Gain Better Insight Into Your Hormonal Health With Our 12 Picks for At-Home Fertility Tests of 2024 (2024)

We Tested and Reviewed At-Home Fertility Tests—Here Are the 12 We Recommend to Help Guide Your Fertility Journey

We Tested and Reviewed At-Home Fertility Tests—Here Are the 12 We Recommend to Help Guide Your Fertility Journey

• Cost: $179
• Type of Test: Finger prick or lab draw
• Time for Results: Three days

A popular and well-reputed at-home fertility testing brand, Modern Fertility from Ro offers a customized and convenient test that reviews up to six different hormones, depending on whether you’re on hormonal therapy or birth control—and if not on birth control, you’ll be sent a separate test for a seventh hormone, if one of your other levels reaches a certain threshold. We love the thorough results, especially since they’re paired with access to live webinars, fertility consultations, and the Modern Community.

Created by women under the parent company Ro, Modern Fertility is one of the best-known brands in the fertility space. We had one cisgender North Carolinian woman—a busy mom not looking to conceive but not currently on birth control—try the company’s Hormone Test at home. This kit measures up to seven hormones, is customized based on menstrual cycle and use of hormonal medications (including birth control), and is available for home or in-lab sample collection at a Quest Lab. We felt the results from a finger prick blood test were unexpectedly invaluable, as well as convenient and quick, with the kit arriving two days after we’d placed the order.

Collecting the sample on the morning of day three of our cycle, after eight hours of fasting, was relatively easy. We recommend following the instructions closely, as the suggestions—drinking water before testing and doing jumping jacks to get the blood flowing—helped the process move faster. From pricking our finger to setting the paper collection cards with blood samples aside to dry, the whole thing took under 10 minutes. The free, fast shipping pleasantly surprised us, with results from a CLIA-certified and CAP-accredited lab available only three days after we’d put the samples in the mail.

Everyone is tested for two biomarkers: TSH—which regulates hormones produced by the thyroid and impacts fertility—and AMH, which indicates the presence of follicles (immature eggs) in the ovaries. Levels can be used to estimate whether menopause might occur early, as well as how many eggs are potentially available for egg freezing or in vitro fertilization (IVF) if either or both of these procedures are planned for the future.

Those not on hormonal birth control will also learn their levels of estradiol (E2), the main form of estrogen produced by the ovaries to help maintain and regulate the reproductive system; follicle-stimulating hormone (FSH), which prepares ovarian follicles for ovulation; luteinizing hormone (LH), which helps control the menstrual cycle; and prolactin (PRL), which can affect ovulation. When the lab detects an FSH result above a certain level, Modern Fertility will automatically send an additional (free) test kit to test for your levels of free thyroxine (fT4), which is another thyroid hormone. Low levels of fT4 can impair regular ovulation.

Results were viewable in our private portal, as well as on the iPhone-only Modern Fertility app. We found the breakdown of our results to be clear, informative, and straightforward and appreciated that we were given the option to attend a webinar and speak with one of the company's fertility nurses. Since TTC wasn’t a priority, we didn’t seek out this option, although we’re glad it’s there for those who need it. We didn’t investigate the Modern Community, either, but it’s billed as a free and inclusive way to connect with and support others on their fertility journeys.

If considering this Modern Fertility test, there are a few downsides to keep in mind: First, it requires some advance planning and fasting to collect samples correctly. There are also more affordable options for those currently on birth control. Still, we recommend the test, especially to those who are trying to conceive (TTC) or who just want a fuller picture of reproductive health, especially if hormonal medications aren’t in the picture.

Modern Fertility’s at-home test is available for $179, though occasional discounts may bring it as low as $149. While it isn’t covered by insurance, it is eligible for reimbursement via your health savings account (HSA) or flexible savings account (FSA). No subscription program is available.

• Cost: $149
• Type of Test: Finger prick
• Time for Results: Within a few days

Natalist Women’s Fertility Test is a newer option that offers a comprehensive step-by-step kit that tests five hormones via an at-home finger prick. Ship off your sample to the company's labs; there, it will be tested and then reviewed by a physician, after which you’ll receive easy-to-read digital results.

