Clearblue Ovulation Calculator Guide

Clearblue has become one of the most trusted names in home fertility testing, offering a range of ovulation predictor kits that help women identify their most fertile days. Whether you're using the basic Clearblue Digital Ovulation Test or the advanced Clearblue Connected Ovulation Test System, understanding how to use these tools correctly can significantly improve your chances of conception.

In this comprehensive guide, we'll walk you through everything you need to know about Clearblue ovulation products -- from understanding how they work to interpreting results, analyzing costs, and timing intercourse effectively. Combined with our free ovulation calculator, Clearblue tests can help you pinpoint your fertile window with confidence.

99%
LH Surge Detection Accuracy
Clearblue clinical studies
2 days
Peak Fertility Identified
Before ovulation occurs
$1.50-$5
Per Test Cost Range
Depending on product line

Clearblue Quick Facts

  • How it works - Detects the LH surge that precedes ovulation by 24-36 hours
  • Accuracy - Over 99% accurate at detecting the LH surge
  • When to test - Same time each day, starting several days before expected ovulation
  • Result types - Low, High, and Peak fertility (depending on product)
  • Best timing - Have intercourse on high and peak fertility days

How Clearblue Ovulation Tests Work

Clearblue ovulation tests work by detecting hormones in your urine that indicate ovulation is approaching. Understanding this science helps you use the tests more effectively and interpret results with confidence. For a broader look at how ovulation fits into your menstrual cycle, see our guide on the menstrual cycle and ovulation explained.

The LH Surge

The primary hormone detected by Clearblue tests is luteinizing hormone (LH). Throughout most of your cycle, LH levels remain relatively low. However, about 24-36 hours before ovulation, your pituitary gland releases a surge of LH that triggers the release of the egg from the ovary. According to research published on PubMed, this LH surge is the most reliable hormonal predictor of impending ovulation.

By detecting this LH surge, Clearblue tests identify the two most fertile days of your cycle -- the day before ovulation and the day of ovulation itself. Having intercourse on these days gives you the best chance of conception. For more on recognizing when ovulation is happening, check out our signs of ovulation guide.

Estrogen Detection (Advanced Products)

Some Clearblue products, like the Advanced Digital Ovulation Test, also detect rising estrogen levels. Estrogen begins to rise several days before the LH surge, creating a wider fertile window. This is similar to the biological changes described in our cervical mucus and fertility guide -- rising estrogen is what transforms cervical mucus into its fertile, egg-white consistency.

  • Rising estrogen: Indicates "High Fertility" days in the days leading up to the LH surge
  • LH surge: Indicates "Peak Fertility" days -- the most fertile time

This dual-hormone detection can identify up to 4 fertile days, giving you more opportunities to conceive each cycle. The American College of Obstetricians and Gynecologists (ACOG) recognizes hormone-based ovulation prediction as a reliable method for timing conception.

Why Detection Timing Matters

Sperm can survive in the female reproductive tract for up to 5 days, but the egg only survives for 12-24 hours after ovulation. This means the best time for conception is actually before ovulation occurs, when sperm can be waiting for the egg to be released. The LH surge gives you advance notice that ovulation is imminent. As the Mayo Clinic explains, timing intercourse in the days leading up to ovulation maximizes your probability of conception.

Clearblue Product Comparison

Clearblue offers several ovulation testing options, each designed for different needs and budgets. Understanding the differences helps you choose the right product. You can also compare these with other options in our comprehensive OPK guide.

Product Hormones Detected Display Type Tests Per Pack Price Range Best For
Digital Ovulation Test LH only Smiley face (yes/no) 10 or 20 $22-$35 Basic detection, budget-friendly Clearblue option
Advanced Digital Ovulation Test LH + Estrogen Empty circle, flashing smiley, solid smiley 10 or 20 $35-$50 Wider fertile window, dual-hormone insight
Connected Ovulation Test System LH + Estrogen App-connected + holder display 25 (starter kit) $45-$60 Digital tracking, cycle insights, app integration
Clearblue Fertility Monitor LH + Estrogen Touchscreen monitor with bars 30 sticks (sold separately) $100-$150 (monitor) + $30-$45 (sticks) Comprehensive cycle tracking, multi-cycle data
Clearblue Digital vs. Clearblue Advanced vs. Generic Strip OPKs
Clearblue Digital
  • Clear smiley face result
  • No line interpretation needed
  • 99% LH surge accuracy
  • Identifies 2 peak days
  • LH-only detection
  • $2.00-$3.50 per test
VS
Clearblue Advanced
  • Dual-hormone detection
  • Up to 4 fertile days
  • Estrogen + LH tracking
  • Clear 3-tier display
  • Higher cost per test
  • $3.50-$5.00 per test
VS
Generic Strip OPKs
  • Very affordable ($0.20-$0.50/test)
  • Same LH sensitivity
  • Bulk packs available (50-100)
  • Test twice daily easily
  • Requires line comparison
  • No estrogen detection

Basic Digital Ovulation Test

The simplest Clearblue option detects only the LH surge, displaying a clear smiley face when your two most fertile days have arrived. This is a straightforward, budget-friendly choice if you just want to know your peak days. As Clearblue's official product page notes, it eliminates the guesswork of interpreting lines on traditional OPKs.

Advanced Digital Ovulation Test

By detecting both estrogen and LH, this test identifies more fertile days. Results display as:

  • Empty circle: Low fertility
  • Flashing smiley: High fertility (rising estrogen)
  • Solid smiley: Peak fertility (LH surge detected)

The flashing smiley typically appears 1-2 days before the solid smiley, giving you more time to plan intercourse. This added window aligns with research from Wilcox et al. (1999) showing that conception probability peaks in the 2-3 days before ovulation.

Connected Ovulation Test System

This modern option syncs with the Clearblue app on your smartphone. It provides the same detection as the Advanced test but stores your cycle data, tracks patterns over time, and provides personalized insights. The app can also integrate with Apple Health. If you're already using a fertility tracker app, the Connected system can complement your existing tracking routine.

Clearblue Fertility Monitor

The most comprehensive option, this touchscreen monitor tracks your entire cycle and stores data from multiple cycles. It can identify up to 6 fertile days and is particularly useful for those who want detailed cycle analysis or have irregular cycles.

When to Start Testing

Starting to test at the right time is essential for not missing your LH surge. Start too late, and you might miss your fertile window entirely. Start too early, and you'll use more test sticks than necessary.

