tests for females and males are available to buy online.

A quick look at the 7 best at-home fertility tests in 2022:

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 can help people who want to conceive. People may find a testing kit more convenient and private than seeing a fertility specialist.

Tests are available for males and females.

A test can tell whether hormone levels or sperm count, shape, and motility are within normal ranges.

However, these tests are not a replacement for an appointment with a doctor — ideally a fertility specialist. It is important to interpret the test results with the assistance of a healthcare professional.

The Centers for Disease Control and Prevention (CDC) recommend that people who wish to become pregnant and are younger than 35 years should contact a doctor if they do not conceive after 1 year of having sex without birth control. People aged 35 years or older should contact a doctor after 6 months.

Different types of fertility tests are available, and they work in different ways.

At-home fertility tests for males

A 2015 systematic review found that 4.5% to 6.0% of males in the United States have infertility.

Factors that can influence male fertility include:

  • sperm morphology and motility, which refer to the sperm’s shape and ability to move
  • smoking, drinking alcohol, and using recreational drugs
  • cancer treatments, such as chemotherapy and radiation therapy
  • hormone disorders, such as abnormal pituitary gland and hypothalamus function
  • genetic conditions, such as Klinefelter syndrome and Y-chromosome microdeletion
  • a range of other health conditions, including type 2 diabetes and cystic fibrosis

At-home fertility tests for males generally check sperm count. They usually require a semen sample, which a person may have to send to a lab for analysis.

At-home fertility tests for females

Fertility tests for females may check the levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH). Some tests also measure the levels of other hormones that can affect fertility, such as estrogen and progesterone. These hormones also play important roles in puberty, ovulation, and pregnancy.

Learn more about female sex hormones.

Having too much FSH can reflect a decline in ovarian function, which may affect fertility. This change may sometimes occur due to menopause.

Tests that check LH levels can tell people when they ovulate. Having sex during ovulation increases the likelihood of becoming pregnant. LH levels surge about 24–36 hours before an ovary releases an egg.

Learn more about LH tests.

Ovulation tests, sometimes called ovulation predictor kits (OPKs), can help a person determine the period when their fertility is highest. Another name for this period is the “fertile window.” If a person uses these tests regularly and the result is never positive, it can indicate that ovulation is not happening.

Learn more about at-home ovulation tests.

Most at-home female fertility tests involve urinating on a test strip and waiting for a result to appear. However, others require a blood sample, which a person can produce at home with a finger prick. The testing kits provide instructions and tools.

Medical News Today’s methodology

MNT chooses at-home tests that meet the following criteria where possible:

  • Laboratories: MNT will choose 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.

Please note that the writer of this article has not tried these products. All information is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best comprehensive fertility test: LetsGetChecked Home Female Fertility Test

LetsGetChecked offers three female fertility tests:

All of the company’s tests require a finger-prick blood sample, and they give results within 5 days of receiving the sample for analysis.

LetsGetChecked has a calculator on its website to help people tell when in their menstrual cycle to take each test. Prices vary depending on the type of test.

Learn more about LetsGetChecked here.

Best subscription fertility test: Everlywell Women’s Fertility Test

This test checks the levels of five hormones, including LH, FSH, and thyroid stimulating hormone. The results may indicate whether it would help to speak with a doctor about possible health issues that may be affecting fertility.

To use the test, a person needs to use a finger prick to collect a blood sample. After sending this sample to Everlywell’s lab, a person will receive their results within days on a smartphone or another device. The company pays the shipping costs.

Everlywell offers this test as a one-time purchase or as part of a subscription.

Learn more about the Everlywell brand.

Best fertility test with app: Mira Plus Starter Kit

Mira offers this test as a way to help track ovulation and fertility. The test involves immersing a tool called a wand in urine and placing it in an analyzer, which sends the results to the person’s smartphone through an app.

This test checks the levels of hormones that may indicate ovulation. Mira says that people may use this test up to 20 times per menstrual cycle for the best results.

The company offers a 1-year warranty on analyzer devices and a 90-day money-back guarantee on wands.

Learn more about the Mira Fertility Tracker.

Best fertility test for fast results: Ro Sperm Kit

Dadi offers sperm testing kits. A person collects the sample at home, sends it to the lab for analysis, and receives the results within 48 hours.

