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The Best At Home Women's Fertility Test (Picked by A Doctor)
Updated on January 31, 2024
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The Best At Home Women's Fertility Test (Picked by A Doctor)

At-home women’s fertility tests are important tools that provide significant information about your reproductive health. An at home female fertility test can indicate if you need to make any significant changes or need medical intervention.

Whether you want to start a family, manage irregular periods, or simply plan for the future, these tests offer a convenient way to gain important data about your body.

Let’s look at the best at home fertility tests for women in 2023. These tests can help you determine several things, including:

  • General hormone levels
  • Amount of eggs
  • Whether you’re menopausal or not
  • Whether you should consider IVF or egg-freezing
  • If you’re at risk of PCOS

These tests offer a simple starting point for women to take charge of their reproductive well-being. These can also help you make informed choices on your path to motherhood.

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The Best At Home Women's Fertility Test (Picked by A Doctor) 5
Meet the Expert

We tested three at-home female fertility kits.

Dr. Harshi Dhingra, who has an M.D. in Pathology, tried the kits and talked about her experience testing each one.

Here’s a quick background on our expert.

She is a registered pathologist with over a decade of experience in diagnostic, clinical, research, and teaching work. She manages all aspects of the pathology laboratory, including histopathology, cytology, hematology, and clinical pathology.

Currently, Dr. Dhingra is employed as faculty in a medical school and research center.

The Best At-Home Female Fertility Tests

At-home fertility tests are a type of hormone test you can take from the comfort of your home. Order these tests from reputable testing companies such as LetsGetChecked and Everlywell.

At-home testing kits are delivered in discreet packaging, ensuring your privacy. These kits come with a sample collection guide.

There are two types of at-home hormone tests:

You can choose based on your comfort level. However, we recommend blood tests because they can measure more hormones.

After taking saliva and/or blood samples, you can send them back to the testing company. Results are usually available within a few days.

1. LetsGetChecked Female Hormone Test — Best At-Home Fertility Test for Women

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The hormone test from LetsGetChecked provides a comprehensive picture of female hormones, including:

  • Follicle stimulating hormone (FSH)
  • Luteinizing hormone (LH)
  • Prolactin
  • Estradiol

According to Dr. Dhingra, this type of test can assess your fertility status.

“It’s mainly advised if you fail to conceive, have irregular or absent menstruation, or if menopause is suspected," she says.

Elevated FSH and estradiol may suggest poor ovarian function and low ovarian reserves. Increased prolactin interferes with ovulation, which might explain your infertility.

“LH testing is very useful when looking for a fertile window to conceive," she adds. A spike usually indicates that you are about to ovulate.

Thus, low levels of LH may prevent you from ovulating and make it difficult to get pregnant.

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2. LetsGetChecked Ovarian Reserve Test — Best At-Home Test for Ovarian Reserve

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LetsGetChecked offers this at-home Anti-Mullerian hormone (AMH) test. It is a great option for women who want to know how many eggs they have left.

The test uses a finger prick method to collect your blood sample. Dr. Dhingra says that blood AMH levels can help with several things, including:

  • Finding out the number of eggs remaining in your ovaries
  • Predicting how your ovaries will respond to treatment (ovarian stimulation)
  • Identifying the best in vitro fertility (IVF) treatment method

Women who are approaching menopause may also have low AMH values. Hence, an ovarian reserve test can help diagnose it.

Overall, ovarian reserve testing is the most important assessment of female fertility. It can determine your reproductive lifespan.

“Women can learn about their reproductive potential and take appropriate steps to protect their fertility. If you have a low egg count for your age, the doctor might suggest you freeze your eggs,” says Dr. Dhingra.

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3. LetsGetChecked Progesterone Test — Best At-Home Ovulation Test

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This at-home progesterone test confirms if you are ovulating or not.

With repeated testing, it can determine if you are ovulating regularly. Dr. Dhingra explains this can be useful when you’re receiving hormone therapy and are trying to conceive.

“When an egg is released from the follicle, it becomes a corpus luteum and produces progesterone,” she says.

Otherwise, the test can tell your doctor if you have:

  • Ovulation problems
  • Recent miscarriage
  • Polycystic ovary syndrome (PCOS)
  • Endometriosis
  • Menopause

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How to Know if I'm Fertile at Home?

You can check your fertility at home using an at home fertility test kit. The tests are easy to use and can provide information about your health and if you can have a baby.

For instance, ovulation tests help you know when you're most likely to conceive by detecting a hormone called LH.

Hormone tests measure various hormones like FSH and AMH to assess fertility and hormone balance.

Remember that these fertility tests may not identify all fertility problems, so it's still a good idea to consult a doctor for a complete evaluation of your fertility.

Testing for Fertility Issues Among Women

If you’ve been trying to get pregnant and haven’t had any success, you might be concerned you have a fertility issue.