Calculating Your Start Day

The day you should start testing depends on your typical cycle length. Count the first day of your period as Day 1, then begin testing according to this comprehensive schedule:

Cycle Length Start Testing On Expected Ovulation Testing Days Needed
21 days Day 5 Around Day 7 ~5 days
22 days Day 5 Around Day 8 ~5-6 days
23 days Day 6 Around Day 9 ~5-6 days
24 days Day 7 Around Day 10 ~5-6 days
25 days Day 8 Around Day 11 ~5-6 days
26 days Day 9 Around Day 12 ~5-6 days
27 days Day 10 Around Day 13 ~5-6 days
28 days Day 11 Around Day 14 ~5-6 days
29 days Day 12 Around Day 15 ~5-6 days
30 days Day 13 Around Day 16 ~5-6 days
31 days Day 14 Around Day 17 ~5-6 days
32 days Day 15 Around Day 18 ~5-6 days
33 days Day 16 Around Day 19 ~5-6 days
34 days Day 17 Around Day 20 ~5-7 days
35 days Day 18 Around Day 21 ~5-7 days
36 days Day 19 Around Day 22 ~5-7 days
37 days Day 20 Around Day 23 ~5-7 days
38 days Day 21 Around Day 24 ~5-7 days
39 days Day 22 Around Day 25 ~5-7 days
40 days Day 23 Around Day 26 ~5-7 days

Note: Expected ovulation is estimated by subtracting 14 days (average luteal phase) from cycle length. Individual variation is common. Use our ovulation calculator for a more personalized estimate.

If Your Cycles Are Irregular

For irregular cycles, base your testing start on your shortest cycle in the past 6 months. For example, if your cycles range from 26 to 35 days, use the 26-day schedule and start on Day 9. You may need to test for more days, so consider getting a larger pack of test sticks.

Our ovulation calculator can help you estimate your testing start date based on your cycle information. The ACOG defines irregular cycles as those varying by more than 7-9 days in length.

What Time of Day to Test

For best results:

  • Basic Digital Test: Test with your first morning urine, which has the highest concentration of LH.
  • Advanced Digital Test: Use first morning urine. The estrogen detection works best with the first urine of the day.
  • Consistency: Test at approximately the same time each day (within a 4-hour window).
  • Avoid excess fluids: Don't drink large amounts of liquid in the 2 hours before testing, as this can dilute your urine.

How to Use Clearblue Tests

Proper technique ensures accurate results. While each Clearblue product has specific instructions, here are general guidelines that apply across the product line.

Step-by-Step Instructions

  1. Remove the test stick from its foil wrapper and remove the cap to expose the absorbent tip.
  2. Insert the test stick into the test holder until it clicks (for digital products).
  3. Point the absorbent tip downward and either hold it in your urine stream for 5-7 seconds or dip it in a collected urine sample for 15 seconds.
  4. Replace the cap and lay the test flat or hold it pointed downward.
  5. Wait for the result to appear (usually within 3-5 minutes). A flashing test symbol means the test is working.
  6. Read your result within 8 minutes of the symbol stopping flashing.
Typical 5-Day Clearblue Advanced Testing Schedule (28-Day Cycle)
Day 11 (Monday)
Low Fertility - Empty Circle
First test of this cycle. Baseline established. LH and estrogen both at normal levels. Continue testing tomorrow at the same time.
Day 12 (Tuesday)
Low Fertility - Empty Circle
Still at baseline. No rise in estrogen detected yet. Continue daily testing. This is normal -- most women see Low for the first few days.
Day 13 (Wednesday)
High Fertility - Flashing Smiley
Estrogen is rising! Your body is preparing to ovulate. This is a good time to begin having intercourse. Continue testing to catch the Peak.
Day 14 (Thursday)
Peak Fertility - Solid Smiley
LH surge detected! You are at maximum fertility. Have intercourse today and tomorrow. Ovulation will occur within 24-36 hours.
Day 15 (Friday)
Post-Peak - Stop Testing
No need to test again this cycle. Ovulation is occurring or has just occurred. Have intercourse once more for maximum coverage. The fertile window closes after today.

Tips for Accurate Results

  • Don't use the test if the foil wrapper is damaged or the expiration date has passed
  • Ensure the absorbent tip is thoroughly saturated
  • Don't tilt the test upward while waiting for results
  • For the Advanced test, use only with the holder that came in the same pack (it calibrates to your baseline)
  • Eject and dispose of used test sticks; they cannot be reread later

Special Considerations

Certain factors can affect Clearblue test results. The FDA advises users to consider these when interpreting results:

  • Fertility medications: Clomid, injectable gonadotropins, and some other medications can cause false results. Consult your doctor.
  • Recently pregnant: HCG from a recent pregnancy can affect results. Wait for 2 normal cycles before testing.
  • PCOS: Polycystic ovary syndrome can cause elevated LH levels that may trigger false positives. See our PCOS section below for detailed guidance.
  • Perimenopause: Irregular hormone levels may affect accuracy.

Reading and Interpreting Results

Understanding what your Clearblue results mean helps you take action at the right time. Below is a comprehensive interpreting guide for all Clearblue products.

Symbol/Display Meaning Fertility Level Action to Take
Empty Circle (O) No hormonal rise detected Low Continue testing daily at the same time
Flashing Smiley :) Estrogen rising (Advanced/Connected only) High Begin or continue intercourse every 1-2 days; keep testing for Peak
Solid Smiley :) LH surge detected Peak Have intercourse today and tomorrow; stop testing this cycle
1 Bar (Monitor) Low hormone levels Low Continue testing when monitor requests
2 Bars (Monitor) Rising estrogen High Begin intercourse; continue testing
3 Bars (Monitor) LH surge detected Peak Have intercourse today and tomorrow
Error Symbol Test malfunction N/A Discard stick, retest with new stick
Book Icon (Monitor) Test day -- insert stick N/A Test with first morning urine within 6-hour window

Basic Digital Test Results

  • Empty circle: LH surge not detected. Continue testing tomorrow.
  • Smiley face: LH surge detected! You're at peak fertility. Your 2 most fertile days are today and tomorrow.

