Oova Review (2026): Fertility Test Costs and Facts

On this page

Quick answer: who Oova suits and who should skip it
What Oova is and how it works
What's included
Oova pricing as listed (October 2026)
App features and sharing with your clinician
Regulatory status, privacy and claims to read carefully
Pros and cons from published facts
How Oova compares
Before you buy: folic acid and clinician questions
Frequently asked questions
Sources

Key takeaways

Oova is a daily urine test strip that you scan with your phone; the app reports LH, E3G and PdG levels with no separate reader ¹.
The fertility Cycle Kit is listed at $159 for one cycle (15 LH and PdG strips plus 15 E3G strips), or $129 per month by subscription ⁵.
Oova says it is an FDA-registered medical device; FDA says registration alone does not mean approval or clearance ¹⁶.
Oova states it does not diagnose medical conditions and is not a replacement for a doctor's hormone testing ¹.
Its accuracy figures (93% to 99% correlation with blood results, depending on the page) are company-reported validation data ¹⁵.

Oova is an at-home hormone test: you dip a strip in urine, scan it with your phone camera, and the Oova app reports levels of LH, E3G (an estrogen metabolite) and PdG (a progesterone metabolite).¹ It suits people trying to conceive who want to see whether ovulation happened and who prefer not to carry a separate reader device.

It is less suited to anyone looking for a low-cost way to time sex in a regular cycle, where basic LH strips may be enough. This review is researched, not hands-on: we have not used Oova, and product details come from Oova's official pages, checked October 2, 2026.

Quick answer: who Oova suits and who should skip it

Oova may suit you if	You may want to skip Oova if
You want numeric LH, estrogen and progesterone readings	You only need a yes or no LH result
You want to check whether ovulation happened (PdG)	You want the lowest cost per cycle
You want results on your phone with no extra device ¹	You want FSH tracking (Oova lists LH, E3G and PdG only ¹)
You want reports you can share with a clinician ¹	You are looking for a diagnosis (Oova says it does not diagnose ¹)

What Oova is and how it works

Ovulation is preceded by a surge in luteinizing hormone (LH), about 1 to 1.5 days before the egg is released.² Estrogen's breakdown product E3G builds up around ovulation, and progesterone, measured in urine as PdG, rises after it.²³ Oova measures all three.

According to Oova, the process has three steps:¹

Sample. Dip the test strip into a urine sample at the time the app tells you.
Scan. The app reads the strip with your phone camera, with no separate device, and gives quantitative LH, E3G and PdG levels in about 10 minutes.
Understand. The app charts your hormone levels and symptoms over time.

Oova uses two cartridge types. The LH and PdG strip shows three lines (control, PdG and LH), and the E3G strip shows two (control and E3G).¹ Oova says it sets a personal hormone baseline and then tracks changes relative to it, and that it uses tiny beads that bind hormones to widen the detection range.⁴

The testing schedule

For the fertility kit, Oova says the app learns your cycle and tells you when to scan: 5 consecutive days of E3G strips only, then 10 days of both strips, then 5 days of LH and PdG strips only.¹

What's included

Item	Details (per Oova)
Fertility Cycle Kit	15 LH and PdG test strips and 15 E3G test strips ⁵
Coverage	15 to 20 days of testing, or 1 cycle ⁵
App	Free; also usable as a symptom tracker without strips ¹
Shipping	Free shipping; ships to the U.S. and Canada ⁵
Payment	HSA and FSA eligible ⁵

Oova pricing as listed (October 2026)

Option	Listed price
Fertility Cycle Kit, one-time purchase	$159 ⁵
Monthly subscription	$129 per month ⁵

Oova's FAQ also describes an Oova Membership that includes a peer community, one-on-one expert consultations, member events and 30% off monthly test kits.¹ Oova says the kit may be reimbursable through Carrot Fertility employer benefits, depending on the plan.⁵ Confirm current prices and what a subscription includes on the official site.

According to Oova, the app:¹

Shows daily LH, E3G and PdG levels and long-term hormone trends
Lets you log symptoms next to hormone changes
Exports a provider-ready PDF report
Sends results in real time to clinicians who use Oova's dashboard

Regulatory status, privacy and claims to read carefully

FDA-registered is not FDA-approved

Oova's home page lists it as an "FDA-registered medical device."¹ FDA states that a registration and listing entry "does not denote approval, clearance, or authorization" of a device.⁶ Oova itself says it does not diagnose medical conditions and is "not a replacement for a doctor's hormone testing."¹

Accuracy figures vary by page

Oova's home page cites a 93% correlation with serum (blood) results, while its FAQ and shop page cite up to 99% correlation in validation testing.¹⁵ Both are company-reported figures. The general science behind PdG testing is supported in lab research, but that does not independently validate any one brand.³

Oova's site also says it is used by clinicians across 600 or more clinics on one part of the page and "trusted by 100+ clinics" in its FAQ.¹ Customer stories about conceiving are testimonials, not evidence that the test improves pregnancy rates.

