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If rom-coms and pop culture were anything to go by, making a baby would always be fun, exciting, and easy. Unfortunately, that’s often not the case; one in five American heterosexual couples struggle with infertility, which means their journey is far from fun or easy. Conceiving is also not always straightforward or stress-free for single parents by choice or LGBTQ+ folks who need assistance having a baby. So whether you’re looking to get pregnant or just planning long-term, at-home fertility test kits can help you check your hormone levels and fertility markers right in the privacy of your own house.
There are lots of over-the-counter fertility tests available for people with uteruses and penises, which can make the process of deciding which one to take a bit overwhelming. So, if you are someone with ovaries, we’ve researched and rounded up the most affordable, accurate, and easy-to-understand at-home fertility tests on the market. Here are the ones we recommend for a variety of different fertility needs.
Best Female Fertility Test At Home of 2023
- Most Comprehensive: myLAB Box At Home Female Fertility Kit
- Fastest Results: LetsGetChecked Female Hormone Test
- Best for Ovulation Tracking: Natalist Ovulation Tests
- Best Wearable Bracelet: Ava Fertility Bracelet
- Most Affordable: Proov Predict and Confirm Kit
- Best for Couples: Proov Hers and His Fertility Starter Kit
- Best for Subscriptions: Stix Ovulation Tests
- Best With App: Mira Starter Kit
- Best With Hormonal Birth Control: Ro Modern Fertility Hormone Test
- Most Accurate: Natalist Women's Fertility Test
The tests listed here are designed to measure the biomarkers and/or levels of hormones that influence the fertility of women and people assigned female at birth. We’ve chosen to call these “female” fertility tests to reduce confusion as to who these tests are for. Trans men and nonbinary people assigned female at birth can also use these tests to gauge their fertility but may need to discontinue hormone therapy before testing to get an accurate result.
- Our Top Picks
- myLAB Box At Home Female Fertility Kit
- LetsGetChecked Female Hormone Test
- Natalist Ovulation Tests
- Ava Fertility Bracelet
- Proov Predict and Confirm Kit
- Proov Hers and His Fertility Starter Kit
- Stix Ovulation Tests
- Mira Starter Kit
- Ro Modern Fertility Hormone Test
- Natalist Women's Fertility Test
- See More (7)
Most Comprehensive : myLAB Box At Home Female Fertility Kit
- Cost: $149
- Type of Test: Saliva and blood spot test to measure hormone levels
- Time for Results: 2-5 days
The myLAB Box At Home Female Fertility Kit measures four key hormones related to fertility in one diagnostically valid test. Fast shipping and an affordable price mean you can quickly see a snapshot of your fertility from the comfort of your home.
Tests four hormones
Requires saliva and finger-prick blood sample
Some reports of results taking longer than the advertised 2-5 days
Not reviewed by a doctor
The myLAB Box At Home Female Fertility Kit stands out because it offers quick, accurate results—processed by certified labs—and provides plenty of information about how to interpret them. We also like that the company’s website is HIPAA-compliant, meaning all of your private healthcare information will be protected.
The most important reason we chose myLAB Box is that it measures four hormones that are key for understanding female fertility: estradiol, which is a form of estrogen produced by the ovaries; follicle stimulating hormone (FSH), which is a hormone that helps control the menstrual cycle and ovulation; luteinizing hormone (LH), which causes the release of an egg, and testosterone, since too much or too little can impact your ability to conceive. Very importantly, the results are diagnostically valid, meaning that your doctor’s office will likely accept the results—an important consideration if you don’t want to repeat testing.
After ordering the test online for $149, you’ll receive the box about two days later. Then, you collect a saliva sample, used to measure estradiol and testosterone. Next, you prick your finger and leave blood spots that are used to measure your levels of FSH and LH. When you’re measuring hormones to check for fertility, it’s best to do this blood work on the third day of your cycle, and that’s what myLAB Box recommends. After mailing the sample back in a prepaid envelope, you’ll get results in two to five days, although our research found people waited about eight days on average for their results.
The myLAB Box At Home Female Fertility kit costs $149. Shipping is free (although the kit cannot be shipped to New York). If you have a flexible spending account (FSA), you can use that to pay for the kit.
