You can track your hormones to the day and still have questions your cycle chart can't answer: why dryness has crept in, why the same infection keeps coming back, what else matters while you prepare for pregnancy. Mira has partnered with Evvy so you can look at the other half of the picture: your vaginal microbiome.
Bacteria and fungi living in your vagina form a community that research links to your reproductive health, and it rarely gets the attention your hormones do. We're excited to bring the two together.
Mira shows you what your hormones are doing. Evvy shows you what's happening in your vaginal microbiome. Together, they give you a fuller picture to take to your doctor.
What is the Mira × Evvy partnership?
Mira is the at-home hormone monitor trusted by 300,000+ women in 115 countries. It tracks four key hormones, LH, E3G, PdG, and FSH, so your cycle stops being a guessing game and becomes data you can actually see.
Evvy's Vaginal Health Test is trusted by 150,000+ women. Using advanced sequencing technology, it analyzes your vaginal microbiome for 700+ types of bacteria and fungi, including those associated with fertility and vaginal health.
Together, the two give you a view of your reproductive health that goes beyond a single number or symptom. And because it's your body and your call, using Evvy is entirely optional. Some people find a microbiome test a useful companion to their hormone data.
Why do hormones and the vaginal microbiome belong together?
Your vaginal microbiome is home to a living balance of bacteria and fungi, and what's in it matters. In a balanced one, Lactobacillus species lead. They keep the vagina acidic, at a pH of about 3.8 to 4.5, which makes it harder for other microbes to take over.
Hormones are part of that story. Estrogen keeps vaginal tissue thick and healthy, so when it drops in perimenopause and menopause, the tissue changes, and vaginal pH and the microbiome tend to shift too. That's one reason dryness, irritation, and recurring infections can show up during a transition.
Research increasingly points to a connection between the vaginal microbiome and fertility. Studies have associated Lactobacillus-dominant vaginal microbiomes with more favorable reproductive outcomes, including higher implantation rates and improved outcomes in IVF and IUI. While researchers are still working to understand exactly how the vaginal microbiome influences fertility, these findings highlight why vaginal health deserves a place in the fertility conversation.
Hormones and the microbiome are connected, but they answer different questions. Mira shows you the patterns in your hormones. Evvy shows you the state of your microbiome. Take both to your doctor, and you can talk about more than a list of symptoms.
When might vaginal microbiome testing be helpful?
Vaginal microbiome testing can offer valuable insights at many stages of life, whether you're experiencing vaginal symptoms or simply want to better understand your vaginal health. Here are two moments when it may be particularly relevant alongside hormone tracking.
If you're trying to conceive
If you're preparing for pregnancy, you probably know your cycle better than most. You know your fertile window, your hormone peaks, the days you're waiting and the days you're hoping. Your vaginal microbiome is another thing worth knowing about. Research suggests it may influence conception, implantation, and pregnancy outcomes, which is why some people add a microbiome test while they prepare.
The Evvy test looks at your microbiome, not your fertility, and it can't tell you whether you'll get pregnant. What it gives you is one more thing you can understand and bring to your doctor.
If you're in perimenopause or menopause
Dryness, itching, burning, painful sex, urinary tract infections that keep coming back: if this sounds familiar, you're far from alone, and it deserves a proper look. If you've ever been told it's just part of getting older, you deserve a better answer.
There's even a name for this group of symptoms: genitourinary syndrome of menopause, or GSM.
Prevalence estimates among menopausal women range from about 65% to 84%, so if you're dealing with it, you're in very large company.
Falling estrogen changes the vaginal environment, and a microbiome test shows you what's happening in it. Add the hormone trends you track with Mira, including FSH, and you can walk into your doctor's office with something far more useful than "it's uncomfortable." Neither Mira nor Evvy diagnoses menopause or any other condition. Only your doctor can, and now you can arrive with more to show them.
What does the Evvy test show?
The Evvy Vaginal Health Test uses advanced metagenomic sequencing to analyze your vaginal microbiome for 700+ types of bacteria and fungi, including protective Lactobacillus species and microbes associated with vaginal symptoms, such as Gardnerella and Candida. All it takes is one at-home swab.
You'll get a detailed report with clinician-reviewed results, personalized insights, and clear next steps, so you're not left wondering what it all means. Plus, Evvy offers a free 1:1 health coaching call to help you make sense of your results and, if eligible, access to personalized prescription care through licensed providers.
How do Mira and Evvy fit together?
Here is how the two can work together.
Track your hormones with Mira. Mira measures LH, E3G, PdG, and FSH at home, so you see your cycle or your transition as a pattern.
Take the Evvy test. One swab, taken at home, and a report reviewed by a licensed clinician when your results are ready.
Read both together. Put your hormone patterns next to your microbiome results and bring both to your doctor, so the conversation starts with real information.
A fuller picture starts here
You already know how much clearer things get when you can see your own data. Adding your microbiome is a way to keep going, and it's entirely your call. Your hormones tell one part of the story, and your microbiome tells another. We're excited to help you hear both.
