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Fem Excel vs Natural Cycles: Which Is Better?

Head-to-head comparison of Fem Excel 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

Natural Cycles scores higher overall in our independent evaluation (67.4/100 vs 63.9/100), leading on trust & safety, value. Fem Excel comes out ahead on product range, reputation.

64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel
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

DimensionFem ExcelNatural Cycles
Overall Score63.9/10067.4/100 ✓
Trust & Safety30%66/10070/100 ✓
Value25%60/10076/100 ✓
Experience20%72/10072/100
Product Range15%55/100 ✓45/100
Reputation10%64/100 ✓62/100

At a Glance

Founded—2013
HeadquartersCharlotte, NCStockholm, Sweden
Publicly tradedNoNo
Treatment categories21
Treatments listed51
Starting price$108/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.

CategoryFem ExcelNatural Cycles
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
$12.5
NC° Birth Control (annual plan incl. NC° Band)

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel 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 →

Fem Excel vs Natural Cycles — FAQ

Is Fem Excel better than Natural Cycles?

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Natural Cycles scores higher overall in our independent evaluation (67.4/100 vs 63.9/100), leading on trust & safety, value. Fem Excel comes out ahead on product range, reputation.

Is Fem Excel or Natural Cycles cheaper?

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Natural Cycles has the lower starting price (from $12.5/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fem Excel and Natural Cycles both offer?

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

Still deciding?

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