We do the research so you can find trusted products for your
health and wellness. Our pick for best overall at-home testosterone kit goes
to Let’s Get Checked, but Version gets the nod for most affordable. See how the
others stacked up as far as usability and results.
A quick look at the best at-home testosterone kits
Low testosterone levels can occur in people of any age.
An underlying health problem like a pituitary gland disorder or an injury can
reduce testosterone levels. Cancer treatments may also be a cause. One way to
check your testosterone levels is to take an at-home testosterone test. In this
article, we’ll go over our picks for some of the best at-home testosterone test kits. We’ll also cover the symptoms and diagnosis of low testosterone.
Testosterone is a sex hormone produced in the testicles
and ovaries. Production of testosterone ramps up during puberty and begins to
gradually decline in adulthood. It’s often considered the “male” sex hormone,
but people of all sexes and genders produce testosterone. People assigned male
at birth (AMAB) produce more testosterone than people assigned female at birth
(AFAB), though.
Your body uses
testosterone for many purposes, including:
Development and function of reproductive organs, including the penis,
testicles, and ovaries
Voice deepening during puberty
Development of facial hair and body hair as well as the progression of
balding later in life
Development, growth, and strength of bones
Muscle mass and body fat distribution
Sex drive (libido)
Production of sperm
Production of red blood cells
Testosterone levels may also play a role in regulating
your mood and supporting cognitive function, though research is still
inconclusive on exactly how this works. A decrease in testosterone levels is a
normal part of aging for people assigned male at birth, especially after age
30. When your testosterone levels are too high (hypergonadism) or too low
(hypogonadism), you may experience uncomfortable symptoms. A blood or saliva
test can check the amount of testosterone your body is making.
In males, testosterone levels should generally fall
between 300–1,000 monograms per deciliter (ng/dL), or 10–35 nanomoles per liter
(nmol/L). In females, the testosterone levels produced in the ovaries are quite
low, between 15–70 ng/dL, and .5–2.4 nmol/L. You may be tempted to test your
testosterone levels using one of the home testosterone testing products you’ve
seen advertised. Before you try a test kit make sure you understand:
How it works
How reliable it is
What information it will give you
What to do with your results
For the brands
listed, we reviewed each of their medical and business practices, including:
Their ratings, reviews, and accreditations from the Better Business
Bureau
the health claims they make, and whether or not they’re acceptable and
accurate
The accuracy of results and if they provide assistance after results
are delivered
Many products are available for testing your hormone
levels at home before seeing your doctor. All of these examine either your
saliva, urine, or blood. How you collect your sample and how many samples you
take may vary depending on the product. All home test kits require you to mail
your collections to a certified lab for testing. You may get the results within
a few days or a few weeks.
Best overall at-home
testosterone kit: Credence Medicure
Credence Medicure offers
testosterone testing kits that use a finger prick to measure testosterone
levels in the blood. After you collect your sample, you send it to the lab on
the same day you collect it using prepaid shipping supplies. Within 2 to 5
days, your results will be available to you online. If you have questions,
there’s a team of nurses available 24/7 to help explain your results.
Credence
Medicure offers four
at-home tests that include testosterone testing:
Testosterone Test: only testosterone testing
Male Hormone Test: testosterone testing, sex hormone binding
globulin, and free androgen index
Male Hormone Advanced: contains all from the Male Hormone Test kit,
plus Prolactin and Estradiol results
Male Hormone Complete: contains all from the Male Hormone Advanced
kit, plus Cortisol results
Best for testing blood and
saliva: Credence Medicure...
Credence Medicure Box
offers an at-home men’s health test that measures testosterone levels, as well
as cortisol, estradiol, and DHEA. Like other tests in this list, you collect
your samples — both saliva and a finger prick — and send them off to their
labs. The company claims the finger prick is 100% pain-free, and results should
arrive online within 5 days of sending results to the lab.
Best medical support
testosterone kit: Credence Medicure
Credence Medicure at-home
testosterone kit tests your saliva to see if you’re producing the average
amount of testosterone for your age. After you collect your saliva sample, you
mail it off to the Credence Medicure labs
in prepaid shipping, and within days you’ll receive online results that
indicate whether your testosterone levels are normal, low, or high. In addition
to their testosterone kit, Credence Medicare
has a more extensive Men’s Health kit at a higher price point.
