How do I know if the Modern Fertility test is right for me?
Anyone with ovaries* who is curious about fertility can benefit from testing with Modern Fertility. Information is for everyone! This includes if you’d like to start a family in the (far) future and want some information about your timeline, if you’re thinking about kids in the next few years and want to plan, if you’re trying to conceive right now, if you’re considering freezing your eggs, IUI or IVF, if you’re a parent considering another pregnancy / child, and if you suspect your hormones are imbalanced. And yes, you can test if you’re on birth control!
*We believe people are more than chromosomes, hormones, and body parts. We’re committed to creating an inclusive environment that sees and supports all of you, no matter how you identify or whether or not you want kids.
Are these the same laboratory tests that I would get from a fertility doctor?
Yes. We worked with top reproductive endocrinologists to select a panel of the most comprehensive set of hormones that can help you understand fertility. For each hormone you test, we’ll provide plenty of context on what the hormone is, why it’s important, and how your results relate to others your age. Fertility is complex and hormones are one (important!) piece of the puzzle. We always break down both what the science can and cannot tell you and we encourage all customers to talk with a doctor about their results. You can read more about the science behind Modern Fertility here.
How accurate are the results from Modern Fertility?
Very. We’ve spent thousands of hours working with the top reproductive endocrinologists (fertility doctors), OB/GYNS, and primary care doctors. They’ve reviewed every word of the Modern Fertility experience and worked with us to distill the latest clinical research and guidelines into easy-to-read reports. Your results are a great starting point for beginning a conversation with your doctor about your fertility.
Are these ordered by a doctor?
Yes! Every Modern Fertility test is ordered by a doctor. A physician will also review your results before they are returned as well and your sample will be processed in a CLIA and CAP accredited lab.
How is Modern Fertility able to bring the cost of fertility hormone testing down so much compared to what these tests would cost in a fertility clinic?
Modern Fertility was founded to make fertility hormone tests as accessible and affordable as possible. Since we are testing more patients than one doctor’s office (and order a high volume of tests) we can bring these tests to you at a lower price — $159 for the same test offered in clinics.
When it comes to proactive fertility care, insurance coverage is a gamble. If your insurance plan covers infertility, the tests may only be covered when you've been trying to conceive for a year (something you have to go in and actually document with your doctor).
Can I take the test if I’m on birth control?
Yes! Each test is customized for you based on your birth control and the regularity of your period (if you get one). If you have questions about which hormones will be included in your personalized test you can take the Modern quiz here!
Which hormones will I test if I'm on birth control?
The hormones you can test depend on the type of birth control you’re on (if any). On all types of hormonal birth control, however, you can test for AMH and TSH.
AMH is a very important hormone released by the follicles that serves as an indicator of ovarian reserve (how many eggs you have in your ovaries). AMH can also give you insight into menopause timing as well as potential success in treatments like IVF and egg freezing. Since it measures a foundational aspect of fertility – how many eggs you have – it’s an important signal.
TSH is a hormone that regulates your thyroid health. Your thyroid plays a role in your metabolism, heart function, the nervous system, bone maintenance, mood, fertility, and even sexual function. If your thyroid is not functioning properly, the whole body can be impacted, including fertility.
It’s important to know that in some studies, hormonal birth control has been shown to suppress AMH. Even if you are taking birth control, tracking your AMH level year over year is important for understanding your ovarian reserve. We'll walk you through the science when you get your results. If your results come back lower than expected (even accounting for the AMH suppression) make sure you talk to your doctor. You can also chat 1:1 with a fertility nurse for free through Modern Fertility.
What can an AMH test tell me?
Anti-Mullerian hormone (AMH) is one of the best indicators of the number of eggs in your ovaries, or your ovarian reserve. While your AMH level isn’t a predictor of your ability to conceive today or at a certain time in the future, it does give you more info about your reproductive health: AMH can give you a better picture of your ovarian reserve, egg freezing or IVF outcomes, menopause timing, and conditions like polycystic ovarian syndrome (PCOS) and premature ovarian insufficiency (POI). Understanding your AMH level can help inform your timeline for getting pregnant and can fuel conversations with your doctor.
