Hormones can affect metabolism, sexual function, reproduction, mood, and the way your body transforms food into energy. (1) Special glands—called endocrine glands—produce hormones. These endocrine glands include the thyroid and adrenal glands as well as the testes and ovaries. (2)
Hormone imbalance occurs when you have too much or too little of a certain hormone. Some hormone changes are typical, but others can be a sign of a health issue.
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If you have symptoms of hormone imbalance, your healthcare provider may order laboratory tests to measure your hormone levels. These tests can be done using blood, urine, or saliva.
“Hormones are important chemical messengers in our body that work on tissues and organs in delicate balances to support multiple functions,” says Dr. Fatema Dawoodbhoy. “They play key roles in growth and development, mood regulation, metabolism, sexual function, and reproduction.”
You can also test your hormone levels at home. At-home hormone tests provide the comfort of home with the accuracy of lab testing from a health care facility. However, per the FDA, the industry is currently unregulated, so not all at-home hormone tests are created equal. (3)
To help you choose the best at-home hormone test, our team of experts evaluated dozens of tests based on the following: price, hormones tested, sample collection method, result time, and more. We narrowed down our list to the best seven at-home hormone tests.
Best at-home hormone test overall
We selected the Lifeforce Diagnostic as the best overall due to its comprehensive at-home test that offers a deep dive into your overall health by measuring more than 40 critical biomarkers, like TSH, FSH, estradiol, cholesterol, and so much more. With their unique membership, you have access to ultra-personalized clinical insights from experienced clinicians, board-certified in functional medicine, endocrinology, and performance-based medicine.
At-home tests don’t replace professional medical care or provide a formal medical diagnosis. Discuss your results with your doctor and follow their guidance.
Our picks for the best at-home hormone test
- Best overall: Lifeforce Diagnostic
- Best for PCOS: LetsGetChecked PCOS Test
- Best for men: Labcorp OnDemand Comprehensive Testosterone Test
- Best for women: LetsGetChecked Female Hormone Test
- Best for perimenopause: Everlywell Perimenopause Test
- Best for fertility: Oova Fertility Hormone Kit
- Best for thyroid hormones: Everlywell Thyroid Test
Compare at-home hormone tests
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| Lifeforce Diagnostic | LetsGetChecked PCOS Test | Labcorp On Demand Comprehensive Testosterone Test | LetsGetChecked Female Hormone Test | Everlywell Perimenopause Test | Oova Fertility Hormone Kit | Everlywell Thyroid Test | |
| Rating | |||||||
| Price | $549 | $139 | $139 | $139 | $99 | $159 | $149 |
| Hormones tested | TSH, FSH, LH, Estradiol, DHEA, IGF-1, Total testosterona, Free testosterone | Testosterone, SHBG, FAI, FSH, LH, Cortisol, AMH | Total testosterone, free testosterone, albumin, SBHG | FSH, LH, Prolactin, Estradiol | FSH, LH, Estradiol | LH, PdG, E3G | TSH, T3, T4, TPO Ab |
| Subscription available | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Sample type | Blood | Blood and saliva | Blood | Blood | Blood | Urine | Blood |
| Results time | 10 days | 2–5 days | Varies | 2–5 days | 5–8 days | Minutes | 5–8 days |
Best overall at home hormone test: Lifeforce Diagnostic
Key product features
What you should know
With its extensive analysis of over 40 biomarkers, the Lifeforce Diagnostic test offers detailed insights into your health, including hormonal balance, metabolic function, nutritional status, and cardiovascular health. Here’s why it’s our top pick on this list:
- This test measures critical biomarkers such as testosterone, cortisol, vitamin D, cholesterol levels, and thyroid function.
- At $549, the Lifeforce Diagnostic test provides a comprehensive health assessment, along with a membership to fully optimize your health, starting at $129 monthly.
- This at-home test is ideal for individuals seeking a detailed understanding of their overall health, performance, and wellness, regardless of age or gender.
- This test is available nationwide with a moderate turnaround time for results.
Why we like Lifeforce Diagnostic as best overall
The Lifeforce Diagnostic test offers an in-depth look into your health and performance by evaluating a wide range of biomarkers. This test measures levels of testosterone, cortisol, vitamin D, cholesterol, thyroid function, and so much more.
With the ability to assess various health aspects, Lifeforce Diagnostic helps you and your healthcare provider make informed decisions about your wellness and performance. With the membership, you can sign up to work one-on-one with a certified health coach and get quarterly tests done to see how you’ve improved.
Even though it’s an at-home test, you don’t actually do it yourself. Through the website, you have to book a phlebotomist to draw your blood at your home or office, or walk-in to your local Labcorp. Then, you will complete your intake assessment so they can understand your current health and help you reach your goals. Approximately 10 business days after your visit, your results and plan will be available in your Lifeforce portal. Then, you can review your results with your new health coach.
If you would like to opt-out on the professional evaluation of your results, you can buy the test kit for $549 without signing up for a membership. However, the cost of the test kit is $349 if you do sign up. Once you sign up, the monthly membership costs about as much as a high-end health club membership: The fee is $129, and you can cancel anytime.
It’s important to note that pharmaceuticals, like for testosterone, are available by prescription only, but anyone—even non-members—can purchase Life Force nutraceuticals (supplements).