Fastest Results : LetsGetChecked Female Hormone Test
- Cost: $139
- Type of Test: Finger prick blood test
- Time for Results: 2-5 days
Our research found that LetsGetChecked gave results in an average of three and a half days—faster than many competitors that advertised the same two- to five-day turnaround time.
Measures four hormones
A nurse will contact you if you have abnormal results
Can’t use if taken hormonal birth control or hormone replacement within past 3 months
Requires finger prick
Not diagnostically valid
The LetsGetChecked Female Hormone Test provides answers quickly. Our research found that most people had results available online just 3.5 days after taking the test. Keep in mind, however, that doesn't mean you can get quick results any time. Like other blood tests, this kit is best done on day three of your cycle, so you may need to wait for the right time. Still, it’s nice to know you’ll get results fast once you send in the test.
The Female Hormone Test measures FSH, LH, estradiol, and prolactin, a hormone that can inhibit FSH and interfere with ovulation. All of these are measured using a blood test. You’ll prick your finger and leave blood spots that a lab can then analyze.
In addition to its quick turnaround times, LetsGetChecked stands out for the medical support it offers. When you see your results, you’ll have access to information on how to interpret them. If you have abnormal results, a nursing team member will reach out to discuss next steps. That’s reassuring, but remember that if your next step involves going to your doctor you may need to repeat testing. This test is not diagnostically valid and your doctor likely won’t give you a care plan based on the results. However, knowing your levels is a great place to start on your fertility journey.
The LetsGetChecked Female Hormone Test costs $139. The company regularly offers promo codes on its website for up to 25% off the cost of a kit, reducing the cost to $104. There is also a “subscribe and save” option that reduces the price to $97 per kit, delivered every three months. You can use your FSA or health savings account (HSA) to pay for the kit.
Best for Ovulation Tracking : Natalist Ovulation Tests
- Cost: $30 for 10 tests
- Type of Test: Urine test
- Time for Results: 10 minutes
Natalist ovulation tests are easy to use, whether you’re trying to conceive or want to avoid pregnancy. The tests are affordable, accurate, and give you results in just 10 minutes.
Detects LH surge at home within 10 minutes
Painless urine test
Some learning curve for when to test
You’ll need four or more tests each cycle
May not work for people with irregular cycles
Whether you’re ready to add to your family or are trying to avoid getting pregnant, you’ll want to know when you ovulate. That’s the time when an egg is released from your ovaries. Sixteen to 48 hours before that egg is released, your body has a surge in LH. The Natalist Ovulation Test detects the LH surge by detecting the amount of LH in your urine. Timing (or avoiding) intercourse around the surge and until ovulation can help increase your chances of getting pregnant (or not).
People with regular cycles should start testing about three days before they expect to ovulate (for example, if you have a 28-day cycle and expect to ovulate on day 14, you’d begin testing on day 11). The test itself is similar to a pregnancy test—you hold it mid-stream in your urine for a few seconds, and read the results 10 minutes later. The test has two lines; when the LH line is as dark as the control, you’ve had your LH surge. That’s when you should start having sex or doing insemination if you want to get pregnant.
This all sounds complicated on paper, but the beautiful thing about Natalist is that it makes these tests simple to use. Unlike other ovulation tests, there’s no need to pee into a cup and dip the tests (ick). In addition, Natalist is a plastic-neutral company, meaning it pledges to remove a pound of plastic from global waste for every pound of plastic it sells. Those attributes, plus a great price and easy-to-read results, are why Natalist is our best home ovulation test.
Natalist Ovulation Tests cost $30 for 10 tests. The company offers promo codes and discounts and had a 10% off promotion going at the time of this writing. Natalist does offer subscribe-and-save services, but doesn’t currently appear to have a subscribe-and-save option for ovulation tests currently. You can use an FSA or HSA to purchase these ovulation tests.
Best Wearable Bracelet : Ava Fertility Bracelet
- Cost: $279
- Type of Test: Wearable bracelet that detects fertile days
- Time for Results: Results available daily
You wear the Ava Fertility Bracelet while you’re sleeping, and it monitors your body to detect your most fertile days. The company offers packages that guarantee pregnancy within 6 or 12 months.