Natalist, acquired by Everlywell in 2021, isn’t new to health and wellness. Its Women’s Fertility Test tests five hormones, and the kit contains everything you need to seamlessly gather a finger-prick blood sample on a collection card, ship it off, and receive your results in days. Although we didn’t test this test kit ourselves, we researched the company extensively, and we think Natalist is a great option for comprehensive hormone testing and deeper insight into menstrual cycles, ovulation, and overall health.

The Women’s Fertility Test reviews five hormone markers that are key to fertility: E2, FSH, LH, TSH, and total testosterone, a hormone that everyone produces to some extent or another, and high levels of which can affect menstrual regularity. This test kit requires pricking a finger with a lancet and letting the blood drops fall onto 12 circles that have been marked on a paper collection card; then, let them dry before putting them in the mail using the prepaid shipping label.

The analysis takes place at one of Everlywell’s CLIA-certified labs, and results are reviewed by a board-certified physician before becoming available in the HIPAA-compliant portal.

Natalist also includes the option to download or print out your report to take to your healthcare provider.

Aside from its ease of use, we appreciate that the company is serious about privacy, and does not sell user data. It also uses state-of-the-art encryption and meets HIPAA standards. Natalist is also a certified plastic-neutral company, in partnership with rePurpose Global, meaning that it offsets its use of plastics by recovering the same amount of waste plastic from the environment.

The biggest downsides we saw: Like many at-home tests we reviewed, it’s not available in New York or eligible for insurance coverage. The wait time for results may vary. The cost of the test doesn’t include a physician consultation, which is another concern we have; and while it’s eligible for FSA/HSA reimbursement, you’ll still have to pay the full price upfront and submit a reimbursement claim.

But if you’re looking for eco-friendlier, comprehensive testing, we think Natalist is the way to go.

The Natalist Women’s Fertility Test kit is $149, and shipping is free. No subscription option exists, and even though it’s not eligible for insurance, you can be reimbursed for the cost via FSA/HSA funds. Credit and debit cards, Paypal, Amazon Pay, Apple Pay, and GPay are accepted.

If you’re AFAB and looking for a broad snapshot of your current fertility, we like the myLAB Box Female Fertility Test. The kit is easy to use, and the certified lab aims to return your results within two to five business days of receiving your samples. Free shipping is included, but if you need answers even faster, two-day and overnight shipping are available for an additional fee.

myLAB Box is a large at-home testing company that offers a variety of wellness, fertility, sexually transmitted infection (STI), and drug tests. The CDC lists the company as a reputable self-testing service, and its labs are CLIA-certified and CAP-accredited to return accurate results. We had a cisgender woman in New Jersey test the myLAB Box Female Fertility Test (as well as two other tests on this roundup) and found it to be a solid option for conveniently and quickly getting lab-certified results.

The Female Fertility Test tests blood and saliva samples collected between the third and seventh day of your cycle and measures four key hormones: E2, FSH, LH, and testosterone. This test is not intended to act as an official diagnostic tool, but we think it’s a great way to get some more insight into hormonal health, especially since the cost of the test includes a virtual physician consultation if you have abnormal results.

We appreciated that the test came with everything we needed to register the kit, collect our samples, and mail them on a weekday. Though the finger prick was not pain-free, we didn’t find it difficult to use the lancet to add blood spots to the paper collection pad—although, surprisingly, filling the small sample tube with the correct amount of saliva was a bit of a challenge. Once that was out of the way, it was simple to pop the samples into the mail with the included prepaid shipping label. We sent them off on a Friday and, with standard free shipping, the CLIA-certified, CAP-accredited lab received them in about four days.

We got an email notification when our samples were accepted by the lab, but didn’t receive the notification that our results were ready for another six days (although we noticed this issue with another test on this roundup as well).

A few things to consider about the myLAB Box Female Fertility Test: First, it’s not right for people who are on birth control (or haven’t been off of birth control for at least three months). The results can also be affected if by biotin (B7) supplements taken in the last eight hours, anabolic steroids or other steroidal medications taken in the last three to six months, or steroid creams used in the past week.

