Best Online Fertility Programs for Couples (2026) Compared

Last updated November 14, 2026 · Reviewed by the Gala Health team

Who publishes this page, and how we checked

Gala Health publishes this page and runs Gala Fertility, one of the 12 options. Fellow, also listed, supplies the semen analysis kit Gala Fertility uses. So the tables run in alphabetical order and are not a ranking, every option gets its main drawback, Gala's included, and every fact and price comes from the company's own website, read on November 14, 2026 and linked under Sources. We did not buy the products. Ro's site blocked automated access that day, so Modern Fertility's status comes from Ro's own product page as the Internet Archive saved it on November 10, 2026.

Everlywell, Fellow, Inito, Kindbody, Legacy, LetsGetChecked, Mira, Modern Fertility, Ro, Posterity Health, Proov and Shady Grove Fertility are trademarks of their owners. Gala is not affiliated with or endorsed by any of them.

Who tests what, who reads it, and the price

Option	Tests her	Tests him	Both in one program	Clinician reviews results	Prescribes treatment	Price as published (checked on 2026-11-14)
Everlywell Women's Fertility Test	Yes: estradiol, LH, FSH, TSH and testosterone by finger prick, no AMH	No	No	A physician reviews results; no consult	No	$149, listed as out of stock
Fellow Semen Analysis	No	Yes: full semen analysis, mailed to a lab	No	No: the report is emailed to you or sent to your doctor	No	$199, shipping both ways included
Gala Fertility	Yes: AMH, FSH, estradiol, LH, prolactin, TSH, preconception screening and a pelvic ultrasound	Yes: full semen analysis by mail-in kit, plus bloodwork if indicated	Yes	Yes: one clinician reviews both and meets you together by video	Yes: letrozole or clomiphene if right for you	$29.99 introductory video meeting, credited to the first cycle; then one all-inclusive price per cycle, shown before you commit
Inito Fertility Monitor	Yes: urine estrogen, LH, PdG and FSH	No	No	No	No	$119 launch offer (listed at $169)
Kindbody	Yes, in a clinic: Pulse Assessment (AMH and ultrasound)	Yes, in a clinic: male consultation with semen analysis	No: separate purchases	Yes: a fertility specialist consultation	Yes: medication, IUI and IVF	Pulse $99; male consultation with semen analysis $525; specialist consultation $300
Legacy	No	Yes: mail-in semen analysis, DNA fragmentation optional	No	Optional virtual specialist visit, which may cost extra	No: says it cannot diagnose or prescribe	$295 Standard, $495 Advanced (both labeled sale prices)
LetsGetChecked	Yes: AMH, or FSH, LH, prolactin and estradiol, by finger prick	No semen test	No	Physicians review results; a call only if a result is abnormal	No	$139 per test
Mira	Yes: urine LH, E3G, PdG and FSH on a monitor	Yes: YO sperm screen in the Male Fertility Kit	One bundle, no clinician	No: reports are for you or your doctor	No	Fertility Bundle for Couples $286 (regular $358); Male Fertility Kit $89
Modern Fertility (Ro)	Was: AMH and other hormones by finger prick	No	No	Fertility nurse chat and webinars	Not stated	Not available to new users; lab processing ends January 20, 2027
Posterity Health	No: she is seen at a separate fertility clinic	Yes: semen analysis at home or in a clinic	No: two practices, two clinicians	Yes: a virtual results review with a specialist	Yes, for him, including surgery	$199 at-home Baseline Assessment; workup billed to insurance or self-pay, rates not published
Proov	Yes: urine FSH, estrogen, LH and PdG	Yes: YO sperm screen in Hers and His	One box, no clinician	Not included: telehealth and coaching cost extra	Separately: a $75 online prescription review	Hers and His $179.99 (regular $203.99)
Shady Grove Fertility, Know Your Fertility	Yes: AMH blood draw at an SGF location	Yes: full semen analysis, collected at home and dropped off	Yes, couples option: results reviewed together	Yes: phone consultation with a senior fertility nurse; a reproductive endocrinologist is on the review team	No: SGF says it does not start treatment	$99 per person, $198 per couple

Prices are as each company listed them on November 14, 2026, before tax and coupon codes. They change often; check the company's site before you buy.

Which options really test both partners

Testing him and her at the same time is not a sales angle: ASRM's committee opinion on evaluating infertility says that when a male partner is involved, both evaluations should begin together, with at least one semen analysis at the start. Here is how the four couples options differ once you look past the word "couples".

Gala Fertility: her six-hormone panel, preconception screening and a pelvic ultrasound, his full semen analysis, one clinician who reads both and meets you together by video, then a treatment plan one cycle at a time if it is right for you. It runs in every US state; her lab and ultrasound are near home.
Know Your Fertility (Shady Grove Fertility): AMH for her and a full semen analysis for him, with back-to-back phone consultations so the results are reviewed together. SGF calls it an entry-point assessment that is not a diagnosis and does not start treatment. It is offered at SGF locations in 11 states and DC, to adults 18 to 44.
Proov Hers and His: urine hormone strips for her and a YO motile sperm screen for him in one box. Results sit side by side in two apps; a clinician is not included, and Proov says its tests do not diagnose a condition.
Mira Fertility Bundle for Couples: Mira's urine hormone monitor for her and the YO sperm screen for him. No clinician review is included, and the bundle cannot be returned because the male kit is final sale.