Non-invasive and only worn while sleeping
Clinically validated and FDA-cleared
Option for refunds if you don’t get pregnant within 6 or 12 months
Requires smartphone integration
Not tested on people with irregular cycles
The Ava Fertility Bracelet sounds a bit like science fiction: it’s a non-invasive wearable bracelet that identifies your fertile days by tracking your skin temperature, pulse, breathing rate, and other metrics while you sleep. By timing intercourse to those days, you can increase your odds of getting pregnant. Although it sounds futuristic, the Ava Fertility Bracelet is based on science, backed by research, and cleared by the Food and Drug Administration. The bracelet provides clinically valid results that your doctor can use to make diagnoses around your fertility.
We love that the Ava Fertility Bracelet is noninvasive and that you only need to wear it when you’re sleeping. Each day when you wake, you sync the bracelet to an app, which provides information on your fertility that day. When you purchase the bracelet, you’ll also get access to the app and Ava’s online community, which can be especially meaningful for people navigating infertility.
The Ava Fertility Bracelet basic bundle costs $279. In addition, there are two other packages meant to help increase your odds of conceiving and provide peace of mind about investing in this technology. The Ava Fertility Plus package ($309) includes access to “The Ultimate Guide To Getting Pregnant” e-book. More importantly, it offers a money-back guarantee if you’re not pregnant within 12 months of using the bracelet. The Ava Fertility Premium package ($359) offers the e-book and the money-back guarantee if you’re not pregnant within six months. The guarantees are also available if you conceived but then miscarried.
Most Affordable : Proov Predict and Confirm Kit
- Cost: $39 (plus shipping)
- Type of Test: Urine test
- Time for Results: Within minutes
For one low price, the Proov Predict and Confirm Kit has two types of tests: one to show when you’re ovulating and another to detect that ovulation occurred.
Detects hormones before and after ovulation
Non-invasive and diagnostically valid
Shipping not included
Must pee in cup and use dip sticks
Spending money on fertility testing can add up, so we love that the Proov Predict and Confirm Kit detects two different hormones for one low price. The goal of the kit is to give you the certainty that you ovulated, or let you know if you didn’t for some reason. The Predict portion of the test measures LH levels via urine test strips, looking for the LH surge. Then, the Confirm portion detects progesterone levels, which should rise after ovulation throughout the time when a fertilized egg could implant.
The basis for Proov is the idea that “ovulation is more than just yes or no.” After you dip the strips in urine and allow them to sit for a few minutes, you’ll take a picture with the Proov app. The picture interprets the results on the strips into measurable hormone levels. It then gives you an ovulation score, which tells you whether your hormone levels indicated a cycle that was likely to result in pregnancy, or whether you need medical guidance. The results are clinically valid.
The Proov Predict and Confirm Kit costs $39. It contains 15 LH detection strips and 5 PdG detection strips, which are used to measure progesterone levels. Shipping is not included and depends on your location. You can use an FSA or HSA to pay for these tests.
Best for Couples : Proov Hers and His Fertility Starter Kit
- Cost: $159
- Type of Test: Urine tests for female hormones; at-home sperm test; urine pregnancy tests
- Time for Results: Within minutes
Proov’s Hers and His Fertility Starter Kit allows partners to test their fertility markers, giving you a full picture of your fertility health as a couple.
Assesses female and male fertility
Entirely at home—no need to mail tests
Peer-reviewed, diagnostically valid results
Created for heterosexual couples
Requires smartphone compatibility
Shipping not included
As a male-female couple, if you want to have a baby, you’ll need to know about the reproductive health of both parents-to-be. The Hers and His Fertility Starter Kit allows you to do that. What sets it apart from other female home fertility tests is that the levels are tested using a non-invasive urine analysis via the Proov Insight app.
The kit comes with a total of 20 urine test strips designed to test female hormone levels. After taking the hormone tests starting on day five of your cycle, you’ll follow individualized prompts to monitor your hormonal health all month long. The app will deliver a personalized fertility report at the end of the month.
