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Evvy Vaginal Health Test

Get advanced insights into symptoms, fertility, and other health outcomes. Prelim results in 1-3 days.

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Evvy Vaginal Microbiome Test with Fertility Insights

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Test for 700+ bacteria/fungi and 4 fertility-related Microbiome Markers with our at-home vaginal microbiome test.

  • Free 1:1 coaching call
  • Custom plan of next steps
  • Option for prescription treatment (if eligible)
Frequency OPTION
  • 4 tests per year, shipped every 3mo.
  • Skip or cancel anytime
ADD-ON
recommended
  • Chlamydia
  • Gonorrhea
  • Trich
  • Mycoplasma genitalium
  • Ureaplasma
  • 11 common microbes and more
  • Recommended for those trying to conceive
  • Test for the presence of STIs, which have been linked to negative fertility outcomes
  • Prelim PCR results in 1-3 business days for 4 STIs and 11 common microbes (see list)
  • Final vaginal microbiome results in 7-10 days
  • Reports antibiotic resistance and microbial load
  • All with one easy at-home swab
Note: this panel is not yet available in NY
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How can Evvy support your fertility journey?

If you're just starting your fertility journey

Taking a prenatal? Proactively care for your vaginal microbiome, too.

If you're struggling to conceive

Measure Microbiome Markers often missed by traditional fertility testing.

If you're pursuing
IUI or IVF

Optimize your vaginal microbiome before going through treatment.

Based on The Latest Research

Test for four Microbiome Markers associated with fertility

Research associates a healthy vaginal microbiome with improved fertility outcomes—including higher rates of implantation and improved outcomes in IVF and IUI.

Evvy’s platform provides comprehensive testing and treatment programs to optimize your vaginal microbiome.

Protective Score

Your percent of protective bacteria

Protective bacteria, like Lactobacillus, help maintain vaginal pH, reduce inflammation, and naturally defend against pathogens.

Research associates higher levels of protective bacteria with improved fertility outcomes, including higher implantation rates and greater success with fertility treatments like IUI and IVF.

Research: Väinämö 2023, Skafte-Holm 2021, Amato 2019

Microbiome Diversity Score

How many different kinds of bacteria you have

Your Microbiome Diversity Score is a measure of the number of different bacteria in your vaginal microbiome. In the vagina, fewer bacteria is better.

Research associates a lower Microbiome Diversity Score with improved fertility outcomes, including higher implantation rates and greater success with fertility treatments like IVF.

Research: Chopra 2024, Kong 2020

Fertility Disruptors

Potential pathogens identified in fertility research

We report on five bacteria that research associates with fertility outcomes: Fannyhassae, Gardnerella, Prevotella, Sneathia, and Ureaplasma. We show you what percent of your overall microbiome they make up and the optimal ranges based on the latest research.

RESEARCH: Chopra 2024, George 2024, Väinämö 2023, Lledo 2022, Ma 2021, Ravel 2021, Gao 2020, Kong 2020, Zhao 2020, Graspeuntner 2018

STI Status

*Only included with Expanded PCR Panel add-on

Research shows that STIs impact fertility outcomes. Add the Expanded PCR Panel to test for four STIs: trichomoniasis, gonorrhea, chlamydia, and Mycoplasma genitalium.

RESEARCH: Yu 2023, Hashemi 2022, Chemaitelly 2020, Mania-Pramanik 2012
What happens after testing?

Innovative & Integrative Care

01 → Science-backed results + plan
All results comes with insights into into fertility, symptoms, menopause, and more, plus a clear plan.

02 → Free 1:1 session with an expert health coach

Get an empathetic walkthrough of your results and get any questions answered.

03 → Access to precision Rx treatments
If eligible, a provider will design a custom prescription (Rx) treatment program to optimize your vaginal microbiome.

*The cost of Rx is unique to your treatment program and not included in the price of the test.

An Evvy treatment program including prescription pill vials, suppositories, and instruction cards
Designed by Experts

Bringing the latest fertility and
vaginal microbiome research to you

Groundbreaking research links the vaginal microbiome to fertility outcomes, including implantation rates and IVF success rates. Yet, the vaginal microbiome has been missing from fertility care — until now.

Evvy makes these discoveries accessible, bridging the gap between research and real-world care.