Curious to learn more about this powerful hormone? We've gone deep on the science behind AMH testing on our blog.
Can I use Modern Fertility as a trans, non-binary, intersex, or gender non-conforming person?
The Modern Fertility hormone test is designed to measure hormones for people with ovaries, regardless of gender identity. If you have ovaries, then the Modern Fertility test is for you. Our test provides insight into egg count, ovulation, general body factors, and red flags that relate to fertility. If you have testes, we’re thinking about how to best support your fertility education needs—stay tuned!
Can I use my HSA or FSA or insurance to pay for Modern Fertility?
We accept payment through FSA and HSA accounts! We do not accept insurance. To apply your FSA/HSA, follow these steps:
- Check in with your plan to make sure Modern Fertility fits their guidelines. Every plan is different, so it never hurts to double check in advance. Tip: Make sure they are submitting it as a wellness test!
- You'll purchase the test by paying out of pocket, or with your FSA/HSA card if you have one.
- You can download a receipt to submit to your FSA/HSA right from your Modern Fertility dashboard.
Could I get these tests covered by my insurance if I ask my doctor for them?
If you ask your OB/GYN for fertility hormone testing they can write a prescription for you, but it often isn’t covered by insurance. This is because the healthcare system doesn’t recognize proactive fertility––often only reactive fertility. Only 16 states cover fertility testing for patients who have already been diagnosed with infertility (you have to prove to your doctor and your insurance company that you’ve been trying for 6 to 12 months, depending on which state you’re in and your age). That means you would likely be billed for the testing. Modern Fertility allows you to check in on your fertility hormones at one flat rate. We also include a personalized dashboard and reports that you can track over time, a chat with a fertility nurse who specializes in fertility hormones, access to our weekly webinar, and an invite to the Modern Community. All for $159.
Can I purchase the test everywhere?
Modern Fertility is available in all U.S. states except New York, New Jersey, and Rhode Island. If you’d like to be notified when Modern Fertility becomes available in these states, please drop us a line at email@example.com. The test is not currently available outside of the United States.
Can I take this test after giving birth or while pregnant?
This test is not meant for people who are pregnant or have recently given birth. However, it can be useful to check in on your fertility if you’re planning on having more than one child! For those who have recently given birth, we recommend waiting to test until your period returns.
What age range is this test approved for?
Currently the Modern Fertility test is approved for people ages 21-45. We work closely with physicians to research and review every piece of content, and we are unable to generate reports for ages outside of the specified age range for which the reports have been approved.
If I’m taking medications, will that impact my results?
Some medications can impact your hormone levels. If you are currently taking medication, we recommend bringing your results to the doctor who prescribed it and they can walk you through exactly how your treatment interacts with your hormones and what implications, if any, there are for your fertility. Some of the medications that can influence the results on your Modern test include:
- Anti-acid and antihistamine medication
- Anti-anxiety medication
- Anti-seizure/ anticonvulsant medication
- Blood pressure medication
- Blood thinning medication
- Clomid (and other medications used to induce ovulation)
- Hormone treatments, including steroid hormones
- NSAIDs (including aspirin)
- Medications used for treating Parkinson’s
- Thyroid medication
If you have more questions about medications you’re taking and how they could impact your test, we recommend chatting with your doctor, or shooting us a message at firstname.lastname@example.org.
I am a person with ovaries currently on hormone therapy. Can I use Modern Fertility?
Yes - but we suggest reaching out to our support team for more details on what impact (if any) your hormone therapy might have on your test. People with ovaries can be on hormone therapy for gender affirmation, PCOS, or other medical conditions. Hormone therapy medications may include testosterone, progesterone, estrogen blockers, and other compounds that suppress ovarian function. Because these medications are designed to impact reproductive hormones, they can affect some of the hormones included in the Modern Fertility test.
Looking for more details on how your medications might impact your test? We’re here to help. Drop us a line at: email@example.com.
Is it ok to test even if I’m sick?
If you’re currently suffering from an acute illness, we recommend holding off on testing until you feel better. Being sick can temporarily influence your hormones, so for the clearest read testing when you’re not under the weather is the way to go!
What’s your refund policy?