We wished the results were a little more user-friendly to interpret—the report is just numerical values of each hormone level paired with a table displaying the normal reference ranges for LH across several stages: peak fertility, as well as premenopausal and postmenopausal. When we were unsure of the difference between the premenopausal luteal and follicular phases, the myLAB Box support chatbot told us to email a third-party provider—who did help us over the phone, though we would’ve preferred the results report to include definitions like this. Still, we haven’t seen many at-home testing companies that offer overnight and two-day shipping, so if time is of the essence, we think myLAB Box is a speedy option to consider.

The myLAB Box Female Fertility Test costs $149, though it may sometimes go on sale. Go with standard shipping for free—or opt for two-day ($25) or overnight ($55) shipping for a total of $174 to $204. Like other at-home tests, insurance isn’t accepted, but you can use an HSA or FSA card to pay with pre-tax funds. No subscriptions are offered.

Use promo code HEALTH25 to receive 25% off your order.

This at-home finger prick test measures four different biomarkers in AFAB people and strives to return results in under five business days. Nurse consultations are included for free if you need assistance understanding your results, but LetsGetChecked’s reports are well designed—offering helpful information about what each hormone does and how it affects conception—and easy to understand on your own.

LetsGetChecked is a telehealth platform and at-home testing manufacturer that makes a number of hormone tests for both AFAB and AMAB people. We had a cisgender woman in New Jersey try the company’s Female Hormone Test, and found it comparable in many ways to the myLAB Box test—for instance, it measures three of the same hormones—although LetsGetChecked’s results were much easier to read and understand. Its CLIA-certified, CAP-accredited labs analyze a finger prick blood sample that’s collected in a vial to identify levels of E2, FSH, LH, and PRL.

We appreciate that proving medical history is a part of the kit’s registration process at LetsGetChecked—in fact, it’s crucial for finding out which days of your cycle are best to collect the sample (usually, days three to seven). While finger-prick tests are never exactly fun to do, getting the blood flowing and filling the tiny vial was a bit of a challenge, although the well-written instructions and suggestions helped us obtain enough of a sample in the end.

This sample must be collected on a weekday and then returned on the same day it was collected, which may require some planning.

When our results became available in our private portal and app, we found the report to be clear and informative. Rather than dry numbers and tables, each hormone result is displayed as a bar that shows your levels compared to the “normal” range—and more information about each hormone was available as a pop-up we could tap on. While we didn’t have any questions about our results, LetsGetChecked’s support team would have been there to help us with answers if we had needed them. And we’re really glad that if you have abnormal results, LetsGetChecked physicians may reach out for a consultation and to discuss next steps.

As with any test, there are some downsides. First, as mentioned, you’ll need to collect this sample between the third and seventh day of your cycle and mail it back the same day, between Monday and Friday only. It’s only available to people over 18, and doesn’t ship to New York.

Next, hormonal medications can skew the results; the FAQs note that you should wait till you’ve been off hormonal therapy or birth control for at least three months. We also wish the site listed more details about its privacy policy. Although it says customer data is kept safe and will be deleted once the data is no longer necessary for providing services, it’s unclear whether the company is required to comply with HIPAA protections regarding client data. LetsGetChecked notes it doesn’t sell personal information, but it still uses cookies and tracking technology to share personal information with third parties for marketing purposes, and it shares de-identified information for the purpose of research.

These issues aside, we recommend the LetsGetChecked Female Hormone Test because of its easily digestible, educational results report.

The LetsGetChecked Fertility Hormone Test is $139 as a one-time purchase. The company also accepts HSA or FSA, but not insurance.

If you’re planning to test regularly, there are three subscription options available:

• Every three months: $97.30 (save 30%)
• Every six months: $111.20 (save 20%)
• Every 12 months: $118.15 (save 15%)

No monthly delivery is available.

Wondering how much time—and how many eggs—you’ve got left till the clock strikes menopause? We like the LabCorp OnDemand Women’s Fertility Ovarian Reserve Test because it can help you determine your fertility potential. While a portion of the test must be completed in a local LabCorp lab, there are thousands of locations to choose from, and you can shop for tests and view your results from the comfort of your home.