Advanced Digital Test Results

  • Empty circle: Low fertility. LH and estrogen levels are baseline. Continue testing tomorrow.
  • Flashing smiley face: High fertility. Estrogen is rising, indicating you're approaching ovulation. This is a good time to have intercourse. Continue testing daily.
  • Solid smiley face: Peak fertility. LH surge detected. You're at your most fertile for the next 48 hours. No need to continue testing this cycle.
Key Takeaway: When to Have Intercourse Based on Results
  • Empty circle: No need for timed intercourse yet, but every-other-day intercourse is fine if desired
  • Flashing smiley (High): Start having intercourse every 1-2 days -- you're entering your fertile window
  • Solid smiley (Peak): Have intercourse today and tomorrow for maximum conception chances
  • After Peak, the fertile window closes within 24-48 hours as ovulation occurs

What If You Never Get a Peak?

If you test for 10+ days without seeing a peak result, you may have:

  • Started testing too late in your cycle
  • Had an anovulatory cycle (no ovulation)
  • Missed a short LH surge
  • An underlying hormonal issue

Try again next cycle, starting testing earlier. If this happens repeatedly, consult a healthcare provider. Our guide on when to see a fertility specialist can help you decide if it's time for professional evaluation.

What If You Get Many High Days?

With the Advanced test, some women see many days of "High" fertility before getting a Peak. This can happen if:

  • Your estrogen rises gradually
  • You have longer cycles
  • Ovulation is slightly delayed that month

Continue testing daily until you see Peak. Having intercourse during High fertility days is still beneficial. According to Healthline, conception is possible during the entire High fertility window, not just at Peak.

Timing Intercourse for Conception

Knowing your fertile days is only half the equation -- you also need to time intercourse effectively. For a deeper dive into optimal timing strategies, see our dedicated fertile window guide.

When to Have Intercourse

  • High fertility days: Have intercourse at least every other day when you see the flashing smiley.
  • Peak fertility days: Have intercourse on the day you see the solid smiley and the following day.

Sperm can survive for up to 5 days in the reproductive tract, so having intercourse before ovulation means sperm will be ready and waiting when the egg is released.

Optimal Frequency

Research suggests that having intercourse every 1-2 days during your fertile window maximizes your chances. Daily intercourse is fine if desired, but every other day is sufficient and may be less stressful. As the American Society for Reproductive Medicine (2017) notes, there's no need to "save up" sperm -- frequent ejaculation doesn't significantly decrease sperm quality in men with normal sperm counts.

After Peak Fertility

Once you've seen the Peak result (solid smiley), ovulation will likely occur within 24-36 hours. Continue having intercourse for the next day or two to maximize your chances. After that, the fertile window has closed for this cycle.

Combining With Other Methods

For best results, combine Clearblue testing with other fertility awareness methods:

Pairing Clearblue with Our Free Ovulation Calculator

While Clearblue tests give you real-time hormone data, our free ovulation calculator provides cycle-based predictions that help you plan your testing strategy. Using both tools together creates a powerful, multi-layered approach to fertility tracking.

How to Use Both Tools Together

Here's a step-by-step approach for combining digital ovulation tests with calendar-based predictions:

  1. Start with the calculator: Enter your last period date and average cycle length into our ovulation calculator. Note the predicted ovulation date and fertile window.
  2. Plan your testing window: Begin Clearblue testing 3-4 days before the calculator's earliest fertile day prediction. This ensures you won't miss an early surge.
  3. Test daily: Use your Clearblue test each morning during the predicted fertile window. Record each result alongside the calculator's predictions.
  4. Compare and learn: After each cycle, compare when Clearblue detected your surge versus when the calculator predicted it. Over time, this reveals your personal pattern.
  5. Refine predictions: If your actual ovulation consistently differs from the calculator's prediction, adjust your cycle length input or note your typical offset.

Entering Clearblue Results into Calendar Tracking

Keeping a record of your Clearblue results alongside calendar predictions helps you build a comprehensive fertility picture:

  • Day + Result: Record the cycle day and whether you got Low, High, or Peak
  • Calculator comparison: Note whether the calculator predicted "fertile" or "non-fertile" for that same day
  • Pattern recognition: After 3+ cycles, you'll see how your actual hormone patterns compare to algorithmic predictions
  • Intercourse timing: Log when intercourse occurred relative to both Clearblue results and calculator predictions

Many women find that the calculator's predicted ovulation date is accurate within 1-2 days, but individual cycles can vary. Clearblue results confirm the exact timing for each specific cycle, which is especially valuable if you have irregular periods.

Best Practice: Calculator + Clearblue Workflow
  • Use the calculator at the start of your cycle to get your testing start date
  • Begin Clearblue testing 2-3 days before the calculator says your fertile window opens
  • Trust Clearblue results over the calculator for real-time decisions about intercourse timing
  • Use the calculator as your backup if you run out of test sticks or miss a testing day
  • Track both data sources over multiple cycles to see your personal ovulation trends

Comparing Predictions Over Multiple Cycles

Research published in Current Medical Research and Opinion found that calendar-based apps can predict ovulation within a few days for regular cycles, but real-time hormone testing significantly improves accuracy. The combination approach works because:

  • The calculator helps you plan ahead -- scheduling testing, appointments, and travel around your expected fertile days
  • Clearblue tests give you real-time confirmation -- the actual hormone signal that ovulation is imminent
  • Together, they help you save money -- start testing only when the calculator says you're getting close, rather than testing from Day 5 onward

Cost Analysis: Is Clearblue Worth the Premium?

Clearblue products carry a significant price premium over generic OPK strips. Understanding the real cost per cycle helps you decide where to invest your fertility tracking budget.

Average Cost Per Cycle Comparison
Generic Strips
$2
Clearblue Digital
$14
Clearblue Advanced
$20
Clearblue Connected
$23
Fertility Monitor
$40
Based on average 5-7 tests per cycle. Monitor cost amortized over 12 months + monthly stick cost.

Cost Per Cycle Breakdown

Here's what you can expect to spend per cycle with each option, assuming you need 5-7 tests to detect your surge:

  • Generic strip OPKs: $1-$3 per cycle (at $0.20-$0.50 per strip). Bulk packs of 50-100 strips offer the best value.
  • Clearblue Digital: $11-$18 per cycle (at $2.00-$3.50 per test). A 20-pack covers 2-3 cycles.
  • Clearblue Advanced Digital: $18-$25 per cycle (at $3.50-$5.00 per test). Higher cost but identifies more fertile days.
  • Clearblue Connected: $20-$28 per cycle (starter kit includes 25 tests; refill sticks cost $35-$50 for 20).
  • Clearblue Fertility Monitor: $30-$45 per cycle for sticks, plus the one-time monitor cost of $100-$150. Gets more cost-effective over time.

