Oova Review: Built for All Cycles, But Are the Insights Worth the Cost?

Oova is focused on providing access to lab-quality hormone tracking, particularly concerning reproductive health and fertility. The brand’s hormone monitoring kits may be helpful if you are seeking clarity on ovulation timing, luteinizing hormone (LH) surges, and progesterone trends.

The at-home test kits provided by Oova utilize urine samples and the Oova smartphone app to provide insights into perimenopause and fertility. Oova also highlights the convenience of these kits, especially in comparison to traditional lab-based testing, which typically includes scheduled clinical visits and delayed results.

In this review, we explore the Oova brand as a whole, including its offerings, core focus, advantages, and potential brand limitations. The review also aims to help you determine if the Oova brand meets your specific needs and how it compares to conventional testing options.

About Oova

Oova pairs biotechnology and machine learning to provide real-time, lab-quality understanding of daily hormone levels. The brand’s hormone test kits may help you track and predict ovulation, which may be particularly helpful when you’re trying to conceive, navigating menopause, or undergoing infertility treatments.

As of now, the Oova brand provides access to two primary offerings, including the Perimenopause Hormone Kit and the Fertility Hormone Kit. Furthermore, Oova integrates the kits with the Oova app, which could help you interpret the hormone levels and present the findings in an easy-to-understand explanation. Subscribing to the Oova membership can provide access to 1:1 consultations with a licensed healthcare provider and comprehensive fertility guidance.

Oova Offerings

1. Perimenopause Hormone Kit

   The Perimenopause Hormone Kit from Oova can provide daily, quantitative measurements of vital reproductive hormones during perimenopause. Oova claims that its Perimenopause Hormone Kit measures the real-time hormonal levels of E3G, luteinizing hormone (LH), and PdG (a progesterone metabolite) through urine samples. It may allow for a more detailed view of how hormone patterns shift over time.

   As per the official site, each kit features 15 test strips for LH and PdG measurement, and an extra 15 strips for E3G. The maker’s recommended use of the Perimenopause Hormone Kit involves collecting a urine sample using a test strip and scanning it through the Oova app, which immediately displays your hormone data. Oova recommends testing for 15 consecutive days per cycle using two strips per day.

   The Perimenopause Hormone Kit may support various perimenopause-related needs. If you’re starting to observe irregular menstrual cycles or symptoms like hot flashes or sleep disturbances, the kit may help clarify whether these are hormone-related. For example, if you are attempting conception during perimenopause, the Perimenopause Hormone Kit may assist in identifying fertile windows and confirming ovulation.

2. Oova Fertility Hormone Kit

   The Fertility Hormone Kit aims to provide real-time insights into your reproductive cycle. Similar to the Perimenopause Hormone Kit, the Fertility Hormone Kit also measures the levels of fertility-related markers, namely LH, estrone-3-glucuronide (E3G), and pregnanediol glucuronide (PdG).

   Each hormone tracked by the Fertility Hormone Kit reflects a distinct phase of the menstrual cycle. Luteinizing hormone (LH) surges roughly 24–36 hours before ovulation, acting as a signal that an egg is about to be released. Estrone-3-glucuronide (E3G) is a urinary metabolite of estrogen, which rises in the days leading up to ovulation and marks the start of the fertile window (when conception is most likely). After ovulation, pregnanediol glucuronide (PdG) hormone levels begin to increase, confirming that ovulation has occurred.

   According to the official site, one unit of the Fertility Hormone Kit is priced at $159 as part of a one-time purchase. The kit comes with 15 LH/PdG test strips alongside 15 E3G test strips to track one ovulation cycle.

Oova Advantages

1. AI-Powered Interpretation

   Unlike hormone monitoring systems that present raw hormone data or simple yes/no results, Oova applies machine learning to interpret your hormone levels in context. Once you scan your urine test strip using the Oova app, the platform’s AI model analyzes the data to identify trends in vital hormones, such as luteinizing hormone (LH), estrone-3-glucuronide (E3G), and pregnanediol-3-glucuronide (PdG). These hormones reflect changes related to ovulation and hormone fluctuations, and their interpretation forms the foundation of Oova’s personalized tracking system.

   Such features mean that you don’t need to interpret charts or numbers manually. The Oova app translates your hormone readings into a clear status update, such as where you are in your cycle or whether hormone patterns are shifting over time.  AI-based interpretation might also help minimize the risk of user error and could improve the reliability of insights over time.

2. Real-Time Data Sharing With Healthcare Providers

   The Oova platform connects your hormone tracking data to a secure digital platform that healthcare providers may access remotely. It means your OB-GYN, reproductive endocrinologist, or other healthcare professional can view your hormone trends as they develop, without requiring separate uploads or manual reporting.

   Such integration may support more timely and personalized medical decisions. This may be especially helpful if you’re in ongoing care, such as for fertility, cycle irregularities, or perimenopause. Your healthcare provider may use the hormone data to monitor progress, assess cycle phases, or adjust treatment protocols without waiting for an in-office visit.