The Labcorp OnDemand Women’s Fertility Ovarian Reserve Test offers the convenience of at-home ordering with the accuracy of a blood sample drawn by a professional in a lab. We didn’t try this test ourselves, but we feel confident recommending Labcorp because we know that many healthcare providers regularly send patients to its CLIA-certified labs for a wide range of testing concerns.

You can browse tests online before making your purchase, head to a lab to submit a sample, and then view your results at home within a week or two, although the lab may be able to complete its analysis sooner. From the sample, the company can assess three different hormones that can indicate your ovarian reserve and fertility potential: AMH, E2, and FSH.

The Women’s Fertility Ovarian Reserve Test can be taken by individuals with irregular cycles, even due to conditions like PCOS, as long as the sample can be drawn between days two and four of the menstrual cycle.

A few downsides: The blood sample for this test must be collected on days two, three, or four of your cycle, or else the results will be inaccurate. The test is not recommended for those receiving hormone therapy, and the wait time for results is the longest of the ones we reviewed. Though you can use its test over time to track your cycles, LabCorp isn’t as ideal or affordable for cycle tracking or ovulation prediction as other tests. Finally, only egg quantity is measured—the results can’t tell you anything about the quality of the eggs you have remaining in your ovarian reserve.

We think the Labcorp Women’s Fertility Ovarian Reserve Test is best for those who want to determine the success of fertility treatments, are planning on using egg preservation, or are hoping to conceive soon—and who live near one of Labcorp’s 2,000+ locations.

The Women’s Fertility Ovarian Reserve Test is $219, though Labcorp sometimes offers modest discounts. Insurance is not accepted, but you can pay with your HSA or FSA funds, as long as your card has a Visa or MasterCard logo.

Everlywell’s Women’s Fertility Test can help you gain better insight into your fertility by tracking five hormones at two different points in your cycle. We love that the company’s fast service, easy-to-use tests, notifications about status updates, and physician-reviewed results produce a clear picture of your fertility that can be a helpful starting point for those wanting to conceive. And its subscription program can be a convenient and cost-effective option if you’re looking to test every three, six, or 12 months—or even every month.

We had one cisgender woman in New Jersey test Everlywell’s Women’s Fertility Test, which measures E2, FSH, LH, TSH, and total testosterone to assess ovarian health. This company stood out to us for its recurring subscriptions, with up to 25% off per test (when shipped monthly). Tracking hormone fluctuations over time can help give you a clearer idea of your fertility, so a subscription plan can make routine testing easier and more affordable.

In addition, free standard shipping delivers the kit to you in a respectable two to eight business days—and if you need to start testing sooner, express one-to-three-day shipping is available. Once the CLIA-certified, CAP-accredited lab receives the samples, it usually takes about two to five business days for the results to arrive in the HIPAA-compliant Everlywell portal. While it took eight days for our samples to be processed, helpful text and email notifications kept us updated about the current status and the day that the results were estimated to be ready.

This test is a little different from others on this roundup, as it requires two dried blood samples, taken at different points in the menstrual cycle: The first is taken on day three or four to establish baseline fertility, and the second is collected in the day 19 to day 21 range, during ovulation (for those with a 28-day cycle). We liked that the personalized, easy-to-understand report that broke down our hormone levels was accompanied by recorded educational sessions and the option to print results so that we could share them with our physician. We also appreciated the “see more details” tab that discusses each hormone in greater depth.

However, there are a few downsides to consider: First, the test entails pricking your finger and using the resulting blood drops to fill a total of 24 circles printed on the collection pads. We think that those who aren’t good with blood, needles, or pain—or those who are worried about making a mistake during collection—may want to pick a saliva or urine test instead. Second, it’s true that there’s the option to discuss test results during an in-network telehealth consultation with a licensed nurse practitioner, however, we were disappointed to learn that it’s only if you receive abnormal results. We’re also not completely convinced that the info we gained was more comprehensive than other companies’ tests that required only one finger prick (or involved less invasive collection methods).

Still, if you want to save time and money on testing regularly, we recommend a set-it-and-forget-it Everlywell subscription.

