Our 10 Picks for At-Home Female Fertility Tests to Track Your Reproductive Cycle

Natalist isn’t new to health and wellness, but it just released its Women’s Fertility Test. Natalist was acquired by Everlywell (which does the testing) in 2021. The comprehensive fertility kit contains everything you need to seamlessly gather a sample, ship it off, and receive your digital results in days. The company repeatedly states it’s available to help you if you need it, though the clear instructions and extensive report will satisfy most users. 

The test reviews five hormone markers which are key to fertility and includes a physician's assessment of the results. Everlywell uses labs certified through the federal government’s Clinical Laboratory Improvement Amendments (CLIA), which ensures accuracy and reliability of results.

Your personalized report can offer insight into your menstrual cycles, ovulation, and overall health. The test measures levels of estradiol, which supports the healthy function of female sex organs; luteinizing hormone (LH), which helps control the menstrual cycle; follicle-stimulating hormone (FSH), which prepares ovarian follicles for ovulation; thyroid-stimulating hormone (TSH), which regulates hormones produced by the thyroid; and total testosterone, the levels of which can affect menstrual regularity.

Even though a consultation with a physician is not included with the test, a physician does review your results and provide an assessment. Natalist also includes the option to print out your results to take to your healthcare provider. Aside from its ease of use, Natalist customers appreciate that the company is serious about privacy. It uses state-of-the-art encryption and meets HIPAA-compliance standards. 

Natalist’s complete fertility test kit is $149. No subscription option exists, and even though insurance isn’t accepted, you can use your health savings account (HSA) or flexible spending account (FSA) funds. 

Modern Fertility is one of the best-known brands in the fertility space, created by women under the parent company Ro. Its at-home finger prick test Hormone Test allows you to test up to seven hormones, though if you’d prefer not to gather a blood sample yourself, you can visit a Quest Diagnostics Lab instead. Customized for each patient based on their menstrual cycle and use of hormonal therapy, you can get a clearer picture of your fertility in just three days. 

All testing occurs in a CLIA-certified lab that is also accredited by the College of American Pathologists (CAP), another certification that ensures high levels of testing accuracy and best practices in lab procedures. The company claims reports are created with the help of fertility doctors. The informative breakdown of your results is relatively straightforward, though you can speak with one of the company's fertility nurses if desired. The test reports your levels of TSH; LH; anti-Mullerian hormone (AMH), ovarian reserve (egg supply); and prolactin, which can affect ovulation or the release of an egg from the ovary. If you’re not on hormonal birth control, the test will also assess your levels of FSH, estradiol, and free thyroxine. Low levels of thyroxine can impair regular ovulation.

Modern Fertility’s at-home test is affordable, considering the number of hormones it assesses, and though it isn’t covered by insurance, it is HSA/FSA eligible. Out of the numerous positive reviews, the most common negative experience was that the results weren't accepted by the users' fertility doctors, who preferred testing done out of their own labs. 

Modern Fertility’s at-home test is available for $179, though occasional discounts may bring it as low as $149. No subscription program is available. 

myLAB Box offers a wide variety of tests, one of them being the quick and 99.9% accurate at-home female fertility test kit. You can submit results via finger prick or saliva sample, returning them in the provided prepaid shipping envelope. The samples will be tested at labs that are CAP-accredited, CLIA-certified, and CDC-listed. In as little as two days, a physician will review and return the results of your levels of four hormones: estradiol, FSH, LH, and testosterone.

myLAB Box’s price point is slightly lower than the other leading brand, though it doesn’t test as many hormones. Nevertheless, it provides a clear picture of your hormone levels and fertility in a fast and discreet manner that users appreciate. Another well-liked feature is the option for a free physician consultation for further clarification of your results. 

The myLAB Box female fertility test costs $149, though it may sometimes go on sale. The company offers over 50 different at-home tests at similar price points. Like other at-home tests, insurance isn’t accepted, but you can use an HSA or FSA. No subscriptions are offered.  

