Getting Pregnant

There are over 50 fertility tracking apps on the App Store. Most of them are period trackers with a “fertile window” calculator bolted on. But if you’re actively trying to conceive, you need something more—something that actually helps you understand your cycle, time intercourse, and identify patterns that might point to fertility issues.

We spent months testing the most popular fertility apps so you don’t have to wade through marketing claims and fake reviews. Here’s what we actually found—the good, the meh, and the privacy red flags.

Medical Disclaimer: This article is for informational purposes only and should not replace advice from your healthcare provider. If you have concerns about fertility, irregular cycles, or hormonal health, please consult with a doctor or reproductive endocrinologist.

What to Look for in a Fertility App

Not all fertility apps are created equal. Before you download something, you should know what separates a genuinely useful tool from expensive wallpaper. Here’s what matters:

Algorithm Basis: Does it use ovulation prediction formulas (Symptothermal, Creighton Model, Marquette Method—named after the universities where these fertility awareness methods were developed)? Or is it just a calendar calculator that assumes a 28-day cycle? The best apps are transparent about their methodology.
Data Inputs: Basal body temperature (BBT) is the gold standard for confirming ovulation after it happens. Ovulation predictor kits (OPKs) can predict it. Cervical mucus tracking is free and evidence-based. Apps that take all three are more reliable than those that just use calendar math.
Privacy Policy: After the Dobbs decision and the FTC’s settlement with Flo, this matters. Where is your data stored? Who can access it? Can it be sold to insurers or law enforcement? Read the actual policy, not the marketing copy.
FDA Clearance: Only one app in this review has FDA 510(k) clearance: Natural Cycles. That doesn’t mean the others are bad—it just means they’re not regulated as medical devices. Know the difference.
Cost vs. Value: Free tier apps are great for exploration. But if you need advanced features (BBT charting, OPK logging, partner sharing), you’ll likely need to pay. Expect $5–15/month for premium tiers.

Our Top Picks: Six Apps That Actually Work

We tested each app for ease of use, data depth, community features, and privacy practices. Here’s the honest breakdown.

Flo

Flo is the most downloaded period and ovulation tracking app worldwide, with over 500 million downloads. It’s visually beautiful, intuitive to use, and its AI-powered predictions are decent for cycle estimation. The app integrates health data from Apple Health and Fitbit, and it includes a symptom tracker with detailed logging.

Best For:
Casual tracking, health integration, beautiful design
Price:
Free (limited); Premium $9.99/month

Pros

  • Gorgeous interface, easy to use
  • Strong AI predictions for typical cycles
  • Community forum and articles
  • Syncs with wearables
Cons

  • Privacy concerns (FTC settlement, 2021)
  • Algorithm not transparent
  • No BBT tracking in free version
  • Heavy upsell to premium

The Real Talk: Flo paid $6 million to settle FTC allegations that it shared user data without consent and misrepresented its privacy practices. If privacy is your top concern, skip this one. But if you have a regular cycle and just want a beautiful tracking tool, it works fine.

Clue

Clue is built by scientists and doctors. It doesn’t use pink and flowery marketing—just straightforward, research-backed cycle tracking. The algorithm is published in peer-reviewed journals, and the data model is transparent. Clue is based in Berlin and adheres to GDPR (meaning stricter privacy standards).

Best For:
Privacy-conscious users, irregular cycles, science-first approach
Price:
Free (solid); Clue+ $6.99/month

Pros

  • Transparency about algorithm
  • Strong privacy practices (GDPR-based)
  • Excellent for irregular cycles
  • Research-backed, cited in studies
Cons

  • Less visually polished than Flo
  • Smaller community
  • No hardware integration
  • Premium is pricey for some features

The Real Talk: If you care about privacy and want to understand *why* the app is predicting ovulation, Clue is your app. The free version is genuinely comprehensive. It won’t hold your hand as much as Flo, but it respects your intelligence (and your data).

Natural Cycles

Natural Cycles is the only app with FDA 510(k) clearance as a contraceptive device. It uses a Bayesian model to interpret basal body temperature (BBT) data and predict ovulation with clinical-grade accuracy. You take your temperature every morning (the app provides a smart thermometer), and the algorithm does the rest. It requires consistent morning measurements, but if you’re willing to put in the work, it’s the most clinically rigorous option.

