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Fem Excel vs Oova: Which Is Better?

Head-to-head comparison of Fem Excel 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

Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation. Oova has the lower entry price (from $99/mo vs $108/mo), so the better value depends on which treatment you need.

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
56
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

DimensionFem ExcelOova
Overall Score63.9/100 ✓56/100
Trust & Safety30%66/100 ✓62/100
Value25%60/100 ✓56/100
Experience20%72/100 ✓58/100
Product Range15%55/100 ✓42/100
Reputation10%64/100 ✓55/100

At a Glance

Founded—2017
HeadquartersCharlotte, NCNew York, NY
Publicly tradedNoNo
Treatment categories21
Treatments listed53
Starting price$108/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.

CategoryFem ExcelOova
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
$99
Oova Membership (discounted kits + expert consults)

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 →

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 →

Fem Excel vs Oova — FAQ

Is Fem Excel better than Oova?

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Fem Excel scores higher overall in our independent evaluation (63.9/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation. Oova has the lower entry price (from $99/mo vs $108/mo), so the better value depends on which treatment you need.

Is Fem Excel or Oova cheaper?

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Oova has the lower starting price (from $99/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 Oova both offer?

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

Still deciding?

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