Best at-home fertility tests of 2024, according to experts

Cost: $249 | Tests for: 11 key hormones including follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone, progesterone and estradiol | Time to results: 1 to 5 days from receipt at lab | Test collection method: Finger prick for blood sample and saliva sample.

MyLAB Box is one of the most popular at-home lab testing companies around, and for a good reason: More than 45 different test kits are available for sexual health, wellness and family planning needs. Its Women’s Health + Fertility Test covers 11 key hormones in one simple at-home test that only requires you to draw a small blood sample with the included finger prick lancet and a urine sample. You will need to drop it in the mail using the prepaid shipping label, and results will be delivered to you electronically in about two to five business days.

In general, female fertility tests measure follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, testosterone and progesterone, but the Women’s Health + Fertility Test from MyLab Box also measures dehydroepiandrosterone (DHEA), cortisol, thyroid peroxidase (TPO), thyroid-stimulating hormone (TSH), triiodothyronine (T3) and thyroxine (T4) to provide an even deeper understanding of a person’s hormones.

Cortisol, for example, is a stress hormone responsible for maintaining blood pressure, metabolism and immune function. When we think of having high cortisol, the biggest risk that comes to mind is typically heart disease. However, higher levels of cortisol can also play a role in female fertility decline. Low levels of DHEA have also been associated with diminished ovarian reserve, which can greatly affect a woman’s ability to get pregnant. Likewise, thyroid functioning plays a big role in fertility.

But it’s not just the quantity of hormones examined that makes this test our top pick. It’s also the quality. MyLAB Box is listed as a reputable company with the Centers for Disease Control and Prevention (CDC) and all test samples are processed via CAP-accredited and CLIA-certified labs.

Cost: $14 | Tests for: Luteinizing hormone (LH) | Time to results: 5 to 10 minutes | Test collection method: Urine.

Trying to conceive can be a stressful and expensive endeavor. That’s where the Easy@Home Ovulation Test Strips from Premom come in handy.

Ovulation tests work by measuring LH levels in your urine to determine your most fertile days. Right before ovulation, there’s what’s known as an LH surge, which is when LH levels rise significantly. With Easy@Home, you’ll use one test strip per day until the line on the test begins to darken, indicating higher LH levels. At that point, you’ll begin testing twice per day to increase your chances. Since ovulation strips require such frequent use, the test kits’ affordability is a huge part of its draw. But that’s not the only thing that sets Easy@Home apart.

Rather than attempt to read the lines on your own, you can use the Premom app and instantly get your results digitally. The app also lets you track your ovulation, menstrual cycle and body temperature.

Cost: $179 | Tests for: Anti-Mullerian hormone (AMH), Thyroid-stimulating hormone (TSH), Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Free Thyroxine (fT4), Prolactin and Estradiol | Time to results: 7-10 days | Test collection method: Finger prick.

Modern Fertility is a female-founded reproductive health company that offers a comprehensive and customizable way for women to get valuable information about their bodies with its Hormone Test. Depending on whether or not you’re on hormonal birth control, the test will measure between two and seven hormones, such as the anti-Mullerian hormone (AMH), one of the best biomarkers of ovarian reserves, and TSH.

With Modern Fertility, you can collect your sample at home and then send the sample to the lab for testing (results are sent electronically within three business days of lab receipt), or you can go to a local Quest Diagnostics center to have the test drawn for you. Regardless of the testing method you choose, you’ll receive an in-depth report of your results showing your specific hormone levels. Reviewers noted that the test is simple to use and that the detailed results are straightforward and easy to understand.

Cost: $25 | Tests for: Luteinizing Hormone (LH) | Time to results: 5 minutes | Test collection method: Urine.

If you’re trying to conceive, waiting days or even weeks for a test result can be stressful. Luckily, there’s a quicker option: the Ovulation Test Kit from Natalist. The test works by detecting the LH levels in your urine, thus allowing you to determine your most fertile days. While most ovulation strips give you a fertility window of between two and four days, Natalist gives you a six-day window. But best of all, results are ready in just five minutes.

Depending on how long your typical menstrual cycle is, you’ll begin testing between seven and 11 days after the start of your period. For the best results, you’ll want to test daily until you reach your peak fertility days. Natalist also provides a paper Cycle Tracker within the test kit box so you can easily record your LH levels.

Cost: $279 | Tests for: Body temperature, pulse rate, breathing rate, heart-rate variability, and perfusion | Time to results: Instant | Test collection method: Worn during sleep.

