Best Ovulation Tests for PCOS

5 Best Ovulation Tests for PCOS

Best Ovulation Tests for PCOS
by Tallene Posted April 16, 2024

Polycystic ovarian syndrome (PCOS) is a hormone condition that affects women with the disorder in a lot of ways. Unforuntately, one of the best known symptoms of PCOS is infertility. Because of the hormone imbalances that often come with PCOS, conceiving, carrying, and delivering babies can be very difficult. It’s a heartbreaking journey that I’ve seen so many women endure. If this is you, hang tight, because I can help! 

There are lots of ways you can reverse your PCOS naturally and see improvements in all of your symptoms, including infertility. Exercising, changing your eating habits, taking supplements, reducing stress, and getting better sleep can all have big impacts on your hormone balance and help you master your menstrual cycle and get everything back on track. You can learn more about that in our post on how to regulate periods with PCOS and in the episode of A Cyster and Her Mister called “Period Repair Manual.” 

But, as your cycle regularity and PCOS symptoms are improving, you’ll still need to know when you ovulate in order to have the best chances of conceiving. There are a lot of ways to track your ovulation like using an app, taking your basal temperature, or interpreting cervical mucus. However, those options aren’t great for PCOS when your period is anything but regular! So, today I’m going to talk about the most reliable method of tracking ovulation with PCOS: ovulation predictor kits. 

I’ll break down what they do, how they work for you, and give you some of the best options for your conception journey. Hopefully, with this information, I can help you get one step closer to a healthy pregnancy! 

Best Ovulation Tests for PCOS

5 Best Ovulation Tests for PCOS

Can You Use Ovulation Tests with PCOS?

Yes! In fact, ovulation tests are super important if you have polycystic ovarian syndrome and you want to get pregnant. Since many women with PCOS have unpredictable cycles, usually apps or calendars that track ovulation on a normal 28-day cycle aren’t reliable. You can’t be sure you’re actually ovulating on those dates. An ovulation test can confirm if you’re ovulating, so it’s clear when conception may happen. 

How Do Ovulation Tests Work?

Most ovulation predictor kits (OPKs) work by detecting luteinizing hormone (LH) in your urine. LH levels surge when you’re 24-36 hours from ovulating telling you an egg is about to be released from the ovary. 

When you take an ovulation test, if LH is present, it’ll show “positive.” Usually, the tests have one control line and a second line will appear if LH is in the urine. It’ll start off faint and then get darker as you get closer to the release of the egg. Then, once the egg is released, you’ll see the second line get fainter again until it’s gone and the level of LH has dropped to an insignificant amount.

why are ovulation test important for pcos

Why are Certain Ovulation Tests Better for PCOS?

Though most ovulation tests measure only LH levels. However, that can be problematic for women with PCOS that have irregular cycles. Because LH levels only tell us your body should be releasing an egg; however, sometimes with PCOS the egg does not release and ovulation doesn’t occur despite the spike in LH. (This is why ovarian cysts sometimes form with PCOS.) 

This can mean your ovulation tests can give you a positive result, but ovulation didn’t actually occur. However, there are some ovulation tests that measure other hormone levels, making the prediction more accurate to avoid false positives. 

A hormone that some test kits cover is pregnanediol glucuronide (PdG). PdG is a progesterone hormone that rises after ovulation and remains elevated during the luteal phase. So, if you successfully ovulated and an egg is released, you’ll get a positive result on a PdG test. Knowing you had successful ovulation will give you insights into the likelihood of successful conception in the last cycle! 

Some tests may also test estrogen-3-glucuronide (E3G) and follicle-stimulating-hormone (FSH). E3G helps you find your 6 day fertile window and FSH can give you insight into your fertility health overall. FSH is responsible for stimulating the growth and development of eggs, so when FSH levels are optimal, you’ll likely experience improved egg quality and a better chance of conceiving. 

5 PCOS ovulation tests

5 PCOS Ovulation Tests

Prove, Predict and Confirm

This duo kit is perfect for tracking ovulation with PCOS! The test includes LH tests, of course, but it also has PdG tests! You take an LH test 12-14 days after the start of your period and take it until you receive a positive result. Then, you’ll try to conceive as normal. 

About 7-10 days after you hit peak fertility based on the LH tests and any tracking apps you may be using, you’ll take your PdH test. If that’s positive, you’ll know an egg released and there’s a chance you may be pregnant! At the very least, you’ll know your body successfully ovulated, which is great for maintaining regular cycles with PCOS! As a bonus, this option is pretty affordable and normally used for a few cycles! 

Mira Hormone Monitor

Mira is a super-comprehensive fertility monitor that measures LH, PdG, E3G, and FSH! It also includes an intuitive app to help you gather and interpret all the information on your menstrual cycle. It claims to help identify your 6 most fertile days, predict ovulation, and confirm ovulation. 

Though the little machine may seem intimidating at first, it’s actually really easy to use. You just provide a sample in a disposable cup, insert the wand piece of the Mira into the urine for 10-20 sections, and then insert the wand into the device. In just over 20 minutes, you’ll get comprehensive hormone insights uploaded to the app. 

The device is about $80 and you do have to buy new fertility wands every couple of cycles, and those range from $68-$151 for 20 depending on how many hormones you decide to test each cycle. It’s a bit on the pricier side, but the insights are so worth it!

Inito Fertility Monitor & Hormone Tracker

The Inito is another fertility monitor that tracks FSH, LH, PdG, and E3G! This one connects with your phone, so make sure to get the right version of the device before checking out. Beyond that, it works very similarly to the Mira, using test strips that you insert into the monitor to track insights. Like the Mira, it gives you information about your overall reproductive health, fertility windows, and ovulation success. 

This device is faster than the Mira, producing results in just 10 minutes. It is more expensive, at $150 for the Inito itself and $99 for a box of 30 additional strips. Since you’ll need up to 14 strips per cycle, this option could get expensive while you’re trying to figure everything out, but, again, the insights may be worth your while.  

Oova Fertility Hormone Kit

The Oova Fertility Hormone Kit keeps things simple with classic test strip technology. No complicated and expensive devices! However, they do have a helpful app to help you with tracking and finding resources for various fertility struggles. It’s the perfect balance! 

This Oova kit tracks LH, PdG, and E3G, which are the most important hormones for that conception window! You can either buy it as a one-time thing for $150 or enroll in the membership for about $130. These kits are only good for one cycle, with 30 test strips for one round of trying to conceive. So, though it’s simpler, it could be just as expensive (or even more so) as the devices. 

Easy@Home Ovulation and Pregnancy Tests

For something affordable and easy, try standard ovulation test strips. No, you won’t get the insights of LH, PdG, E3G, and FSH, but this is a good place to start. This box is $130 and comes with 100 LH test strops and 20 HCG (pregnancy tests) to use when you miss your period! You can also use the app Premom Ovulation Predictor from the Easy@Home company to track your results. 

This test can’t confirm you’ve ovulated, so if you struggle to conceive for a few months or a year, it’s probably a good idea to move to one of the other ovulation test kit options that can at least confirm you’re releasing eggs in the first place. Either way, using these tests will give you valuable insights into what’s happening in your body. 

Ovulation tests are super useful when trying to get pregnant with PCOS! 

Conceiving a baby with PCOS can be difficult, and for someone longing to be a mother, this process can be exhausting and disheartening. However, there are ways to make this work! Reversing your PCOS with natural methods can help you find hormone balance and boost your chances of conceiving and having a healthy pregnancy!

If you want more on fertility and PCOS, here’s what I’ve got:

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