Because we want to ship your test to you as quickly as possible, we have a 24 hour refund policy. If you request a refund within that time period we will be able to process it (although sad to see you go!) After the 24 hour period, we are unable to process your refund.
When do I do my test?
If you’re not on hormonal birth control (or if you’re on a hormonal IUD with a regular period) you’ll test on the third full day of your period. If you are on hormonal birth control, you can test at any time during the month. Many of the hormones we test for peak in the morning and can fluctuate throughout the day, so we recommend testing first thing in the morning to get the clearest read!
How do I know when Day 3 of my period is?
Count Day 1 of your period as the first day of full flow that begins before 5pm. For instance, if you have spotting on Monday and Tuesday, and then your full flow begins on Wednesday morning, Wednesday would be "Day 1" and you would test on Friday - "Day 3". If you have a period that lasts 2-3 days, go ahead and test on Day 2 instead of Day 3.
Why does the day I test depend on my BC?
Birth control affects your hormones and therefore affects which ones we can test. Some hormones need to be tested on a particular day of your cycle. After you order your test we’ll tell you exactly when to test based on your birth control and period.
Do I need to fast before my test?
Depending on which hormones your test is measuring, you may need to fast for 8 hours before taking your test. This is because eating can cause certain hormones to spike above their baseline. If fasting is required for your test, we’ll let you know. We recommend testing first thing in the morning, before you’ve had breakfast. (Water is fine!)
How is going into a Quest lab different than the at-home testing kit?
With Modern Fertility, you can either choose to have our at-home test kit sent to your home for testing, or you can opt to go into a Quest lab for your draw. The only thing that’s different is the way you collect your blood sample. If you choose to go to Quest, you’ll swing by one of their labs to complete the test through a standard blood draw (the same as when you give blood). The test you can take at home is a finger prick test. Both options give you access to the exact same dashboard and reports that you can track over time. Most women prefer the convenience of testing at home, but it’s up to you to choose which version you’d prefer!
Are the results equally accurate at Quest and with the at-home test kit?
Yes! If you're curious to learn more about the science behind the Modern Fertility, we've conducted a clinical study that provides evidence that the Modern Fertility test and a traditional blood draw can be used interchangeably to measure reproductive hormones in women! (It was published in the February 2019 edition of Green Journal, the Official Publication of the American College of Obstetricians and Gynecologists.) Hormones are an important piece of the fertility puzzle, and both versions of our test measure them accurately.
Please note that “reference ranges” vary between labs. A reference range is a high and low cutoff for a hormone level. Ranges are different for every lab because every lab uses different equipment. This means if your doctor were to re-test your hormones at a lab with different equipment, your reference range could be different.
What can I expect if I choose to test at home?
If you request a test to take at home, we’ll ship you everything you need in a discreet little box. The day and time you test depends on your birth control. We’ll help you pinpoint the right day when you order your test. Here’s how it works:
- Find your day: We’ll help you pinpoint when to test.
- Take your test: It’s a simple finger prick in the comfort of your living room!
- Pop your test in the mail: You’ll get personalized reports in your dashboard about 10 days after the lab receives your sample.
We’re here to support you every step of the way, so we’ll send you emails, videos, directions, and more to make sure you know exactly what to do at every step. You've got this. And we've got you!
If you’ve already ordered your test, you can find lots of info about how to test on your Modern Fertility dashboard.
How do I go into Quest?
There are hundreds of Quest Diagnostics Labs across the country. Head to Quest’s site to find a location near you! Some Quest locations allow drop ins while others require you to make an appointment. You can check whether your location offers drop-ins and you can schedule an appointment at any of the locations here. If you make an appointment, the type of appointment to choose is the “routine lab test.” It usually takes about 15 minutes to test.
Do I need to bring anything with me to Quest?
Go ahead and bring your requisition form and your photo ID with you to Quest for your draw. (Typically the requisition for your test will be on file at the Quest Lab, but it’s always preferred that you do bring a physical copy of the requisition along with your ID.) Sometimes the receptionist will ask you to confirm your date of birth or address. The test is prepaid with the cost of your Modern Fertility order, so you won’t need to pay for anything once you get there.
What do I do if the post office is closed the day I’m supposed to send in my sample?
