What are the top FemTech startups by revenue today?

Last updated: 21 September 2026
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In our femtech market deck, you will find everything you need to understand the market

SUMMARY

Maven Clinic currently has the strongest case for being the largest private FemTech startup by revenue scale, with Kindbody and Flo Health close behind and Pomelo Care, Midi Health and Carrot forming the next group around nine-figure commercial scale.

The top of the market is more mature than the old image of FemTech suggests. Several private companies now operate around $100 million or more in annual commercial scale, and the clearest leaders are already above $200 million on their best available financial metrics.

The ranking is messy because the metrics are not interchangeable. Maven's roughly $268 million figure is estimated ARR, Kindbody's $225 million to $250 million figure was company revenue guidance, and Flo's $200 million-plus number was gross bookings.

The biggest businesses tend to sit close to actual healthcare spending. Employer benefits, fertility treatment and reimbursed virtual care produce much more revenue per patient than a typical app subscription, which is why Maven, Kindbody, Pomelo and Midi have scaled so quickly.

Flo is the major exception. It shows that a consumer subscription model can also reach very large scale, but only with an enormous audience: the company was already near five million paying subscribers when it guided to more than $200 million of gross bookings.

Fertility remains one of the strongest revenue engines in the category because a single patient journey can involve tens of thousands of dollars of spending. That creates room for clinics, benefits administrators, navigation platforms, pharmacies and diagnostics companies to build large businesses around the same care pathway.

Menopause and maternal care are becoming much larger commercial categories, but the winning models rarely stay narrow. Midi is broadening beyond menopause, while Pomelo is extending from pregnancy into reproductive care, pediatrics, hormonal health and menopause.

Carrot, Willow/Elvie and several other large players remain difficult to rank because their operating scale is public while their current revenue is not. Customer counts, covered lives and distribution reach tell us they matter, but they are not substitutes for financial disclosure.

Below the top six, the curve drops quickly into the tens of millions. Natural Cycles, Seven Starling, Allara Health and Nua show that meaningful businesses can be built across contraception, mental health, hormonal care and consumer wellness, but very few private FemTech companies have clearly crossed the $100 million threshold.

The broader pattern is clear: FemTech is moving away from being dominated by small apps and devices. Its largest private companies increasingly look like mainstream healthcare platforms, benefits businesses and care providers, with consumer subscriptions and products forming a second route to scale.

Market map chart showing top companies and startups in the femtech market

This market map, featured in our femtech market deck, highlights top companies and startups in the femtech market

The ranking of top startups in the femtech market by revenue

Below is a table ranking all the companies in this market by their current revenue scale. You can find our methodology at the end of this page.

If you want a deeper understanding of the market and its current dynamics, get our report covering the Femtech Market.