Privacy

Oova says your data is encrypted, HIPAA-compliant and never sold, and that you decide if or when to share it.¹ Read the full privacy policy before you start, especially if you plan to share data with a clinic.

Pros and cons from published facts

Pros	Cons
Three hormones (LH, E3G, PdG) with numeric results ¹	No FSH measurement ¹
No separate reader; uses your phone camera ¹	Two strips per day on many testing days ¹
Provider-ready PDF reports ¹	Listed at $159 per cycle kit, more than LH strips ⁵
HSA and FSA eligible; free shipping ⁵	Accuracy figures are company-reported and inconsistent across pages ¹⁵
Free app usable as a symptom tracker ¹	Ships only to the U.S. and Canada ⁵

How Oova compares

Mira measures the same three hormones with a reusable reader and adds an FSH option. See Mira vs Oova for a side-by-side table and our Mira review. For basic LH strips, digital tests and other monitors, see how to choose the best ovulation test.

Before you buy: folic acid and clinician questions

Folic acid while you track

Tracking ovulation means you are planning a pregnancy, so check your folic acid. CDC recommends 400 mcg of folic acid daily for anyone who could become pregnant, and USPSTF recommends 400 to 800 mcg starting at least one month before conception.⁷⁸ Oova measures reproductive hormones, not folate; if you want to know your folate status, our folate blood test guide explains what that test shows. For timing, see folic acid before pregnancy.

Questions to ask your clinician

How long should we try before an evaluation? ACOG suggests 12 months, or 6 months if you are over 35.⁹
My PdG never seems to rise. Should I have a blood progesterone test about a week before my period?⁹
Could a medicine I take change my LH results? MedlinePlus lists estrogens, progesterone, testosterone and clomiphene.¹⁰
Should my partner be tested too?⁹
Is 400 mcg of folic acid right for me, or do I need a different dose?⁷

Frequently asked questions

Is Oova legit?

Oova was founded by Amy Divaraniya, PhD, whom the company describes as a Mount Sinai trained geneticist and data scientist ¹. It publishes an FAQ, a research page and privacy statements, and says it is used by clinicians at hundreds of clinics ¹. A real company is not the same as proof that the product will help you conceive.

Is Oova FDA approved?

Oova's home page calls it an FDA-registered medical device ¹. FDA says a registration and listing entry does not denote approval, clearance or authorization of a device, and points consumers to Devices@FDA to check cleared or approved products ⁶.

How many days do you test with Oova?

For the fertility kit, Oova says the app tells you when to scan: 5 days of E3G strips only, then 10 days of both strip types, then 5 days of LH and PdG strips only ¹. That matches the 15 plus 15 strips in the Cycle Kit ⁵.

Does Oova work with irregular cycles or PCOS?

Oova says its results are based on your own hormone baseline and markets the kit for irregular cycles and PCOS ¹⁵. Those are company statements. Irregular cycles have many causes, and a clinician should evaluate them ¹¹.

Can I use the Oova app without buying tests?

Yes. Oova says anyone can download the app free and use it as a symptom tracker without test strips ¹.

Sources

Oova. Oova Hormone Monitoring Kits (home page and FAQ).
U.S. Food and Drug Administration. Ovulation (Urine Test).
Scientific Reports via PubMed Central. Confirmation of ovulation from urinary progesterone analysis: assessment of two automated assay platforms (Gifford et al., Scientific Reports, 2018).
Oova. How It Works (Oova technology).
Oova. Oova Hormone Kit for Fertility (shop page).
U.S. Food and Drug Administration. Are There "FDA Registered" or "FDA Certified" Medical Devices? How Do I Know What Is FDA Approved?.
Centers for Disease Control and Prevention (CDC). About Folic Acid.
U.S. Preventive Services Task Force (USPSTF). Folic Acid Supplementation to Prevent Neural Tube Defects: Recommendation.
American College of Obstetricians and Gynecologists. Evaluating Infertility (FAQ136).
MedlinePlus (U.S. National Library of Medicine). Ovulation home test.
MedlinePlus (U.S. National Library of Medicine). Progesterone Test.

This article is for general education and is not medical advice. Doses and needs differ from person to person, so talk with your clinician or pharmacist about your situation. Read our editorial policy and medical disclaimer.