Last updated November 12, 2026 · Reviewed by the Gala Health team
How we compared, and our conflict of interest
Gala publishes this page and sells Gala Fertility, which appears in the comparison. The semen analysis kit in Gala Fertility comes from Fellow, which is also listed. To keep that from tilting the comparison, the tables list products alphabetically and do not rank them, every row gets its main drawback, Gala's included, and every price comes from the brand's own website, checked on November 12, 2026. We did not buy and test the products; the descriptions are what each brand says its test measures.
What each test measures
| Test | Who it tests | What it measures | Sample |
|---|---|---|---|
| Everlywell Women's Fertility Test | Her | Estradiol, LH, FSH, TSH and total testosterone | Finger prick, mailed to a lab |
| Fellow Semen Analysis | Him | Volume, concentration, count, motility, morphology and total motile count | Semen, mailed overnight to a CLIA-certified lab |
| Gala Fertility | Both partners | Her: AMH, FSH, estradiol, LH, prolactin, TSH, preconception screening and a pelvic ultrasound. Him: a full semen analysis, plus bloodwork if indicated | Her blood at a Quest lab and an in-person ultrasound; his semen by mail-in kit |
| Inito Fertility Monitor | Her | Urine estrogen, LH, PdG (a progesterone marker) and FSH | Urine test strips read by the Inito monitor |
| Legacy semen analysis | Him | Basic: volume, count, concentration, motility. Standard adds morphology; Advanced adds DNA fragmentation | Semen, mailed overnight to a lab |
| LetsGetChecked | Her | Ovarian Reserve Test: AMH. Female Hormone Test: FSH, LH, prolactin and estradiol | Finger prick, mailed to a lab |
| Mira Ultra4 Kit | Her | Urine LH, E3G (estrogen), PdG and FSH | Urine wands read by a Mira monitor |
| Proov | Her, or both with Hers and His | Complete: urine FSH plus estrogen, LH and PdG. Hers and His adds a YO test of his motile sperm concentration | Urine strips and, for him, a home sperm test |
Price and main drawback
| Test | Listed price (checked on 2026-11-12) | Main drawback |
|---|---|---|
| Everlywell Women's Fertility Test | $149 | Listed as out of stock when we checked, and it does not include AMH. |
| Fellow Semen Analysis | $199, shipping both ways included | The male side only: it tells you nothing about her. |
| Gala Fertility | $29.99 introductory video meeting with the care team, credited to the first payment; the program price is set after it | Not all at home: her blood draw and pelvic ultrasound are in person, and the program price is not published before the meeting. |
| Inito Fertility Monitor | $169 (shown at $119 as a launch offer) | Tracks her cycle only: no AMH and nothing for him. |
| Legacy semen analysis | $145 Basic, $295 Standard, $495 Advanced (listed as sale prices) | The $145 Basic kit leaves out morphology, so a full analysis costs $295. |
| LetsGetChecked | $139 per kit | AMH and the other hormones are separate $139 kits, and AMH alone does not predict natural fertility. |
| Mira Ultra4 Kit | $249 with 20 wands ($181.77 with Mira's 27% code through November 19) | Mira says Ultra4 results are not intended to diagnose or indicate egg supply or any medical condition. |
| Proov | $99.99 Complete; $179.99 Hers and His (regular $203.99) | The couples kit's sperm test reports motile concentration only, not a full semen analysis. |
Prices are each brand's listed price on November 12, 2026, before tax and any coupon codes unless stated. They change often; check the brand's site before you buy.
Urine hormone monitors: Inito, Mira and Proov
These read hormones in urine across a cycle to find the fertile window and confirm ovulation. All three measure LH, an estrogen marker and PdG; all three add FSH. They are tracking tools: Mira states that its Ultra4 results are not intended to diagnose or indicate egg supply or any medical condition.
A urine FSH reading is not the same as an AMH blood test. ASRM's committee opinion on ovarian reserve testing notes that ovarian reserve markers are poor predictors of reproductive potential independently from age, whatever the test. What these monitors do well is map your cycle: when you are fertile and whether you ovulated.
Finger-prick blood kits: LetsGetChecked and Everlywell
These are lab tests with a home collection step: you prick a finger, fill a card or tube and mail it to a lab. LetsGetChecked sells AMH on its own ($139) and an FSH, LH, prolactin and estradiol panel ($139). Everlywell's $149 kit measures estradiol, LH, FSH, TSH and total testosterone, without AMH.
What they cannot tell you: AMH estimates how many eggs remain, not whether you will conceive. In a JAMA study of 750 women aged 30 to 44 with no history of infertility, low AMH was not associated with a lower probability of conceiving. See AMH levels by age and AMH test cost for lab alternatives.
Semen kits: full analysis or screening test
Fellow and Legacy are mail-in kits: he collects at home and ships the sample overnight to a lab, which reports the numbers a clinician would look at. Legacy's $145 Basic kit omits morphology; its $295 Standard kit and Fellow's $199 kit include it.