Specs
| Price | $549 |
| Hormones tested | TSH, FSH, LH, Estradiol, DHEA, IGF-1, Total testosterona, Free testosterone |
| Accepts HSA/FSA | Yes |
| Clinical support | Yes |
| Results time | 10 business days |
| Best for | Active people or athletes |
| Sample type | Blood |
Best at-home hormone test for PCOS: LetsGetChecked PCOS Test
Key product features
What you should know
With its ability to test multiple hormones associated with Polycystic Ovary Syndrome (PCOS), the LetsGetChecked PCOS Test provides valuable information to help pinpoint if PCOS could be the underlying cause of hormonal irregularities and any symptoms you’re experiencing. Here’s why it’s our top pick:
- This test measures seven key hormones that impact women, including testosterone, sex hormone binding globulin (SHBG), free androgen index (FAI), follicle-stimulating hormone (FSH), luteinizing hormone (LH), cortisol, and anti-mullerian hormone (AMH).
- At $139, including free shipping, the LetsGetChecked PCOS Test offers an affordable way to gain hormonal insights compared to similar tests that cost $180 to $400.
- This at-home PCOS test is an ideal choice for people with ovaries, 20 years and older, experiencing symptoms like irregular periods, excess hair growth, weight gain, or acne, provided they are not currently using hormonal birth control, which could skew the results.
- This test is not available in New York.
Why we like LetsGetChecked PCOS Test as best for PCOS
LetsGetChecked PCOS Test offers a detailed look into your hormonal health by evaluating the most common hormones associated with PCOS. The test measures the following seven hormone levels:
- Testosterone
- Cortisol
- Sex hormone-binding globulin (SHBG)
- Free androgen index (FAI)
- Follicle-stimulating hormone (FSH)
- Luteinizing hormone (LH)
- Anti-mullerian hormone (AMH)
PCOS is a hormone disorder affecting about five to six million women in the United States. (5) The condition can cause symptoms such as irregular periods, excess hair growth, acne, and infertility. (5) Since symptoms associated with PCOS have many causes, the condition can be hard to diagnose. PCOS can be diagnosed if two of these three criteria are met: irregular periods, polycystic ovaries, and high androgens (Rotterdam criteria). Sometimes it can take a few years for periods to settle, this is why the diagnosis of PCOS is not truly “available” until the age of 20.
LetsGetChecked PCOS Test provides hormone insights to help you and your healthcare provider reach answers about your hormonal health faster.
This at-home PCOS test arrives in discreet packaging to protect your privacy. The sample collection kit includes lancets, a blood collection tube, a phlebitis assistant to improve blood flow, a saliva collection tube, and detailed instructions.
Samples must be collected on days three to seven of your menstrual cycle. “Many women with PCOS have irregular or absent periods,” adds Dr. Dhargalkar. “If you fall into this category, you can take the test any day between Monday and Friday.”
“Female hormones change with our cycle. So there are different reference ranges at various points in the cycle. They must use the reference range during the menstrual phase so this is their guidance,” notes Dr. Dawoodbhoy.
You’ll need to collect both a saliva and blood sample. The company suggests taking your saliva sample before your blood sample. This is because the saliva sample checks cortisol levels, and drawing blood can sometimes raise cortisol levels .
After completing your blood and saliva test, return your samples to the lab using the prepaid shipping label on the same day. The app will provide your easy-to-understand results in two to five days.
We loved that the LetsGetChecked PCOS test offers personalized guidance from clinical experts. They can help you understand your results and provide recommendations. Adding to the credibility, your test results are thoroughly reviewed by board-certified physicians before being shared with you. This comprehensive support system takes the guesswork out of interpreting complex hormone data.
One of the standout features that gave us confidence in the LetsGetChecked PCOS Test is the stringent accreditation of their laboratories. With Clinical Laboratory Improvement Amendments (CLIA) and College of American Pathologists (CAP) certifications—the gold standards in the industry—these testing facilities adhere to rigorous quality controls. This means proper handling of your sample and reliable results you can trust regarding something as personal as your hormonal health.
This hormone test kit can be helpful for many women, but it’s not suitable for everyone. For example, if you’re currently taking hormonal birth control or undergoing hormone therapy, these medications can affect your results, reducing the usefulness of this test. “Women under 20 years of age should not take this test because hormonal imbalances, acne, irregular periods and other signs of PCOS may be normal at this age,” warns Dr. Dhargalkar. Finally, people without ovaries should not take this test.
The test also requires a small blood sample, so if you have a severe fear of needles or are prone to fainting during blood draws, it’s best to discuss having your hormone levels tested at the doctor’s office instead of doing an at-home blood test. While insurance isn’t accepted now, you can use your FSA or HSA funds to cover the cost of this test. If you change your mind after purchase, unopened test kits can be returned within 14 days of delivery for a partial refund. This test is not available in New York.
What customers are saying
Amazon customers appreciated the fast results and simple process.
“This was such an easy test to do, and I am very happy with how fast I got the results back and with the results themselves. They were very accurate, and the results were sent to my doctor for evaluation and follow-up. Everything went great, and I couldn’t be happier with this test and company.”
Krystal, verified Amazon customer
Since the test provides the best results in the morning on days three through seven of your menstrual cycle, some users noted that it requires some planning. While some customers found the test straightforward, others mentioned difficulties collecting enough blood from the finger prick for an adequate sample.