Ranking Company Latest Metric Metric Type Freshness Disclosed When Source Quality Confidence Segment Why This Ranking
1 Hologic $2,164M Relevant Segment Revenue Fresh · 12mo Nov 18, 2025 Derived / Implied High Breast & Gynecologic Medtech Largest defensible women-specific revenue perimeter found. Figure requires only summing two directly filed segments and deliberately excludes Hologic’s broader diagnostics business.
2 Organon $1,752M Annual Segment Revenue Fresh · 9mo Feb 12, 2026 Filed / Audited High Women’s Health Pharma Below Hologic’s conservative relevant-segment total, but this is an exceptionally clean, current women’s-health revenue disclosure.
3 CooperSurgical $1,349M Annual Segment Revenue Fresh · 11mo Dec 5, 2025 Filed / Audited High Fertility & Reproductive Care Slightly smaller than Organon but still a current audited billion-dollar women’s-health business.
4 Progyny $1,289M Annual Revenue Fresh · 9mo Feb 26, 2026 Filed / Audited High Fertility Benefits Very comparable, current recognized revenue; sits just below CooperSurgical on scale.
5 Ferring Pharmaceuticals >€1B Annual Segment Sales Aging · 21mo Apr 9, 2025 Company Disclosed Medium Fertility Pharma Stronger strict-market evidence than Ferring’s newer €2.5B company-wide 2025 revenue, which also includes non-femtech businesses.
6 Natera $2,306M Annual Revenue Fresh · 9mo Feb 26, 2026 Filed / Audited Medium Reproductive Genomics Nominal revenue exceeds several companies above it, but there is no current women’s-health-only revenue split, so the mixed perimeter receives a major penalty.
7 Gedeon Richter Huf 329B (€826M) Annual Segment Revenue Fresh · 9mo Apr 29, 2026 Filed / Audited High Women’s Health Pharma Slightly smaller than IVI’s older reported turnover, but the audited FY2025 women’s-health segment is substantially fresher and cleaner.
8 IVI RMA €901M Annual Revenue / Turnover Aging · 21mo Mar 23, 2026 Credible Reported Medium Fertility Clinics Very large fertility-only business; ranked below Richter because its higher amount reflects 2024 rather than 2025 operations and has weaker source provenance.
9 Myriad Genetics $351M Annual Segment Revenue Fresh · 9mo Feb 23, 2026 Company Disclosed High Women’s Health Genomics Strong recognized revenue from prenatal and women’s hereditary-cancer testing, with a clearly defined perimeter.
10 Monash IVF Group A$270M Annual Revenue Very Fresh · 3mo Aug 31, 2026 Company Disclosed High Fertility Clinics Fresher and more authoritative than the private-company ARR/estimated figures immediately below.
11 Maven Clinic $268M ARR Aging · 21mo Dec 4, 2024 Third-Party Estimate Low Fertility & Women’s Health Benefits Nominally large, but ranked below audited/direct revenues because both ARR status and third-party estimation reduce comparability.
12 Indira IVF ₹1,605 Crore Annual Revenue Fresh · 18mo Sep 24, 2025 Credible Reported Medium Fertility Clinics Strong actual clinic revenue; below Maven mainly because the reported rupee scale is smaller despite much stronger evidence quality.
13 Kindbody $225M–$250M Revenue Guidance Aging · 21mo Jun 11, 2024 Company Disclosed Low Fertility Clinics Large company-disclosed target, but materially discounted because it is an old expectation rather than recognized FY revenue.
14 Mayne Pharma A$178M Annual Segment Revenue Fresh · 15mo 2025 Filed / Audited High Women’s Health Pharma Ranks above larger-looking estimates below because it is audited, recent and precisely scoped.
15 Flo Health $158M Estimated Annual Revenue Fresh · 9mo Sep 15, 2026 Third-Party Estimate Low Menstrual & Cycle Health Very substantial scale, but estimate quality keeps it below comparable directly disclosed revenue.
16 Pomelo Care $128M Estimated Annual Revenue Fresh · 9mo Aug 20, 2026 Third-Party Estimate Low Maternal Care High estimated revenue but weaker evidence than Mayne; above smaller estimated businesses.
17 ART Fertility Clinics $100M–$120M Annual Revenue Fresh · 9mo Jun 9, 2025 Credible Reported Medium Fertility Clinics Credible FY revenue range provides better evidence than most private startups, despite not being formally company-published.
18 Midi Health $116M Estimated Annual Revenue Fresh · 9mo Sep 10, 2026 Third-Party Estimate Low Menopause Care Similar nominal scale to ART, but sits lower because the figure is an external estimate.
19 TFP Fertility Group £65.5M Annual Revenue / Turnover Fresh · 18mo Aug 6, 2025 Credible Reported Medium Fertility Clinics Stronger evidence than the run-rate/estimated figures below, even where nominal cross-currency scale is close.
20 Nua ₹500 Crore Revenue Run-Rate Very Fresh · 0mo Sep 7, 2026 Company Disclosed Low Menstrual Health Extremely fresh company disclosure earns weight, but wording conflict and run-rate status keep it below filed annual revenue.