The company can store several vials of sperm for free for 1 year. It states that each kit is tamper-proof, requiring two-factor security authentication to view the test results.

People can use health savings accounts (HSAs) and flexible spending accounts (FSAs) for all of Dadi’s tests. The company offers three tests, each of which provides a different level of analysis.

Best sperm storage fertility test: Legacy Sperm Analysis

This test includes a full-spectrum analysis of sperm count, vitality, concentration, and morphology.

A person collects the specimen at home and sends it to the company with prepaid shipping. Legacy offers complementary storage of sperm with some of its testing kits. People can purchase additional storage for a monthly or yearly fee.

Legacy offers three testing kits. The For Today kit analyzes one sample, offers short-term complementary sperm storage, and is FSA-eligible. The For Tomorrow kit analyzes two samples, while the Forever kit analyzes three samples and offers lifetime sperm storage.

Best wearable fertility test: Ava Fertility Bracelet

Ava offers a wearable bracelet to help a person track their 5-day fertility window. The company notes that its device can show the window up to 4 days sooner than hormone-based tests.

The Food and Drug Administration (FDA) has cleared this wearable device, which means that it could be on its way to FDA approval.

The bracelet comes with three different buying options.

The basic option includes free shipping, access to a tracking app and online community, and the wearable tracker.

The other plans offer some additional perks, including a money-back guarantee if a person does not become pregnant within 12 or 6 months, depending on the level of the plan.

Learn more about the Ava Fertility Tracker.

Best semen analysis fertility test: Fellow Semen Analysis Kit

Fellow offers an at-home semen analysis kit. The company claims that its system and labs are the only ones that exceed FDA standards.

A person needs to get a sample at home and then send it to the lab. The results come back quickly and include various information related to sperm health, including:

  • number of sperm per milliliter of fluid
  • number of sperm swimming
  • shape
  • how many sperm cells are present in total
  • how well the sperm are swimming

Once the results are in, a person can review them on their personal device using the app.

The following table compares the at-home fertility tests in this article:

Collection methodHSA/FSA acceptedClaimed accuracy
LetsGetChecked Home Female Fertility Testfinger pricknouses certified labs
Everlywell Women’s Fertility Testfinger prickyesuses certified labs
Mira Plus Starter Kittest stripyes99%
Ro Sperm Kitejaculationnouses certified labs
Legacy Sperm Analysisejaculationvariesuses certified labs
Ava Fertility Braceletwearable bracleteligible99%
Fellow Semen Analysis Kitejaculationnouses certified labs

In some cases, making certain lifestyle changes may boost fertility. The CDC recommends:

The CDC also describes several options for people who have difficulty conceiving. These include:

  • assisted reproductive technologies, such as in vitro fertilization
  • clomiphene citrate, a medication that may help with ovulation
  • metformin, a drug that doctors usually prescribe to treat diabetes but that may boost some individuals’ fertility

People under 35 years of age who are hoping to become pregnant should contact a doctor if they have difficulty conceiving after 1 year of having sex without birth control. People aged 35 years or older should do so after 6 months. A person might decide to consult a doctor sooner if they have any known health conditions that can affect fertility.

If a fertility test indicates that conceiving might be challenging, it is best to contact a doctor. They can do additional testing and recommend what steps to take next.

Some people may wish to speak with a doctor before trying to conceive.

Below, we provide answers to some frequently asked questions about at-home fertility tests:

How much do at-home fertility tests cost?

Prices vary depending on the company and the sophistication of the test.

Often, simple test strips cost the least, while kits that require a person to mail samples to labs cost a bit more.

People concerned about costs can look into whether they can use their HSA or FSA dollars. Those with health insurance can also check whether their plan provider will cover the cost.

Are at-home fertility tests accurate?

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 should speak with a doctor about their results and the next steps.

Does insurance cover at-home fertility tests?

Insurance companies do not have to cover fertility testing — both at home or in facilities — in most states. Only 15 states require any type of coverage, but it is often not sufficient to offset the cost.

At-home fertility tests can help people tell when they are most likely to conceive. The tests check the levels of specific hormones and the characteristics of sperm.

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.