Frequently Asked Questions

E3G (urine metabolites of estrogen), LH, PdG (urine metabolites of progeserone), and FSH.

No, there is a single Mira analyzer that can measure all four hormones: E3G, LH, PdG, and FSH.

No, patients can purchase it directly from the website using your discount code or affiliate link. Bulk purchasing options are also available.

Yes, Mira is available internationally. We offer worldwide shipping and have warehouses in the USA, the United Kingdom, France, the Netherlands, China, and Australia. Free shipping is available on orders over $139 USD. Shipping rates will be automatically calculated at checkout based on your location.

You can start testing immediately on any day of the cycle except during your heavy menstrual bleeding.

Collect your sample after your longest period of sleep, ensuring it is a concentrated sample by holding your urine for at least 4 hours while limiting oral fluid intake for at least 2 hours before the test. For best results, try to be consistent with your testing pattern.

For optimal results, collect your urine after the longest period of sleep, ideally after at least 4 hours. Test immediately after collection, as hormone metabolites start to break down over time. Consistency is crucial for tracking estrogen patterns and trends.

Yes, you can still use the Mira device without a smartphone. You will need to manually record your results on a log or chart, as the device will display the results directly on its screen.

We advise against switching wand types during a cycle because different wands (or different lots) can cause slight variations in E3G measurements. However, switching after ovulation is acceptable.

No, Mira wands are designed for single use only. However, our tests are recyclable and eco-friendly. If you're interested, read more here.

No, the urine is contained within the wand, secured by a cap, so the device doesn’t come into contact with it. No cleaning is necessary between uses.

No, the analyzer is connected to a specific user's Mira app via Bluetooth. While you can reset the device for a new user (see instructions below), we cannot guarantee accurate results after multiple users.

To delete data from the analyzer, you will need to restore the analyzer to its factory settings. This option is available only when the analyzer is connected to the app. To do so, please follow these steps: 1. Navigate to Profile 2. Select My Devices 3. Choose Mira Analyzer 4. Tap Restore to Factory Settings

No, Mira has not been studied for use in pregnancy and therefore, patients should stop testing after a positive pregnancy test.

The battery life of the analyzer depends on the frequency of use and the number of test wands used. Typically, the battery lasts anywhere from several days to up to 2 weeks. For optimal performance, we recommend regularly monitoring the battery level and charging as needed.

Yes, read our warranty policy and terms below.  
Warranty Policy:
1. At Mira, we want you to have peace of mind when you use our products. That’s why we warrant Mira-branded products, including the Mira Monitor and Mira Basel Body Thermometer, Mira-branded accessories (“Mira Product”), and all other products that are sold by Mira (“Complementary Products”) against manufacturing defects in materials and workmanship for a period of 1 year starting from the date of the original purchase.
2. Mira requires the original receipt for warranty claims.
3. To commence the warranty process, kindly contact us. Include any relevant pictures or videos, and detail any troubleshooting steps you’ve already undertaken. This information enables us to provide you with prompt and effective assistance.

Warranty Terms:
1. If your Mira Product or Complementary Products covered by this warranty fails due to a manufacturing defect, Mira will, during the Warranty period:
    ◦ Repair the Mira Product or Complementary Products, including the Mira Monitor and Mira Basel Body Thermometer, without charge, using new or previously used genuine parts that have been tested and passed functional requirements.
    ◦ Replace Mira Product and/or Complementary Products, including the Mira Monitor and Mira Basal Body Thermometer, with a replacement product of the same model.
    ◦ Warranty excludes coverage for (i) normal wear and tear, including scratches and dents; (ii) consumable parts included in the Mira Product or Complementary Products, such as batteries, unless product damage has occurred due to a defect in materials or workmanship; (iii) damage resulting from your failure to use the Mira Product in accordance with the instructions accompanying the Mira Product or available at the website; (iv) damage resulting from an accident, flood, fire, misuse, or abuse; (v) damage resulting from service performed, or damage resulting from tampering with or alterations to the Mira Product, by anyone not authorized by Mira; or (vi) use of the Mira Product with any application or software other than the Mira Mobile App.
    ◦ Mira retains the exclusive right to repair or replace the Mira Product or Complementary Products, at its sole discretion.
    ◦ Warranty repairs and replacements have a new warranty which is the longer of 90 days or the balance of the original 1 year warranty.

Follow these steps:

• Close and reopen the app. If the issue persists, write down today’s results and proceed.
• Unpair and re-pair the device through the "My Devices" section in the Mira app.
• Uninstall and reinstall the Mira app if needed.
• Manually add results under "Chart View" using "Add New Measurement."
• Contact Mira's VIP customer service at vipsupport@miracare.com for further assistance.
  

• While our app isn’t currently available on the standard App Store in Australia, there’s a workaround to start using Mira. Here are the steps:
  1. Start by downloading TestFlight. If you’re wondering, “What’s TestFlight?” it’s Apple’s official platform for trying out apps before they go live to the public. It’s totally safe, secure, and used by developers worldwide!
  2. Once TestFlight is on your device, tap this link to access the Mira Fertility & Cycle Tracker beta: Mira for Apple. The iOS app available gives you the full span of functions the Mira App has.
  This is just a temporary solution to give you access to our app; there is no risk in using it. Our Privacy Policy is still relevant; no additional data will be collected by Apple while using these apps. We will update you once the Mira App is available in the App Store in Australia.
  