Dr. Kate McLean, MD, MPH, FACOG
Chief Medical Officer, Evvy

Evvy allowed me to take control of my health and my fertility. My vaginal microbiome is now healthy and thriving.

Best money I have ever spent.

Emma B.
Verified Evvy User
How it works

Testing your vaginal microbiome with Evvy is convenient & comprehensive.

01

Get a test delivered straight to you in discreet packaging.

02

Activate your test and fill out your health forms.

03

Take your swab sample and send it back to our lab.

04

Get physician-reviewed results and a custom plan of clear next steps.

05

Connect 1:1 with a health coach and opt in to clinical care and Rx treatment*.

700+ Microbes, One Test

Our Fertility Insights are just the beginning—we test for hundreds of disruptive and protective microbes that research has shown are related to...

microscopic image of bacteria on the vaginal wall
  • Aerobic Vaginitis (AV)
    e.g. E.coli, Group B streptococci
  • Bacterial Vaginosis (BV)
    e.g. Gardnerella vaginalis, Atopobium vaginae, Prevotella bivia
  • Cytolytic Vaginosis (CV)
    e.g. Lactobacillus crispatus
  • Fertility
    e.g. Microbiome Diversity Score, Fertility Disruptors
  • STIs*
    Chlamydia, gonorrhea, trich, Mycoplasma genitalium. *Only with our Expanded PCR Panel.
  • Good Health
    e.g. Lactobacillus crispatus, Lactobacillus gasseri
  • Recurrent UTIs
    e.g. E. coli, Staphylococcus, Aerococcus
  • Yeast Infections
    e.g. Candida albicans, Candida glabrata
  • Mycoplasma / Ureaplasma
    e.g. Mycoplasma hominis, Ureaplasma parvum, Ureaplasma urealyticum
And hundreds more!
If you’re interested, we have a longer list of what we test for here.

Get STI testing and more with our Expanded PCR Panel

Every Evvy test gives you Fertility Insights.

However, STIs are a crucial part of fertility testing, so if you’re symptomatic, interested in STI testing, or looking for expedited turnaround, we recommend adding our Expanded PCR Panel to your test.

Vaginal Health
Test only
Test + Expanded
PCR Panel
Type of sequencing technology
Metagenomics
(mNGS)
mNGS + PCR
Microbes tested
700+ bacteria
and fungi
700+ bacteria
and fungi + STIs
One simple at-home swab
Custom plan and free coaching call
Physician ordered & reviewed (CLIA-certified)
Fertility Insights   NEW
STI Testing
Antibiotic Resistance
Expedited turnaround for prelim results
Microbial load
Note: Expanded PCR panel is not yet available in NY.

FAQs

For more, visit our Help Center

Is it safe to take an Evvy test if I’m trying to conceive or might already be pregnant?

Yes! It’s safe to test with Evvy if you're trying to conceive or think you might be pregnant. Testing involves self-swabbing your vagina in the privacy of your own home. We do recommend waiting at least 24 hours after unprotected sex before testing, as semen can temporarily affect your results. Otherwise, trying to conceive doesn’t change the testing process.

If you’re already pregnant, it’s still safe to test unless your doctor has advised against inserting anything into your vagina due to a high-risk pregnancy. 

We always recommend discussing your Evvy results with a licensed care provider. Please note that Evvy-affiliated providers cannot prescribe treatment if you are actively pregnant.

If my fertility Microbiome Markers are suboptimal, what are the next steps?

Evvy puts together a clear plan of next steps based on your results, including actions you can take to improve your fertility associated Microbiome Markers. If eligible, you will also receive a custom care program through Evvy’s platform, which may include treatments like vaginal antibiotics, vaginal probiotics, or other prescriptions to optimize your microbiome.

All plans and treatments are designed with fertility in mind, ensuring all recommendations are safe and supportive if you’re trying to conceive.

Can I pay for Evvy with my HSA or FSA?

Yes! Evvy has partnered with TrueMed to help streamline this process for our US customers. Just choose "TrueMed" as your payment method during checkout and follow the on screen instructions to complete checkout. You can view detailed instructions here.

For subscription purchases, please complete payment with a normal credit or debit card. On the order confirmation page and in the order confirmation email, you can find additional instructions on how to then submit your receipt to TrueMed for HSA / FSA reimbursement.

