This egg-shaped gadget aims to demystify hormones… with pee

Your urine tin show you a batch astir your reproductive wellness hormones. Unfortunately, at-home testing tin beryllium cumbersome, involving collecting samples that are past mailed retired to labs. That’s what wellness startup Mira is trying to simplify pinch its $249 Ultra4 Hormone Monitor.

The transportation is to make highly accurate, readily disposable hormone testing for at-home users. The Ultra4 is technically 2 abstracted products. The first is the existent Hormone Monitor, which is simply a standalone, egg-shaped gadget that analyzes trial results. The 2nd is the Ultra4 Wand, which is simply a small instrumentality you pee connected that contains the existent trial for 4 reproductive hormones: follicle stimulating hormone (FSH), luteinizing hormone (LH), estrone-3-glucuronide (E3G), and pregnanediol 3-glucuronide (PdG).

By testing these 4 hormones simultaneously, Mira CEO and cofounder Sylvia Kang says users tin not only way fertility, but besides summation insights into conditions for illustration polycystic ovary syndrome (PCOS), premenstrual dysphoric upset (PMDD), perimenopause, menopause, and moreover metabolic health. The dream is that by regularly testing astatine home, you tin customize curen for these conditions arsenic good arsenic announcement trends based connected semipermanent hormone levels.

“The extremity is to thief women to negociate their wellness much proactively,” says Kang, who notes that at-home hormone testing wasn’t really a point backmost erstwhile she founded Mira successful 2018. “I saw truthful galore friends trying to conceive astatine a precocious age, and the travel was really challenging. They had nary thought what was incorrect pinch them, but the only products they could acquisition were ovulation kits aliases basal assemblage thermometers. Neither has lab-grade accuracy aliases provides existent knowing astir what’s going connected successful your body.”

That’s since changed. “Hormone balancing” has been a trending wellness taxable complete the past 2 years, and while influencers rarely get the facts right, the accrued liking successful at-home testing speaks to really frustrating treating hormonal conditions tin be. Technically, Mira has been astir for astir a decade, and the caller Ultra4 kit was soft-launched successful precocious August. The company’s astatine CES 2026 to opportunity the kit is now much wide available. Mira sent maine an researcher and Ultra4 Wands up of the show, and arsenic personification pinch PCOS – who’s besides correct successful the clip framework for perimenopause — I was funny to spot what utilizing the instrumentality is like.

In a nutshell, you capable retired a elaborate study wrong the Mira app astir what you’re looking to find retired (i.e., fertility windows, hormone management, penetration into irregular cycles, etc.) Then you pee into an included collapsible silicone cup and instrumentality a trial wand in. After astir 15 seconds, you past instrumentality the trial into the researcher and hold for 16 minutes to position your results some on-device and successful the app. Depending connected your goals, the app will make a customized testing schedule.

That portion was easy enough, though it’s still excessively early for maine to opportunity what insights I’ll learn. Supposedly, a azygous trial tin springiness insights into rhythm wellness and really galore eggs you mightiness person successful reserve, arsenic good arsenic place guidelines causes for irregular cycles aliases hormonal issues. For now, my civilization scheme told maine that I’ll request to trial for 5 consecutive days for 2 consecutive cycles to fig retired if I’m showing signs of perimenopause. Meaning, this is simply a instrumentality that’s meant to beryllium utilized complete respective months to build a hormonal baseline for users. Even so, the app does supply explainers arsenic to what each hormone does for the assemblage and what precocious aliases debased levels tin mean.

One note: Mira isn’t intended to beryllium utilized arsenic a contraceptive. It’s firmly successful the realm of wellness. The gadget itself is FDA-listed arsenic a Class I instrumentality — meaning the agency views it arsenic very low-risk and requires little scrutiny compared to features aliases devices requiring clearance aliases approval.

Kang besides says that fertility isn’t the only attraction for its users anymore.

“Right now, 40 percent of our users are not trying to conceive. They’re willing successful menopause, PCOS, and hormones successful general. Specifically, successful denotation management,” Kang says. The dream past is to springiness those users information they tin usage to amended understand really they tin amended their health. For example, a personification whitethorn announcement that erstwhile a definite hormone spikes, they acquisition circumstantial symptoms for illustration headaches aliases nausea. Knowing that circumstantial timing whitethorn thief personification talk pinch their expert really to attack treatment.

Applying that logic further down the line, Kang says Mira hopes to 1 time grow to different biologic fluids for illustration humor and saliva for hormonal analysis. Eventually, the extremity is to move beyond conscionable reproductive wellness and toward “longevity” aliases preventive health. For example, Kang notes that early research shows that location whitethorn beryllium a nexus betwixt definite hormones and metabolic wellness arsenic well.

For now, costs is the biggest barrier. The Ultra4 Hormone Kit starts astatine $249, and replacement wand packs costs astir $99. The researcher unsocial costs $149. Even so, this each dovetails pinch wherever wellness tech has been heading. The covid-19 pandemic popularized and accrued entree to at-home testing. Hormone testing and perimenopause tech were besides featured astatine past year’s CES. Meanwhile, Withings, Oura, and Whoop are each examples of wellness tech companies who person recently explored humor tests and urine arsenic a intends of promoting patient aging.