A one-time purchase of Everlywell’s Fertility Test Kit costs $149. However, you can bring the cost per test down by opting for one of three discounted subscriptions:

• Semi-annual: $126 per test, sent every six months (save 15%)
• Quarterly: $119 every three months (save 20%)
• Monthly: $111 (save 25%)

You can pay with FSA and HSA funds. Insurance is not accepted for the test kit or subscription, but you can use it for Everlywell telehealth visits.

Use promo code HEALTH25 to receive 25% off your order.

Our testing showed that this at-home blood and saliva test provides an easy and convenient way to look for concrete signs of polycystic ovarian syndrome (PCOS) that you can bring to your doctor to seek official diagnosis and medical care. It includes thorough instructions, free overnight shipping to the lab, and a free consultation to discuss abnormal results.

Polycystic ovarian syndrome is one of the most common endocrine disorders, impacting around 10% of those who have ovaries and are of reproductive age. This syndrome, or collection of associated symptoms, affects hormone production and metabolism, causing irregular menstrual periods, hair loss, ovarian cysts, and fertility challenges. No single test can officially diagnose PCOS; multiple types of tests will likely be needed. But we think the LetsGetChecked PCOS Test is a good screening option to get a sense of whether or not PCOS might be a concern. We had one cisgender woman in Missouri try it, and while it’s not an official diagnostic tool, we found it easy to use, and we think the results can be a good jumping-off point for asking a doctor for further diagnostic testing.

The LetsGetChecked PCOS Test measures seven hormones commonly linked to the syndrome: AMH; FSH; LH; testosterone; cortisol, which can be high when you have PCOS; sex hormone binding globulin (SHBG), a protein that carries testosterone and other hormones through the bloodstream; and finally, free androgen index (FAI), which is the ratio of your total testosterone to your SHBG levels. High testosterone in AFAB people may signify PCOS or another underlying condition related to infertility.

The test requires collecting a saliva and finger-prick blood sample using the instructions from the test kit, and although the blood sample needed to be collected in a vial, we didn’t find this to be too tricky. We liked the addition of a ring-like device that uses compression and vibrations to help stimulate blood flow, something most other finger prick-based tests don’t include.

Next, we loved the convenience of being able to ship the test kit back to the lab via free UPS home pickup (or drop-off at a store). Once the CLIA-certified, CAP-accredited lab receives the samples, results are generally available in the HIPAA-compliant online portal within five business days. A clinician reviews every result and will contact you if additional steps are recommended.

It's also not suitable for everyone. For starters, it’s only available for AFAB people who are at least 20 years old, as PCOS generally can’t be diagnosed until menstruation patterns have had some time to establish themselves. Those with bleeding disorders and certain skin disorders, or who are taking hormonal medications, like birth control, should not use the test. You’ll also need to ship your samples back to the lab the same day they’re collected.

LetsGetChecked sells its PCOS Test for $139; there’s no option to start a recurring subscription with this test. Insurance isn't accepted either, but the cost of the test itself is HSA/FSA eligible.

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Proov makes it easy and cost-effective to rapidly predict your two-day fertile window, confirm successful ovulation, and access digital insights and tracking tools, all for around $40 per cycle and from the comfort of your home.

Proov Predict & Confirm is a home fertility test kit that combines two of the company’s tests to predict when your LH will peak, and then confirm that ovulation has taken place by measuring pregnanediol 3-glucuronide (PdG, the main urine marker of progesterone in the body). Proov’s technology is backed by a couple of peer-reviewed studies, and the Confirm PdG tests specifically have even gotten FDA clearance. We have not been able to try this test bundle ourselves, but research convinced us that it’s a great way to begin tracking the best time for conception and get the peace of mind that comes from ovulation confirmation—and it only takes one urine sample and 10 minutes each day.

This kit includes enough testing supplies for one cycle: 15 LH tests and 5 PdG tests, which are used during the luteal phase, or second half, of the menstruation cycle.

The app is also good for comparing results, viewing hormone trends, and logging symptoms. An end-of-cycle ovulation score provides an overall view of each cycle after you complete all five PdG tests.

