healthrankings
Top 5 BP Monitors Top 5 Smart Scales All BP Monitors All Smart Scales
Updated April 2026

The 5 best products for male fertility testing& sperm health.

What home tests can and can't measure: The best home tests measure sperm concentration and motility — the two most important fertility parameters. Morphology requires laboratory microscopy and cannot currently be assessed at home. No home test replaces a full clinical semen analysis, but they provide valuable first-step information.

HR
HealthRankings Team Expert-reviewed & independently tested
Products Tested 9
Testing Period Clinical validation review
April 2026 Updated
OUR #1 PICK

The male fertility testing& sperm health product we'd actually recommend.

Legacy's at-home collection kit is mailed to their CLIA-certified andrology laboratory where it undergoes a complete clinical semen analysis — the same test performed in a fertility clinic. Results in…

9.7/10 Overall score
$195 Starting price
TOP PICK 2026
#1 PICK

Legacy Male Fertility Test (At-Home + Lab)

Best Overall — Clinical-Grade Semen Analysis Mailed to Lab

Parameter completeness 9.9/10
Clinical accuracy 9.8/10
Actionability 9.7/10
Ease of use 8.2/10
Starts at $195
See Details

All 5 ranked.

Sort by
#1
Best Overall
CLINICAL-GRADE SEMEN ANALYSIS MAILED TO

Legacy Male Fertility Test (At-Home + Lab)

Best Overall — Clinical-Grade Semen Analysis Mailed to Lab

Legacy's at-home collection kit is mailed to their CLIA-certified andrology laboratory where it undergoes a complete clinical semen analysis — the same test performed in a fertility clinic. Results include sperm concentration, total count, motility (total and progressive), morphology (Kruger strict criteria), volume, pH, and DNA fragmentation index. A reproductive urologist reviews results and provides a consultation. This is the only home test that provides the full WHO parameter set including morphology and DNA fragmentation — the two parameters no device-based home test can measure.

What we loved

  • Full clinical semen analysis — all WHO parameters
  • Morphology (Kruger strict) included
  • DNA fragmentation index — unique to this test
  • Reproductive urologist consultation included
  • CLIA-certified andrology lab
  • Actionable treatment recommendations

What to know

  • 2–5 day turnaround
  • Higher cost than device-based tests
  • Requires mailing sample with time-sensitive collection
  • Sample must reach lab within 45 minutes of production
9.7/10
★★★★★
Parameter completeness
9.9
Clinical accuracy
9.8
Actionability
9.7
Ease of use
8.2
Price
$195 at Amazon
See on Amazon
#2
Device-Based
FDA CLEARED, MOTILITY VIDEO

YO Home Sperm Test

Best Device-Based — FDA Cleared, Motility Video

The YO Home Sperm Test is the most sophisticated device-based at-home sperm test available. It's FDA cleared and uses your smartphone microscope — a clip-on lens with illumination — to create a 10-second motility video you can actually watch and share with your doctor. It measures sperm concentration and motile sperm concentration (MSC), and scores you on a simple scale. The video is the standout feature — seeing your sperm moving is both informative and motivating. Studies show YO achieves >96% agreement with clinical semen analysis for the parameters it measures.

What we loved

  • FDA cleared
  • Creates shareable 10-second motility video
  • >96% agreement with clinical lab
  • Measures concentration + motile sperm
  • Smartphone microscope included
  • Video shareable with physician

What to know

  • Does not measure morphology
  • Does not measure DNA fragmentation
  • Smartphone app required
  • Clip-on lens fiddly to set up initially
9.2/10
★★★★★
Parameter completeness
9.4
Clinical accuracy
9.2
Actionability
9.0
Ease of use
9.1
Price
$69 (2 tests) at Amazon
See on Amazon
#3
Count Accuracy
FDA CLEARED CENTRIFUGE SYSTEM

Trak Male Fertility Test

Best Count Accuracy — FDA Cleared Centrifuge System

The Trak system uses a miniaturized centrifuge to spin the sample and measure sperm concentration against a reference column — a more accurate physical measurement than optical detection alone. FDA cleared with clinical validation showing strong correlation with laboratory sperm count. Provides a clear score (Low / Moderate / Optimal / High) with actionable lifestyle recommendations via the app. Best for men who prioritize count accuracy over motility video.

What we loved

  • FDA cleared centrifuge measurement
  • High count accuracy
  • Clear Low/Moderate/Optimal/High score
  • Lifestyle improvement app
  • Clinically validated

What to know

  • No motility measurement
  • Centrifuge mechanism is single-use
  • No morphology
  • App required for results
9.0/10
★★★★★
Parameter completeness
9.2
Clinical accuracy
9.0
Actionability
8.8
Ease of use
8.9
Price
$59 (starter) at Amazon
See on Amazon
#4
Best Value
FULL ANALYSIS WITHOUT CONSULTATION COST

Fellow Home Sperm Test

Best Value Lab-Send — Full Analysis Without Consultation Cost

Fellow's at-home collection and lab-send service provides a complete semen analysis (concentration, motility, morphology, volume) at a lower price than Legacy by omitting the urologist consultation. Results are delivered via secure portal with clear parameter explanations and comparison to WHO reference values. A good option for men who want full clinical-grade results and are comfortable interpreting them without a built-in consultation.