Per Amazon reviewer Darby, “The saliva collection part was easy enough. No issues there. The blood test was a little more nerve-wracking. I don’t mind someone else taking blood from me, but I am not a fan of deliberately jabbing my finger and trying to wring the blood out of it to fill the little specimen bottle to the line. It is like trying to squeeze blood out of a turnip.”
Specs
| Price | $139 |
| Hormones tested | Testosterone, SHBG, FAI, FSH, LH, Cortisol, AMH |
| Accepts HSA/FSA | Yes |
| Clinical support | Yes |
| Results time | 2–5 days |
| Best for | Women experiencing PCOS symptoms |
| Sample type | Blood and saliva |
Best at-home hormone test for men: Labcorp OnDemand Comprehensive Testosterone Test
Key product features
What you should know
When evaluating your testosterone levels, the Labcorp OnDemand Comprehensive Testosterone Test goes the extra mile. This in-depth analysis measures your total testosterone and breaks it down into the testosterone that’s protein-bound and bioavailable in your system. Here’s why it tops our list:
- This test measures total and free testosterone as well as the proteins albumin and sex hormone-binding globulin (SHBG).
- At $139, the Labcorp OnDemand Comprehensive Testosterone Test provides a detailed and all-encompassing look at your testosterone levels. While other testosterone tests on the market are less expensive, this test offers more comprehensive results.
- For men experiencing potential symptoms of low testosterone levels, such as low sex drive, fatigue, or muscle loss, this test offers an ideal way to evaluate their hormonal status.
- With over 2,000 locations across 19 states, getting this test done is extremely convenient.
Why we like Labcorp OnDemand Comprehensive Testosterone Test as best for men
For a complete picture of male hormone health, look no further than the Labcorp OnDemand Comprehensive Testosterone Test. Rather than just total testosterone, this test evaluates multiple key hormones and proteins like free testosterone, albumin, and sex hormone-binding globulin (SHBG), giving you a simplified yet thorough understanding of your overall levels.
Testosterone is the primary sex hormone in men, affecting sex drive, bone mass, muscle mass, red blood cell production, and fertility. (6) This hormone starts decreasing after age 30 in men, and the levels keep declining throughout their lives. While low testosterone—or male hypogonadism—is common in older men, younger men can also experience dips in their testosterone. (6)
Chronic conditions, genetic disorders, medications, injury, or hormone disorders can also cause low testosterone. Symptoms include reduced sex drive, hair loss, erectile dysfunction, and shrinking testicles. These symptoms can be treated with lifestyle changes and, if needed, testosterone replacement therapy. (7)
Many people are unaware of their testosterone levels. Labcorp OnDemand’s Comprehensive Testosterone Test provides a valuable option if you’re experiencing potential symptoms of low testosterone or simply want to keep tabs on your levels. What separates this test from others is that it measures both total testosterone and free testosterone, which is beneficial since some men can experience issues even with normal total levels if their free testosterone is low. (8)
While we loved that this test is comprehensive, it requires more planning than other options on the market. You can buy your test at home online without visiting your healthcare provider. However, you must go to a Labcorp location to provide your blood sample. With over 2,000 locations across 19 states, a patient service center is likely within driving distance from your home. But, depending on where you live, this could require a road trip.
Although testosterone tests are insightful for many men, they’re not suitable for everyone. Labcorp OnDemand’s Comprehensive Testosterone Test has only been clinically approved for individuals born biologically male. If you were born biologically female but want to check your testosterone levels, consult with your doctor. Additionally, if you take biotin supplements for nail, skin, or hair health, wait at least 72 hours after your last dose of the supplements before taking this testosterone test.
Specs
| Price | $139 |
| Hormones tested | Total testosterone, free testosterone, albumin, SBHG |
| Accepts HSA/FSA | Yes |
| Clinical support | No |
| Results time | Varies (usually one day after the lab receives the sample) |
| Best for | Men experiencing symptoms of low testosterone |
| Sample type | Blood |
Best at-home hormone test for women: LetsGetChecked Female Hormone Test
Key product features
What you should know
Offering a detailed window into a woman’s hormonal landscape, the LetsGetChecked Female Hormone Test emerges as a frontrunner in its ability to analyze key hormones impacting health and fertility thoroughly. Here’s why we think it’s the best choice:
- This test measures four key hormones: follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and estradiol.
- At $139, the LetsGetChecked Female Hormone Test is one of the most affordable options compared to similar tests costing up to $250.
- This test is best if you want to understand more about your hormone levels or are experiencing symptoms of hormonal imbalances.
- Subscription options are available, offering discounts for regular monitoring if you want to continue tracking your hormone levels periodically.
- This test isn’t suitable if you’ve used hormonal contraceptives or hormone therapy in the last three months, as it can affect the results.
Why we like LetsGetChecked Female Hormone Test as best for women
Some women want to understand what’s going on with their reproductive hormones and how they may impact their health and fertility. With its easy-to-understand hormone analysis, the LetsGetChecked Female Hormone Test can help them do just that. Here’s what the test measures:
Follicle-stimulating hormone (FSH): FSH levels may be affected if you have irregular menstrual periods, trouble getting pregnant, or are entering menopause. (9)
Luteinizing hormone (LH): Changes in LH levels may differ depending on your age, where you are in your cycle, and if you’re still menstruating. For example, consistently high LH throughout your cycle can make it harder to get pregnant. (10 , 11)
Estradiol: This is the main form of estrogen in people who have not gone through menopause. (12 , 13) Infertility, menstrual irregularities, delayed puberty, or menopause symptoms can all cause fluctuation in estradiol levels.