When the Premium Is Justified

Clearblue's higher cost is worth it in several situations:

  • You struggle with line interpretation: If you've found generic strips confusing or stressful, the clear digital display removes all guesswork
  • You want estrogen tracking: The Advanced and Connected tests identify 2+ more fertile days per cycle -- information generic strips simply cannot provide
  • You have limited time: Quick, unambiguous results save time and reduce the anxiety of uncertain readings
  • You're over 35: When time is a factor, the wider fertile window from dual-hormone detection helps maximize every cycle
  • First-time OPK users: Starting with a user-friendly system builds confidence in ovulation tracking

When to Save Money with Generic Strips

Generic OPK strips are the better value when:

  • You're comfortable reading lines: With practice, comparing test-to-control line darkness becomes second nature
  • You want to test twice daily: At $0.20-$0.50 per strip, testing morning and evening is affordable -- and helps catch short LH surges
  • You're tracking long-term: If you're monitoring cycles for many months, the cost savings add up significantly
  • You combine with other methods: If you're also using BBT tracking and cervical mucus observation, basic LH confirmation may be all you need
Money-Saving Strategy

Consider a hybrid approach: use generic strips for daily testing during your fertile window, then confirm with a single Clearblue Digital test when you think you see a positive on the generic strip. This combines the affordability of cheap strips with the certainty of Clearblue's digital readout. You'll use only 1-2 Clearblue tests per cycle instead of 5-7, cutting your Clearblue costs by 70-80%.

Refill Costs to Consider

Be aware that ongoing costs differ from the initial purchase:

  • Clearblue Digital: Refill packs of 20 sticks run $30-$40. The holder from your initial pack is reusable.
  • Clearblue Advanced: Refill packs of 20 sticks cost $40-$55. You must use the holder from the same cycle (it calibrates to your baseline).
  • Clearblue Connected: Refill packs of 20 sticks cost $35-$50. The Bluetooth holder is reusable.
  • Fertility Monitor: Test stick packs (30 sticks) cost $30-$45. The monitor itself lasts for years.

Over 6 months of trying to conceive, total costs range from approximately $12-$18 (generic strips) to $120-$180 (Clearblue Advanced) to $250+ (Fertility Monitor including hardware). As WebMD notes, the choice often comes down to personal preference and how much clarity you want from your results.

Clearblue for PCOS and Irregular Cycles

Polycystic ovary syndrome (PCOS) affects approximately 6-12% of women of reproductive age, according to the CDC. If you have PCOS or significantly irregular cycles, using Clearblue tests requires special consideration because the hormonal landscape differs from what these tests are designed to detect.

The Challenge: High Baseline LH

Many women with PCOS have chronically elevated LH levels -- sometimes 2-3 times higher than normal baseline. This creates a fundamental problem for OPKs:

  • False positives: Your baseline LH may already exceed the test's threshold, causing the test to show positive results even when you're not about to ovulate
  • No detectable surge: If your LH is already high, the pre-ovulatory surge may not appear as distinct, making it harder for the test to differentiate between baseline and surge levels
  • Multiple surges: PCOS can cause multiple attempted ovulations throughout a cycle, each producing a small LH rise that may or may not be detected

When Clearblue Advanced Works Better for PCOS

The Clearblue Advanced Digital test may be a better choice for PCOS patients than the basic Digital test because:

  • Estrogen tracking provides additional data: Rising estrogen indicates follicular development, which is a more reliable indicator than LH alone in PCOS
  • Baseline calibration: The Advanced test calibrates to your personal hormone levels at the start of each cycle, which can partially account for elevated LH
  • High fertility readings: Even if Peak readings are unreliable, High readings from estrogen can still indicate that your body is attempting to ovulate

Research published in Fertility and Sterility has shown that dual-hormone OPKs provide more useful information for women with ovulatory dysfunction than LH-only tests.

When to Avoid Digital OPKs

In some cases, Clearblue tests (or any digital OPK) may not be the best choice:

  • Severely elevated LH (>2x normal): If your baseline LH is very high, no OPK can reliably distinguish a surge from your normal levels
  • Very long cycles (>45 days): You would need too many test sticks, making the cost prohibitive. Consider ultrasound monitoring instead.
  • On metformin or letrozole: Some PCOS medications change your hormonal patterns in ways that may confuse OPK algorithms. Discuss with your doctor.
  • Anovulatory for 3+ months: If you haven't had a period in over 3 months, ovulation tests aren't the right starting point. See a fertility specialist first.

Alternative Approaches for PCOS

If Clearblue tests aren't giving you reliable results, consider these alternatives:

  • BBT tracking: Basal body temperature confirms ovulation after the fact and isn't affected by baseline LH levels. It works well for PCOS because the temperature shift is hormone-independent.
  • Cervical mucus monitoring: Egg-white cervical mucus is a reliable indicator of rising estrogen and approaching ovulation, even with PCOS.
  • Quantitative LH testing: Semi-quantitative OPK strips (like Premom or Easy@Home with app readings) show your actual LH level rather than just positive/negative. This helps you see the surge pattern even with elevated baseline.
  • Ultrasound monitoring: Your doctor can track follicle development via ultrasound, providing definitive confirmation of ovulation timing.
  • Progesterone testing: A mid-luteal phase blood test (about 7 days after suspected ovulation) can confirm whether ovulation actually occurred.
PCOS + Clearblue: Bottom Line
  • Try Clearblue Advanced first -- the estrogen detection adds value for PCOS
  • Always combine with at least one other tracking method (BBT or cervical mucus)
  • If you get persistent positives or never see Peak after 3 cycles, discuss alternatives with your doctor
  • Don't rely solely on any single OPK brand for fertility timing with PCOS
  • Consider our ovulation calculator as a backup reference point for general fertile window estimation

Clearblue Digital vs. Advanced Digital: Detailed Comparison

Choosing between the Clearblue Digital (Smiley) and the Advanced Digital is one of the most common decisions for women starting with ovulation predictor kits. The table below breaks down every meaningful difference so you can pick the right test for your situation.