But that’s only half the equation. This kit also includes two sperm tests, which are read using a different app, called Yo. These tests not only measure the sperm count (which many at-home tests do), but also motility, or how well the sperm move. That’s essential since motility allows sperm to meet the egg.
Although you need two different apps to check male and female fertility, both deliver fast and easy-to-understand results. Since all the testing is done in the privacy of your home, you don’t need to get your partner on board with awkward doctor visits or wait days for your results. Instead, for a relatively low price, you’ll have access to all the information you need to decide the next step to grow your family. The kit also includes 10 pregnancy tests to help you detect any happy news.
Proov’s Hers and His Fertility Starter Kit costs $159. That’s a $19 savings compared to buying the components of the test separately from Proov. You can use FSA or HSA funds to purchase the kit.
Best for Subscriptions : Stix Ovulation Tests
- Cost: $19 (for 7 tests; save 15% with a subscription)
- Type of Test: Urine ovulation predictor tests
- Time for Results: Minutes
Stix makes it easy and affordable to subscribe to ovulation predictor kits so that you always have the tools you need each month when you’re trying to conceive.
Simple subscribe-and-save option
Easy to use
Shipping not included
Not diagnostically valid
Bundles of 7 or 28 strips may be too big or too small
As we’ve covered, ovulation tests can come in handy whether you’re trying to get pregnant or avoid pregnancy. No matter what you’re using them for, you’ll need a fresh stock of ovulation tests each month in order to detect when your LH surge happens. Stix Ovulation Tests make that easy, with monthly subscriptions.
You can choose from a pack of seven tests or a pack of 28. The larger pack is 25% cheaper per test. It’s that simple—just remember to cancel your subscription once you get your big fat positive on a pregnancy test.
Stix offers two plans for ovulation tests. You can buy 7 or 28 tests at once. Seven tests are enough for people with a regular cycle, while those with longer or irregular cycles might want to test more often.
Seven tests cost $19, or approximately $3 each. The bundle of $28 is 25% cheaper, or $2 per test. If you opt for the subscription, you’ll save 15% off those prices. Stix also offers a 15% discount on your first order when you sign up for their email list. The tests qualify for FSA or HSA funds.
Best With App : Mira Starter Kit
Use YOURMIRA30 for $30 off Mira kits and bundles
- Cost: $199
- Type of Test: Urine analysis
- Time for Results: 21 minutes
The Mira Starter Kit helps you identify your ovulation window and provides precise numerical information about your hormone levels. The app is intuitive and compatible with Apple and Android devices.
Provides diagnostically valid hormone level readings
Results within 21 minutes at home
Can be used with irregular cycles
Requires smartphone integration
You’ll test 10-20 times per cycle, so may need more test strips
We love that the Mira Starter Kit app is compatible with most smartphones, whether they’re Apple or Android. Using the analyzer takes the guesswork out of interpreting ovulation strip results since the technology does the reading for you. Since the kit provides numerical levels, you’ll have precise information that you can share with your doctor, since the test is diagnostically valid.
The Mira Starter Kit uses urine analysis to detect two hormones linked to ovulation: LH and estrogen (measured using a marker called E3G that’s found in your urine). But the Mira system is more complex and provides more info than traditional ovulation strips.
To use it, you pee in the provided silicon cup, then dip a testing strip in the urine. After that, you insert the testing strip into the Mira analyzer, a small egg-shaped device that collects information on your hormone levels based on the urine sample. Then, you use the Mira app to see results, including how your hormone levels change throughout your cycle. Taken together, that lets you identify your fertile window, so you can time intercourse if you’re trying to conceive.
The only downside to the Mira Starter Kit is that it can get expensive, and requires a smartphone to use.
The Mira Starter Kit retails for $199. It’s sometimes on sale for $179. For that price, you get the app, analyzer, and 10 test wands. Mira says that you’ll test 10 to 20 times per cycle, depending on your cycle length. So, you may need to purchase additional wands, which cost $65 for 20 wands or $58 if you use the monthly subscribe-and-save option. Mira products can be purchased using HSA or FSA funds.
Best With Hormonal Birth Control : Ro Modern Fertility Hormone Test
- Cost: $179
- Type of Test: Finger prick blood test
- Time for Results: 10 days
The Ro Modern Fertility Hormone Test measures levels of up to seven hormones, including the hormone linked to ovarian reserve, using a blood test done at home. Plus, we love that it can be used by people on hormonal birth control.