Prolactin: While needed for breastfeeding, high prolactin can interfere with ovary function, causing missed periods, fertility struggles, and menopausal side effects like hot flashes. (14)
One thing that stands out is how easy and efficient the process is from the start. The kit includes everything you need—lancets, a blood collection tube, bandages, gauze, and detailed instructions—making it super convenient and hassle-free. To do the test, you’ll need to collect a small blood sample by pricking your finger, which can be uncomfortable or difficult for some people.
You’ll have to provide the sample in the morning on a weekday (Monday through Friday) and return it the same day using the prepaid shipping label. So, this may require some planning. You’ll receive your results on the secure LetsGetChecked app or website within two to five days, and the results are confidential.
We also loved that LetsGetChecked Female Hormone Test offers dedicated clinical support throughout the process. Their clinical team can discuss your results and advise you on the next steps. Plus, the test results are reviewed by board-certified physicians, adding an extra layer of reliability and accuracy to the process.
We appreciate that LetsGetChecked’s laboratories are accredited by the Clinical Laboratory Improvement Amendments (CLIA) and the College of American Pathologists (CAP), which are the highest levels of accreditation in the industry. This means that their testing facilities meet strict quality standards, ensuring that your samples are properly handled and your results are trustworthy.
Be mindful that the test results may not be accurate or useful if you’re currently using hormonal therapy or hormonal contraceptives, as these medications can affect hormone levels. “Biotin supplements can affect the accuracy of this test result, so you should wait at least 8 hours after your last dose before taking your sample,” notes Dr. Dhargalkar. Finally, this test is not recommended for anyone under the age of 18.
The company doesn’t accept insurance, but you can pay with an FSA or HSA card. You can also get a partial refund if you return the unopened test kit within 14 days of receiving it.
What customers are saying
Amazon customers appreciated the convenience of completing these tests at home and the easy-to-follow instructions.
“Based on other reviews, I was worried about getting enough blood. But after registering the kit, my phone walked me through step-by-step instructions that were super clear.”
Steph, verified Amazon customer
Though the test was quick and easy, many reviewers struggled to collect enough blood for their sample. For example, an Amazon reviewer with the username “Jun-Jun” said, “I had to pierce four fingers, and even then, I couldn’t get to that top fill line. Thankfully, the lab was still able to analyze my blood. The results were ready in a few days. I appreciate the service and the tests available. Drawing your own blood can make you feel faint and stressed, so I suggest that you sit down while drawing your blood and have someone available to help you in case you need it.”
Specs
| Price | $139 |
| Hormones tested | FSH, LH, prolactin, estradiol |
| Accepts HSA/FSA | Yes |
| Clinical support | Yes |
| Results time | 2–5 days |
| Best for | Women experiencing symptoms of hormonal imbalance |
| Sample type | Blood |
Best at-home hormone test for perimenopause: Everlywell Perimenopause Test
Key product features
What you should know
A popular and well-known option for understanding hormone fluctuations as you approach menopause, the Everlywell Perimenopause Test emerges as the best at-home test for perimenopause. Here’s why we think it’s the best perimenopause test out there:
- This test measures three key hormones: follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol.
- At $99, the Everlywell Perimenopause Test is comparably priced to other at-home perimenopause tests on the market.
- This test is best if you’re having symptoms that may indicate you’re nearing menopause, such as hot flashes, night sweats, low sex drive, or trouble sleeping.
- Everlywell offers membership options that give you discounts if you want to either keep track of your hormones over time or try their other at-home tests.
- This test is not available in New York. While it’s easy to do at home, Everlywell doesn’t offer support from healthcare professionals to discuss your results or answer questions.
Why we like Everlywell Perimenopause Test as best for perimenopause
Wondering if those hot flashes and mood swings are due to perimenopause? The Everlywell Perimenopause Test simplifies understanding the hormonal changes that happen as you approach menopause by evaluating three key hormones:
Follicle-stimulating hormone (FSH): High FSH levels may indicate that you’re in perimenopause. (9)
Luteinizing hormone (LH): You may have high LH levels several years before menopause. (11)
Estradiol: The most significant drop of estradiol happens during menopause when the ovaries stop producing this hormone. (12)
Perimenopause is the transition phase before menopause when estrogen levels start declining, often beginning in a person’s 30s or 40s. (15) It starts, on average, around four years before the final menstrual period. Common symptoms include irregular periods, along with clinical manifestations of hormonal imbalances such as hot flashes, mood changes, and sleep issues. During this time, your menstrual cycles may become longer or shorter, or you may start skipping periods altogether. (16)
“Some of the long-term health risks of menopause start during the perimenopausal period as well,” says Dr. Dhargalkar. “For example, changes in your cholesterol and lipid levels during perimenopause are what lead to an increased risk of heart disease once you reach menopause.”
