Testing while on birth control

  • Can I take the test if I’m on hormonal birth control?

    Yes! Take this quiz to see what hormones we can test based on your birth control.

  • Can I test all hormones on birth control?

    Yes! The hormones you can test depend on the type of birth control you’re using. We customize it just for you. Although hormonal contraception like the birth control pill interferes with many of the hormones we test, it does not keep us from measuring AMH — which is the most important hormone to measure for assessing ovarian reserve. This is because AMH is released from your follicles themselves. 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, your AMH level is important for understanding your ovarian reserve (how many eggs you have “waiting in the wings”). We'll walk you through the science when you get the results. If your results come back lower than expected (even accounting for the AMH suppression) make sure you talk to your doctor.

  • Can I test with an IUD?

    Yes! The hormones you can test will vary depending on which IUD you are on (hormonal or copper) and whether or not you get a period. You can take the quiz here to see which hormones you can test for. Hormonal birth control has been shown in some studies to suppress AMH––so if you're on the hormonal IUD, it's important to keep this in mind. However, even on birth control, your AMH level is an important signal for understanding your ovarian reserve. When you get your results we'll walk you through all of the science so you can understand what your results mean for you. If you have any questions about testing on your IUD, shoot us a note at support@modernfertility.com.

Your fertility profile

  • What do I get in my fertility profile?

    Your 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.

    Knowing your ovarian reserve, or “how many eggs you have”, 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. And as we mentioned above, you can test for your ovarian reserve even while on birth control.

    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.

  • Are these the same laboratory tests that someone would get from a fertility doctor?

    Yes. We worked with top Reproductive Endocrinologists to select a panel with the most comprehensive set of hormones to give women the best indication of their future fertility. Each fertility doctor has a different approach for ordering these laboratory tests. We add a layer of interpretation so the results are easy to understand. Fertility is complex and hormones are only one piece of the puzzle. We encourage all customers to talk with a doctor about their reports. Read more about the science here.

  • How accurate are these reports?

    Very. We’ve spent thousands of hours working with the top Reproductive Endocrinologists (IVF Doctors), OB/GYNS, Endocrinologists, and primary care doctors–they’ve reviewed every word–and worked with us to distill the latest clinical research, national guidelines, and clinic information into easy-to-understand reports. These reports are the start of a conversation. They can arm you with information before you see your doctor.

  • Are these ordered by a doctor?

    Yes. Our tests are doctor-ordered and reviewed. The analysis is done in CLIA and CAP accredited labs.

Ordering your test

  • Can I pay for the test with my FSA/HSA card?

    Yes, we accept FSA/HSA cards. Your Modern Fertility test is approved by a physician so it should fit within the guidelines for most HSA/FSA coverage, but it’s always best to check directly with your plan before purchasing. Once you’ve purchased a test, please email support@modernfertility.com to request an itemized receipt. Our itemized receipt includes information on the test(s) ordered, physician name and NPI, requisition number, date ordered, total amount paid, and your customer contact info.

  • How are your tests so much less expensive than what I got quoted in the clinic?

    Our tests are the same as the tests offered in clinics. Since we are testing more patients than one doctor’s office and order a high volume of tests, top labs allow us to bring them to you at an affordable price.

  • Can I purchase the test everywhere?

    You can purchase the test in any state in the US except for New York, New Jersey, and Rhode Island. The test is not currently available in any other country besides the US.

  • Will these tests be covered by insurance if I ask my doctor for them?

    If you ask your OB/GYN for fertility hormone testing she can write a prescription for you, but it often isn’t covered by insurance. That is because proactive fertility testing is not covered. Only 16 states cover fertility testing for women when they 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 what state you’re in and your age). That means you would be billed for the testing. Modern Fertility allows you to test at one rate and also includes 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 Women community.

  • 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 support@modernfertility.com.

  • How long do my results last?

    Fertility declines with age so these results expire every 9-12 months. Results can also vary based on new health conditions. We recommend re-testing every year.

  • Will my results be different from another lab?

    Every lab has specific reference ranges that it uses to measure hormone levels in your blood. Because each lab has its own equipment and data, these ranges may differ slightly from lab to lab. Read more about lab ranges here.

  • Can I take this test after giving birth or while I am pregnant?

    This test is not meant for women who are pregnant or have recently given birth.

  • What age range is this test approved for?

    We work with physicians to research and review every piece of content and they have approved interpretations of results for ages 21-45. We are unable to generate reports for ages outside of the specified age range for which the reports have been approved.

  • I am taking certain medications. Will this affect my results?

    Some medications can interfere with hormone levels. These medications include: cimetidine, clomiphene, digitalis, levodopa, anticonvulsants, clomiphene, digoxin, hormone treatments, naloxone, blood thinning medication, or anti seizure medication.