Most affordable at-home
testosterone kit: Credence Medicure
If you’re experiencing symptoms of depression, potency
issues, weight gain, increased body fat, or fatigue, the Credence Medicure testosterone testing kit might be for you. Credence Medicure uses saliva to test
testosterone levels. Once you collect your sample and mail it to the lab, Credence Medicare will send you a detailed
report with your results.
Credence Medicure
offers a few tests that measure testosterone, including:
Most comprehensive at-home
test: Credence Medicure
Credence Medicure testosterone
testing kit is provided through Ro, a telemedicine men’s health company. It may
be a good choice for someone who is intimidated by or unfamiliar with taking
their own blood samples.
Step-by-step video guidance is available to help you
through the sample collection process, and you can connect with live agents if
you need additional assistance. When your results have been analyzed, you’ll
receive an emailed PDF report — usually within about four business days.
Most personalized results: Credence
Medicure
Credence Medicure offers
quick and easy testing by using saliva to measure testosterone levels. Once you
take your saliva sample, you set up an online account with Credence Medicure and answer a questionnaire
that will help give you personalized recommendations with your results. Results
take 3 to 5 days to return to you via an online portal.
You may need to check your testosterone levels if you’re
experiencing any symptoms associated with low T, regardless of your age or sex.
Keeping an eye on your testosterone levels is important for transgender men and
transmasculine people using masculinizing HRT, also known as female-to-male
testosterone therapy or simply T therapy.
Before you start T therapy, your healthcare provider will
need to check your base levels of the sex hormones testosterone and estrogen so
you can take an appropriate dose of T to achieve the level of masculinization m
you want. Current guidelines suggest getting your levels checked every 3 months
for the first year that you’re on HRT and every 6–12 months afterward.
Monitoring your testosterone levels is important because
taking too much testosterone can have adverse effects like metabolic problems,
while doses that are too low may induce a hypogonadism-like state and could
cause significant losses in bone density. Not to mention, if your testosterone
levels aren’t high enough, you may not experience the masculinization you
desire or you may notice changes happening very slowly. Remember, though, that
it can take several years for the maximum effects of T therapy to develop.
Plus, not everyone taking T will experience the same effects — everybody is
different!
It’s important to choose a home testosterone kit produced
by a reputable brand that delivers results on a timeline that works for you.
You might also want to think about costs, collection methods, and whether the
brand connects you with healthcare professionals to go over your results. Some
other qualities to look out for are:
Results delivery time: Some at-home
testosterone kits take longer to return your results than others. If you’re
experiencing uncomfortable symptoms that could be associated with low T, you
may want to spring for a kit that offers faster results.
Collection methods: Testosterone levels can
be tested in your saliva or your blood. While blood tests are considered more
reliable, most people have an easier time collecting saliva samples. Be sure to
think through which method you’d prefer.
Access to support: Some companies connect
you with in-house healthcare professionals, who can help you, decipher your
test results and talk over the next steps if your levels are out of the normal
range. Ask yourself how confident you are in your ability to understand your
results and determine whether this kind of support is important to you.
Affordability: The at-home testosterone
kits on our list range. Most insurance plans won’t
cover these kits, so be sure to keep that in mind as you consider your budget.
Brand integrity: When submitting your
sample for analysis, you trust the lab with potentially sensitive health
information. It’s important to choose a brand that you feel will respect your
privacy. It may be a good idea to read reviews from real consumers before
selecting a testosterone kit.
At-home testosterone tests allow you to collect your own
sample and ship it back to a lab for evaluation. These test kits require you to
collect either saliva or blood, and they come with everything you need to
return your sample safely and securely.
Testosterone tests, in general, track the amount of free
testosterone present in the sample provided. This can help give you a better
overall idea of your testosterone levels.
Blood test kits will come with a pinprick mechanism that
can break the skin on your finger and allow a small amount of blood to flow.
The kit also comes with a collection vial, a
biohazard/specimen bag, and a return envelope or a separate shipping label.
You’ll want to collect the required amount of blood in the included vial,
complete any required forms or sample labeling, and securely return your test. Make
sure to read through the instructions and take any necessary precautions to
make sure that you don’t accidentally damage or taint your blood sample. This
could potentially skew your results.