If you’re trying to conceive, you will appreciate how the Mira Starter Kit provides a prediction of your most fertile days and ovulation. The kit comes with a digital analyzer that can read urine test sticks, eliminating the need to send a sample to the lab and wait for results. It tests three hormone levels—LH, E3G (a metabolite of estradiol) and PdG (a metabolite of progesterone, which prepares the uterus for pregnancy)—in as little as 20 minutes and returns results with 99% accuracy. Results are uploaded to the free app. 

Though not as accurate as blood testing via a lab, the kit is a quick and convenient way to chart your fertility over time and instantly know your optimum days for possible conception. Insurance isn’t accepted, but the test is FSA/HSA/HRA qualified and Mira offers financing options. You’ll need to visit your doctor if you need assistance interpreting the results, as no consultations are offered. Nevertheless, most people find it user-friendly and ideal for trying to conceive, even if they have irregular cycles due to conditions like PCOS. 

With the Mira Starter Kit, you’re purchasing a digital analyzer and 10 Mira Fertility Test Wands for $199. Financing is available, and you can use health care options like an HSA or FSA, though not insurance. The company offers frequent discounts and a subscription program for replacement Max wands, costing $80 for an every-month-delivery subscription and $89 without. 

Ava Fertility offers a way to track ovulation predictors without having to provide a blood, urine, or saliva sample. Its simple wearable device retrieves metrics while you sleep, such as your breathing and heart rates, pulse, sleep, and body temperature. Then, it compiles them into a user-friendly result, viewable on an app, that predicts your most fertile days, allows you to monitor your health, and can also be used as a pregnancy tracker. As soon as you sync via Bluetooth to the app, all the results are at your fingertips. 

Though not instantly as accurate as samples sent to a lab, you can have a clearer picture of your cycles and hormones within a few months. It’s important to note that Ava Fertility is only suitable for those with cycles ranging from 24 to 35 days. Consistency is key with the bracelet, meaning you have to wear it every night for the best results. Fortunately, you don’t need to wear it during the day, unless you want to! Ava Fertility’s tracker is FDA-approved, and the company claims that it can double your chances of conception when used to properly time intercourse.  

Ava Fertility offers three tiers:

• The basic bundle includes the bracelet, app, online community membership, and free shipping for $279.
• For $309, the plus bundle gives you the basic bundle plus an e-book and a full refund if you’re not pregnant within 12 months. 
• The premium bundle is $359, and is the same as the plus package, except the refund kicks in if you’re not pregnant within six months.

Financing is available, and the bracelet is FSA/HSA applicable, though not covered by insurance.  

Pregmate is perhaps the easiest and most cost-effective way to monitor ovulation. The company offers traditional urine ovulation test strips, but if you want to pursue a less messy route, consider its digital ovulation tests. Insert a strip (from the bulk strip bundle) into the digital reader and easily collect a sample. In just a few minutes, the result window will return a “Yes” or “No,” letting you know if you’re ovulating and within your fertile window. 

These tests measure luteinizing hormone (LH), which rises just before ovulation. Thanks to bundles that include up to 25 sticks, you can test every day for nearly a month to track your hormone surge more accurately.

Those with irregular cycles that are shorter or longer than average may not receive as clear results for the first few months. However, some users have noted that thanks to Pregmate's low cost and ease of use, they can check for ovulation more frequently. However, it’s important to carefully read how to interpret the results, as it does have a slight learning curve, and physician consultation isn’t provided. 

The Pregmate Digital Ovulation Test starts at $19 for 10 tests, $27 for 20, and $30 for 25. The traditional tests, consisting of a dipstick, start as low as $11 for 25 tests and can be purchased in bundles as large as 100. 

LabCorp’s Women's Fertility Package offers the convenience of at-home testing with the accuracy of a blood draw submitted to a lab. You can browse tests online before making your purchase, head to a LabCorp lab to submit a sample, and then view your results at home within a few days. 

