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Fertility

Reviewed by WeighedHealth Editorial Team · Last reviewed July 2026

Fertility programs,
compared.

Compare at-home fertility tests, women's hormone panels, sperm analysis, ovulation tracking, from licensed clinical labs.

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We rank by →Clinical modelPricing transparencyWhat's includedCancellation easeState availabilityReal-user reviews

Top fertility programs

Showing programs available in:
  1. #1
    Legacy

    Legacy — at-home sperm analysis + freezing

    "Legacy is the only major at-home sperm analysis brand with freezing services."

    • Test from $295 one-time
    • Freezing from $1,000
    • CLIA-certified analysis
  2. #2
    Inito

    Inito — confirms ovulation with hormone strips

    "Inito's specific advantage is confirming ovulation post-LH-surge (most home tests only predict the surge, not the actual ovulation event)."

    • Monitor + strips from $149
    • Confirms ovulation (not just predicts)
    • App-based tracking
  3. #3
    Mira

    Mira — AI-powered ovulation tracking

    "Mira's analyzer + strip system is more accurate than commodity ovulation tests because it measures actual hormone concentrations (LH, E3G, PdG) rather than just LH-surge spikes."

    • Analyzer + strips from $199
    • Tracks LH, E3G, PdG
    • AI fertile-window prediction
  4. #4
    Modern Fertility

    Modern Fertility — at-home women's hormone test

    "Modern Fertility (now part of Ro) made comprehensive at-home hormone testing accessible at a price point ($159) that no in-clinic equivalent matches."

    • $159 one-time test
    • Tests 7 key hormones
    • Physician-reviewed results

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Availability by state

Number of partner programs prescribing in each state.

4 programs total

Frequently asked

Modern Fertility vs Mira — which should I use?+

Modern Fertility ($179) is a one-time at-home blood panel measuring AMH, FSH, LH, estradiol, TSH, prolactin — a snapshot of ovarian reserve. Mira ($169 device + $20/month strips) is a quantitative ovulation monitor measuring LH/E3G/PdG on urine. Different problems. Use Modern Fertility for baseline planning, Mira when actively trying.

Can at-home fertility tests be trusted?+

Yes when from CLIA-certified labs. Modern Fertility uses CLIA-certified labs with >95% concordance to clinic blood draws. Limitation is interpretation — AMH predicts ovarian reserve (quantity), NOT egg quality OR pregnancy likelihood per cycle. Discuss results with a fertility specialist or OB/GYN.

Is Legacy sperm analysis accurate?+

Legacy mails a collection kit, you produce a sample at home, overnight-shipped to a CLIA-certified andrology lab analyzing against WHO 2021 criteria. Same caliber as clinic-based analysis. Trade-off: overnight shipping affects motility slightly. Sufficient for initial screening; pre-IVF or suspected severe infertility, prefer in-clinic.

How much do at-home fertility tests cost?+

Modern Fertility hormone panel $179 one-time. Mira ovulation monitor $169 device + $20/month strips. Legacy sperm analysis $185-310 depending on tier. In-clinic AMH testing $50-200 + visit fee. Insurance rarely covers at-home; HSA/FSA eligible.

How do I choose between fertility programs?+

Compare on five things: clinical model (who's prescribing and their credentials), full out-of-pocket pricing (not just headline price), what's included (medication, coaching, follow-up), cancellation terms, and state availability. Our assessment surfaces the program most aligned with these factors based on your answers.

Are these programs covered by insurance?+

It depends on the program. Some fertility services are in-network with major insurers (especially mental health, BP, cholesterol). Others are cash-pay only (most compounded GLP-1 and on-demand ED). Use the assessment to filter for insurance-friendly options.

Is online care as good as in-person care?+

For many chronic conditions, online care is clinically equivalent and often more accessible, the FDA and major medical bodies now recognize telehealth as a valid model. However, in-person evaluation is still required for some procedures and emergencies. The partner programs we compare all use licensed US providers.

Will my employer or insurance see this?+

If you pay cash, no, there's no claim filed. If you use insurance, the partner brand bills under standard CPT codes, which may appear on your explanation of benefits. Each partner discloses their billing approach during intake.

What happens if a program isn't working?+

Every partner we list lets you cancel at any time. Most also offer a money-back guarantee or first-month refund if results don't meet expectations. We surface cancellation policies in each program's review.

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