The menopause mode is available for anyone 35 years old and older who would like to monitor their menopausal transition. Since this is an optional feature it can be activated by going into your profile (top left-hand corner) and select “menopause” transitions”.

Historical Mira data is stored in cloud storage and can be accessed by the patient in their Mira app and accessed by the provider in the provider dashboard.

The Mira Analyzer can store up to 200+ test results without syncing. It's recommended to sync your data with the app whenever possible for analysis and tracking. Please note that any unsynced data will be lost if the analyzer is reset to its factory settings.

Encourage your patient to reach out to Mira's VIP customer service at vipsupport@miracare.com for priority assistance. To help expedite the process, suggest that they send a video and/or picture of the issue they are experiencing.

Mira offers several advantages over traditional dried urine testing, such as the Dutch test, by utilizing laboratory-grade immunofluorescence technology, providing immediate results, and enabling remote monitoring. These features make Mira a highly efficient and convenient option for tracking hormone levels and trends in real time. In contrast, Dutch requires a dried urine sample to be collected, mailed, and analyzed at the Dutch laboratory, which typically takes up to three weeks to return results. Additionally, Mira and Dutch use different sets of urine metabolites, which means their results cannot be directly compared.

While Mira can replace Dutch cycle mapping, it can also complement Dutch testing, which provides insights into adrenal function, organic acids, and metabolite pathways. For instance, Mira can help accurately time interventions and assessments, such as conducting a Dutch Complete test seven days after ovulation. This approach is more reliable than using a generic cycle day 21 result, as ovulation timing varies significantly between women. Testing seven days post-ovulation offers a more precise reflection of hormonal activity.

While Dutch offers a detailed snapshot of hormone levels, Mira's real-time monitoring and trend analysis provide continuous insights, making it particularly beneficial for ongoing interventions and personalized healthcare strategies.

Mira is reliable and valid when used correctly. It tracks hormone trends accurately and align well with serum hormone levels, as demonstrated by clinical research. Internal checks and calibrations ensure consistent performance. Additionally, Mira’s coefficient of variation (CV) falls within industry standards, and internal studies comparing Mira to the Abbott Architect i2000SR have shown a strong linear correlation.

No, creatinine correction is not necessary if patients follow fluid intake guidelines, as it does not significantly impact accuracy.

Fluid intake and hydration status can influence data, as well as medications like Clomid. Kidney disorders may alter urine composition and affect accuracy.

We currently do not track testosterone.

Methylene Blue and high doses of Biotin should not be taken while using Mira for testing. We recommend discontinuing their use 5-7 days prior to testing. Other medications, supplements, and interventions may impact Mira data, so please refer to our protocols for specific guidelines.

While research involving Mira has shown a strong correlation between serum hormone levels and urinary metabolites, it's crucial to understand that they are not directly equivalent (see research here). Urinary metabolites and serum hormones are measured in different units and reflect a correlation rather than a direct equivalence. Urinary metabolites, which are a result of the metabolism of serum hormones, offer a delayed reflection of these hormones. While urinary metabolite levels may fluctuate, they generally align with the overall pattern of serum hormone levels.

Therefore, instead of comparing specific data points, it's more effective to focus on trends over time. Many healthcare providers utilize a combined approach, employing continuous monitoring with devices like Mira to track trends and periodic serum tests to obtain precise snapshots of hormone levels at specific points in time.

In conclusion, while Mira can be a valuable tool for monitoring hormone trends, it's important to remember that it's not a substitute for traditional serum hormone tests.

To confirm an ovulatory event using Mira PdG, you can look for one of these two patterns:

Option 1- Three-Day Rise: Three consecutive days of rising PdG levels, with each day at least 1.25 times higher than the previous day after an LH surge.

Option 2 - Sustained Elevated PdG: Multiple PdG levels consistently higher than baseline following an LH surge. For additional detail please refer to our interpretation guide.

We are developing a provider course but for now, you can explore these resources:

• FACTS
• IIRRM
• FEMM Health
• Institute for Menstrual Health
  
  

Use Mira’s patient education materials, including brochures, videos, and consultations, to explain how hormone tracking can help with fertility or cycle understanding.

Yes, providers can request discount codes or affiliate links to reduce costs for patients and earn commissions on referrals. Mira also provides a public discount code for social media or webinars.

Providers who meet with the Mira team can access the free provider dashboard. Contact partnership@miracare.com for credentials.

Yes, patients can purchase directly, or providers can order in bulk. Credentials for the provider portal can be obtained by contacting our partnerships team here.

Yes, you may choose any combination of the partnership options available, including discount codes, affiliate commissions, drop shipping, and/or bulk purchases.

Yes, all partnership options are available for international providers.

Mira is FSA/HSA eligible but not covered by standard insurance. Costs include $200 for the starter kit and $63/month for subscriptions (after provider discounts).

Test every other day during early and late phases, daily during the fertile window, and every two to three days in the luteal phase to conserve supplies.

Yes, Mira products are HSA/FSA eligible items. Their HSA/FSA funds can be used after applying a provider discount code.

No, Mira doesn’t sell user data. Revenue comes from device and wand sales, and all data processes are HIPAA and GDPR-compliant.

Data is encrypted, stored securely, and accessible only to a limited number of trained support staff. Users can delete their accounts and data permanently.

Yes, the provider dashboard is HIPAA and GDPR-compliant.