From the sample, the company can assess three different hormones that may be able to indicate your ovarian reserve and fertility potential: AMH, FSH, and estradiol. All LabCorp labs are CAP-accredited and CLIA-certified, and the company states that healthcare providers regularly use their services for all sorts of testing.  

The Fertility Package is unlike most fertility tests because it can be used by those taking hormonal birth control or individuals with irregular cycles, even due to conditions like PCOS. It’s best for those who want to determine the success of fertility treatments, are planning on using egg preservation, or are hoping to conceive soon. Though you can use their test over time to track your cycles, LabCorp isn’t as ideal for cycle tracking or ovulation prediction as other tests. 

The Women's Fertility Package is $219, though LabCorp sometimes offers modest discounts. Insurance is not accepted, but you can apply your HSA or FSA funds.

Everlywell’s Women’s Fertility Test offers a comprehensive look at your fertility by assessing five hormones via a blood sample, one of the more accurate ways of testing. It tests for FSH, TSH, LH, total testosterone, and estradiol. Shipping speeds are fast, as is turnaround time, which customers really appreciate. Tracking hormone fluctuations over time can help give you a clearer idea of your fertility, and Everlywell’s subscription plan can make routine testing easier and more affordable. 

The kit provides clear instructions for sample collection and includes everything you need to test at home. Shipping can take as little as a day, and digital results from the certified lab appear online within two to five days. A personalized report of your hormone breakdown includes recorded educational sessions and a printout option so that you can share your results with your physician. Though most users love the helpful customer service, Everlywell doesn’t offer free consultations with a doctor or nurse. 

A one-time purchase of Everlywell’s Fertility Test Kit costs $149. However, a semi-annual subscription saves you 15%, bringing the cost to $126. A quarterly subscription is a 20% discount at $119, and a monthly subscription costs $111 after a 25% discount. Insurance is not accepted, but HSA and FSA are. 

Ovulation predictor kits can help you determine your fertile window by assessing levels of luteinizing hormone (LH), which is ideal for those trying to conceive. Stix makes one of the most user-friendly ovulation predictor kits, thanks to the easy-to-hold test strip casing and clear results windows. The test is also relatively budget-friendly and the company offers bulk purchase options. 

Purchasing in bulk may be more cost-effective if you’re hoping to track LH over time, as unlike other tests, Stix doesn’t assess multiple hormones that can illustrate your fertility overall. Therefore, the test is best suited to those trying to conceive or avoid pregnancy using natural family planning methods. The OB/GYN-approved tests claim to be 99% accurate (though not always for those with PCOS), and many people appreciate the quality, convenience, and super-discreet packaging.  

A one-time purchase of seven tests is $19; for 28 tests, it’s $57. You can also subscribe and save 15%, opting for a monthly, bi-monthly, or every three months delivery of seven or 28 tests. 

LetsGetChecked’s Female Hormone Test has your results assessed by a doctor before you receive them. The test provides clear instructions on how to easily collect a sample from the comfort of your own home. Then you ship it off, and a certified lab reviews four different hormones: FSH, LH, prolactin, and estradiol. 

After physician review, your results are sent to you digitally. The results are relatively easy to understand, but should you want further clarification, LetsGetChecked has a clinical team available to support you. 

While this comprehensive test can give you quite an accurate picture of your fertility, those using hormone therapy or hormonal birth control are advised not to test for at least three months after ceasing medication.

Additionally, the stricter testing guidelines—Monday through Friday on days three to seven of your menstrual cycle—mean if you don’t start your period within the right time frame, you’ll have to wait until your next cycle to test. However, the stringent recommendations seem to produce more accurate results, which have helped many people better understand their fertility. 

The LetsGetChecked Fertility Hormone Test is $139 for a one-time purchase. An every-three-month subscription brings the cost down to $97. The company also accepts HSA or FSA, but not insurance.