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Alloy vs Oova: Which Is Better?

Head-to-head comparison of Alloy and Oova 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 56/100), leading on trust & safety, value, experience, product range, reputation.

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

Oova

Fair

At-home urine hormone-tracking kit that quantifies LH, estrogen and progesterone metabolites via a phone app, for fertility and perimenopause; no in-house prescribing.

Visit Oova

Score Breakdown

Dimension	Alloy	Oova
Overall Score	73.3/100 ✓	56/100
Trust & Safety30%	78/100 ✓	62/100
Value25%	68/100 ✓	56/100
Experience20%	74/100 ✓	58/100
Product Range15%	75/100 ✓	42/100
Reputation10%	68/100 ✓	55/100

At a Glance

Founded	2021	2017
Headquarters	New York, NY	New York, NY
Publicly traded	No	No
Treatment categories	2	1
Treatments listed	5	3
Starting price	$23/mo	$99/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.

Category	Alloy	Oova
Women's Health	—	$99 Oova Membership (discounted kits + expert consults)

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 →

Oova

+Quantitative readings of three hormones (LH, E3G, PdG) versus the yes/no results of standard ovulation strips

+Results can be shared in real time with a patient's own clinician through a HIPAA-compliant provider dashboard

+Kits are FSA/HSA eligible, with posted one-time and recurring pricing

−No prescribing or diagnosis; membership consults are with 'experts' rather than a clearly defined treating clinician

−App reportedly blocks scans outside its calculated testing window, which can leave paid strips unusable

−At roughly $129-$159 per cycle kit, ongoing tracking costs substantially more than basic ovulation strips

Read the full Oova review →

Alloy vs Oova — FAQ

Is Alloy better than Oova?

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Alloy scores higher overall in our independent evaluation (73.3/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation.

Is Alloy or Oova cheaper?

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Alloy has the lower starting price (from $23/mo vs $99/mo for Oova). 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 Oova both offer?

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

Still deciding?

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