The Everlywell Perimenopause Test is for people who still have menstrual periods but may be experiencing perimenopausal symptoms. Still, hormone levels can vary daily and even throughout the day, and other factors unrelated to menopause can influence hormone levels, so a blood test may not be accurate. (17) Discuss your symptoms with your doctor; only they can clinically diagnose menopause after evaluating all symptoms and tests.
An aspect we loved about the Everlywell Perimenopausal Test is the personalized and detailed breakdown of their report, including each marker tested and what the results may mean. Board-certified physicians review the test results, adding reliability and accuracy. The test also includes educational video sessions led by healthcare professionals. Plus, the company offers telehealth services, which is helpful if you don’t have a doctor or can’t get a specialist appointment for months.
Rest easy, knowing your results are coming from a trusted source. The labs behind Everlywell’s Perimenopause Test are Clinical Laboratory Improvement Amendments (CLIA)-approved and meet the highest accreditation standards in the industry.
The test kit has free two-way shipping and contains everything needed to collect a blood sample: lancets, a blood collection card, bandage, gauze, and detailed instructions. If you’re still menstruating, you’ll have to collect the sample on day three of your menstrual cycle, so you’ll need to plan for that.
Prescription medications like hormonal intrauterine devices (IUDs) and combined oral contraceptive pills, as well as supplements like soy, DHEA, and thyroid supplements, may affect the test results.
You’ll have to wait five to eight days for results, which is a bit longer than similar tests on the market. This test isn’t offered in New York. Be mindful that no refunds will be issued once your order has shipped. You may be able to use an HSA or FSA to pay for this test, but insurance will likely not cover it.
The Everlywell Perimenopause Test requires a finger prick to collect a small blood sample, which some may find uncomfortable or difficult. If you have a fear of blood or tend to feel faint during blood draws, this at-home option may not be ideal for you. Your healthcare provider can suggest alternative testing methods.
What customers are saying
Users found the test straightforward, praising the clear directions and helpful online video guide.
“It works well. The test is easy to use and understand. The results were pretty fast. Side note: Maybe I’m just a baby, but those lancets hurt like hell.”
Rockelle, verified Amazon customer
However, many reviewers faced difficulty collecting sufficient blood for the sample. Amazon customer Vicky James shared her experience: “I took the perimenopause test and followed the instructions. It took two weeks to get my results emailed to me, which is quick. The only problem is that the lancets did not make me bleed enough to put drops of blood on their card, so I had to use a diabetic lancet to finish the job.”
In addition to the sample collection challenges, some customers reported problems with improper sample processing, lack of communication from the company, and delayed result reports.
Specs
| Price | $99 |
| Hormones tested | FSH, LH, estradiol |
| Accepts HSA/FSA | Yes |
| Clinical support | No |
| Results time | 5–8 days |
| Best for | Women experiencing premenopausal symptoms |
| Sample type | Blood |
Best at-home hormone test for fertility: Oova Fertility Hormone Kit
Key product features
What you should know
For those eager to gain invaluable insights into their fertility without leaving home, the Oova Fertility Hormone Kit stands out as the best at-home fertility test. Here’s what to know:
- This test measures three key fertility hormones: luteinizing hormone (LH), PdG (a progesterone metabolite), and E3G (an estrogen metabolite).
- At $159, the Oova Fertility Hormone Kit is more expensive than other at-home fertility tests.
- This test is best if you’re trying to conceive and want to track your ovulation window to identify when you’re most fertile. People with PCOS who want to understand their hormone changes may also benefit from this test kit.
- Oova offers monthly membership options that provide discounts if you want to keep tracking your ovulation window.
Why we like Oova Fertility Hormone Kit as best for fertility
The Oova Fertility Test clinched our recommendation due to several key advantages. It’s an at-home urine test that works with a smartphone app to measure three key hormones: luteinizing hormone (LH), PdG (a byproduct of progesterone), and E3G (a byproduct of estrogen). Knowing these hormone levels can help you get a good picture of what’s happening during each phase of your menstrual cycle.
The menstrual cycle has three phases: follicular, ovulatory, and luteal. During each of these phases, hormone levels fluctuate. For example, during the ovulatory phase, LH spikes to cause your ovary to release an egg. As LH increases, estrogen levels decrease. Progesterone levels start increasing during the ovulatory phase. (18) They will peak in the luteal phase, which follows the release of the egg. Estrogen levels will also have a small peak during the luteal phase.
The Oova Fertility Test tracks these hormone fluctuations throughout your cycle, helping you understand your fertility and ovulation patterns. For those undergoing fertility treatment, the test offers additional cycle insights to complement your doctor’s care.
The kit includes a handle, holder, and 30 disposable cartridges (15 that measure LH/PdG and 15 for E3G)—enough for a complete cycle. On some days, you’ll scan just an LH/PdG test; on others, you’ll scan an E3G test; on certain days, you’ll scan both strips.
To do the test, you’ll provide a urine sample on the cartridge, start the 10-minute timer in the app, and scan the cartridge using your phone’s camera. The app’s algorithms analyze the results and provide hormone concentrations, telling you where you are in your cycle. Before you buy this test, check your phone, as you’ll need an iOS device with v12.3 or higher or an Android device with v9 or higher to use the app.
It’s best to use your first-morning urine and test at about the same time daily, as hormones fluctuate throughout the day. Not providing enough urine or splashing urine into the test strip’s window can prevent the scan from running properly.