Feature Digital (Smiley) Advanced Digital Notes
Hormones Detected LH only LH + Estrogen (E3G) Dual-hormone detection is the main upgrade of the Advanced model
Fertile Days Identified 2 days (Peak only) Up to 4 days (High + Peak) More fertile days means more opportunities to time intercourse
Cost Per Cycle $11-$18 (5-7 tests) $18-$25 (5-7 tests) Advanced costs roughly 40-60% more per cycle
Display Type Empty circle or solid smiley Empty circle, flashing smiley, or solid smiley Advanced adds the flashing smiley for High fertility days
LH Surge Accuracy Over 99% Over 99% Both models use the same LH detection technology
Baseline Calibration No -- each stick is independent Yes -- holder calibrates to your cycle Advanced holder must be used from Day 1 of testing; do not switch holders mid-cycle
Best For Budget-conscious users, regular cycles, those who just need Peak confirmation Irregular cycles, PCOS, maximizing fertile window, first-time users wanting extra data See our PCOS section for specific guidance
Holder Reusability Reusable across cycles and packs Reusable, but calibrates per cycle -- start fresh each cycle Both save money by reusing the digital holder with refill sticks
Test Stick Compatibility Uses purple-cap sticks Uses purple-cap sticks (different internal chemistry) Sticks are NOT interchangeable between Digital and Advanced holders
Which Should You Choose?

If you have regular cycles and simply want to confirm your two Peak days, the standard Digital (Smiley) is a cost-effective choice. If you want a wider fertile window, have irregular cycles, or want more advance notice before ovulation, the Advanced Digital is worth the extra investment. Many women start with the Advanced and switch to the standard Digital once they know their personal cycle patterns well.

Understanding Clearblue Smiley Results

The smiley face system is Clearblue's signature feature, replacing confusing test lines with clear symbols. Here is a complete reference for every possible display you may see when using the Clearblue Digital or Advanced Digital ovulation test.

Result Display What It Means What to Do
Empty Circle Open circle (O) on screen Low fertility. No significant hormone rise detected. Your body has not yet begun the pre-ovulatory hormonal shift. Continue testing at the same time tomorrow. No need for timed intercourse yet, though regular every-other-day intercourse is fine.
Flashing Smiley Blinking smiley face (Advanced only) High fertility. Estrogen levels are rising, indicating your body is preparing to ovulate within the next few days. A follicle is maturing. Begin or continue having intercourse every 1-2 days. Keep testing daily to catch the Peak. This window typically lasts 1-4 days.
Static (Solid) Smiley Steady, non-blinking smiley face Peak fertility. The LH surge has been detected. Ovulation will likely occur within 24-36 hours. These are your two most fertile days. Have intercourse today and tomorrow for maximum conception chances. You can stop testing for this cycle. The result stays displayed for 48 hours on the Advanced model.
Error Symbol Book icon, flashing error, or blank screen The test could not be read. Possible causes include insufficient urine, a defective stick, the stick being moved during processing, or an expired test. Eject and discard the used stick. Retest with a new stick and fresh urine sample. If errors persist, contact Clearblue support. Do not reuse the failed stick.

For women using the standard Digital test (not Advanced), only two results are possible: the empty circle (no surge) and the solid smiley (LH surge detected). The flashing smiley is exclusive to the Advanced Digital and Connected models because it requires estrogen detection. For more details on reading OPK results generally, see our complete OPK guide.

Smiley Result Tips

  • Don't re-read old sticks -- Results are only valid within 8 minutes of the test completing. Lines may appear or fade after this window.
  • Solid smiley stays on -- On the Advanced model, the solid smiley remains displayed for 48 hours even after removing the stick. This is normal.
  • Flashing days vary -- Some women see 1 flashing smiley day, others see 5+. Both are normal. The number of High days often varies between cycles.
  • Track your pattern -- Use a fertility tracker app to log each day's result and build a picture of your personal hormone patterns over time.

Troubleshooting Common Clearblue Issues

Even with digital technology, issues can arise. This quick-reference table covers the most common problems users encounter with Clearblue ovulation tests and how to resolve them. If you are experiencing persistent issues, consider combining Clearblue with BBT tracking for more complete fertility data.

Issue Possible Cause Solution
No LH surge detected after 10+ days of testing Started testing too late in the cycle; anovulatory cycle (no ovulation this month); very short LH surge that was missed Next cycle, start testing 3-4 days earlier. Try testing twice daily (morning and evening) to catch a short surge. If this persists for 3+ cycles, see a fertility specialist.
Multiple days of flashing smiley (5+ High days) Gradual estrogen rise; longer-than-average follicular phase; delayed ovulation; naturally slow hormonal ramp-up Continue testing daily until you see a solid smiley. Having intercourse during High days is still beneficial. If you reach 9+ High days without Peak, ovulation may not occur this cycle -- try again next month.
Error messages or blank screen Insufficient or excess urine on the absorbent tip; test stick moved during processing; expired test stick; defective stick or holder Eject the stick, discard it, and retest with a new stick. Ensure the tip is saturated for the full 5-7 seconds. Check the expiration date. If errors repeat, try a new pack or contact Clearblue support.
Inconsistent results (positive one day, negative the next) Testing at different times of day; drinking too much liquid before testing; fluctuating LH levels (can happen naturally); defective test sticks Test at the same time every day, ideally with first morning urine. Avoid large fluid intake 2 hours before testing. If inconsistency continues, try a different pack of sticks.
Testing with PCOS -- persistent positive or unreliable results Chronically elevated baseline LH common in PCOS; multiple attempted ovulations producing small LH rises; hormonal imbalances Try the Advanced Digital (estrogen detection adds reliability). Combine with cervical mucus tracking and BBT. Consider semi-quantitative OPK strips that show LH levels rather than just positive/negative. See our PCOS section for full guidance.
Holder not recognizing test stick Stick not fully inserted; using sticks from a different Clearblue product line; holder malfunction Push the stick firmly into the holder until you hear or feel a click. Verify you are using the correct stick type for your holder (Digital and Advanced sticks are not interchangeable). If the holder still fails, replace it.
Peak result but no temperature shift on BBT chart LH surge occurred but ovulation did not follow (luteinized unruptured follicle syndrome); BBT measurement error; short luteal phase An LH surge does not guarantee ovulation in every case. If you see Peak on Clearblue but never get a BBT shift, discuss with your doctor. Ultrasound monitoring can confirm whether ovulation actually occurred.