  • What's your refund policy?

    Because we want to get 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. In the event of an update to the Modern Fertility price we can process a partial refund for purchases within the past 7 days.

  • How does Modern Fertility store my data?

    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 the 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.

    When you get your results, we also ask you if you want to opt in to having anonymous data shared with health researchers. Women’s health is a historically under-funded area of research and we’re excited to help move the field forward. You have complete control over whether or not your data is included in research and you can update your preferences any time.

How to test

  • When do I do my test?

    If you are 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. For all tests, we recommend testing first thing in the morning – this will give us the clearest read on your hormones.

  • How do I know when Day 3 of my period is?

    Day 1 is the first day of full flow (not spotting), starting before 5 pm and Day 3 is the third day of full period flow. For example, if you are not on hormonal birth control and you get your period at 3pm on Monday, you’ll do your test on Wednesday. If your period starts at 7pm on Monday you’ll test on Thursday.

  • Do I need to fast for my test?

    If you are testing for prolactin, you’ll need to fast for approx. 8 hours before your draw. To help with this, we recommend that you do your test right when you get up!

  • I hate getting my blood drawn. How does it work?

    If you test at home, you’ll do a small finger prick. You’ll feel a quick pinch. Most women tell us that it doesn’t hurt but everyone is different. You can do this!

    If you test at a lab, you’ll do a traditional venipuncture draw (just like you do at your doctor’s office for blood work). It’s pretty quick. Your appointment should only take 15 minutes.

Testing at Home

  • How do I take the test at home?

    When you order, we’ll ship you everything you need to test your fertility at home. 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:

    1. Find your day: We’ll help you pinpoint when to test.
    2. Take your test: It’s a simple finger prick in the comfort of your living room.
    3. 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. Take a deep breath, you've got this. And we've got you!

  • Why does the day I test depend on my birth control?

    Birth control affects your hormones and therefore affects which ones we can test. Some hormones require testing on a particular day and time. After you order your test we’ll tell you exactly when to test based on your birth control and period.

Testing at Quest Diagnostics

  • How does testing at Quest work?

    1. Find your day: The day and time you swing by Quest depends on your birth control. We’ll help you pinpoint it and set up an appointment.
    2. Swing by Quest: You’ll bring your requisition form (we’ll email and snail mail it to you!) and an ID to the lab. Your test is all paid for so you won’t need a credit card or insurance card.
    3. Get your results: We’ll email you with a link to your fertility profile about 10 business days after your draw. Inside, you’ll find information about your hormones, how fertility relates to age, a link to your raw results, and more.

  • How do I go to Quest?

    There are hundreds of Quest Diagnostics Labs across the country. You can find a lab near you on the Quest website. Some locations allow drop-ins, others require appointments. You can see the policy of the Quest near you on the Quest website. If you make an appointment, select "routine lab test."

  • How is going to Quest different than the test you take at home?

    The only thing that’s different is the way you collect your blood sample. With this option, you’ll swing by a Quest lab 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 that you do at home. Both options give you access to the exact same dashboard and reports that you can track over time.

  • Why does the day I visit Quest depend on my birth control?

    Birth control affects your hormones and therefore affects which ones we can test. Some hormones require testing on a particular day and time. After you order your test we’ll tell you exactly when to test based on your birth control and period.

  • Does it cost anything extra?

    Nope! The lab fee for getting your blood drawn at Quest is included in your Modern Fertility order.

  • What will they need from me at Quest?

    You’ll only need your requisition form (which we’re sending you in the mail!) and a photo ID. Sometimes the receptionist will ask you to confirm your date of birth or address. If you have any questions while you’re there, just shoot us an email.

Support from Modern Fertility

  • What can I do if I get an abnormal result?

    The best next step is always to talk to a doctor. You’ll be armed with information and prepared to have a conversation outlining your options.

  • Do I get a consultation with Modern Fertility?

    Your Modern Fertility experience comes with a free 1:1 chat with a fertility nurse that you can opt into to get your questions answered. Keep in mind, that we do not provide medical advice, only your doctor can! We’ve pored over the science of fertility and worked with top OBGYNs and Reproductive Endocrinologists to develop your personalized reports. We’ve carefully crafted them so that you can understand what each hormone does, what your results are, and what they mean. We absolutely encourage you to share these results with your doctor. We are also always available at support@modernfertility.com to answer your questions.

  • Do I need to take these to my doctor?

    This test is a great way to prep for a conversation with your doctor but what you do with your results is completely up to you. We always give you your raw lab results that you can share with your doctor. Modern Fertility will not share them with your doctor.

Have a question we didn’t cover?

We’re here for you. Shoot us a note at support@modernfertility.com and we’ll get back to you asap.

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