The Proov Predict & Confirm kit is one of the most affordable options we’ve come across that gives personalized insights. However, the numerical data lacks lab verification and should only be used to track ovulation rather than diagnose problems. Long-term costs can add up if you're regularly testing your cycles.

As with the other winners on this list, the Proov Predict & Confirm bundle isn’t an official diagnostic tool for any fertility issues; rather, it’s more of a quick snapshot of your cycle. But we think it’s an easy, non-invasive test option for measuring hormone changes associated with ovulation.

The Proov Predict & Confirm kit costs $39. Insurance isn’t accepted, but you can use your FSA/HSA funds to pay for the kit.

If you’re primarily concerned with finding out when you’re going to ovulate, or you need to track your ovulation window over time, Pregmate ovulation tests are budget-friendly, simple, and nearly instant. Use the digital test or traditional strips to collect a urine sample and learn if you’re in your fertile window.

Pregmate is one of the easiest and most cost-effective ways to monitor ovulation. The company offers traditional (non-digital) urine ovulation test strips, but we like the clear digital readout of its Digital Ovulation Tests. These tests measure LH, which rises significantly just before ovulation. While we have not yet evaluated these tests personally, the technology behind at-home urine LH test kits has been proven to be accurate at least 90% of the time with correct use. With this—and the price point—in mind, we think Pregmate Digital Ovulation Tests are a great option for those looking to test regularly.

Testing is simple and comes with thorough written and illustrated instructions: Collect a urine sample in a cup or other container. Next, insert a strip from the bulk strip bundle into the digital reader and dip the absorbent tip into the urine for five seconds before removing it. In just five minutes, the result window will return a “Yes” or “No” to indicate whether ovulation is occurring and the fertile window is approaching.

Note: Those with irregular cycles that are shorter or longer than average may not receive as clear results for the first few months. The same is true for people who have just come off of hormonal birth control. It’s important, also, to carefully read how to interpret the results, since a physician consultation isn’t included. And you should be aware that the digital results can change after the urine begins to dry—the result displayed at the five-minute mark is the one to pay attention to.

However, we readily recommend Pregmate because of how affordable and easy it is to check for ovulation on a regular basis.

The Pregmate Digital Ovulation Test is priced by the number of tests bundled with the digital reader:

• $19 for 10 tests
• $27 for 20
• $30 for 25

The company’s traditional tests, consisting of a dipstick and no digital display, start as low as $11 for 25 tests and go up to $25 for 100. You can pay with an FSA or HSA card.

The handheld analyzer measures three hormones from a single urine sample to identify your fertile window with a claimed 99% accuracy rate (not accounting for user error). While this product is more expensive than traditional ovulation tests, it provides a wealth of data unavailable through other home testing methods.

We think the Mira Max Starter Kit is a revolutionary way to track exact levels of estradiol metabolite (E3G, an estrogen compound that denotes ovarian function and egg quality), LH, and PdG from a palm-sized device in minutes. We haven’t yet personally evaluated the Mira Max kit, but after researching the technology, we think this unique combination of data is a powerful tool for understanding and tracking ovulation, fertility, and health changes in real time—without stepping foot in a lab. The company notes it’s even suitable for trying to conceive with PCOS.

The kit includes an analyzer, a carrying pouch, 10 single-use testing wands, and a silicone cup for collecting urine samples. After the initial device setup and app connection, Mira Max uses an intuitive interface to guide you through the testing process. Collect a urine sample,dip the wand in it, and then insert the wand into the analyzer. Results display on the device and app after 21 minutes.

While Mira Max requires an investment that might be out of reach for some, we think it’s worth it if you do have the funds. Results are 99% accurate, according to the company, and the device can detect subtle changes in hormone levels to help determine the best time for conceiving or avoiding pregnancy. The app also makes it seamless to track symptoms and menstruation in one place. There’s even a feature to help you track and monitor cervical mucus changes; sticky, egg-white-like mucus can indicate ovulation and peak fertility.

The Mira Max Starter Kit costs $229. The device comes with a 90-day money-back guarantee (with the Starter Kit only) and a one-year limited warranty. Pay-later options and FSA/HSA payments are available.

