At-Home Fertility Testing for Couples: Both Partners, One Workup
Most at-home fertility tests check one person: a sperm kit for him or a hormone kit for her. Gala Fertility tests you as a couple. He collects a sample with a private kit shipped to your home, she gives blood at a walk-in lab and has a pelvic ultrasound nearby, and one clinician reads both sets of results together. It starts with a $29.99 introductory video meeting.
For male-female couples, both partners 18 or older.
What each partner tests
| Him | Her | |
|---|---|---|
| Sample | Semen, collected at home with a private kit and mailed back | Blood at a walk-in Quest lab on day 2 to 5 of her period, and a urine sample |
| Main measures | Semen volume, pH, sperm concentration, motility and morphology | AMH, FSH, estradiol, LH, prolactin and TSH |
| Extra bloodwork | FSH, LH, TSH, total and free testosterone and SHBG, if the clinician indicates it | HIV, hepatitis B and C, syphilis, chlamydia, gonorrhea, and immunity to measles, rubella and chickenpox |
| Imaging | None | Transvaginal pelvic ultrasound, booked for her near home |
| Account | No login of his own: his results sit in your shared account | The shared account, portal and app |
Only two things happen outside your home, and both are hers: one blood draw and one ultrasound. His part never needs a lab visit unless his clinician asks for bloodwork.
Why test both of you at once
ASRM's committee opinion on evaluating infertility says that when a male partner is contributing to the pregnancy, evaluation of both partners should begin at the same time, and that at least one semen analysis belongs at the start because a male factor is so common.
Testing her first and him months later is still how many couples do it, and it costs them time they did not need to lose. A his-and-hers workup puts both answers on the table in the same weeks, read by the same person.
How the results are reviewed
A licensed clinician reviews your shared intake, orders the tests and reads every result for both of you. Results appear in your portal once they have been reviewed. Then you meet your clinician together on one video visit: what each result means, how they fit together and what to do next.
Next can be a plan run one cycle at a time, with letrozole or clomiphene if your clinician decides it is right for you, or a referral to a fertility clinic or reproductive urologist when a finding is best handled in person.
Couples workup vs single-partner kits
| Single-partner home kit | Gala Fertility couples workup | |
|---|---|---|
| Who is tested | One person | Both partners |
| What you learn | One measure or panel, such as a sperm count screen or an AMH level | Hormones, ovarian reserve, uterus and ovaries, a full semen analysis and preconception screening |
| Ultrasound | No | Yes, booked near you |
| Who reads it | You, with a lab report | A licensed clinician, then a video visit with you both |
| What happens next | Up to you | A plan one cycle at a time, medication if prescribed, or a referral |
| Listed price | Sperm screening kit $99.95; mail-in semen analysis $145 to $295; AMH alone $139 to $141 (checked November 11, 2026) | $29.99 introductory meeting, credited to your first cycle if you start; then one all-inclusive price per cycle, shown before you commit, with all program tests for both of you |
Home screening tests answer a narrow question. The FDA decision summary for SpermCheck Fertility, for example, describes a test built around a cutoff of 20 million sperm per milliliter: it says nothing about how sperm move or how they are shaped, which a lab semen analysis measures.
Are at-home fertility tests accurate?
Accuracy depends on what the test claims to tell you. AMH is measured reliably, but ASRM says ovarian reserve markers are poor predictors of the chance of pregnancy independently of age, and a JAMA study of 750 women aged 30 to 44 without a history of infertility found that low AMH was not linked to a lower chance of conceiving. A sperm screening result can also change from one sample to the next. That is why a clinician should read home results in context, and why a couple's workup beats two separate kits.
The at-home semen analysis kit does not ship to Alaska or Hawaii. Couples there can still join and have his kit delivered to another address they have in the continental US.
Questions, answered
Is there an at-home fertility test for couples?
Yes. Gala Fertility tests both partners as one workup: his semen analysis with a kit at home, her bloodwork at a walk-in lab and a pelvic ultrasound nearby, all read by one clinician. You start with a $29.99 introductory video meeting.
How much does a fertility test for couples cost?
Bought separately, a mail-in semen analysis was listed at $145 to $295 and an AMH test alone at $139 to $141 on November 11, 2026. With Gala Fertility you start with a $29.99 introductory meeting, credited to your first cycle if you start, and testing for both of you is included in the plan.
Do men and women take the same fertility test?
No. His core test is a semen analysis, with hormone bloodwork when indicated. Hers is hormone bloodwork, preconception screening and a pelvic ultrasound.
Are at-home fertility tests accurate?
They can measure what they claim, but most check one thing in one person. ASRM says markers like AMH do not predict the chance of pregnancy on their own, and sperm results vary between samples, so results need a clinician's reading.
Do we need to go anywhere in person?
Only her: one blood draw at a walk-in Quest lab and one pelvic ultrasound at an imaging center near you. His semen analysis is done at home, and he visits a lab only if his clinician asks for bloodwork.
Can couples in Alaska or Hawaii use it?
Yes, with one change. The at-home semen analysis kit does not ship to Alaska or Hawaii, so his kit has to go to another address you have in the continental US.
A $29.99 first step
Book an introductory video meeting with our care team. If you both agree to start, your plan begins and the $29.99 is credited to your first cycle. After that, your plan is one all-inclusive price per cycle, shown before you commit: medication if prescribed, a check-in after every cycle, your video visits, messages with your care team and all program tests for both of you. See what the program includes.
Sources
- Practice Committee of ASRM. Fertility evaluation of infertile women: a committee opinion. Fertil Steril. 2021.
- Practice Committee of ASRM. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2020.
- Steiner AZ, et al. Association between biomarkers of ovarian reserve and infertility among older women of reproductive age. JAMA. 2017.
- NICHD, NIH. How is infertility diagnosed?
- FDA. 510(k) substantial equivalence decision summary: SpermCheck Fertility (K100341). 2010.
- Labcorp OnDemand. Women's Fertility AMH Test ($139). Checked 2026-11-11.
- Quest Diagnostics (questhealth.com). AMH Marker Test ($135 + $6) and Ovarian Reserve panel ($219). Checked 2026-11-11.
- Legacy. Sperm testing kit ($145 basic, $295 standard). Checked 2026-11-11.
- YO Home Sperm Test. 3-test kit ($99.95). Checked 2026-11-11.
General information, not medical advice. Your clinician interprets your own results.
Learn more
- Gala Fertility: how the program works
- What fertility testing includes
- Male fertility test at home
- Female fertility test
- AMH and ovarian reserve testing
- Online fertility doctor
- Help for couples trying to conceive
- Fertility blood tests for her and him
- Fertility ultrasound and follicle count
- Where fertility telehealth is available
- AMH levels by age
- At-home semen analysis
- How long to try before fertility testing
- letrozole vs. Clomid
- letrozole for fertility
- Clomid prescription online
- trying to conceive with PCOS
- are at-home fertility tests accurate
- trying to conceive on a GLP-1
- male infertility causes
- fertility test cost
- does insurance cover fertility testing
- AMH test cost
- semen analysis cost
- best at-home fertility tests
- fertility insurance by state