Egg-shaped Mira Ultra4 Hormone Monitor with a test wand and urine cup
Health & Wellness

Demystifying Hormones, One Pee Test at a Time: Mira’s Ultra4 Revolutionizes At-Home Health

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Unlocking Hormonal Mysteries: Mira’s Ultra4 Revolutionizes At-Home Health Monitoring

For too long, understanding our own reproductive hormones has been a convoluted journey, often involving inconvenient lab visits and opaque results. But what if demystifying these vital biological signals was as simple as a trip to your own toilet? Enter Mira’s Ultra4 Hormone Monitor, an innovative, egg-shaped gadget poised to transform how individuals track and understand their hormonal health.

The Ultra4 System: Precision at Your Fingertips

Unveiled at CES 2026, the Mira Ultra4 kit is designed to bring lab-grade accuracy directly into your home. The system comprises two key components: the sleek, egg-shaped Hormone Monitor, which acts as the analyzer, and the Ultra4 Wand, a disposable test stick. Users simply collect a urine sample in a reusable collapsible cup, dip the wand for 15 seconds, and then insert it into the monitor. In approximately 16 minutes, comprehensive results are displayed on the device and within the intuitive Mira app.

What sets the Ultra4 apart is its ability to simultaneously test for four crucial reproductive hormones: Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Estrone-3-Glucuronide (E3G), and Pregnanediol 3-Glucuronide (PdG). This multi-hormone approach provides a far more holistic picture of an individual’s hormonal landscape than traditional single-marker tests.

Beyond Fertility: A Broader Spectrum of Health Insights

While fertility tracking remains a significant application, Mira CEO and cofounder Sylvia Kang emphasizes the Ultra4’s broader potential. “The goal is to help women to manage their health more proactively,” Kang states. By tracking these four hormones, users can gain valuable insights into conditions such as Polycystic Ovary Syndrome (PCOS), Premenstrual Dysphoric Disorder (PMDD), perimenopause, menopause, and even aspects of metabolic health.

The ability to regularly test at home empowers users to identify trends, customize treatment strategies, and proactively address symptoms. The accompanying Mira app provides personalized testing schedules based on individual goals, whether it’s pinpointing fertility windows, managing irregular cycles, or understanding the onset of perimenopause.

From Niche to Necessity: The Evolution of At-Home Hormone Testing

When Sylvia Kang founded Mira in 2018, comprehensive at-home hormone testing was virtually non-existent. “I saw so many friends trying to conceive at a late age, and the journey was really challenging,” she recalls. “They had no idea what was wrong with them, but the only products they could purchase were ovulation kits or basal body thermometers. Neither has lab-grade accuracy or provides real understanding about what’s going on in your body.”

Fast forward to today, and “hormone balancing” has become a buzzword in wellness circles. While often diluted by misinformation, this heightened interest underscores a genuine public demand for accessible and accurate tools to understand hormonal health. Mira, with nearly a decade of experience, is positioned to meet this demand with scientifically sound technology.

Indeed, the user base reflects this shift. Kang notes, “Right now, 40 percent of our users are not trying to conceive. They’re interested in menopause, PCOS, and hormones in general. Specifically, in symptom management.” This highlights a crucial pivot from solely fertility-focused applications to a more comprehensive approach to women’s health throughout different life stages.

A Reporter’s First Look: Ease of Use and Long-Term Potential

As someone living with PCOS and approaching perimenopause, this journalist had the opportunity to test the Ultra4 ahead of its wider release. The setup process, guided by the Mira app, was straightforward, involving a detailed survey to tailor the testing plan. The physical act of testing was simple: pee, dip, insert, and wait. While immediate profound insights are unlikely from a single test, the system is clearly designed for long-term use, building a hormonal baseline over several months to reveal meaningful trends.

It’s important to note that Mira is FDA-listed as a Class I device, indicating a low-risk classification. Crucially, it is intended for wellness and insights, not as a contraceptive method. The true power of the Ultra4 lies in its potential to provide users with actionable data, allowing them to connect specific hormonal fluctuations with physical symptoms like headaches or nausea, thereby fostering a more informed and proactive approach to personal health management.

With the Ultra4, Mira isn’t just offering a gadget; it’s offering a new paradigm for personal health, empowering individuals to take control of their hormonal narratives, one pee test at a time.


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