Kindbody tests both partners too, but as separate in-clinic purchases ($99 and $525), not one program. Posterity Health evaluates him and refers her to a fertility clinic's own specialist, so a couple has two clinicians in two practices.

Best for: one category each, where it is true

Best for a full couples workup and first-line treatment by telehealth in any US state: Gala Fertility.
Best low-cost couples screen near a clinic: Shady Grove Fertility's Know Your Fertility, $198 for two.
Best lower-priced couples kit, without a clinician: Proov Hers and His, $179.99.
Best couples bundle built around a hormone monitor: Mira Fertility Bundle for Couples, $286.
Best lower-priced ovulation monitor: Inito, $119 as a launch offer.
Best for an AMH test alone by finger prick: LetsGetChecked, $139.
Best for a full semen analysis at one flat price: Fellow, $199 with shipping both ways.
Best if he also wants to freeze sperm: Legacy, which sells analysis with a year of storage.
Best for male-factor care from a reproductive urologist: Posterity Health.
Best if you already expect IUI or IVF and live near one of its clinics: Kindbody.
No category this time: Everlywell's fertility test was out of stock, and Modern Fertility is not available to new users.

The main drawback of each

Option	Main drawback
Everlywell	Out of stock when we checked, no AMH, and it tests her only.
Fellow	Him only, and no clinician reads the report with you.
Gala Fertility	Not all at home: her blood draw and pelvic ultrasound are in person, the per-cycle price is shown only after the introductory meeting, it is for male-female couples only, and IUI or IVF means a referral to a clinic.
Inito	Tracks her cycle only, with no clinician and nothing for him.
Kindbody	Each partner is a separate purchase, every test needs a clinic visit, and the full workup price is listed as varied.
Legacy	Him only, and by its own FAQ it cannot diagnose or prescribe.
LetsGetChecked	Her hormones only: no semen test, and AMH on its own does not predict natural fertility.
Mira	Screens without a clinician, his test reports concentration and motility but not morphology, and the bundle is final sale.
Modern Fertility (Ro)	Not available to new users, and kits are processed only until January 20, 2027.
Posterity Health	Treats him only, so her care sits with another clinic and clinician.
Proov	Screening tests that it says do not diagnose a condition, with clinician time sold separately.
Know Your Fertility	A screen, not a workup: AMH is her only test, the call is with a nurse, there is no treatment and it needs an SGF location.

How to choose

Start with the question you are asking. If you only want to time sex, a urine monitor answers that. If you want one number, such as AMH or his sperm count, a single test does it for less. If you have been trying for a year, or six months with her at 35 or older, ASRM recommends a full evaluation, and that is where a couples program earns its price: both of you tested in the same weeks and one person reading the results side by side.

More detail: best at-home fertility tests compares the kits test by test, at-home fertility testing for couples lists what each partner does in Gala Fertility, and online fertility doctor covers who you meet. If Modern Fertility is what you used before, see Modern Fertility alternatives.

Where Gala Fertility fits

Gala Fertility is a couples program, not a kit. The first step is a $29.99 introductory video meeting with the care team, which counts toward the first cycle when a couple goes ahead. A licensed clinician then orders her bloodwork at a walk-in Quest lab and a pelvic ultrasound near her, sends his semen analysis kit home, reads every result and meets you both on video. If treatment is right for you, it is letrozole or clomiphene one cycle at a time, with a check-in after every cycle. Medical Director Dr. Joshua Klein, MD, FACOG, a board-certified reproductive endocrinologist, leads the medical team.

Couples in Alaska or Hawaii can join, but his kit has to be mailed to a mainland address. Read the program details on Gala Fertility, see what fertility testing includes, or start together.

Frequently asked questions

What is the best online fertility clinic?

It depends on what you need. For both partners tested and treated by telehealth in any US state, Gala Fertility is the one option we found that does all of it. For IUI or IVF you need an in-person clinic such as Kindbody or Shady Grove Fertility. For a single test, a kit costs less.

What is the best fertility test for couples?

One that tests both of you and has a clinician read the results together. Of the options we checked on November 14, 2026, Gala Fertility and Shady Grove Fertility's Know Your Fertility do that; Proov and Mira sell couples kits without a clinician.

How do couples test fertility?

She has hormone bloodwork, usually including AMH and early-cycle FSH and estradiol, and often a pelvic ultrasound. He has a semen analysis. ASRM advises starting both evaluations at the same time.

How much does a fertility test for couples cost?

On November 14, 2026, Know Your Fertility was $198 per couple, Proov Hers and His $179.99 and Mira's couples bundle $286. Gala Fertility starts with a $29.99 introductory meeting, and each cycle then has one all-inclusive price that covers all program tests for both partners.

Can you buy fertility drugs online?

Letrozole and clomiphene need a prescription, so you need a clinician first. Gala Fertility prescribes them after reviewing both partners' results, and Proov sells a $75 online prescription review. Legacy says it cannot prescribe.

Is there a virtual IVF clinic?

Not fully. Consultations can be virtual, and Kindbody offers virtual consultations, but IVF needs in-person monitoring ultrasounds, egg retrieval (a minor surgery) and embryo transfer. Online programs such as Gala Fertility cover testing and first-line treatment and refer you to a clinic for IVF.

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.

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Sources

This article is for general information and is not medical advice. Talk to a licensed provider about your own health.

Best Online Fertility Programs for Couples (2026): 12 Options Checked