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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 for men and women.

A selection of the best at-home fertility tests, including Mira, Modern Fertility, and Legacy.Share on Pinterest
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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.

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Women’s tests

Men’s tests

Fertility tests for women often check your follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Some may check other fertility-affecting hormones, such as estrogen and progesterone. These hormones also play important roles in puberty, ovulation, and pregnancy.

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

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

Sample type HSA/FSA acceptedClaimed accuracyFeaturesPrice
Rourine test stripyes99%fast results, suitable for people with irregular cycles, daily tracking$16 for a one-time purchase
LetsGetCheckedfinger pricknouses certified labscomprehensive tests, suitable for people with irregular cycles, offers medical supportfrom $99
Miraurine test stripyes99%suitable for people with PCOS, fast results, does not require a blood samplefrom $199
Ava Fertilityphysiological signalseligible99%wearable tracker, money-back guarantee if the wearer does not become pregnantfrom $279
Legacysemenvariesuses certified labscryostorage plans, offers STI testingfrom $295
Fellowsemennouses certified labscryostorage plans, provides an overview of sperm health$189
LabCorpsemenyesnot statedbasic test, fast results$199

Medical News Today’s methodology

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.

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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. For those who want to determine whether their 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 give you information about your ovulation cycle within minutes.

You may wish to speak with a doctor before choosing an at-home fertility test, 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 under 35 years of age, you need to contact a doctor if you experience difficulty conceiving after 1 year of having sex without birth control. If you are older than 35, you can contact a doctor after 6 months of trying.

Yes, you can 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 you whether you are fertile or infertile, finger-prick blood tests can check whether your hormones are within typical ranges for a person of your age and sex.

Most at-home fertility tests check hormone levels in your urine. These levels fluctuate during the month due to your menstrual cycle, and surges can indicate the best time to conceive.

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.

At-home fertility tests can help people tell when they 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.