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Natural Cycles vs Sesame Care: Which Is Better?

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

Our Verdict

Sesame Care scores higher overall in our independent evaluation (74/100 vs 67.4/100), leading on trust & safety, value, product range, reputation. Natural Cycles comes out ahead on experience.

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
74

Pay-per-visit marketplace connecting patients with licensed providers — no subscriptions, transparent per-visit pricing.

Visit Sesame Care

Score Breakdown

DimensionNatural CyclesSesame Care
Overall Score67.4/10074/100 ✓
Trust & Safety30%70/10075/100 ✓
Value25%76/10080/100 ✓
Experience20%72/100 ✓70/100
Product Range15%45/10070/100 ✓
Reputation10%62/10070/100 ✓

At a Glance

Founded20132019
HeadquartersStockholm, SwedenNew York, NY
Publicly tradedNoNo
Treatment categories16
Treatments listed17
Starting price$12.5/mo$11/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 CyclesSesame Care
Women's Health$12.5
NC° Birth Control (annual plan incl. NC° Band)
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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 →

Sesame Care

+No subscription required — pay-per-visit model
+Transparent pricing shown before booking
+Wide range of specialties available
−No integrated pharmacy
−Less continuity of care than subscriptions
−Provider quality varies in marketplace model
Read the full Sesame Care review →

Natural Cycles vs Sesame Care — FAQ

Is Natural Cycles better than Sesame Care?

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Sesame Care scores higher overall in our independent evaluation (74/100 vs 67.4/100), leading on trust & safety, value, product range, reputation. Natural Cycles comes out ahead on experience.

Is Natural Cycles or Sesame Care cheaper?

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Sesame Care has the lower starting price (from $11/mo vs $12.5/mo for Natural Cycles). 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 Sesame Care both offer?

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Both platforms treat Women's Health. Natural Cycles covers 1 treatment category total and Sesame Care covers 6.

Still deciding?

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