Can at-home fertility assessments aid you get pregnant? What it is best to know


Greater than 6 million American ladies wrestle to change into pregnant or keep pregnant, in response to the Division for Well being and Human Providers. For a lot of, merely accessing comprehensible info and being proactive about fertility might end in a neater time conceiving a toddler.

That is the place at-home fertility testing is available in. A number of corporations permit ladies to check their fertility and achieve insights into how they’ll conceive. This is all the things it is best to find out about at-home fertility testing.

Why it is best to strive an at-home fertility take a look at

At-home fertility assessments, akin to these from Fashionable Fertility, EverlyWell and Let’s Get Checked, present ladies with a handy, proactive and comparatively cheap various to conventional clinic assessments. These hormone-based fertility assessments are designed to provide ladies an image of their normal reproductive well being, and to encourage proactive selections somewhat than reactive ones.

Dr. Robert Penney, an OB-GYN in Holmdel, New Jersey, appears to be like at these assessments as a approach for girls to drive discussions about reproductive well being.

“Very similar to the contraception tablet gave ladies management of their reproductive selections, proactive fertility hormone testing provides them some management over their reproductive success,” Penney advised me.

Federal insurance policy do not cowl proactive testing, and most state insurance policy solely cowl fertility assessments for those who can show that you just weren’t in a position to conceive after attempting for a complete 12 months. In the event you’re 35 or older, your insurance coverage could cowl fertility assessments for those who can show you have been attempting for six months or extra.

With out insurance coverage, the price of a take a look at from a lab or clinic will be prohibitively excessive. When Fashionable Fertility co-founder Afton Vechery underwent conventional medical fertility testing herself, she ended up with a $1,500 invoice.


Fashionable Fertility co-founders Afton Vechery (left) and Carly Leahy (proper).

Rachel Radcliffe/Fashionable Fertility

You possibly can all the time make a journey to a fertility clinic or your common OB-GYN to get examined for these hormones for those who really feel extra comfy taking your take a look at with a board-certified physician current. Bear in mind, although, that the price of a primary fertility take a look at can soar upwards of $800 at a clinic.

If a affected person takes an at-home take a look at and receives regarding outcomes, Penney notes that medical doctors ought to present supportive — however deliberate — counseling to encourage them to see a reproductive endocrinologist. Doing so permits the affected person to discover reproductive prospects.

How fertility assessments work

Usually talking, fertility assessments measure ranges of various hormones in your physique which can be considered good indicators of reproductive well being. Feminine fertility hormones embrace:

  • Anti-Müllerian hormone: a great predictor of your ovarian reserve, or what number of eggs you might have in your ovaries
  • Follicle-stimulating hormone: liable for starting the ovulation course of
  • Estradiol: a intercourse hormone that impacts follicle stimulation
  • Luteinizing hormone: helps regulate your menstrual cycle
  • Thyroid-stimulating hormone: impacts your thyroid and normal well being
  • Free thyroxine: supplies a great general image of thyroid perform because it pertains to reproductive well being
  • Prolactin: stimulates milk manufacturing and pauses ovulation after childbirth
  • Testosterone: a intercourse hormone each women and men produce

These hormones are examined through a pattern of your blood. To take an at-home fertility take a look at, you will must self-administer a finger prick. Your take a look at will include the tools you want to take action and detailed directions to observe.

All the time wash your palms totally earlier than making an attempt a blood draw. Then, clear your chosen finger with an alcohol swab and dry it with a clear tissue or towel. Your take a look at ought to arrive with a small device referred to as a lancet that makes the prick simple: Simply place it in your finger and press down. After you prick your finger, a small droplet of blood will seem. Use your different hand to softly squeeze your pricked finger and acquire the blood within the small vial that comes along with your testing package.

All fertility assessments, no matter model and placement carried out, take a number of days to research. Your outcomes embrace a report with private explanations about all the hormones you examined for, and their potential impacts in your fertility standing.

What a fertility take a look at can (and might’t) inform you

Vechery and Leahy are fast to level out that their take a look at — and others prefer it — will not inform you for those who’re fertile or infertile. As a substitute, they act as a place to begin that will help you determine whether or not you want or need to search further fertility consulting and remedy.

What hormone-based fertility assessments can inform you is:

  • How your hormones relate to your normal well being, for instance, thyroid-stimulating hormone impacts your metabolism in addition to your capability to conceive and maintain a being pregnant
  • If in case you have extra or fewer eggs than common
  • In the event you could hit menopause earlier or later than common
  • What your egg freezing or IVF outcomes would possibly seem like
  • In the event you could also be in danger for polycystic ovarian syndrome
  • If in case you have some other hormonal situations, akin to an underactive thyroid, which will impression your capability to get pregnant 

Figuring out and understanding your hormone ranges (and maintaining observe of them over time) can spark necessary discussions along with your accomplice, offer you important info to provide your physician and affect monetary selections and remedy plans.