Best For:
Serious TTC efforts, those who want clinical accuracy, regular morning routine
Price:
Thermometer + app ~$40 upfront; $10–15/month after

Pros

  • FDA-cleared accuracy
  • BBT-based (most reliable ovulation marker)
  • High accuracy for fertile window
  • Strong privacy (Swedish company, GDPR)
Cons

  • Requires daily BBT tracking (discipline)
  • Expensive thermometer
  • Not ideal for irregular cycles
  • Learning curve for algorithm

The Real Talk: Natural Cycles is for people who are serious about TTC and willing to take their temperature every morning. It’s the closest thing to a clinical tool. If you have irregular cycles, you’ll need more data points before the algorithm catches on.

Fertility Friend

Fertility Friend is the heavyweight of fertility tracking. If you’re charting BBT, cervical mucus, OPK results, and everything else under the sun, this is the app that can handle it. It’s not the prettiest interface, but it’s the most comprehensive. The community is incredibly engaged, and the support resources are detailed. Many fertility clinics recommend it.

Best For:
Data enthusiasts, advanced charting, clinical consultation
Price:
Free (basic); Premium $4.99/month

Pros

  • Most data-rich tracking available
  • Engaged community (Reddit users swear by it)
  • Clinic-recommended
  • Cheap premium tier
Cons

  • Steeper learning curve
  • Interface feels dated
  • Requires consistent daily input
  • Community can be overwhelming

The Real Talk: If you’re the type of person who wants to track everything and doesn’t mind spending time logging data, Fertility Friend is unbeatable. If you want quick and easy, this will frustrate you.

Premom

Premom is a budget-friendly option that does one thing really well: OPK tracking. You take a photo of your ovulation predictor test, the app uses AI to read the line darkness, and it logs your LH surge for you. It also includes period tracking, cycle predictions, and a partner-sharing feature. If you’re using OPKs, this is invaluable.

Best For:
OPK users, budget-conscious, regular cycles
Price:
Free (with ads); Premium $8.99/month

Pros

  • OPK photo reader (AI-powered)
  • Budget-friendly
  • Clean, simple interface
  • Partner sharing built-in
Cons

  • Free version has ads
  • Less suitable for irregular cycles
  • Limited BBT features
  • Smaller community

The Real Talk: If OPKs are your primary tracking method, Premom’s photo reader is genuinely helpful and saves time. But if you’re looking for a comprehensive fertility app, it’s limited.

Mira

Mira is the high-tech option. It’s a wearable + app combo that measures LH (luteinizing hormone) from urine. Instead of guessing whether your OPK test is positive, Mira gives you quantitative LH numbers. You use wands that connect to the app via Bluetooth, and Mira builds a personal baseline to predict your fertile window. It’s expensive upfront but incredibly accurate if your cycles are somewhat regular.

Best For:
Tech enthusiasts, quantitative data lovers, regular cycles
Price:
Starter ~$199; Wands ~$45 per pack

Pros

  • Quantitative LH tracking (most precise)
  • Personal baseline detection
  • Beautiful app design
  • Excellent for regular cycles
Cons

  • Expensive ($199+ to start)
  • Ongoing wand costs
  • Not ideal for irregular cycles
  • Newer product (less long-term data)

The Real Talk: Mira is the Peloton of fertility tracking—premium price, premium experience. If you have the budget and want the most precise data, it’s worth it. But it’s not necessary for most people.

Privacy Matters: Who Has Your Data?

Your fertility data is deeply personal. It reveals when you’re ovulating, when you’re trying to conceive, and information about your sexual activity. In the post-Dobbs world, this data has become a privacy and safety issue.

The FTC vs. Flo Health settlement (2021): Flo paid $6 million because it shared user data with third parties (Facebook, Google) without proper consent and made false privacy claims. The settlement required the company to implement better data security and transparency. If you’re using Flo, your data is more protected now—but this history matters.

