Best hormone tests for women.

Modern Fertility — now part of Ro — built the only major at-home hormone panel that takes cycle timing seriously. Collection must happen on cycle day three (with allowances for irregular cycles), and the seven markers it covers — AMH, FSH, LH, estradiol, prolactin, TSH, free T4 — are exactly the panel a reproductive endocrinologist would order for a fertility workup. The app pairs results with context that is genuinely useful for fertility planning.

What we like: cycle-timing rigor is the single most important variable in a hormone panel, and Modern Fertility treats it as non-negotiable. The app's plain-English explanations of AMH, FSH:LH ratio, and prolactin are written by people who clearly understand the population using them.

What we do not like: the panel is narrow by design. It will not tell you about iron, vitamin D, or general metabolic health. The Ro acquisition has also softened the once-neutral information layer with a funnel toward Ro's fertility services.

Best for: women planning pregnancy in the next one to three years, anyone considering egg freezing, women with irregular cycles trying to understand their hormone baseline. Worth discussing the result with a reproductive endocrinologist before any clinical action.

Mira is a different category of product. Rather than a one-time snapshot, the Mira monitor reads quantitative levels of urine metabolites — estrone-3-glucuronide (E3G), LH, FSH, and pregnanediol glucuronide (PdG) — across an entire cycle. You urinate on a test strip, insert it into the device, and the app charts the levels over time. The product was built for fertility tracking and confirmation of ovulation, and it has earned its place in that conversation.

What we like: Mira is the only consumer-facing product that gives quantitative — not just positive/negative — urine readings across the cycle. For a woman who wants to actually see her ovulation pattern, confirm progesterone rise (via PdG) post-ovulation, and understand whether her luteal phase is healthy, this is the most rigorous home tool available.

What we do not like: the ongoing cost adds up. A box of strips covers part of a cycle; tracking multiple cycles can run $50 to $100 a month. The app's interpretation is also light — it will show you the chart but it expects you to know what you are looking at. And urine metabolites are useful but they are not the clinical reference standard for diagnostic decisions.

Best for: women trying to conceive who want to confirm ovulation and assess luteal phase health, anyone whose cycles are irregular and who needs pattern data rather than a single reading. Speak with a qualified clinician about interpreting the patterns.

Quest Health is the direct-to-consumer arm of Quest Diagnostics, the lab network that processes a large share of U.S. physician-ordered blood work. The women's hormone panel covers estradiol, progesterone, FSH, LH, TSH, free T4, prolactin and testosterone — selectable, configurable, and processed at a real Quest lab. No physician referral required.

What we like: the price is shockingly good for a venous-draw hormone panel. The accuracy is, by definition, the same as if your doctor had ordered the panel — same lab, same equipment, same reference ranges. You walk into a Quest draw station, a phlebotomist takes blood, and the result lands as a PDF in one to three business days.

What we do not like: no clinical layer included. No MD review, no app explanation, no fertility-specific context. For a reader who knows exactly which markers they want — and on which cycle day — this is fine. For a first-time hormone-testing reader, the Modern Fertility format with included context is the better starting point. You also need to handle the cycle-timing logistics yourself.

Best for: cost-conscious readers, women who already know which markers they want tested, anyone who lives near a Quest draw station and can time the visit to the right cycle day. Discuss the result with a qualified healthcare provider.