In the end, fertility assessments ought to solely represent one a part of the larger image, they usually should not take the place of a physician’s recommendation. Moreover, fertility assessments should not be misconstrued to characterize notions about what’s and is not doable for you.

In the event you’ve been attempting to get pregnant and have not succeeded, it is best to seek the advice of with a doctor or OB-GYN. Your physician might want you to take different blood and urine assessments, together with an x-ray of your uterus and fallopian tubes to verify for any abnormalities.

Dr. Kecia Gaither, an OB-GYN and Maternal Fetal Drugs specialist in New York, advised me that it is best for each companions to endure a radical medical historical past and bodily examination if fertility is a priority.

“I do not assume {that a} full image of causality for infertility will be had with an at-home take a look at for fertility,” Gaither stated. “For any affected person that elects to do an at-home take a look at [and gets] an sudden outcome, I might advise a go to to a reproductive endocrinologist.”

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Understanding your choices

There’s quite a bit to think about when making selections about fertility testing and remedy. Fashionable Fertility, Let’s Get Checked and EverlyWell are three US companies that provide comparable assessments in the same value vary.


Every EverlyWell take a look at is custom-made to biomarkers that the corporate’s medical group thinks would be the most helpful to you, primarily based on the take a look at you select and your well being survey. Its ladies’s fertility take a look at prices $159, and measures 5 hormones that affect reproductive well being: estradiol, luteinizing hormone, follicle-stimulating hormone, testosterone and thyroid-stimulating hormone. It additionally provides different ladies’s well being assessments for much less that do not measure as many elements, such because the ovarian reserve take a look at ($79).

You even have the choice to subscribe to EverlyWell assessments and obtain them month-to-month, quarterly or each six months. This can be a nice thought for these wanting to check their fertility, as a result of fertility hormones change with age. EverlyWell assessments are all physician-ordered and supported by unbiased analysis.


EverlyWell provides many various ladies’s well being assessments and a subscription choice.


Let’s Get Checked

You possibly can select from three at-home fertility assessments with Let’s Get Checked: a progesterone-only take a look at ($89), an ovarian reserve take a look at ($139) and a extra broad feminine fertility take a look at ($129) that measures a number of hormones.

Let’s Get Checked delivers your take a look at in discreet packaging with next-day transport. It is best to take your take a look at within the morning so you possibly can return it the identical day. Ship it again with the pay as you go transport label and your outcomes can be on-line in two to 5 enterprise days. You possibly can take your outcomes to your physician, or chat with the group of physicians and nurses that Let’s Get Checked has on the prepared for patrons.


Let’s Get Checked provides three completely different at-home fertility assessments for girls. 

Let’s Get Checked

Fashionable Fertility

Fashionable Fertility provides one all-encompassing take a look at for $159 that measures all eight hormones thought to affect fertility and being pregnant. You possibly can go for the at-home finger prick, or take a look at at a Quest Diagnostics location if there’s one close to you.

All Fashionable Fertility prospects obtain a one-on-one session with a fertility nurse at no further value and entry to the net neighborhood Fashionable Ladies, in addition to entry to weekly webinars (aptly nicknamed “Egginars”) to be taught new info.

With Fashionable Fertility, you will additionally obtain a Fertility Measurement Index, a device you should use to trace fertility over time. The FEMI is a flat quantity that ranges from 200 to 750. Your quantity is comprised of your age, hormone ranges and normal well being info like your BMI and life-style habits. The next FEMI represents higher fertility — FEMI usually declines with age as hormone manufacturing decreases.


Fashionable Fertility provides one at-home fertility take a look at for girls that measures eight completely different hormones. 

Fashionable Fertility

Getting a grip on fertility

As a result of there isn’t a absolute predictor of fertility — besides really giving beginning to a child — the founders of Fashionable Fertility determined that understandable info is one of the best first step to creating household selections.

“We’re ready longer to have children however our biology hasn’t modified, and neither has fertility training,” Vechery advised me. “At present, one in six {couples} has hassle conceiving and infrequently, we do not study fertility till we’re having hassle.”

Dr. Douglas advised me that receiving unpromising outcomes doesn’t imply a lady is infertile. Reasonably, the outcomes are simply meant to open up a dialog in regards to the completely different choices a lady has.

“You solely want one wholesome egg (and sperm) to get pregnant, so I be sure that [patients] perceive that ladies with decrease egg counts can completely nonetheless conceive,” Douglas stated. 

The data contained on this article is for academic and informational functions solely and isn’t supposed as well being or medical recommendation. All the time seek the advice of a doctor or different certified well being supplier concerning any questions you’ll have a few medical situation or well being goals.


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