3. Designed for All Cycle Types, Including Irregular Ones

   Oova’s hormone monitoring system aims to support assessment of different menstrual cycle phases, including irregular, anovulatory, and unpredictable ones. Unlike standard hormone tracking systems that are based on the assumption of a consistent 28-day cycle, Oova’s technology claims to adapt to hormonal patterns that vary from person to person.

   This means you are not excluded from meaningful tracking if your menstrual cycle doesn’t follow a standard pattern. Whether your cycle is affected by conditions like PCOS, recent birth control use, postpartum changes, or perimenopause, Oova’s hormone monitoring system may still analyze your daily hormone levels and provide insights based on your data.

   Oova’s platform uses AI to interpret hormonal fluctuations in real time, without relying on pre-set cycle models or calendar predictions.

Oova Limitations

1. Dependence on Smartphone Technology

   Oova’s hormone monitoring system requires a compatible smartphone with a high-resolution camera to scan hormone test strips and access testing results. Without a smartphone, you cannot collect data, view hormone trends, or receive cycle insights.

   Such dependency is especially problematic if your phone breaks, malfunctions, or lacks a stable internet connection. In these situations, you will lose access to your Oova hormone tracking data and ongoing insights. Moreover, image-based tracking is sensitive to your smartphone’s camera resolution, lighting, and angles. This means that even small variations in your device or environment may contribute to inaccurate hormone readings.

2. Requires Daily User Engagement

   Oova’s hormone tracking model requires you to test your urine sample every day. For instance, the Perimenopause Hormone Kit’s usage instructions require you to use the kit for 15 consecutive days during each menstrual cycle. The daily testing requirement aims to capture unpredictable hormone shifts, such as the LH surge and the rise in E3G, which might vary across a 4–6 day fertile window.

   However, daily testing demands time, focus, and uninterrupted access to both the Oova testing kit and your smartphone. If you’re managing travel, long work shifts, or simply dealing with the unpredictability of daily life, sticking to the daily usage schedule may be a major challenge.

   Over time, the repeated need to scan test strips and log symptoms on the Oova app may feel more like a chore than a helpful routine. This might contribute to inconsistencies in your hormone tracking routine and disrupt long-term usability.

Oova Alternatives

1. Proov

   When comparing Proov and Oova, both brands aim to support hormone health across fertility and perimenopause, but their approach, technology, and user experience differ in important ways.

   Proov, founded in 2016 by Dr. Amy Beckley, is rooted in personal experience with infertility. The brand’s mission focuses on helping you make informed decisions through hormone-based insights, particularly using PdG progesterone metabolite that confirms ovulation has occurred. This differentiator positions Proov as an option if you are struggling with ovulation-related fertility issues. Its offerings include hormone test kits for fertility, ovarian reserve, and perimenopause, along with pregnancy tests, fertility supplements, treatment plans, and telehealth coaching. The Insight app provides guided testing schedules and result interpretation, but the testing itself is quantitative.

   Oova, meanwhile, takes a more tech-driven, data-heavy approach. Rather than relying on standard thresholds, Oova uses quantitative measurements of LH, E3G (estrogen metabolite), and PdG to track unique hormone patterns over time. Their AI-powered app analyzes test strip scans to produce lab-grade results, offering personalized insights, not generalized norms. In addition, Oova integrates directly with clinicians through a HIPAA-compliant provider portal, allowing you to share results with your doctors in real-time. The brand primarily offers two kits, Fertility and Perimenopause, either as one-time purchases or via subscription, which includes refills, expert consultations, and community support.

   While Proov includes supplements, bundled plans, and telehealth coaching, Oova focuses on delivering precision and connectivity. Oova doesn’t offer supplements or medication plans but instead enhances the home testing experience through technology and professional oversight. Its AI engine tracks shifts in hormone levels, allowing for accurate insight even for those with irregular cycles, PCOS, or perimenopausal changes.

   From a pricing perspective, Proov offers more accessible entry points. Products like ovulation kits start at around $38, and complete cycle testing comes in under $100. Their high-end plan, Path to Pregnancy, includes testing, doctor consultation, and prescription progesterone support for $399. Oova, meanwhile, starts higher at $159 per kit or $129/month for a subscription. However, the price includes more advanced analytics, clinician integration, and ongoing expert support, making it a more comprehensive option if you want medically aligned, in-depth hormonal tracking.

2. Inito

   When comparing the Inito and Oova brands, both offer at-home fertility tracking systems to provide insights into ovulation and reproductive health. However, the brands may differ based on some distinct aspects.

   Inito’s Fertility Monitor tracks the real-time levels of 4 fertility-related hormones, including estrogen (E3G), luteinizing hormone (LH), pregnanediol glucuronide (PdG), and follicle-stimulating hormone (FSH). Meanwhile, the Oova Fertility Hormone Kit measures the levels of E3G, LH, and PdG hormones, but does not currently include FSH in its testing panel.

