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Alloy vs Natural Cycles: Which Is Better?

Head-to-head comparison of Alloy and Natural Cycles based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Alloy scores higher overall in our independent evaluation (73.3/100 vs 67.4/100), leading on trust & safety, experience, product range, reputation. Natural Cycles comes out ahead on value. Natural Cycles has the lower entry price (from $12.5/mo vs $23/mo), so the better value depends on which treatment you need.

73
Alloy
Good

Cash-pay menopause and perimenopause telehealth platform prescribing hormone therapy across multiple formats plus adjacent GLP-1, skincare, and sexual-wellness treatment.

Visit Alloy
67

FDA-cleared, hormone-free digital contraceptive that uses temperature data from a thermometer or wearable to flag fertile days; it involves no clinician or prescription.

Visit Natural Cycles

Score Breakdown

DimensionAlloyNatural Cycles
Overall Score73.3/100 ✓67.4/100
Trust & Safety30%78/100 ✓70/100
Value25%68/10076/100 ✓
Experience20%74/100 ✓72/100
Product Range15%75/100 ✓45/100
Reputation10%68/100 ✓62/100

At a Glance

Founded20212013
HeadquartersNew York, NYStockholm, Sweden
Publicly tradedNoNo
Treatment categories21
Treatments listed51
Starting price$23/mo$12.5/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryAlloyNatural Cycles
Women's Health—$12.5
NC° Birth Control (annual plan incl. NC° Band)

Alloy

+Cash-pay model with published starting prices across most hormone formats (pill, patch, spray/gel, vaginal cream)
+Chief Medical Advisor is a well-credentialed OB-GYN and menopause specialist, reinforcing clinical positioning
+Strong Trustpilot performance (4.3/5, 3,982 reviews) with recurring praise for consultation thoroughness
−Reviewers describe pricing as high relative to comparable HRT options, and quarterly billing can obscure the effective monthly cost
−Reports of formulation or dispensed-quantity inconsistency between refills of the same product
−Some patients describe feeling locked into a multi-month billing cycle before being able to transfer a prescription to an outside pharmacy
Read the full Alloy review →

Natural Cycles

+Only FDA-cleared digital contraceptive (Class II De Novo, 2018), with no hormones or side effects
+Low all-in cost: about $150/year including the NC° Band wearable, HSA/FSA-eligible
+Works with existing wearables (Oura, Apple Watch Series 8+, Garmin) and switches between contraception, conception, pregnancy, postpartum and perimenopause modes at no extra charge
−Typical-use effectiveness is 93%, below IUDs and implants, and depends on daily measurement and abstaining or using protection on fertile days
−No clinician involvement or prescription options; not a substitute for a birth-control prescriber
−December 2025 class action alleges reproductive-health data was shared with third-party trackers without consent
Read the full Natural Cycles review →

Alloy vs Natural Cycles — FAQ

Is Alloy better than Natural Cycles?

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Alloy scores higher overall in our independent evaluation (73.3/100 vs 67.4/100), leading on trust & safety, experience, product range, reputation. Natural Cycles comes out ahead on value. Natural Cycles has the lower entry price (from $12.5/mo vs $23/mo), so the better value depends on which treatment you need.

Is Alloy or Natural Cycles cheaper?

▾

Natural Cycles has the lower starting price (from $12.5/mo vs $23/mo for Alloy). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Alloy and Natural Cycles both offer?

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Both platforms treat Women's Health. Alloy covers 2 treatment categories total and Natural Cycles covers 1.

Still deciding?

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