One of the things our tester loved about Oova is how easy it is to use. The app’s Oova Guidance feature offers a personalized scanning schedule and fertility status based on your hormone levels. Our tester noted how the algorithm may take a while to recognize your specific fertility levels based on your results. For example, when our tester scanned the LH/PdG, the app stated that she was not in the fertile range. However, when she scanned the estrogen test next, the status changed to “fertile.”
She also noted that when she had an LH surge, the app claimed it was a “peak” status, but the next day it said “fertile” instead of ovulation, which was when she was ovulating. It may take a couple of months for the algorithm to fully understand your cycle and levels, as everyone is different.
The app also allows you to track various features such as your period, breast tenderness, and sexual activity, all of which play a unique role in understanding your fertility.
Remember that the Oova Fertility Hormone Test doesn’t diagnose fertility issues, but it can give you a quick look at your hormone levels during your cycle. It’s an easy, non-invasive way to see how your hormones change when you ovulate. While it’s not an official medical test, it provides a simple snapshot that can help you better understand your fertility.
What customers are saying
Amazon customers had mixed opinions about the Oova Fertility Test. A reviewer with the username “Husker4Life1976” acknowledges the high price point but notes, in their four-star review, “If you are really trying to conceive, then most will pay even more for assistance with unexplained fertility issues.” They also praise the “fairly attractive packaging” and “accurate results.”
“The fact that it’s interactive with your phone is great. You scan your tests, and it gives you all the information you need to know, what to do, and when to do it. If you know what I mean, that is gold!”
“Twinpossible”, verified Amazon customer
They also appreciated the test’s ability to measure both LH and progesterone levels without requiring bloodwork or a doctor’s visit and gave it a four-star rating.
However, some people, like an Amazon user with the username “Placeholder,” expressed frustration with the app, saying, “The app is faulty and is not as accurate as other apps. The app consistently crashes, and in an already stressful time, I don’t want to email support daily just to get my results for a system that costs well over $160.”
Overall, these reviews suggest that while the Oova Fertility Test offers unique features and accurate results, its high cost and potential app issues may be drawbacks for some users.
Specs
| Price | $159 |
| Hormones tested | LH, PdG (a progesterone metabolite) and E3G (an estrogen metabolite) |
| Accepts HSA/FSA | Yes |
| Clinical support | No |
| Results time | About 10 minutes |
| Best for | People who want to track their ovulation window and understand hormonal changes |
| Sample type | Urine |
Best at-home hormone test for thyroid hormones: Everlywell Thyroid Test
Key product features
What you should know
The at-home thyroid test from Everlywell provides hormonal testing for four markers of thyroid health, including thyroid stimulating hormone (TSH), triiodothyronine (Free T3), thyroxine (Free T4), and thyroid peroxidase antibodies (TPO Ab). From placing the initial order to shipping and testing, Everlywell makes the process seamless and convenient.
- Ordering, collecting a sample, and sending it back to the lab is simple and straightforward.
- Each kit contains everything you need to collect a fingerstick sample quickly from home.
- At $149, including free shipping, the Everlywell Thyroid Test is a premium product compared to other at-home thyroid tests, which typically range from $50 to $99 each.
- This thyroid test is best for adults experiencing potential symptoms of thyroid issues, such as unexplained weight changes, feeling too hot or cold, skin/hair problems, or mood disturbances.
- This test is not available in New York.
Why we like Everlywell Thyroid Test as best for thyroid hormones
The Everlywell Thyroid Test measures blood levels of the three most important hormones related to thyroid health: T3, T4, and TSH, plus thyroid antibodies. Diseases of the thyroid, such as hypothyroidism, where the gland is under-functioning, and hyperthyroidism, where the gland is over-functioning, are very common. (19) About 20 million Americans have some kind of thyroid disease, and more than half of people with thyroid disease don’t know they have the condition. (20)
Symptoms of hypothyroidism include fatigue, thinning hair, brittle nails, slow heart rate, unexplained weight gain, feeling cold, dry skin, and depression. (21) Symptoms of hyperthyroidism include difficulty sleeping, unexplained weight loss, heat sensitivity, clammy skin, anxiety/irritability, and a fast heart rate. (22)
The test includes free shipping to and from your home. The kit contains everything you need to perform the finger-stick blood collection test: two lancets, gauze, an alcohol pad and band-aid, a collection card, a sample collection bag, and a return label. Once the kit arrives, you must register it on Everlywell’s website or app before it can be used (and you must register within three months of receiving it).
Accuracy tops the priority list for users, and the Everlywell Thyroid Test doesn’t disappoint. We especially appreciated the quality of the lab testing and physician oversight. All of their at-home tests are processed in Clinical Laboratory Improvement Amendments (CLIA)-certified laboratories, which means they meet stringent federal testing guidelines, so you have peace of mind regarding the accuracy and handling of your sample and results.
Our research showed all results are reviewed by board-certified physicians, which is a significant benefit. In addition to a detailed lab report, if your results are out of range, someone from the clinical care team will contact you to provide education and discuss your treatment options.
If you have thyroid dysfunction symptoms, you want answers quickly. The Everlywell Thyroid Test is a convenient, easy-to-use at-home test that can provide information about your thyroid health, which you can discuss with your health care provider. In addition, if you don’t have a doctor or an appointment with a specialist is months away, they offer telehealth services where you can even get treatment for your thyroid condition if you qualify.