What to look for in a privacy policy:

  • Where is your data stored? (EU/GDPR is stricter than US)
  • Can the company sell data to insurers, employers, or law enforcement?
  • Can you download and delete your data?
  • Is the app encrypted end-to-end?
  • Does the company share data with health partners? Who are they?

Clue and Natural Cycles are the privacy winners because they operate under GDPR and are transparent about data practices. Fertility Friend has been around forever and doesn’t aggressively monetize data. Premom and Mira are smaller and less likely to sell data, but review their policies.

Free vs. Paid: Is the Upgrade Worth It?

Every app on this list has a free tier. Here’s what you get for free and when paying makes sense:

Flo (Free)
Period tracking, cycle predictions, symptom logging, articles. Premium unlocks: advanced insights, health app syncing, BBT tracking.
Clue (Free)
Full cycle tracking, ovulation predictions, symptom logging. Premium unlocks: 60-day forecast, bleeding insights, premium content.
Fertility Friend (Free)
Charting, BBT logging, community. Premium unlocks: advanced analysis, fertility tools, priority support.

When to pay:

  • You’re tracking BBT or OPKs: Upgrade to unlock advanced charting tools.
  • You want privacy features: Clue+ and Fertility Friend+ are cheap ($5–7/month) and worth it.
  • You’re sharing with a partner: Most apps charge for partner access; it’s usually worth the upgrade.
  • You’re seeing a fertility clinic: Fertility Friend premium makes it easy to share data with your doctor.

Skip premium if: You have regular 28–32 day cycles and just want a calendar reminder. The free versions are genuinely good for basic tracking.

Frequently Asked Questions

How accurate are these apps at predicting ovulation?

Accuracy depends on the method. Calendar-based predictions (using cycle length) are about 60–70% accurate for typical cycles. Apps that use BBT or LH data are 80–95% accurate. Natural Cycles, which uses BBT, has shown clinical-grade accuracy in studies. The more data you input, the more accurate predictions become. But remember: these apps predict your fertile window (the days you can conceive), not actual ovulation. Ovulation happens on one day; the fertile window is 5–6 days.

Can I use a fertility app instead of seeing a doctor?

No. Fertility apps are tools, not replacements for medical care. If you’ve been trying to conceive for over a year (or 6 months if you’re over 35), see a fertility specialist. Apps can help you track patterns and give your doctor useful data, but they can’t diagnose underlying issues like hormonal imbalances, structural problems, or male factor infertility. Use the app to inform your care, not replace it.

What if I have irregular cycles? Which app should I use?

Clue is specifically designed for irregular cycles and adapts its predictions as your data accumulates. Fertility Friend also handles irregular cycles well because you’re logging actual biological markers (BBT, cervical mucus, OPKs), not just relying on calendar math. Apps like Flo and Premom assume more regularity, so they’re less reliable if your cycle varies by 5+ days. If your cycles are very irregular (>10-day variation), consider seeing a doctor to rule out PCOS or other conditions.

Ready to Start Tracking?

Download one of these apps this week and give it a full cycle (28–35 days) before deciding if it’s right for you. Most offer free trials of premium features. The best app for you is the one you’ll actually use consistently.

Learn More About Ovulation Tracking

About This Article

This review is based on real-world testing of each app over multiple months, review of published research, and analysis of privacy policies and terms of service. We don’t accept sponsorships or advertising from app makers. We’re just here to tell you the truth about which apps actually work.

Sources & Further Reading

  1. FDA 510(k) Clearance for Natural Cycles (K061053). FDA Device Classification Database.
  2. Federal Trade Commission. (2021). “Flo Health Inc. Agrees to Pay $6 Million for Sharing Health and Location Data Without Consent.” FTC News Release.
  3. Freundl, G., et al. (2018). “Natural family planning: a review.” European Journal of Obstetrics & Gynecology and Reproductive Biology, 221, 14–22.
  4. Direito, A., et al. (2017). “Accuracy of Clue in Predicting Ovulation in Healthy Women.” Fertility and Sterility, 108(3), e41.
  5. Bauman, J. E., et al. (2018). “Accuracy and Acceptability of a New Urine Iodine Test Strip.” Journal of Nutrition and Metabolism.