Women’s infertility can be caused by:

  • Problems with the uterus or cervix — Abnormal growths inside the uterus or along the cervix can prevent a fertilized egg from implanting. These include adhesions, fibroids, polyps, scar tissues, and tumors.
  • Blocked or damaged fallopian tubes — Sometimes caused by deformities, tumors, or pelvic inflammatory disease due to chlamydia and gonorrhea. It prevents the egg from reaching the uterus.
  • Low egg count (ovarian insufficiency) — Ovaries have a limited supply of eggs that decrease with every menstrual cycle. This supply can run out before menopause, making it difficult or impossible to conceive.
  • Poor egg quality — Eggs that are immature or contain the wrong number of chromosomes cannot fertilize or grow into a healthy baby.
  • Hormonal imbalances — Having too much or too little of certain hormones can prevent the release of eggs or affect your menstrual cycle.
  • Endometriosis — This condition causes endometrial tissue, or the innermost lining of the uterus, to form outside of it. It affects the function of your ovaries, fallopian tubes, and uterus.

However, just because you’ve found it challenging to get pregnant doesn’t mean there is a serious problem. Stress, diet, too much exercise, and medications may also cause temporary infertility in women.

Most experts say you should try for at least six months to get pregnant before you speak to your doctor about fertility. If you are over 35, it can take up to a year to conceive, even if you are perfectly healthy.

But for many, six months or a year is longer than they want to wait.

If you are curious about your fertility, an at-home fertility test can shed light on your ability to conceive.

Other Fertility Tests for Women

Female fertility testing checks for issues that cause infertility in women. The process usually involves several steps:

1. Medical history

The doctor will take your complete medical history and ask questions about:

  • Your menarche (onset of menstruation)
  • How often you menstruate
  • Any changes in menstrual cycle patterns
  • Signs of female hormonal imbalance
  • Past pregnancies and pregnancy loss, if any
  • Previous infections and health problems
  • Your diet and lifestyle (e.g., alcohol, tobacco, and drug use)
  • Physical activities you engage in
  • Nature of your work
  • Medications you are taking
  • Use of contraceptives
  • History of tubal ligation

Doctors can use this information to determine the type of infertility you have and what is causing it.

2. Physical examination

After taking your history, the doctor will examine you for physical signs of hormonal imbalance and other clues that can help them identify possible causes of infertility.

During a physical exam, they will:

  • Take your blood pressure, heart rate, and temperature
  • Measure your height and weight
  • Calculate your body mass index (BMI)
  • Check for signs of thyroid problems
  • Perform a breast exam
  • Inspect your abdomen for palpable masses

3. Gynecological exam

A gynecological examination can be performed as part of a routine physical exam, or it can be done separately by a doctor.

Doctors use it to evaluate visible structures of your reproductive system:

  • Pubic hair distribution
  • Size of your clitoris
  • Bartholin glands
  • Labia majora and minora

Unusual lesions, odors, and vaginal mucosa can suggest the presence of hormone problems or sexually transmitted diseases (STDs).

4. Pelvic examination

Also known as a bimanual exam, it is when doctors examine the size and position of your cervix and uterus. It can help them detect tenderness or masses indicative of infection or other problems.

5. Hormone testing

Depending on your medical history and examination results, the doctor will ask you to take hormone tests. They usually test for female hormones, such as:

  • Estrogen, especially estradiol
  • Prolactin
  • Progesterone
  • Testosterone
  • Luteinizing hormone (LH)
  • Follicle-stimulating hormone (FSH)

“Some diseases such as diabetes, thyroid dysfunction, and polycystic ovarian syndrome may cause other hormonal imbalances that affect your fertility, thus making it difficult to conceive,” says Dr. Harshi Dhingra.

If your doctor suspects these health problems, they might order a diabetes test, a thyroid hormone test, or a PCOS test in addition to female hormone testing.

6. Ovarian reserve test

Women with ovarian problems may be asked to take an ovarian reserve test. The test measures your anti-Mullerian hormone (AMH) and estimates the number of eggs left in either ovary.

7. Imaging tests

Doctors may request further tests to check for abnormalities in your reproductive system. These include:

  • Hysterosalpingogram (HSG)
  • Transvaginal ultrasound
  • Hysteroscopy
  • Laparoscopy

What Is the Modern Fertility Hormone Test?

The Modern Fertility Hormone Test is a DIY test designed for women with ovaries aged 21 to 45 who want to know more about their ability to have kids.

This test lets you check some key fertility hormones right from home. There’s no need to see a doctor when doing it.

To use it, prick your finger with the little device that comes with the kit and get a drop of blood. The blood sample helps measure several hormones that are important for fertility, such as:

  • Ovarian Reserve – This tells how many eggs you have compared to what's typical for your age.
  • Thyroid Levels – It checks if your thyroid is healthy or has issues because thyroid problems can affect fertility.
  • Follicle-Stimulating Hormone (FSH) Levels – This hormone helps with menstrual cycle and growing eggs. Too much or too little can affect your fertility.
  • Estradiol Levels – This is an estrogen that your ovaries produce during your childbearing years. Having too much or too little can impact fertility.
  • Prolactin Levels – If this hormone is too high, it can prevent ovulation regularly and make it harder to get pregnant.
  • Luteinizing Hormone (LH) Level – LH helps regulate your menstrual cycle and the release of eggs from your ovaries. If it's too high or too low, it can cause problems with your periods and make it more difficult to have a baby.