Tests up to 7 hormones and measures ovarian reserve
Can be used if you’re on hormonal birth control
You can choose to share results with your doctor
Requires finger-prick blood draw
Slow results time
Can’t ship to New York or Rhode Island
If you want a comprehensive view of your hormonal health from home, The Ro Modern Fertility Hormone Test is an excellent option because you can use it even if you are on hormonal birth control. The kit uses a finger-prick blood test to measure your levels of up to seven hormones. Critically, the test measures anti-Mullerian hormone (AMH), which is used to detect ovarian reserve—the number and quality of eggs you have waiting. Ovarian reserve naturally decreases with age and can cause infertility if it decreases in younger women. The Ro Modern Fertility Hormone Test is the only at-home kit we came across that tests AMH.
You’ll take this test on day three of your menstrual cycle. After pricking your finger with the lancet provided, you’ll fill a card with blood drops (which isn’t as scary as it sounds). You return the card in a prepaid envelope and receive results online about 10 days later.
The Ro Modern Fertility Hormone Test is a great option if you’re already working with a doctor. The results are diagnostically valid, and you can opt to have them shared with your healthcare provider. When you view your results online you’ll have access to plenty of information about how to interpret them.
Another benefit is the kit can be used even if you’re on hormonal birth control. In that case, it will only measure two hormones, AMH, and thyroid-stimulating hormone. The others aren’t tested because hormonal birth control will affect your levels. Even though you can only test two hormones, we love that the Ro Modern Fertility Hormone Test gives important fertility information even to people who aren’t ready to go off their hormonal contraceptive.
The Ro Modern Fertility Hormone Test costs $179. It’s sometimes on sale for $149. You can use FSA or HSA funds to purchase it.
Most Accurate : Natalist Women's Fertility Test
- Cost: $149
- Type of Test: Finger-prick blood test
- Time for Results: 5-7 days
The Natalist Women’s Fertility Test measures five hormones linked to fertility. To ensure a high level of accuracy, after the lab analyzes your results, they’re reviewed by a doctor.
Results reviewed by a doctor
Diagnostically valid results
Relatively fast turnaround for lab results
Requires blood sample
Not available in New York State
Lots of at-home fertility tests are highly accurate—many that we reviewed state they are more than 99% accurate. But the Natalist Women’s Fertility Test comes with added assurance, since each result is reviewed by a physician in your state.
This test is an at-home finger prick test that measures five hormones, including FSH, LH, and estrogen. After you send in your sample, results are available six days later, on average. Considering that the results must be processed by the lab and reviewed by a doctor, we were impressed with that turnaround time.
There are a few other perks to the test, including that Natalist is a plastic-neutral company, making it a great choice for eco-conscious people looking for a fertility test kit.
The Natalist Women’s Fertility Test costs $149. The company offers 10% off your first order when you sign up for emails. You can use FSA or HSA funds to pay for the test.
Technological and scientific advances mean that you can now test your fertility at home. That’s a powerful option for many people, but the choices can be overwhelming. If you’re simply looking to detect ovulation so that you can time intercourse and increase your odds of conceiving, ovulation tests from companies like Natalist and Stix provide an easy and affordable option. At-home hormone tests from companies like myLAB Box and Ro provide a more extensive picture of your fertility.
Overall, we think myLAB Box is the most comprehensive option when testing your fertility at home. The female fertility kit allows you to measure four hormones and view results quickly, usually in less than a week. The results are also diagnostically valid, so you can use them to start a conversation with your doctor about how to take charge of your fertility.
Guide to Choosing the Best Female Fertility Test At Home
Comparing the Best Female Fertility Test At Home
There are various factors to consider when deciding which at-home female fertility test is best for you. These factors include:
- Price: The prices for tests vary widely; some are one-time purchases while others require additional purchases for each month you’re trying to conceive, but may offer subscription or bulk discounts. Always try to find a test that fits your budget, and remember that you can often use HSA or FSA funds.