If you want a less invasive way to track your hormones, the Ava Bracelet is a great option. It records five physiological signals to predict the best time to try for a baby. The company claims that it can double your chances of conception when used to properly time intercourse. And, if you opt for the Plus or Premium bundle, you’ll be eligible for a full refund if you’re not pregnant within a certain amount of time.

Looking for an FDA-approved way to track ovulation predictors without having to provide a blood, urine, or saliva sample? The Ava Bracelet lets you collect this information in your sleep. Even better? Peer-reviewed research suggests the bracelet offers the same accuracy as LH urine tests, and the company regularly participates in scientific studies to improve the accuracy of its device and algorithms. We haven’t yet had the chance to test the device ourselves, but our research convinced us that the Ava Bracelet is a great choice for anyone who’s looking to track their fertility without invasive testing.

Just slip on the Ava wearable bracelet at bedtime, and that’s it. While it’s on your wrist, the device records five metrics that the company claims represent real-time fertility levels—breathing and resting pulse rates, heart rate variability ratio, skin temperature, and perfusion (blood flow)—and it does so an impressive 25 times every second.

As soon as you sync via Bluetooth to the app, all the results are at your fingertips—however, it may take a few months of consistent nightly use to get a clearer picture of your cycles and hormones. (You don’t have to wear it during the day unless you want to.) The app is user-friendly, includes access to a community of others like you, and allows you to print cycle data to share with your healthcare providers. Once you are pregnant, the Ava app provides helpful advice and insights about your pregnancy journey.

It’s not right for everyone in all situations, though. Those with long cycles (over 35 days), implanted devices, or chronic fevers should not use the device, as it’s expensive, especially without the possibility of insurance coverage. The Ava Fertility Tracker is not waterproof or water-resistant, so it's not suitable for showering.

That said, in our eyes, the search for a high-tech, premium fertility testing experience ends here.

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 eligible, though not covered by insurance.

It takes more than eggs and fertile windows to make a baby. This clinical-grade test from Legacy boasts fast results, accurate data on multiple sperm health parameters, and access to fertility advisors for comprehensive support. You can also opt, for additional cost, to have your semen sample frozen for up to 10 years. Unlike other companies on this list, Legacy accepts a number of major insurance policies, which can completely cover the cost of both testing and sperm freezing.

If you’re AMAB, we haven’t forgotten you! The For Today Semen Analysis kit by fertility company Legacy delivers a complete picture of sperm health with results within days of ordering. Our testing of this kit is still pending, but we will update this roundup once the final results are in. In the meantime, we believe the For Today Semen Analysis test belongs in this roundup because it makes it easy and convenient to collect and mail a sample for testing—and potentially short- or long-term storage, without needing to provide a second sample.

Two-day shipping is free, and you can either opt to drop off your sample at a participating shipping location or schedule home pickup. Once the lab receives the sample, it takes about 48 hours to receive your extensive report in your Legacy dashboard.

Additionally, this test includes free advisory support from Legacy’s team of fertility advisors to guide you through the testing process. You can also book an appointment with a male fertility specialist for a detailed analysis of your results.

The test is an expensive option compared to similar options, but having access to Legacy’s fertility advisors and specialists may make it worth the cost, in our opinion. Short- and long-term sperm storage options are also available, starting at $145 per year. Just be sure to use the kit within seven days of receiving it in the mail, or else you’ll need to purchase a new one.

Legacy’s For Today test is offered on its own and in combination with a sperm-freezing plan. You can opt to add the plan at the time of purchase or later, once you’ve gotten your results. The costs are as follows:

• Kit Only: $295
• Kit + Yearly Storage: $440 for the kit + first year of storage ($145 per year afterwards)
• Kit + Five-Year Storage: $890 (save 18% on storage)
• Kit + 10-Year Storage: $1,250 (save 34% on storage)

However, Legacy is an in-network provider with Aetna, Cigna, Emblem, Progyny, Triwest, UnitedHealthcare, and WINFertility. If covered by one of these insurers, you may be eligible to receive the For Today kit—and sperm storage!—at no cost.

Other payment options include FSA/HSA and monthly payments through the third-party payment platform Affirm.

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