Fertility testing is typically somewhat intrusive – an in-office visit usually consists of a pelvic exam and pap smear while home kits often require either a blood or urine sample. But now there is another option: the Ava Bracelet.

Unlike some of the other hormonal tests on this list, the Ava Fertility Bracelet is designed to be worn while you sleep, much like a Fitbit or Apple Watch. The sensors on the bracelet monitor and record five physiological parameters related to fertility – pulse rate, breathing rate, heart-rate variability, temperature and perfusion (blood circulation), along with sleep and stress.

Using Bluetooth with your phone or tablet, you’ll sync the bracelet to the corresponding app, and your results will be available as soon as you wake up. The app then tracks the changes in your physiological markers to pinpoint your five most fertile days.

The device has been FDA-cleared and, in a clinical study conducted on behalf of Ava, the bracelet predicted fertility with 90% accuracy. Although that’s not as accurate as tracking your LH or FSH levels, the sheer ease and convenience of using the Ava Bracelet makes it worthwhile.

Cost: $229 | Tests for: Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Estradiol metabolite (E3G) and Pregnanediol Glucuronide (PdG) | Time to results: 21 minutes | Test collection method: Urine.

Ovulation tests often focus on LH levels because when the levels rise, it indicates impending ovulation. Using either paper strips or a disposable wand, you’ll test your urine daily to track your LH levels to determine when you’re likely to begin ovulating.

But Mira is not your typical ovulation test. The brand offers several different test kits but the Clarity Bundle is by far the most comprehensive. It tracks four key fertility hormones: LH, FSH, estradiol metabolite (E3G) and pregnanediol glucuronide (PdG).

The kit comes with the Mira analyzer and a digital test reader, along with 10 Mira Max wands and 10 Mira Ovum wands. The Max wands, which measure LH, E3G and PdG, are used to predict and confirm ovulation and identify your full, six-day fertility window. The Ovum wands then measure FSH to give you a more in-depth look at your overall reproductive health.

Cost: $39 per month | Tests for: Continuous core body temperature | Time to results: Instant | Test collection method: Worn during sleep.

Wearable fertility trackers come in one of two forms: an arm/wrist band or an inter-vaginal device. With OvuSense, however, you have the option of trying both.

OvuSense Flex is a subscription-based fertility monitoring system that tracks your cycle and confirms ovulation to give you insight into your most fertile days. Initially, you’ll use the OvuFirst wearable sensor, which is designed to be worn on your wrist or arm while you sleep. When you wake up, you’ll download the data onto the OvuSense app and let the algorithm do the rest. The app will notify you to confirm ovulation and give you an eight-day fertility window. Of the tests on this list, this is by far the longest window.

But that’s not even the best part: If you aren’t pregnant after the first three months, OvuSense will offer you a fertility consultation as well as its OvuCore advanced vaginal sensor free of charge. The OvuCore monitor, which is worn in your vagina overnight, continuously tracks your core body temperature and records it automatically through the app. Unlike the OvuFirst, the OvuCore confirms and predicts ovulation and notifies you of both.

Cost: $99 | Tests for: Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Estrogen marker (E1G), Pregnanediol Glucuronide (PdG), Motile sperm concentration and human chorionic gonadotropin (hCG) | Time to results: Not disclosed | Test collection method: Urine and sperm.

Trying to conceive can make you feel isolated and alone. In reality, though, when trying to conceive with a partner, you’re not alone and the fertility issue may not be yours. Proov is a female-founded fertility platform dedicated to empowering women on their reproductive journey, and it understands that it's not just the woman's fertility that needs to be tested; a semen analysis is just as important.

The Hers and His Fertility Kit comes with at-home tests for both partners, so you can increase your chances of getting pregnant together. There's a sperm count test for him and two test kits for her: Proov Complete and Proov Check. Proov Complete looks at four key fertility hormones (FSH, E1G, LH and PdG) to check ovarian reserve, confirm successful ovulation, and identify your six most fertile days. With Proov Check, only one hormone is measured: human chorionic gonadotropin (hCG), also known as the pregnancy hormone. Using the hCG tests, you can detect a potential pregnancy up to five days before your missed period.

It's worth noting that the Proov Complete system comes with only 20 tests – 3 FSH tests and 17 multi-hormone tests – meaning it’s just enough for one full cycle or month. However, you have the option to select Complete 2 Cycle at checkout, which allows you to test for straight months rather than one, in case you're concerned that one month is not enough to get a full picture of you and your partner's fertility.