If you have tried these solutions and continue to experience problems, our guide on when to see a fertility specialist can help you determine if professional evaluation is warranted.

Troubleshooting Common Issues

No Result Appearing

If the test doesn't display a result:

  • Check that the test stick was inserted correctly into the holder
  • Ensure enough urine was applied
  • Verify the test isn't expired
  • Wait the full time for results (don't remove the stick early)

Error Symbol

An error symbol may appear if:

  • Too much or too little urine was applied
  • The test was moved during processing
  • There's a problem with the test stick

Discard the test stick and try again with a new one. If errors persist across multiple sticks, contact Clearblue customer support.

Faint Lines (Non-Digital Tests)

If using non-digital OPKs (other brands), a faint line can be confusing. With Clearblue digital tests, you don't need to interpret line darkness -- the digital display gives you a clear yes/no answer. For tips on reading traditional strip OPKs, see our OPK guide.

Persistent Low Results

If you consistently see Low fertility and never High or Peak:

  • Start testing earlier in your cycle
  • Test twice daily (morning and evening) as some women have short LH surges
  • Consult your doctor if this persists across multiple cycles

Switching From One Test Type to Another

If you change Clearblue products mid-cycle, you may not get accurate results because the Advanced test needs to establish your personal baseline at the start of your cycle. Wait until a new cycle to switch products.

Clearblue vs. Other OPK Brands

While Clearblue dominates the digital OPK market, several other brands offer competitive ovulation predictor kits at different price points and with varying features. The American Society for Reproductive Medicine (ASRM) notes that all properly manufactured LH-detection tests use similar immunoassay technology, meaning the core detection mechanism is comparable across brands. The differences lie in user experience, additional features, sensitivity thresholds, and cost per cycle. Understanding these distinctions can help you choose the best option for your budget and tracking preferences.

Whether you are new to ovulation testing or considering a switch from one brand to another, the following comparison covers the six most widely used OPK brands available in 2026. For a broader overview of how all ovulation predictor kits work, see our complete OPK guide.

Brand Type Hormones Detected Sensitivity (mIU/mL) Result Display Cost Per Test Best Feature
Clearblue Digital Digital LH only 40 Smiley face (yes/no) $2.00-$3.50 No interpretation needed; clear digital result
Clearblue Advanced Digital Digital LH + Estrogen 40 (LH) 3-tier smiley system $3.50-$5.00 Dual-hormone detection; identifies 4+ fertile days
Easy@Home Strip LH only 25 Two-line comparison $0.20-$0.40 Most affordable; bulk packs available (50-100 strips)
Premom (with app) Strip + App LH only 25 Line + AI photo reader $0.25-$0.50 AI-powered photo analysis quantifies line darkness
First Response Digital LH only 25 Yes/No digital display $2.50-$4.00 Higher LH sensitivity (25 vs 40 mIU/mL)
Wondfo Strip LH only 25 Two-line comparison $0.15-$0.30 Lowest cost option; widely used internationally

As the NHS explains, the fundamental science behind all OPKs is the same -- they detect the LH surge that occurs 24-36 hours before ovulation. The choice between brands comes down to whether you prefer the convenience of a digital readout (Clearblue, First Response) or the affordability of strip tests that let you test multiple times per day without worrying about cost (Easy@Home, Wondfo). For women with shorter LH surges or lower baseline LH, the more sensitive 25 mIU/mL strips may catch surges that the 40 mIU/mL Clearblue Digital would miss.

Many experienced users adopt a hybrid approach: using inexpensive strips for daily monitoring throughout their fertile window, then confirming with a Clearblue Digital test when the strips begin to darken. This strategy keeps costs manageable while providing the certainty of a digital readout at the critical moment. If you are also tracking basal body temperature or cervical mucus, you already have additional confirmation methods that reduce the need for premium testing.

Note on sensitivity: Clearblue Digital tests have a 40 mIU/mL threshold, which means they require a stronger LH signal to trigger a positive result. Women with naturally lower LH surges may get positive results on 25 mIU/mL strips before -- or instead of -- a Clearblue positive. If you are not detecting surges with Clearblue, try a more sensitive brand before concluding you are not ovulating.

Interpreting Your Clearblue Results

Understanding what each Clearblue result means -- and what action to take -- is essential for maximizing your chances of conception. The Advanced Digital test provides three distinct fertility levels, each corresponding to specific hormonal changes in your body. The Cleveland Clinic explains that the hormonal cascade leading to ovulation follows a predictable sequence, and Clearblue tests are designed to map directly onto this progression.

The timeline below shows the typical testing sequence over a cycle, from the first Low reading through Peak fertility, along with the recommended actions at each stage. Keep in mind that individual cycles can vary, and the number of days at each level is approximate.

Days 1-3 of Testing
Low Fertility (Empty Circle)
Estrogen and LH are at baseline levels. Continue testing daily at the same time. No need to time intercourse specifically, but regular intimacy (every 2-3 days) keeps sperm supply fresh.
Days 4-6 of Testing (varies)
High Fertility (Flashing Smiley)
Rising estrogen detected. Your body is preparing to ovulate. Begin having intercourse -- these are fertile days. Continue testing daily to catch the LH surge. Cervical mucus should be becoming more slippery and egg-white in consistency.
Day 7 or Later (varies)
Peak Fertility (Solid Smiley)
LH surge detected. Ovulation will likely occur within 24-36 hours. Have intercourse today and tomorrow. This is your most fertile window. The display shows Peak for 48 hours regardless of subsequent hormone levels.
2 Days After Peak
Post-Peak / Stop Testing
Ovulation has likely occurred. No further testing needed this cycle. If tracking BBT, look for the thermal shift confirming ovulation. Begin the two-week wait before pregnancy testing.

Result-to-Action Quick Reference

Result Display What It Means Recommended Action Intercourse Timing
Low Fertility Empty circle Hormones at baseline; ovulation not imminent Continue testing daily at the same time Optional; every 2-3 days maintains sperm quality
High Fertility Flashing smiley Estrogen rising; ovulation approaching Continue testing; note cervical mucus changes Yes -- begin timing intercourse
Peak Fertility Solid smiley LH surge detected; ovulation within 24-36 hours Stop testing; ovulation is imminent Yes -- today and tomorrow are your best days
Error Error symbol Test malfunction or improper use Discard stick; retest with new stick N/A -- result is invalid

One common misconception is that you should only have intercourse on the Peak day. In reality, the Johns Hopkins Medicine fertility resource confirms that sperm can survive for up to 5 days in the female reproductive tract, so intercourse during High fertility days (before Peak) is also highly effective. The ideal pattern is to have intercourse every 1-2 days from the first High reading through the day after Peak. This ensures that viable sperm are present in the fallopian tubes when the egg is released.