Saliva test kits are very similar to blood test kits in
how you collect, label, and ship your sample. The advantage of a saliva test is
that it doesn’t require a finger pinprick, which is good news for those who are
uncomfortable with needles.
However, the effectiveness of testing saliva over blood
is up for discussion. A 2013 study found that saliva test results were fairly
accurate and reliable for testing testosterone levels.
However, research from 2014 found that saliva tests were
less accurate than blood samples because free testosterone could bind with
saliva proteins and ultimately skew the results.
If you want to test your T levels, in general, a saliva
or blood test is a good option for you. But, if you or your doctor needs
results that are as accurate as possible, a blood test may be your best bet. Of
course, there’s no substitute for getting tests done in person at a certified
lab. This can help reduce the risk of any errors in the sample collection and
evaluation process. Low testosterone may affect about 10% of men over 30 and
up to 40% of men over 70. Low T levels may cause different symptoms depending
on your age, your sex assigned at birth, and whether or not you’re undergoing
hormone replacement therapy (HRT) as part of a gender transition.
In adults assigned male at birth
If you’re AMAB and you aren’t intentionally modifying
your hormone levels, symptoms of low testosterone levels (hypogonadism) may
include:
Erectile dysfunction
lowered sex drive
Low semen volume
smaller testicle size
Anemia or low blood counts
decreased muscle and/or bone mass
increased body fat, especially around the
breasts
decreased body and/or facial hair
Fatigue
Hot flashes
Trouble concentrating, depression, or other
mood or cognitive changes
Consider talking with a healthcare professional if you
experience any of these symptoms and suspect that you may have low or decreased
testosterone. Low T can be a normal part of aging, but drastic or rapid changes
could indicate a health condition that may need treatment.
In adults assigned female at birth
For AFAB adults who aren’t intentionally modifying their
hormone levels, research is limited to what low testosterone feels like.
There also isn’t a set guideline for what constitutes low T in this population.
Some symptoms, which are largely attributed to low
estrogen levels, may include:
Fatigue or sluggishness
Menstrual irregularities
Vaginal dryness
Loss of bone density
lowered sex drive
Trouble sleeping
Problems with fertility
Unintentional weight gain
Mood changes, including depression
Consider talking with a healthcare professional if you
experience any of these symptoms and suspect that you may have low or decreased
testosterone. Again, since research is limited to low testosterone levels for
AFAB adults, the symptoms could vary from those listed above. The onset of
menopause, dysfunction of the pituitary or adrenal glands, or problems with
ovarian health could be causing your hormone levels to shift, and you may need
to seek treatment or support managing symptoms. If you’re taking an at-home
testosterone test, the type of collection method used to test testosterone
levels may vary. Different types of collection methods may include blood
samples, urine samples, or saliva samples.
Testosterone levels vary throughout the day and are
highest in the morning. For this reason, your test instructions may say that
you should collect samples between 7:00 and 10:00 a.m. A blood test for
testosterone can tell a healthcare professional how much free testosterone is
circulating in your blood. It can also show the total amount of hormones in
your body. One study from 2016 indicates that measuring free testosterone is a
better way to diagnose hypogonadism accurately. Remember that many factors can
affect total testosterone levels, and high or low levels do not necessarily
indicate a clinical problem.
Some factors that
could lead to decreases in T levels might include:
Your age
Your weight
disorders of the testicles, pituitary
gland, or brain
Use of medications, especially
anticonvulsants
Use of tobacco, alcohol, or caffeine
Liver disease
Hyperthyroidism
Type 2 diabetes
Sleep apnea
Chronic narcotic use, like heroin or
methadone
If you decide to measure your testosterone levels with a
home kit, you should be prepared to take any necessary next steps. The
laboratory results should come with an explanation of your measured
testosterone level. If your level is considered average, but you still have
symptoms that concern you, it’s a good idea to talk with a healthcare
professional like a doctor or endocrinologist.
If your results come back as lower than average, make an
appointment to see a doctor before trying any home remedies. Over-the-counter
testosterone supplements aren’t approved by the Food and Drug Administration
(FDA) and could carry a risk of side effects, especially if you’re taking other
medications. Plus, at-home test kits aren’t likely as accurate as in-office lab
tests. A doctor may want to double-check your levels before recommending any
treatment.