   The testing formats employed by each brand also differ. Inito provides a reusable fertility monitor that connects to a smartphone and requires pairing with disposable test strips (a total of 15 test strips). On the other hand, the at-home hormone monitoring kits provide a total of 30 test strips, 15 to measure the levels of LH/PdG hormones and 15 to measure the levels of E3G hormone.

   In terms of app features and integration, Inito is more focused on individual users and emphasizes ovulation tracking, hormone patterning, and test reminders, with less integration into clinical workflows. Meanwhile, Oova integrates resources catered to the needs of both individual users and healthcare providers. The Oova platform provides access to clinician dashboards and optional one-on-one hormonal coaching.

   Refund and return policies also vary between the two brands. Inito Fertility Monitor provides a 15-day refund window on purchases (even opened packages) with an estimated 7 to 10-day window for refund processing. Meanwhile, the at-home hormone monitoring kits from Oova come with a 20-day refund window, but only on unopened/unused kits.

How Did We Evaluate Oova?

1. Brand Credibility

   To evaluate Oova’s brand credibility, we examined its presence on independent review platforms and the quality of available customer feedback. The brand is currently not listed on Trustpilot or the Better Business Bureau (BBB), which limits transparency for potential buyers and makes it harder to assess its reputation through widely recognized sources.

   We did find a small number of reviews on TenereTeam, where Oova holds an average rating of 4.3 out of 5. However, this rating is based on only six reviews, which is not a sufficient sample size to draw strong conclusions.

   While the early impressions of Oova are positive, particularly around product value and return handling, the brand’s limited review count and absence from major platforms suggest it may still be building credibility.

2. Value for Money

   We evaluated Oova by looking at its product’s pricing, product offering, and how it compares in terms of overall value for money. Oova features a fertility hormone kit, which is priced at $159 and is geared for people who want to monitor ovulation and hormone levels with lab-grade accuracy. The product stands out for its tech integration, offering AI-driven analysis through a connected app, which adds convenience and personalization to the experience.

   To assess its value, we compared it with a similar brand’s product, the Hers and His Advanced Fertility Test for Couples, which costs $178.99. While Proov is slightly more expensive, it includes tests for both partners, covering ovulation, ovarian reserve, and sperm health in one kit. This gives it broader utility for couples, making it a more comprehensive option.

   Although Proov is the pricier brand, the added cost of its offering reflects the more comprehensive coverage it provides. Oova, on the other hand, delivers solid value, especially if you’re looking for a data-rich, tech-enabled option without the need to test both partners.

3. Returns and Refund Policy

   As part of our evaluation of Oova, we closely examined the brand’s return policy to assess its flexibility, clarity, and consumer-friendliness.

   Oova offers a full refund only if the Oova kit(s) order has not yet shipped. In cases where orders are shipped, the brand may still accept returns provided the at-home hormone test cartons are completely unopened and unused. To verify the condition of the returned products, Oova may require photo or video documentation before authorizing a refund.

   As per the official site, you are required to initiate the return request within 20 days from the original purchase date. Although Oova covers the return shipping, a $20 processing and restocking fee is deducted from each refunded kit, which may add a cost burden to the return process.

   Refunds are issued to the original payment method and typically processed within 7–10 business days after the returned kit has been received and checked. It’s important to note that any kits that have been opened, used, or changed in any way are not eligible for a refund.

Frequently Asked Questions

1. Can I Use Oova If I Have Irregular Cycles or PCOS?
   Yes. Oova’s platform is built to adapt to hormonal patterns without relying on calendar-based models, making it suitable for PCOS and irregular cycles.
2. How Reliable Are Urine Hormone Measurements Compared to Blood Tests?
   Oova uses urine testing to support noninvasive, daily hormone monitoring, aligning with its mission to make clinical understanding accessible at home.
3. Can Oova Be Used by Someone Trying To Avoid Pregnancy?
   No. Oova is designed for hormone awareness and fertility tracking, not for contraception or pregnancy prevention.

Conclusion

The Oova platform is focused on hormone monitoring and fertility tracking through at-home urine testing. It pairs lab-grade biochemistry with AI-powered insights that track real-time shifts in LH, E3G, and PdG biomarkers. Such an approach may support a detailed, quantitative understanding of your reproductive hormones across the entire menstrual cycle.

Oova integrates the at-home hormone monitoring kits with the Oova app to deliver personalized hormone trend analysis and cycle insights. Such understanding can be particularly beneficial if you seek to predict fertile windows, confirm ovulation, or monitor hormonal changes with precision.

However, the Oova platform’s operation is entirely dependent on smartphone technology. You must have a compatible mobile device with a high-resolution camera to scan test strips and access app-based insight accurately. In cases of device malfunction, limited internet access, or inadequate camera quality, hormone readings may be unreliable or inaccessible.

Moreover, Oova’s hormone monitoring system requires daily testing during specific windows of the cycle, which might be demanding if you have unpredictable schedules. Given these factors, you should assess whether the brand’s model aligns with your routine, digital accessibility, and capacity for daily engagement before making a purchase decision.