The YO test in Proov's couples kit, and in Mira's separate male kit, is a home screening test of motile sperm concentration. The FDA lists the YO Home Sperm Test as a cleared home sperm test, but a screen is not a full semen analysis. Male factor is part of the problem in about half of infertile couples, according to the AUA/ASRM guideline, so a full analysis is worth paying for. More in at-home semen analysis and semen analysis cost.
Which test fits your situation
- Just starting and want to time sex or confirm ovulation: a urine monitor (Inito, Mira or Proov).
- Curious about egg supply before you start trying: an AMH blood test, knowing it does not predict natural fertility.
- Want to check his side: a full mail-in semen analysis (Fellow, or Legacy Standard) rather than a screen.
- Trying for 12 months, or 6 months at 35 or older: ASRM recommends evaluating both partners. That is a workup with a clinician, not a single kit: Gala Fertility, or a fertility clinic.
When to move from kits to a workup is covered in how long to try before fertility testing.
Where Gala Fertility fits
Gala Fertility is not a kit. It is a couples' fertility workup run by telehealth: her bloodwork at a Quest lab and a pelvic ultrasound near you, his semen analysis with a kit sent home and his bloodwork if indicated, and one video visit where a clinician explains both partners' results together, with medication each cycle if prescribed and a check-in after every cycle. The medical team is led by Medical Director Dr. Joshua Klein, MD, FACOG, a board-certified reproductive endocrinologist.
The trade-offs are the ones in the table: her tests are in person, the program price is set after the $29.99 introductory meeting, the program is for male-female couples who are both 18 or older, and the at-home semen analysis kit does not ship to Alaska or Hawaii, though couples there can have his kit delivered to another address in the continental US. See fertility testing for couples, his fertility tests and her fertility tests, or go back to Gala Fertility. Ready? Start together.
Frequently asked questions
What is the best at-home fertility test?
It depends on the question. Urine monitors such as Inito, Mira and Proov track ovulation; finger-prick kits such as LetsGetChecked measure AMH or other hormones; mail-in kits such as Fellow and Legacy analyze sperm. None of them tests both partners and explains the results together; a clinician-led workup does.
Is there an at-home fertility test for couples?
Proov's Hers and His kit pairs her urine hormone tests with a home sperm screening test, listed at $179.99 on November 12, 2026. Gala Fertility tests both partners with a full semen analysis, her bloodwork and an ultrasound, and a clinician explains both sets of results.
Can an at-home test tell me if I am infertile?
No. Infertility is diagnosed by a clinician after an evaluation of both partners. Home tests answer narrower questions, and some brands, such as Mira, state that their results are not intended to diagnose any medical condition.
Which at-home test measures AMH?
Of the tests compared here, LetsGetChecked's Ovarian Reserve Test measures AMH by finger prick, listed at $139. Everlywell's fertility kit and the urine monitors do not measure AMH. Gala Fertility includes AMH in her bloodwork.
Are at-home sperm tests accurate?
A mail-in kit such as Fellow or Legacy sends the sample to a lab, which reports the measures a clinician looks at. Home screening tests such as YO answer a narrower question, motile sperm concentration, and do not replace a full semen analysis.
Did Gala rank itself first?
No. Gala publishes this page, so the tables are alphabetical, not ranked, and Gala Fertility's row lists its own drawback.
Ready to talk to a provider?
Your answers go to a licensed provider, who decides whether treatment is right for you. Learn more about Gala Fertility.
More Gala Fertility guides
- 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
- fertility insurance by state
Sources
- Everlywell. Women's Fertility Test ($149). Checked 2026-11-12.
- Fellow. Mail-in semen analysis kit ($199). Checked 2026-11-12.
- Inito. Fertility monitor ($169, launch offer $119). Checked 2026-11-12.
- Legacy. Sperm testing kits ($145, $295, $495). Checked 2026-11-12.
- LetsGetChecked. Ovarian Reserve Test ($139). Checked 2026-11-12.
- LetsGetChecked. Female Hormone Test ($139). Checked 2026-11-12.
- Mira. Hormone Monitor Ultra4 Kit ($249; $181.77 with code). Checked 2026-11-12.
- Mira. Male Fertility Kit. Checked 2026-11-12.
- Proov. Complete Fertility Testing System ($99.99) and Hers and His Advanced Fertility Test ($179.99). Checked 2026-11-12.
- Proov. Hers and His Advanced Fertility Test for Couples: what's in the box. Checked 2026-11-12.
- 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.
- ASRM. Fertility evaluation of infertile women: a committee opinion. 2021.
- FDA. 510(k) premarket notification database: YO Home Sperm Test (K161493).
- American Urological Association. Male infertility guideline (AUA/ASRM, published 2020, amended 2024).
This article is for general information and is not medical advice. Talk to a licensed provider about your own health.