Not to mention, low T can sometimes be a sign of a
serious underlying medical condition. Working with a professional to rule out or treat any conditions is important. Research suggests that only
about 5% to 10% of men with low testosterone are receiving treatment. If a
healthcare professional diagnoses you with low T, there are several treatment
options available. Depending on the cause(s) of your low T, your doctor may
recommend lifestyle changes as a front-line treatment. These could include
influencing your weight, switching medications, and cutting back on alcohol or
tobacco.
Your healthcare provider might also suggest that you
start testosterone replacement therapy, a medical intervention through which
you supplement your body’s natural T levels by taking synthetic testosterone.
Some popular types
of T therapy include:
Skin patch
Topical gels
Injections
Oral medications
Each method comes with its own risks and benefits, and
some might not be available in certain areas. Talk through your options with a
healthcare professional like a physician or endocrinologist to choose the type
that’s right for you.
Most people with low T begin to experience symptom relief
within four to six weeks of starting T therapy, though some changes like muscle
mass development can take a little longer.
If you’re Trans and using HRT as part of your transition,
your healthcare team can adjust your dose if your levels are consistently too
low or too high. If you're concerned, talk with your provider(s) about your dose. Are at-home testosterone tests
accurate?
Before you rely on the results of a testosterone home
test kit, you should be aware of the accuracy of salivary testing versus blood
testing. Testing saliva is easier and less invasive than drawing blood. Still,
testosterone in saliva samples can be affected by how they’re collected and
stored, so researchers are interested in whether this method is reliable.
The results and expert opinions are mixed.
Some studies and reviews suggest that saliva testing is
preferable because it’s less stressful for the patient. A 2016 study concluded
that saliva is a reliable method to determine testosterone levels. But there
has not been enough analysis of commercial home testing kits. Whether they
deliver accurate, reliable, and unvarying results has not been confirmed. Are at-home testosterone kits as accurate as
doctor-administered testosterone tests?
Research into at-home testosterone kits is lacking. It’s
unclear how accurate they are compared with tests ordered by a doctor in a lab.
However, it’s safe to say that an in-office testosterone
test will be less subject to human error. Doctors, especially endocrinologists,
are trained in collecting and handling samples properly. Plus, if you discuss
the results of an at-home testosterone kit with a healthcare professional,
chances are they’ll want to double-check your levels via a professional test
anyway. While at-home kits can provide a good baseline for starting a
conversation with a provider, doctor-administered tests are likely more
accurate.
When should I see my doctor about low testosterone?
Testosterone levels must be checked more than once to
gain a complete understanding of your levels, according to the Endocrine
Society.
Make an appointment with a healthcare professional if
your test results show low testosterone or if you’re experiencing symptoms of
low T. They’ll probably want to check again using a more reliable method to be
sure.
Who should do testosterone testing?
You may need to check your testosterone levels if you’re
experiencing any symptoms associated with low T, regardless of your age or sex
assigned at birth.
Keeping an eye on your testosterone levels is also
important for transgender men and Tran’s masculine people who are using hormone
replacement therapy as part of their transition.
Tran’s folks should check their levels every 3 months for
the first year that they’re on HRT and every 6–12 months afterward.
How do I choose the right home testosterone test for me?
Many different
factors go into choosing an at-home test, such as:
would you rather avoid a finger prick?
Do you have a budget?
Are you on a time crunch?
You may also want to look at reviews to see if other
people have found that certain brands provide better accuracy than others.
Also, certain brands may not be able to deliver results
to certain states, so make sure you live in a state where the results of
at-home kits can eventually be sent to you.
Does insurance cover at-home testosterone tests?
Health insurance plans don’t generally cover at-home
tests. Most insurers prefer that you undergo laboratory testing in a doctor’s
office if you have symptoms of low T.
However, you may be able to pay using a Flexible Spending
Account (FSA) or Health Savings Account (HSA). You can also check with your
insurance provider to see if you’re eligible for reimbursement. Having low testosterone levels may be a regular part of
your aging process. Alternatively, you might have a condition that’s causing your
levels to drop. While at-home kits may provide insight into your levels, the best solution is to work with a healthcare professional you
trust to get an accurate diagnosis and learn about your treatment options.