Your order confirmation email can also serve as an itemized receipt for HSA/FSA reimbursement for the Evvy Vaginal Health Test (single or membership).

Please note that since every plan is different, we can’t guarantee HSA / FSA reimbursement.

Is prescription treatment included in the price of the Evvy test?

No — every Evvy test includes comprehensive, provider-reviewed results, a custom plan of clear next steps, and a free 1:1 coaching call, but prescription treatments are not included in the price of the test, as they will vary from patient to patient depending on your results and health history.

What if my vaginal microbiome is healthy and I still have difficulty conceiving?

Fertility is complex, and many factors can play a role in conception. While balancing your vaginal microbiome is a one piece of the puzzle, we recommend working with a fertility specialist alongside your Evvy treatment to explore all possible factors that could be affecting your fertility.

Does Evvy ship internationally?

At this time, Evvy is only available in the U.S. and Canada (excluding Quebec)*, but we hope to expand our reach in the future! Follow us at @evvy or sign up for our newsletter to stay up to date on all things Evvy, including new market launches.

*If you are based in Canada, please visit this page for more information.

When is the right time to take a Evvy test within my fertility journey?

There’s no single “right” time—it depends on your goals. Some people choose to test before trying to conceive to optimize their health proactively. Others come to us after experiencing difficulty conceiving or receiving an infertility diagnosis to ensure their vaginal microbiome is in the best possible state to support conception.

Wherever you are on your journey, we’re here to help.

Is Evvy peer-reviewed and CLIA/CAP/CLEP validated?

Yes — the Evvy Vaginal Health Test is a peer-reviewed, CLIA, CAP, and CLEP validated test. Our test is also provider-ordered and provider-reviewed.

During the rigorous validation process, our test showed improved analytical sensitivity and specificity over traditional methods — finally bringing in the power and precision of metagenomics to vaginal healthcare.

How often should I expect to retest my biome?

It depends on your results. If your initial Evvy microbiome test indicates an infection or imbalance, we recommend retesting after treatment to see how your microbiome responded.

If your initial test suggests your microbiome is in a healthy state, we suggest retesting every 6–12 months to keep things on track.

What are the age restrictions on Evvy?

You must be 18 years or older to request an Evvy test, and your test will be ordered and reviewed by an Evvy-affiliated provider. People under the age of 18 will not be able to create an account or receive results.

How long does it take to get results?

Our Vaginal Health Test is the only test on the market to use a high-fidelity sequencing process called metagenomics to analyze your results. Since this process is intensive, final vaginal microbiome results typically take 7-10 business days once your sample arrives at our lab.

If you add our Expanded PCR Panel to your Vaginal Health Test, you'll receive preliminary PCR results in just 1-3 business days from arrival at our lab. These results include STIs (chlamydia, gonorrhea, Mycoplasma genitalium, and trich), 10 antibiotic resistances and 11 common microbes!

Once your sample is received at our lab, you will get email notifications updating you on your test progress.

What is Evvy's return / refund policy?

We offer a full refund for test kits if an order is canceled within twenty four (24) hours of purchase and the test kit has not shipped. Most purchases placed by 9AM EST M-F will be processed for shipment the same day.

If a refund is requested after 24 hours or after test shipment, but within 14 days of purchase of a Vaginal Health Test, and if the sample is not returned to Evvy, we offer a refund in the amount of the test kit purchase price minus a $25-30 (USD) processing fee, depending on your geography. The shipping and handling costs plus tax (if any and where applicable) are non-refundable.

No refunds are available after 14 days of purchase.

To request a refund, please send an email to the Evvy Care team at support@evvy.com with your order number.

For our full refund policy, please view our terms of service.

We've helped 50,000+ people take control of their vaginal health

I am so thankful for Evvy’s treatment plan and guidance... Evvy’s approach felt much more comprehensive and I finally have relief after years of struggling.

Evvy actually saved my life. I couldn't be more happy with the detailed results, relevant and cutting-edge information, and immense support.

The level of detail in test results is unlike anything I could ever access through my doctor’s office... and [Evvy] dramatically changed my health.

For the first time since developing symptoms, I felt heard, understood, and cared for. I could cry from happiness!