Pro Tip: If you get a Peak reading, do not skip intercourse that day even if you already had intercourse yesterday. The 24-36 hours after the LH surge represent the single highest-probability window in your entire cycle. Pairing your Clearblue results with our free ovulation calculator gives you both real-time and calendar-based confirmation.

Troubleshooting Common OPK Issues

Even with clear digital readouts, Clearblue users occasionally encounter confusing or unexpected results. Most issues have straightforward explanations and solutions. The ASRM notes that user error -- not test failure -- accounts for the vast majority of unexpected OPK results. Understanding the most common problems and their solutions can save you from unnecessary frustration and wasted test sticks.

The table below covers the most frequently reported issues with Clearblue and other OPK tests, along with their likely causes and recommended solutions. If you experience persistent problems across multiple cycles, it may be worth discussing your results with a healthcare provider or considering whether you should see a fertility specialist.

Problem Likely Cause Solution
Never getting a Peak result Starting testing too late; short LH surge; anovulatory cycle Start testing earlier next cycle (2-3 days sooner). Consider testing twice daily. If persistent across 3+ cycles, consult a provider. Use BBT tracking to confirm if ovulation is occurring.
Many consecutive High days (7+) Gradual estrogen rise; longer cycle; delayed ovulation; PCOS Continue testing until Peak appears. If 10+ High days with no Peak, ovulation may not occur this cycle. See our irregular periods guide for management strategies.
Positive OPK but no BBT shift LH surge without ovulation (LUF syndrome); measuring error; illness An LH surge does not guarantee ovulation. Track BBT for 3+ days post-surge to confirm. If BBT never rises, report to your provider.
Inconsistent results day to day Testing at different times; hydration variation; test malfunction Test at the same time daily. Limit fluids for 2 hours before testing. Ensure sticks are not expired. Use first morning urine or after a 4-hour hold.
Error symbol on digital display Too much/little urine; stick inserted incorrectly; defective stick Discard the stick and retest with a new one. Ensure the stick clicks fully into the holder. Hold the absorbent tip in the urine stream for exactly 5 seconds (per Clearblue instructions).
Getting positives all month (PCOS) Elevated baseline LH common in PCOS Standard OPKs may not work reliably with PCOS. Consider the Clearblue Advanced (estrogen + LH) or a fertility tracker app with BBT monitoring. NHS PCOS guidance recommends ultrasound monitoring for ovulation in PCOS patients trying to conceive.
Faint line on non-digital OPK Normal LH levels (not surging); test is working correctly A faint line is negative -- the test line must be as dark as or darker than the control line. Consider switching to Clearblue Digital to eliminate line-reading ambiguity. Apps like Premom can photograph and quantify line darkness.
Different results from different brands Different sensitivity thresholds (25 vs. 40 mIU/mL) This is expected. More sensitive strips (25 mIU/mL) will detect the surge earlier than Clearblue Digital (40 mIU/mL). Pick one brand and use it consistently throughout a cycle.

The Cleveland Clinic emphasizes that OPKs are designed to be used alongside other signs of ovulation, not as a standalone diagnostic tool. If your Clearblue results do not align with what your body is telling you -- for example, you are seeing fertile cervical mucus but no High or Peak readings -- trust the combination of signals rather than any single data point. Use our ovulation calculator to cross-reference your expected fertile window with your test results.

Myth: If the OPK is positive, ovulation is definitely happening.
Fact: A positive OPK detects the LH surge, which usually triggers ovulation within 24-36 hours. However, in some cases (particularly with PCOS or luteinized unruptured follicle syndrome), the surge occurs but the follicle does not release the egg. BBT tracking or ultrasound is needed to confirm ovulation actually occurred.

Related Reading

Explore our complete library of fertility and reproductive health resources:

Calculate Your Testing Start Date

Use our free ovulation calculator to estimate when you should start using Clearblue tests this cycle.

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Frequently Asked Questions

Clearblue ovulation tests are over 99% accurate at detecting the LH surge in laboratory studies. However, detecting the surge doesn't guarantee ovulation will occur -- in rare cases, the surge may happen without ovulation following. The tests are highly reliable for identifying your most fertile days when used correctly according to the instructions. This accuracy claim is supported by Clearblue's published clinical data.

Women with PCOS often have elevated baseline LH levels, which can cause false positive results or make the tests less reliable. If you have PCOS, the tests may show persistent positive results. The Clearblue Advanced Digital test, which also measures estrogen, may work better for some PCOS patients. Consider combining ovulation tests with BBT tracking to confirm ovulation is actually occurring, and discuss your fertility tracking approach with your healthcare provider. See our detailed PCOS section above for comprehensive guidance.

No, Clearblue test sticks are single-use only. Each stick can only be used once and cannot provide accurate results if reused. The chemical reagents on the absorbent tip are designed for a single reaction. After reading your result, eject and dispose of the test stick. The test holder itself (for digital products) can be reused with new test sticks from the same product line. Never attempt to dry and reuse a stick -- the results will be meaningless.

The Advanced Digital test detects rising estrogen for "High" fertility readings. Some women have a gradual estrogen rise, resulting in many High days before Peak. This is normal and can vary cycle to cycle. Common causes include longer cycles, delayed ovulation, or naturally gradual estrogen rises. Continue testing until you see Peak. If you never see Peak after more than 9 High days, ovulation may not occur that cycle -- try again next month and consult a doctor if it persists across multiple cycles.

Clearblue ovulation tests are not designed to detect pregnancy -- they detect LH, not HCG (the pregnancy hormone). However, LH and HCG are structurally similar, so a very strong HCG signal from pregnancy could potentially trigger a positive ovulation test. For pregnancy detection, use a dedicated pregnancy test like the Clearblue pregnancy tests, which are specifically designed and calibrated for that purpose. The FDA recommends using only tests specifically labeled for pregnancy detection.

