How the Natural
Cycles° app works
analyzed
The only FDA-cleared birth control app
It all starts with your temperature
What happens
Your temperature follows a pattern throughout your cycle, rising after ovulation due to hormonal changes.
Why it matters
You're only fertile during a short ~6 day window around ovulation. Most days of your cycle aren't fertile.
How NC° uses temperature
The NC° algorithm analyzes your temperature data to identify ovulation and predict fertile and non-fertile days.
Ovulation is the release of a mature egg from an ovary during the menstrual cycle. The egg survives for up to 24 hours after release.
Ovulation usually occurs around two weeks after your period begins, but the timing can vary from cycle to cycle.
The 6-day fertile window is determined by sperm and egg survival.
Sperm can survive for up to five days in the reproductive tract, and an egg survives for up to 24 hours after ovulation.
This means pregnancy is only possible during these six days.
Body temperature changes in response to hormonal shifts throughout the menstrual cycle. After ovulation, rising progesterone causes a small increase in temperature.
By tracking these changes over time, it's possible to identify cycle patterns, predict the fertile window, and confirm ovulation.
Natural Cycles works with compatible wearables to collect temperature data overnight, making it simple to track the subtle changes that occur throughout your cycle.
How to use Natural Cycles°
Capture temperature data effortlessly with the NC° Band, or choose from other compatible wearables.
Missing an occasional temperature reading won't affect Natural Cycles' effectiveness as birth control. The NC° Fertility Algorithm is designed to prioritize safety and will adjust for missing data.
However, frequent missed readings can make it harder to identify your fertile window, resulting in more ‘Red Days’ where you will be advised to use protection or abstain from sex.
For the best experience, we recommend logging at least five temperatures per week.
Sleep Insights is a new feature in the NC° app that connects your nightly sleep data to your cycle phase, helping you better understand how hormonal changes may impact your rest and recovery.
Sleep Insights is currently available for NC° Band and Oura Ring users.
Your temperature may be excluded if it's considered less reliable — for example, due to illness, a hangover, unusual sleep patterns, or insufficient overnight wearable data. Excluded temperatures aren't used by the NC° Fertility Algorithm.
Missing or excluded temperatures won't affect the effectiveness of Natural Cycles, though missing temperature data may result in more ‘Red Days’ (where we recommend using protection) until enough reliable data is available again.
What makes unique?
Irregular cycles? No problem
Supports cycles of all lengths and patterns, even if your cycle is unpredictable
Built for real life
Works even if your sleep patterns, sleep quality, and wake times aren't consistent
Beyond basic cycle tracking
Uses real-time temperature and cycle data to personalize your fertility insights
Regulated & certified
Backed by scientific research and regulated by strict medical device standards
Inside the NC° app
Support for each stage
Know your peak fertility to increase your chances, then track changes & baby's growth.
Support after birth. Monitor your cycle's return and track your recovery at your own pace.
Understand your body's changes, recognize symptoms, and feel prepared and in control.
The most studied app of its kind
30+
peer-reviewed
studies
2M+
women in
global research
15+
in-house
scientists
Institutions we work with
Recent research
How effective is Natural Cycles when used with a wearable?
In this study, the NC° Research Team set out to compare whether Natural Cycles' effectiveness differed between those measuring with an oral thermometer and those measuring with a wearable.
Comparing pregnancy risk in period-tracking methods and regulated digital contraception
In an analysis of over 540,000 menstrual cycles, period-tracking methods were compared to an FDA-cleared digital contraceptive.
Global study confirms ovulation often continues into perimenopause
Natural Cycles, the first FDA-cleared digital contraceptive app, has released findings from the largest study ever conducted on menstrual and ovulatory patterns...
NC° Perimenopause: Clarity in your journey with the NC° Menopause Algorithm
In this article, we’ll talk about how NC° Perimenopause and the NC° Menopause Algorithm can help you navigate perimenopause with confidence.
Trusted by leading women’s health experts
Dr. Kerry Krauss
OB-GYN & Senior Medical
Advisor at Natural Cycles
Common questions
Natural Cycles is an FDA Cleared app that has helped millions of women support their fertility journey. From preventing to planning, following pregnancy, and recovering from birth — the NC° app provides content tailored for you every step of the way.
The app is powered by an algorithm that analyzes hormone-driven changes in your body temperature to let you know when you’re fertile or not.
Natural Cycles is the first and only app of its kind cleared by the FDA as birth control. Many fertility apps are based on a 28-day cycle. This means the fertile window they predict is not personalized to your cycle. So, how can it be true to you? Our algorithm uses your unique temperature and cycle data to significantly reduce the risk of an incorrect fertility status, helping minimize unintended pregnancy and support pregnancy planning with greater precision.
Plus, privacy protection isn’t included with all apps, but it is with your NC° subscription. With NC° Secure, your cycle data is private and secure.
To get started:
- Sign up for Natural Cycles
(purchase a subscription and measuring device) - Download the app
- Follow the steps to set up your device
- Start measuring!
Birth control costs money to make and supply. A subscription to the Natural Cycles app helps make hormone-free birth control more accessible, giving you more choices to find what works for you — all while supporting women’s health research.
Because we charge a subscription, we don’t need to profit from selling users’ data like some “free” apps do. Natural Cycles is committed to data privacy, and as a regulated medical device, we are required to comply with the FDA’s cybersecurity requirements.
We offer two plans: annual or monthly. Click here to find the right subscription option for you.
Yes. The effectiveness of Natural Cycles is supported by clinical evidence, which shows Natural Cycles is 93% effective with typical use. When used as intended, i.e. if you never have unprotected intercourse on Red Days, Natural Cycles is 98% effective. Read more on the science behind our effectiveness.