While this test provides an easy, efficient way to check thyroid hormone levels, it’s not for everyone. It requires a finger-stick blood sample, so it may not be ideal for those who get queasy at the sight of blood.
At-home tests are not a substitute for medical-grade testing or treatment and do not constitute a medical diagnosis. Because of this, the company recommends that you share your results with your healthcare provider and follow their recommendations.
This test isn’t an option for those in New York. Once your order ships, you can’t get a refund. The company says insurance may cover part of this thyroid test, which is a plus, but check with your insurer.
What customers are saying
Customer reviews of the Everlywell Thyroid Test are mixed. While some customers appreciate the test’s convenience and accuracy, many reported poor customer service when they experienced shipping, registration, or supplies issues.
“The directions were simple, and the results came quickly. They even followed up with a phone call and said I could speak with a doctor for free (since my results came back with numbers indicating hypothyroidism). I plan on making an appointment with my family physician, though. The results were very detailed and very informative. I’m glad I decided to test.”
Amy R., verified Amazon customer
Conversely, Zach, another verified customer on Amazon, said, “I got this kit and wanted to send it back in as soon as possible, eager to get my results. This has been the biggest pain. My kit won’t register. The numbers on my box to call support don’t match, first of all, and neither of them works. The email address never even replied.”
Specs
| Price | $149 |
| Hormones tested | T3, T4, TSH, TPO Ab |
| Accepts HSA/FSA | Yes |
| Clinical support | Yes |
| Results time | 5–7 days |
| Best for | Adults with thyroid dysfunction symptoms |
| Sample type | Blood |
How we test at-home hormone tests
At-home hormone tests can provide helpful data about your hormone levels so you can discuss the next steps with your doctor. We understand the importance of ease of use, clarity of results reports, and reliability, so we rigorously evaluate each test before recommending them to our readers. We want you to confidently choose the best option for your situation and preferences. Read our at-home hormone test methodology for more information on our testing process.
Testing criteria
Accuracy and reliability—40%
Accurate test results are the most important element of at-home testing kits, as they form the basis for the user’s health decisions. Whether you’re exploring your genetic background, tracking fertility cycles, or identifying food sensitivities, the integrity of the data provided by these tests is crucial. Reliable results help users confidently make informed decisions for personal health management or discussions with their healthcare provider.
Here’s what we look for:
- Measurement precision
- Consistency
- Environmental influence
- Sample integrity
- Lab standards
Ease of use and accessibility—30%
The ease of use and accessibility of at-home testing kits determine how effectively individuals can utilize these products. A testing kit may offer the most advanced technology and accurate results, but its benefits are significantly diminished if it is not user-friendly. Ensuring that these kits are accessible and easy to use empowers a broad range of users, including those who may not have prior experience with medical testing or technology. This enhances the likelihood of correct usage, accurate sample collection, and reliable results, ultimately improving the overall experience and satisfaction. We evaluate:
- Instruction clarity
- Sample collection process
- Online platform usability
- Support resources
- Accessibility features
Value—20%
Evaluating the value of at-home testing kits is critical, encompassing the initial purchase price, long-term financial implications, and overall cost-effectiveness. A high-value kit delivers reliable results without imposing excessive costs over time, so users can receive meaningful health benefits for their investment.
We evaluate:
- Cost of the kit
- Insurance coverage
- Long-term cost analysis
- Warranty
Customer experience—10%
A positive customer experience helps users feel supported, informed, and satisfied at every stage of their interaction with the kit. This category considers multiple touchpoints, including customer service, delivery and packaging, user feedback, and return policies. By prioritizing customer experience, we aim to recommend products that not only meet technical and performance standards but also provide a seamless and supportive user experience.
Our factors in this rating include:
- Customer service
- Delivery and packaging
- User feedback and reviews
- Return policy
How do at-home hormone tests work?
At-home hormone tests can measure different hormones in your body, such as estrogen, testosterone, progesterone, thyroxine, and others. When looking into how to test hormone levels at home, you’ll find different options depending on the test. Some require a small blood sample from a finger prick, while others involve collecting urine or saliva swabs.
Once you have your sample, some tests will ask you to ship the kit to their lab for analysis. After analyzing the samples, the results are compared to normal hormone levels to see if there’s any imbalance. The test companies then send the results directly to your doctor if desired. Other tests give you the results right away at home. It’s important to follow the instructions carefully to ensure accuracy.
The good thing about at-home hormone tests is that they’re convenient, quick, and confidential. They can also be more affordable than going to a clinic or lab for testing.
At-home tests may indicate a hormonal imbalance, but discussing your results with a qualified healthcare professional is always best. They can help you understand what the results mean and make recommendations.
Types of hormone tests
There are quite a few hormone test options, such as:
Fertility tests
These check hormones like FSH, LH, and progesterone, which play a significant role in ovulation and your ability to conceive. These tests may help you determine if you’re ovulating regularly and when your most fertile days are.
Thyroid tests
Your thyroid gland makes hormones that control your metabolism. Testing thyroid hormones like TSH, T3, and T4 can show if your thyroid is over- or underactive, which can affect your energy, weight, and more.