Both Clearblue digital tests and cheap OPK strips detect the same LH surge with similar sensitivity thresholds (typically 25-40 mIU/mL). The key difference is interpretation: Clearblue provides a clear digital yes/no result, while cheap strips require you to compare line darkness -- which can be subjective and stressful. For basic LH-only detection, accuracy is comparable when the user reads the strip correctly. Where Clearblue Advanced excels is in also detecting estrogen, which gives you extra High fertility days that cheap strips cannot identify. For a thorough comparison, see our complete OPK guide.

Yes, but you need to adapt your testing schedule. Test after your longest sleep period, regardless of what time that is. If you sleep during the day, test when you wake up in the afternoon or evening. The key is consistency: test at approximately the same time each day after at least 4 hours of sleep. Avoid drinking large amounts of fluid for 2 hours before testing. Some night shift workers find that testing twice daily catches the LH surge more reliably. This same principle applies to BBT tracking for shift workers.

If you consistently test for 10+ days without a Peak result, first try starting testing earlier next cycle. You may be missing a short LH surge, so consider testing twice daily (morning and evening). An anovulatory cycle (no ovulation) is also possible, which happens occasionally even in healthy women. If this happens for 3+ consecutive cycles, consult a healthcare provider to check for conditions like PCOS, thyroid disorders, or premature ovarian insufficiency. Our guide on when to see a fertility specialist provides more details on when professional evaluation is warranted.

Fertility tracker apps use algorithms based on cycle history to predict ovulation, while Clearblue tests measure actual hormone levels in real-time. Apps predict based on averages, so they can be off by several days, especially with irregular cycles. Clearblue provides real-time physiological data. The best approach is to use both: apps for general planning and Clearblue tests for precise timing during your estimated fertile window. Our ovulation calculator can serve as a reliable planning tool alongside Clearblue testing.

Consider seeing a fertility specialist if you've been timing intercourse with Clearblue for 12 months without conception (or 6 months if over 35). Also seek evaluation if you never detect a Peak result across multiple cycles, get irregular results consistently, have very irregular periods, or have known risk factors like endometriosis or PCOS. A specialist can run hormone tests, ultrasounds, and semen analysis to identify potential issues. The ACOG recommends evaluation after these timeframes.

Yes. Clomiphene citrate (Clomid) can elevate LH levels and potentially cause false positive results on ovulation tests. Letrozole (Femara) is less likely to interfere, but may still alter hormone patterns. If you are taking ovulation-inducing medication, your fertility specialist will typically monitor ovulation via ultrasound and blood work rather than relying on home OPKs. Always discuss OPK use with your prescribing doctor when on fertility medications. The ASRM provides guidance on how these medications affect hormone levels.

Store Clearblue test sticks in their original sealed foil wrappers at room temperature (36-86 degrees F / 2-30 degrees C). Do not refrigerate or freeze them. Keep them away from direct sunlight and moisture. Only open the foil wrapper immediately before use. If a wrapper is torn or damaged, the stick may give inaccurate results and should be discarded. Check the expiration date printed on the wrapper before testing -- expired sticks can give false negatives.

Clearblue ovulation tests are designed to help achieve pregnancy, not to prevent it, and should not be relied on as a contraceptive method. The tests identify fertile days but cannot guarantee that you are infertile on other days -- sperm can survive up to 5 days, and ovulation timing can shift unexpectedly. If you are interested in fertility-awareness-based methods of contraception, consult a healthcare provider about validated protocols that combine multiple indicators (BBT, cervical mucus, and calendar tracking) with proper training.

LH levels fluctuate throughout the day, and urine concentration varies based on fluid intake. A morning test with concentrated urine may show a different result than an afternoon test after drinking water. The LH surge often begins in the early morning hours, so first morning urine is usually the best sample. If you are testing twice daily to catch a short surge, maintain consistent timing and limit fluids for 2 hours before each test. The Clearblue Advanced test recommends using first morning urine because the estrogen measurement is particularly sensitive to hydration levels.

You can begin using Clearblue tests after stopping hormonal birth control, but your first few cycles may be irregular as your body re-establishes its natural hormone patterns. Hormonal contraceptives suppress ovulation, and it can take 1-3 months (sometimes longer) for regular ovulation to resume. During this transition period, you may see unusual OPK results -- including many Low days without a Peak, or unpredictable High readings. It is generally recommended to wait until you have had at least one natural period before starting OPK testing. Tracking your BBT alongside Clearblue tests during this time will help confirm whether ovulation is actually occurring.

Most women need 5-10 test sticks per cycle, depending on their cycle length and how quickly they detect the surge. Women with regular 28-day cycles typically start testing on day 11 and detect Peak by day 14-15, using about 5 sticks. Women with longer or irregular cycles may need 10 or more sticks. The Clearblue Advanced test may use more sticks because it begins detecting High (estrogen) days earlier than the LH surge. To minimize cost, use our free ovulation calculator to narrow down when to start testing, and consider supplementing with inexpensive strip tests for daily monitoring while reserving Clearblue tests for confirmation during your predicted fertile window.

Helpful Resources

For further reading on ovulation testing, fertility, and reproductive health, explore these trusted resources:

External Resources

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Medical Disclaimer

This guide is for educational purposes only and is not affiliated with or endorsed by Clearblue or its parent company (SPD Swiss Precision Diagnostics). All product names and trademarks are the property of their respective owners. Always follow the specific instructions included with your Clearblue product. If you have been trying to conceive for over a year without success (or 6 months if over 35), or have concerns about ovulation or fertility, please consult a healthcare provider. For more information, visit ACOG or discuss with your OB-GYN.

Sources

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  • American Society for Reproductive Medicine. (2017). Optimizing natural fertility: a committee opinion. Fertility and Sterility, 107(1), 52-58. PubMed
  • Wilcox, A. J., Dunson, D., & Baird, D. D. (1999). The timing of the "fertile window" in the menstrual cycle. BMJ, 321(7271), 1259-1262. PubMed
  • American College of Obstetricians and Gynecologists (ACOG). Evaluating Infertility. ACOG.org
  • Mayo Clinic. How to get pregnant. MayoClinic.org
  • U.S. Food and Drug Administration. Ovulation (Urine Test). FDA.gov
  • Centers for Disease Control and Prevention. PCOS (Polycystic Ovary Syndrome) and Diabetes. CDC.gov