Forgetting to measure doesn’t impact how effective NC° Birth Control is at preventing pregnancy. However, if the app doesn’t have enough data due to poor sleep or forgetting to measure, you might get more Red Days (when you’ll need to abstain from sex or use protection).
You don’t have to wait for Natural Cycles to learn your cycle before you can start using it because Natural Cycles is effective from the first day of use!
Natural Cycles is committed to protecting your data. We have strong security protocols, including encryption and pseudonymization, to keep your data secure. As a regulated medical device, Natural Cycles is required to comply with the FDA's cybersecurity requirements. And as a Swedish-based company, we are designed to comply with GDPR standards, pledging to safeguard your data no matter where you live. Learn more about how we protect your data here.
Natural Cycles° is a non-hormonal, non-invasive form of birth control. Because it doesn't contain hormones or require any medical procedures, there are no physical side effects associated with using the app itself. Instead, Natural Cycles° works by helping you understand your fertility through temperature tracking and cycle data.
Natural Cycles is just as effective if you have irregular menstrual cycles (i.e. cycles lasting fewer than 21 days or greater than 35 days in length).
If your cycle is very irregular, Natural Cycles may be less suitable for you, as you may be given more Red Days (these are a safety buffer since ovulation days can change with irregular cycles).
However, those with irregular cycles often find that Natural Cycles is a useful tool for tracking their irregularities and better understanding their bodies. Find out if Natural Cycles could work for you.
If you're using non-hormonal birth control (like condoms or copper IUD), you can start using Natural Cycles right away. If you're using hormonal birth control, you'll need to stop using it before starting Natural Cycles, as hormones can affect your cycle and temperature. It's also common to experience cycle irregularities after stopping hormonal birth control. Speak to your healthcare professional if you have any concerns.
Absolutely. Natural Cycles goes beyond birth control. Learning about your cycle also gives you the power of knowing when it’s the best time to conceive. NC° Plan Pregnancy tells you the days when you are most fertile, and it can also let you know when it’s the optimal time to take ovulation or pregnancy tests. Once you log a positive test in the app, you can start using NC° Follow Pregnancy – here, you’ll get regular updates on the progress of your pregnancy.
To use NC° Plan Pregnancy, you need to measure your body temperature, input your temperature and period data, and then the Natural Cycles algorithm will provide your daily fertility status. In NC° Plan Pregnancy, the fertile window is presented in a scale of red colors, where the most fertile day has the darkest shade of red, and the lightest red color indicates that fertility is less likely. Non-fertile days have a light green color.
Natural Cycles gives you the information you need to time intercourse and maximize your chances of conceiving. Research shows that couples using Natural Cycles get pregnant in 3 cycles on average.
Your body temperature naturally changes throughout the day in response to factors like physical activity, food, stress, illness, and your environment. To identify the subtle temperature changes associated with ovulation, the NC° Fertility Algorithm needs a more stable measurement.
Overnight temperature data captures your body's resting temperature while you sleep, before daily activities can influence it. This provides a clearer signal for the NC° Fertility Algorithm to analyze, helping it identify ovulation and estimate your fertile window more accurately.
That's why Natural Cycles uses temperature measurements collected overnight or first thing in the morning when your body is at rest — it's the most reliable way to track the temperature patterns that occur throughout your cycle.
No. Unlike calendar-based methods, Natural Cycles doesn't rely solely on cycle dates or assume ovulation happens on the same day every month.
Traditional calendar methods estimate fertility based on previous cycle lengths and fixed assumptions about when ovulation is likely to occur. However, cycle length and ovulation timing can vary from cycle to cycle, making calendar-only predictions less reliable.
The NC° Fertility Algorithm analyzes your temperature data alongside your cycle information to identify ovulation and determine your fertile window. Rather than applying the same formula to everyone, the NC° Fertility Algorithm adapts to your unique cycle patterns and updates its predictions as new data is added.
Research comparing Natural Cycles to calendar-based methods found that the individualized algorithm was better at identifying the fertile window and was less likely to incorrectly classify the most fertile days as non-fertile
Like traditional basal body temperature (BBT) methods, Natural Cycles uses body temperature to help identify ovulation and understand fertility. The difference is that Natural Cycles combines temperature data with cycle information and optional ovulation test results, then uses the NC° Fertility Algorithm to analyze that data and provide a daily fertility status.
Traditional BBT methods typically require taking your temperature with a thermometer every morning and manually interpreting temperature patterns over time. With Natural Cycles, the algorithm does the analysis for you — no manual calculations or charting required.
Natural Cycles can be used with the NC° Band, as well as other compatible wearables, including Oura Ring, Apple Watch, Garmin devices, making it easier to collect temperature data while you sleep (versus manually taking your basal body temperature upon waking up each morning).
Unlike traditional BBT methods that often require a learning or trial period, Natural Cycles is effective from day one when used as directed.
You must be over the age of 18. Does not protect against STIs.
FDA Cleared
Natural Cycles is 93% effective with typical use, 98% effective with perfect use. No method of contraception is 100% effective. Natural Cycles does not guarantee that you cannot get pregnant, it only informs you whether and when you can become pregnant based on the information that you enter into the application.
Natural Cycles is available as a method of birth control in the US and territories; Canada; United Kingdom; Ireland, France; Germany; Netherlands; Luxembourg; Belgium; Spain; Portugal; Austria; Switzerland; Italy; Latvia; Lithuania; Malta; Estonia; Sweden; Denmark; Norway; Finland; Iceland; Bulgaria; Czech Republic; Hungary; Poland; Romania; Slovakia; Greece; Cyprus; Croatia; Slovenia; Montenegro; Singapore; Australia; Brazil. Outside these countries listed, Natural Cycles is intended to be used for fertility monitoring.