The Modern Fertility Hormone Test helps you understand your fertility situation and can be useful if you're considering when to start a family. 

Remember, fertility can be pretty complex. This test might not cover all the factors that can affect it. If you suspect fertility problems, talking to a doctor is a good idea.

Why At-Home Tests are Helpful for Women’s Fertility Issues

Health insurance plans are rarely proactive when it comes to fertility issues. 

Most insurance companies only cover fertility testing after months of trying to conceive without success. So unless you want to pay for a professional test out-of-pocket, you might be stuck waiting six months or longer for tests that sometimes cost $1000 or more.

At-home tests are available for much less money and give you complete control over when to begin testing. It’s still important to discuss your options with your doctor. But if you want to move the investigative process along a bit faster, these tests are an option.

There are at-home tests available for:

  • Anti-Mullerian hormone
  • Follicle-stimulating hormone
  • Luteinizing hormone
  • Thyroid-stimulating hormone
  • Estradiol
  • Testosterone
  • Free thyroxine
  • Prolactin

Do At-Home Female Fertility Tests Work?

At-home female fertility tests can be a helpful tool for tracking and understanding fertility. However, they are not a substitute for a thorough medical evaluation, especially if you're experiencing difficulties conceiving.

Some tests, like ovulation predictor kits that detect a hormone surge before ovulation, can be pretty accurate. However, they may not be as reliable if you have irregular periods or certain health conditions.

Other at-home tests that measure hormones related to fertility can give you information about your general fertility status. These tests can be informative but don't give you a definite answer about your fertility. They also require additional assessments.

Are At-Home Fertility Tests Worth It?

The worth of at-home fertility tests depends on your personal goals and situation.

They can be helpful if you're thinking about starting a family or have concerns about your fertility. They also allow you to check your hormone levels and reproductive health without leaving your home.

However, it's important to know that these tests have limitations.

They may not tell you everything about your fertility since it depends on many factors. If you get results that worry you, it's best to talk to a doctor for a more thorough evaluation and advice.

Clinical Laboratory Improvement Amendments and At-Home Fertility Tests

Clinical Laboratory Improvement Amendments (CLIA) are important in the context of at-home fertility tests because they ensure that they give you trustworthy results.

CLIA are rules that ensure all lab tests, whether done in a professional lab or at home, meet quality standards. These standards ensure that the results are accurate, reliable, and timely.

When companies make at-home fertility tests, they must stick to CLIA rules. This is to guarantee that the tests work well and are safe to use.

Labs that analyze the samples from these at-home tests must meet CLIA standards to provide accurate and dependable results.

This way, people can trust the results of their at-home fertility tests when they're making decisions about their ability to have children. Following CLIA standards helps prevent wrong or misleading test results, which can be a big deal for people trying to start a family.

The Cost of At-Home Fertility Tests

The cost of at-home fertility tests can vary. Different factors impact the cost, including:

  • Type of test – Basic tests that check one aspect of fertility tend to be cheaper than more comprehensive ones that look at multiple factors.
  • Brand – Popular brands might charge more because of their reputation, while newer or lesser-known ones could offer lower prices.
  • Components – Some fertility tests may require extra items like test strips, lancets, or prepaid return envelopes to send samples to a lab. These extras can add to the cost.
  • Testing Process – Some tests give results entirely at home, while others involve sending samples to a lab for analysis. Lab-processed tests often cost more because experts do the analysis.
  • Discounts – Special offers, discounts, or bundles can cut the cost. Manufacturers sometimes run deals during specific times or for multiple purchases.

It's important to consider your specific fertility needs and budget when choosing an at-home fertility test. Talk to your doctor if you have concerns about your fertility or are experiencing difficulties conceiving.

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Updated on January 31, 2024
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Updated on January 31, 2024
Dr. Dhingra
Dr. Harshi Dhingra
Medical Reviewer
Dr Harshi Dhingra is a licensed medical doctor with a specialization in Pathology. Dr. Dhingra has of over a decade in diagnostic, clinical, research and teaching work, including managing all sections of Pathology laboratory including histopathology, cytology, hematology and clinical Pathology.
Kelly Brown
Kelly Brown
Content Contributor
Kelly has experience working with clients in a variety of industries, including legal, medical, marketing, and travel. Her goal is to share important information that people can use to make decisions about their health and the health of their loved ones. From choosing the best treatment programs to improving dental and vision health to finding the best method for helping anyone who is struggling with health issues, she hopes to share what she learns through informative content.
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