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Fertility tests monitor hormone levels and sperm count. Here, we take an in-depth look at seven of the best at-home fertility tests for men and women.

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

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’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.

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Fertility tests for females may check follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. 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.

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.

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

Choosing the best at-home fertility test can be difficult when so many options are available.

People should consider what information they want from their tests. If a person wants insight into their ovulation patterns, they should choose a test that regularly and accurately tracks the changes in the body that signal ovulation.

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.

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.

People may wish to speak with a doctor before choosing an at-home fertility test, as in-person testing may be more beneficial for some individuals.

While at-home tests are more convenient and may be more affordable than in-person testing, they may not always be the best choice. Below, we look at how at-home fertility testing compares with in-person testing.

At-home testingIn-person testing
People can collect samples at home, often on their own schedule.Some people may not feel comfortable providing samples in a clinic or doctor’s office.
At-home tests may not be as accurate as tests from clinics. They often provide estimates.In-person tests provide accurate figures rather than estimates.
At-home test coverage is not often part of a person’s insurance, but they may be more affordable for those without coverage.Insurance can cover in-person testing. It may be more expensive for those without insurance.
At-home tests cannot diagnose underlying conditions.People can work with the testing clinician to diagnose fertility issues.
At-home tests may not work for people with PCOS or other conditions affecting fertility.People can work with a doctor to get appropriate tests if they have an existing condition.

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.

People under 35 years of age should contact a doctor if they have difficulty conceiving after 1 year of having sex without birth control. People 35 years and older should do so after 6 months.

Below, we provide answers to some common questions about these tests.

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 and in facilities — in most states. Only 15 states require any type of coverage, but it is often not sufficient to offset the cost.

Can I check my fertility at home?

Yes, people can order fertility tests to use at home. For females, these include urine tests that show when their most fertile days are during each month, and for males, sperm tests show the volume and health of their semen.

Males will typically need to take the test at home and send a sample to a lab.

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.