Female hormone tests
These tests look at estrogen, progesterone, and other hormones that affect women’s health. They can give clues about menopause, PCOS (a common hormone disorder), and more.
Male hormone tests
Men can check hormones like testosterone, which is important for energy, muscle, and sex drive.
Additional tests
You may find tests on stress hormones, sleep hormones, and more. With at-home hormone tests, you can choose the ones that fit your needs and goals based on your symptoms and what you want to learn more about.
How to choose the best at-home hormone test
Selecting the best at-home hormone test may be challenging with so many options. Here are some important questions to consider:
What hormones do I want to check?
Different tests measure different hormones. Some focus on fertility hormones like FSH and LH, while others look at testosterone, thyroid hormones, cortisol (the main stress hormone in your body), melatonin (the primary hormone that affects your sleep patterns and hormones related to the perimenopause and postmenopausal stages of life, such as estradiol and progesterone. Consider which hormones are most important for your health goals and ensure your chosen test includes them.
How do I want to provide my sample?
At-home tests can use urine, saliva, or a small blood sample from a finger prick. Urine and saliva tests are convenient and less invasive. Some people may be uncomfortable with pricking their fingers for a blood sample. Consider what you’re most comfortable with when deciding.
Is the test reliable?
Look for tests from reputable CLIA-certified brands (meaning they meet high-quality standards). Bonus points if medical professionals review the results before you get them. This helps ensure your samples are properly handled and results are trustworthy.
What’s my budget?
At-home tests can vary in price depending on the brand and the number of hormones they measure. Some may be covered by HSA or FSA accounts. Figure out what you’re comfortable spending and look for tests that offer the best value for your money.
What are other people saying?
Reading customer reviews can give you a sense of how easy the test is to use, what most people struggle with, and how helpful the company’s support is.
Any extra perks?
Some tests have bonus features, such as personalized reports and access to healthcare experts or educational resources. If those things are important to you, consider them when making your decision.
FAQs
Are at-home hormone tests accurate?
According to medical experts, at-home hormone tests that use Clinical Laboratory Improvement Amendment (CLIA)-approved laboratories and include physician oversight of the results can be a helpful, accurate screening option in some situations.
However, the industry is currently unregulated. (3) Issues like improper sample collection, low-quality testing materials, and inadequate guidance can lead to inaccurate results. Also, unnecessary or inaccurate test results can cause anxiety and lead you to get extra tests or treatments you don’t need. (23)
Most tests, your medical history, and a physical exam should be reviewed. Always see your doctor if you’re feeling sick or worried about your symptoms and if the test instructions suggest it. (3)
What is the best test for hormonal imbalance?
There is no single “best test” for hormonal imbalance because the human body has over 50 hormones. (4) Hormonal issues can stem from various underlying conditions. The right test depends on your specific symptoms and situation.
If you think you may have a hormonal imbalance, the best first step is to talk to your healthcare provider. After evaluating your medical history and doing an assessment, they can determine which hormone test(s) would be most appropriate for you.
Why don’t doctors check hormone levels?
Doctors check hormone levels when there’s a clinical reason to do so, such as if you have symptoms suggesting a hormonal imbalance. (17) However, symptoms of hormonal imbalance are often very vague and general and can be due to many different medical conditions. “ What may seem like a sign of a hormonal imbalance could actually be due to another, more serious and potentially life-threatening, cause,” states Dr. Dhargalkar. “Doctors will often opt to rule out these conditions prior to checking hormone levels. In addition, every person’s hormone levels are consistently fluctuating throughout the day. Therefore, using a blood test that measures your hormone levels at a single point in time to make major medical decisions is not always in the best interest of your health.”
How do I know if my hormones are off?
Because there are so many different hormones and endless conditions that can affect them, the best thing you can do if you feel like something is wrong with your body is to seek medical care from a licensed medical professional . They have the experience and medical training to assess your symptoms, examine your medical history, and recommend testing to determine if hormonal imbalance is the culprit.
Our experts
Dr. Aneesha Dhargalkar
Dr. Aneesha Dhargalkar is a board-certified emergency medicine physician currently practicing in West Chester, PA. She graduated cum laude from John Hopkins University in 2002 and from Jefferson Medical College in 2006. After this, Dr. Dhargalkar attended and completed a three-year residency program in emergency medicine at Temple University Health System. Dr. Dhargalkar is the director of her hospital’s wellness provider program and sits on the executive board of both the Chester County Suicide Prevention Task Force and the Unionville Chadds Ford School District Education Foundation.
Dr. Fatema Dawoodbhoy, MBBS, BSc
Dr. Dawoodbhoy MBBS BSc (she/her) is an Academic Doctor working in London with a keen interest in Obstetrics & Gynaecology. She is a double graduate from Imperial College London with an MBBS and a BSc in Business Management (First Class Honours).
Heather Morsellino
Heather Morsellino is a freelance writer and fact-checker with over four years of experience in healthcare. She has worked as a pharmacy technician, emergency room medical scribe, and anesthesia technician in the operating room and will finish her ADN within the following year.
Maggie Aime, MSN, RN
Fortune Recommends Longevity Writer
About Author
Maggie Aime, MSN, RN, is a health, wellness, and medical personal finance writer. With over 25 years of experience in healthcare, she draws on her rich background in nursing, case management, revenue management, medical coding, and utilization review nurse consultant to create educational and empowering content.