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Natural Cycles vs Oova: Which Is Better?

Head-to-head comparison of Natural Cycles 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

Natural Cycles scores higher overall in our independent evaluation (67.4/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation.

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
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

DimensionNatural CyclesOova
Overall Score67.4/100 ✓56/100
Trust & Safety30%70/100 ✓62/100
Value25%76/100 ✓56/100
Experience20%72/100 ✓58/100
Product Range15%45/100 ✓42/100
Reputation10%62/100 ✓55/100

At a Glance

Founded20132017
HeadquartersStockholm, SwedenNew York, NY
Publicly tradedNoNo
Treatment categories11
Treatments listed13
Starting price$12.5/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.

CategoryNatural CyclesOova
Women's Health$12.5
NC° Birth Control (annual plan incl. NC° Band)
$99
Oova Membership (discounted kits + expert consults)

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 →

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 →

Natural Cycles vs Oova — FAQ

Is Natural Cycles better than Oova?

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Natural Cycles scores higher overall in our independent evaluation (67.4/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation.

Is Natural Cycles or Oova cheaper?

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Natural Cycles has the lower starting price (from $12.5/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 Natural Cycles and Oova both offer?

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Both platforms treat Women's Health. Natural Cycles covers 1 treatment category total and Oova covers 1.

Still deciding?

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