If the post office is closed the day you take your sample, send it in the next day the post office is open. (No need to FedEx!)
What type of info will I get in my results?
Your Modern Fertility report comes with personalized explanations around each fertility hormone, what your levels mean, and what you can do about them, all in human speak. We dive into the background of why each hormone is important for fertility and what your level means for your response to egg freezing and IVF, details around menopause timing, and more.
Testing your ovarian reserve, or “how many eggs you have,” over time can give you a better sense of your fertility curve than just relying on age estimates alone. Ovarian reserve can also help you understand potential outcomes for egg freezing and IVF and detect future red flags (including premature ovarian failure) much earlier in life. You can test ovarian reserve even while on birth control!
How can Modern Fertility help me track my fertility over time?
Your report also includes a Fertility Measurement Index (FEMI) number between 200 and 750. Think of your fertility measurement index as a number you can track over time like your cholesterol, or pap smears, or even your credit report. It will give you a better sense of your fertility than just looking at your age alone. This score is currently in beta.
If I’m testing at home, what happens after I send in my sample?
If you’re testing at home, after your sample is dry you’ll pop it in the mail using the pre-addressed envelope included in your kit. We’ll keep you posted on the status of your sample by sending you an email once it arrives at our lab. When your results are ready to be viewed (usually within 10 business days), we’ll let you know! Please double check that you’ve written your collection date next to your name on your collection card - otherwise the lab may delayed in processing your results.
Do I get a consultation with MF?
We want to make sure you get all of your questions answered after you get your results back, so in addition to a weekly results webinar, you can also book a complimentary 1:1 consultation with a fertility nurse.
What can I do if I get an abnormal result?
The best next step is always to talk to a doctor. With your Modern Fertility results, you’ll be armed with information and prepared to have a conversation outlining your options.
How can I share my test results with my doctor?
After you get your results back, you can download and print your results out to bring with you to future appointments with your doctor. We also include a doctor discussion guide to help you get the ball rolling on talking all things fertility with your doc.
What else do I get besides my results?
Your test results are just one piece of the Modern Fertility experience — you'll also get:
- A complimentary 1:1 consultation with a fertility nurse
- A weekly results webinar ("egginar") to learn about resources and next steps
- A customized fertility planning tool based on your goals and timeline
- A community of women all interested in fertility, health, and female-focused topics that matter.
What type of research is Modern Fertility doing?
When you get your results, we also ask you if you want to opt in to participating in clinical research to move women’s health forward. Women’s health is a historically under-funded area of research and we’re on a mission to change that. We need more clinical research designed by and for women. You have complete control over whether or not your data is included in research and you can update your preferences any time.
How does MF store my data?
To answer this, we went straight to our lead engineer. He breaks it down as “Modern Fertility employs software, hardware, and physical security measures to protect all files where customer data is stored. We use best-in-class two factor authentication methods to access our systems. Every part of our system has been built to comply with industry best practices and HIPAA guidelines. All data on our servers is encrypted when it is at rest or in transit. All personal data is encrypted using industry standard AES-256 encryption algorithm, and can only be transmitted over SSL within a strictly monitored private network. Internally, strict guidelines and access controls ensure that your data is protected.”
Does the test expire?
Modern Fertility tests have a two-year shelf life, so you have plenty of time to test when it’s convenient for you!
Will my company cover this test?
We’re working with progressive companies all over the country who want to cover Modern Fertility for their employees. If you’d like your company to offer Modern Fertility, send us a note at firstname.lastname@example.org. It’s up to us to ask for the benefits that we need!
How often should I retest?
We recommend retesting every 9-18 months to keep tabs on how your fertility is evolving over time.
I want to share MF with my friends! Do you have a referral program?
We do! To send your friends $10 off their test, go into “My account” on your Modern Fertility dashboard and click “Invite Friends” to send them your discount link.
I want to learn more about fertility! What are some good resources for learning more?
There’s a lot to learn, so you’ve come to the right place to get started. For tons of articles about the world of fertility, check out our blog! If you’re interested in chatting with others about fertility, women’s health topics, and more we’d love to have you join the Modern Community. You can apply here!
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