- Hormones tested: Some tests only measure hormones related to ovulation, like LH. Others measure more hormones, including those associated with ovarian reserve, thyroid function, etc. The more hormones a test measures, the more comprehensive picture you’ll have of your hormonal and fertility health.
- Type of specimen: Other than the Ava band, at-home fertility tests require urine, saliva, blood, or semen samples. Tests that need blood samples require you to prick your finger at home, so keep that in mind if you’re squeamish.
- How long it takes to get results: Most people are eager to get their results quickly, but lab processing can take a while. Average turnaround times at the companies we tested ranged from 3.5 to 10 days.
- Shipping and privacy: Privacy is key with medical decisions, so look for a HIPAA-compliant product if it requires your healthcare information (all the options we listed are). In addition, if you don’t want others in your household to know about the test, look at whether it’s shipped in discreet packaging (most are).
What Are At-Home Female Fertility Tests?
At-home female fertility tests allow you to measure the hormones that affect your fertility from the comfort of your own home. There’s a lot of variation in what these tests entail. The simplest are ovulation tests. To use these, you pee on a wand (similar to a pregnancy test), in order to detect the hormone surge that happens just before ovulation. Other tests are more complicated and require you to collect a blood or saliva sample at home and mail it to a lab that analyzes the results. These tests can measure hormone levels based on markers in your blood or saliva.
Many people find the tests empowering because they can understand more about their fertility health, but the results can also be confusing. While the tests are a tool, it’s best to speak with a trusted healthcare provider if you have serious concerns about your fertility or reproductive health.
When Should You Take A Fertility Test at Home?
You should always follow the directions on your specific test. Many urine tests need to be taken with your first-morning urine since that’s when levels of hormone are most easily detected. Blood and saliva tests often need to be taken on specific cycle days, most often day three of your cycle. If you are unclear about when to take a test, contact the manufacturer, since both the time of day and point in your cycle can impact your results.
What Do At-Home Female Fertility Tests Measure?
Most at-home female fertility tests measure hormone levels. The most common hormone is LH, which increases just before ovulation. Other at-home fertility tests measure thyroid hormones, estrogen, progesterone, and other hormones that impact fertility. The Ava bracelet doesn’t measure any of these but monitors your pulse, skin temperature, and other metrics to help identify your fertile days.
Frequently Asked Questions
What Type of Sample Is Needed for an At-Home Female Fertility Test?
At-home female fertility tests require blood, urine, or saliva samples. Blood samples are collected by pricking your finger with a lancet that the kits provide, and dropping a small amount of blood onto a paper.
Are At-Home Female Fertility Tests as Accurate as Lab Tests?
Most at-home fertility tests that we reviewed claim to be 99.99% accurate. Keep in mind, though, that this level of accuracy is based on following all test instructions to the letter. Some, but not all, are diagnostically valid, meaning that your doctor will likely accept the results. Always check the accuracy and validity of any company you plan to use.
Does Insurance Cover Female Fertility Tests At Home?
No, insurance does not cover female fertility tests at home. However, you can use FSA or HSA funds to purchase the tests. Your insurance will likely only cover fertility testing if it’s ordered by a medical professional.
How Long Does It Take to Get Results From At-Home Female Fertility Tests?
Urine tests can provide results in a matter of minutes. Tests that require blood or saliva samples take an average of 3.5 to 10 days to provide results since they must be mailed to a lab and processed.
To compile this list of the best female fertility tests at home, we compared 42 fertility tests. We looked for tests that were easy to use, accurate, informative, and affordable. We prioritized companies that had prompt shipping and fast results, while also looking for results that were processed by certified labs and were diagnostically valid. In addition, we prioritized companies that protected healthcare data and complied with HIPAA.
U.S. Centers for Disease Control and Prevention. Infertility FAQs.
American Association of Clinical Chemistry. Fertility testing.
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Penn Medicine Lancaster General Health. What is ovarian reserve?.
Kyweluk MA. Quantifying fertility? Direct-to-consumer ovarian reserve testing and the new (in)fertility pipeline. Soc Sci Med. 2020 Jan;245:112697. doi: 10.1016/j.socscimed.2019.112697. Epub 2019 Nov 23. PMID: 31786460.