What we loved

  • Full semen analysis (conc, motility, morphology)
  • Below Legacy pricing
  • WHO reference value comparison
  • Clear parameter explanations
  • CLIA-certified laboratory

What to know

  • No urologist consultation included
  • No DNA fragmentation
  • 2–5 day turnaround
  • Sample shipping time-sensitive
8.8/10
★★★★★
Parameter completeness
9.0
Clinical accuracy
8.8
Actionability
8.6
Ease of use
8.7
Price
$129 at Amazon
See on Amazon
#5
for Ongoing Monitoring
UNLIMITED TESTS WITH SUBSCRIPTION

ExSeed Home Sperm Test

Best for Ongoing Monitoring — Unlimited Tests with Subscription

The ExSeed uses a smartphone microscope attachment to measure sperm concentration and motility with FDA-cleared accuracy. Its unique advantage is a subscription model providing unlimited testing — essential for men tracking improvement over the 72-day sperm maturation cycle while making lifestyle changes or starting supplements. The ExSeed app provides detailed trend graphs and a 90-day improvement program based on your results.

What we loved

  • Unlimited tests with subscription
  • Tracks improvement over 72-day sperm cycle
  • 90-day lifestyle program in app
  • FDA cleared
  • Trend graphs over time
  • Good for monitoring supplement effects

What to know

  • Subscription required for unlimited testing
  • No morphology or DNA fragmentation
  • Smartphone attachment can be tricky
  • Monthly cost adds up
8.5/10
★★★★★
Parameter completeness
8.7
Clinical accuracy
8.5
Actionability
8.3
Ease of use
8.4
Price
$89 device + subscription at Amazon
See on Amazon

Side-by-side, everything.

Everything we measured, in one place.

TestScorePriceConcentrationMotilityMorphologyDNA FragConsultationBest For
🏆 Legacy Lab-Send9.7$195✓✓✓✓✓Complete analysis
YO Home Test9.2$69✓✓ (video)✗✗✗Best device-based
Trak9.0$59✓✗✗✗✗Best count accuracy
Fellow Lab-Send8.8$129✓✓✓✗✗Value lab-send
ExSeed8.5$89+sub✓✓✗✗✗Ongoing monitoring

Questions, answered.

How did HealthRankings choose these at-home male fertility tests?

Our editorial team independently researches, tests, and evaluates products using a weighted scoring methodology. We assess accuracy, ease of use, value for money, and category-specific criteria relevant to each condition. Every product is scored on a 10-point scale, and only the top 5 make our final list.

We buy every product at retail — no manufacturer samples — and our medical reviewers have no financial relationship with any brand we cover.

How often are these rankings updated?

We update our rankings at least once per quarter, and immediately when a significant new product launches or when we discover issues with a previously ranked product. Our current rankings were last verified in April 2026.

If a product is discontinued, recalled, or its price changes significantly, we update the listing within one business day.

Is the #1 pick always the best choice for everyone?

Not necessarily. Our #1 pick (Legacy Male Fertility Test (At-Home + Lab)) scored highest overall, but the best product for you depends on your specific needs, budget, and preferences. For example, if budget is your primary concern, a lower-ranked product with a better value score might be the better choice.

We recommend reading through all 5 reviews and paying attention to the "What to know" sections to find the best fit for your situation.

Are these products covered by insurance or HSA/FSA?

Many health monitoring devices and home testing kits qualify for HSA (Health Savings Account) and FSA (Flexible Spending Account) reimbursement. However, coverage varies by plan and product category. We recommend checking with your insurance provider or benefits administrator before purchasing.

Some products in our list may also be partially covered by Medicare or Medicaid depending on your diagnosis and prescription.

Can I return a product if it doesn't work for me?

Return policies vary by retailer and manufacturer. Most Amazon purchases can be returned within 30 days. Many manufacturers offer satisfaction guarantees ranging from 30 days to 1 year. Check the specific return policy before purchasing.

If a product is defective, most manufacturers will replace it under warranty regardless of the retailer's return window.

Should I consult my doctor before using these products?

Yes — we always recommend discussing new health monitoring devices or tests with your healthcare provider, especially if you have a diagnosed condition. Your doctor can help you understand your results, set appropriate monitoring schedules, and integrate home monitoring data into your overall treatment plan.

These products are designed to supplement — not replace — professional medical care.

One review a week. That's it.

Every Tuesday we send you the single most useful review we published that week. No spam, no affiliate pitches, no clickbait — just the work.

Related conditions

Heart & Blood Pressure
14 products ranked
Diabetes & Glucose
18 products ranked
Cholesterol Tests
8 products ranked
Sleep & Recovery
13 products ranked
Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or qualified health provider. Read full disclaimer