21 Natural Cycles $63M Estimated Annual Revenue Fresh · 9mo Sep 10, 2026 Third-Party Estimate Low Contraception & Cycle Health Current estimate suggests material scale but is less reliable than the company-disclosed Nua run-rate above.
22 Lunit International (formerly Volpara) Krw50.7B Annual Revenue Fresh · 9mo 2026 Filed / Audited Medium Breast Cancer AI Current filed breast-health revenue outweighs similar-sized private-company estimates below.
23 Seven Starling $35.1M Estimated Annual Revenue Fresh · 9mo Sep 2, 2026 Third-Party Estimate Low Perinatal Mental Health Female-life-stage-specific business with a current revenue estimate, but evidence is not company confirmed.
24 Oasis Fertility ₹238 Crore Annual Revenue Fresh · 9mo Feb 16, 2026 Credible Reported Medium Fertility Clinics Smaller nominal scale than Seven Starling but materially better evidence; the ordering remains close because currencies differ.
25 Minerva Surgical $51.7M TTM Revenue Historical · 36mo Nov 2023 Credible Reported Low Uterine Health Devices Would rank materially higher on amount alone, but the disclosure is old and the business was subsequently acquired by Axora.
26 Allara Health $21.7M Estimated Annual Revenue Fresh · 9mo Sep 10, 2026 Third-Party Estimate Low PCOS & Hormonal Care Current but estimated; sits below the larger historical Minerva figure and above smaller businesses.
27 Evofem Biosciences $20.2M Annual Net Sales Fresh · 9mo Mar 11, 2026 Company Disclosed High Contraception & Sexual Health Slightly smaller than Allara’s estimate but much stronger evidence; the two are close in ranking for that reason.
28 Bourn Hall £15.8M Annual Turnover Fresh · 9mo Jul 2026 Credible Reported Medium Fertility Clinics Current filed turnover provides good comparability and outranks aging/acquired breast-AI figures nearby.
29 iCAD $19.6M Annual Revenue Aging · 21mo Mar 2025 Filed / Audited Medium Breast Cancer AI Larger historical number than Bourn Hall, but penalized for age and post-period acquisition/integration.
30 Clue $1.3M Monthly Revenue Very Fresh · 2mo 2026 Third-Party Estimate Low Menstrual & Cycle Health Very current financial signal; not annualized because the source did not present it as an annual run-rate.
31 Gaudium IVF & Women Health ₹104 Crore Annual Revenue Very Fresh · 6mo Sep 3, 2026 Filed / Audited High Fertility Clinics One of the freshest audited figures in the ranking; below Clue because its absolute scale appears lower, but evidence quality is much stronger.
32 Aspira Women’s Health $9.22M Annual Revenue Fresh · 9mo Apr 1, 2026 Filed / Audited High Ovarian Cancer Diagnostics Clean audited female-specific diagnostics revenue.
33 Inito ₹68.9 Crore Annual Revenue Fresh · 9mo 2026 Credible Reported Medium Fertility Diagnostics I retained the lower recognized revenue rather than replacing it with the larger but unreconciled ARR signal.
34 Twentyeight Health $9.7M Estimated Annual Revenue Historical · 36mo Dec 1, 2023 Third-Party Estimate Low Reproductive Telehealth Nominal figure is comparable to Aspira, but severe age and estimate quality materially reduce its ranking.
35 INVO Fertility $6.84M Annual Revenue Fresh · 9mo Jun 2, 2026 Company Disclosed High Fertility Clinics Recent recognized consolidated revenue; excludes additional equity-method clinic sales from the primary number.
36 Alloy Women’s Health $6.3M Estimated Annual Revenue Very Fresh · 0mo Not Stated Third-Party Estimate Low Menopause Care Similar nominal scale to INVO but substantially weaker evidence.
37 Femasys $2.29M Annual Sales Fresh · 9mo Mar 31, 2026 Company Disclosed High Contraception & Fertility Devices Ranks ahead of larger $3.5M estimates below because its recognized sales are directly disclosed and current.
38 Cofertility $3.5M Estimated Annual Revenue Fresh · 9mo Aug 10, 2026 Third-Party Estimate Low Egg Freezing & Donation Higher estimated amount than Femasys but lower evidence quality.
39 Visana Health $3.5M Estimated Annual Revenue Fresh · 9mo Sep 18, 2025 Third-Party Estimate Low Gynecologic & Menopause Care Similar evidence and scale to Cofertility; positioned immediately behind it with little meaningful separation.
40 Daré Bioscience $1.03M Annual Revenue Fresh · 9mo Mar 26, 2026 Filed / Audited High Women’s Health Therapeutics Smaller than estimates above but substantially more authoritative. Revenue is correctly retained as licensing revenue rather than product sales.
41 HeraMED A$293,380 Annual Sales Fresh · 9mo Feb 26–27, 2026 Filed / Audited Medium Pregnancy Monitoring Small but directly reported commercial sales from its maternity-monitoring platform.
42 Sera Prognostics $81,000 Annual Revenue Fresh · 9mo Mar 18, 2026 Filed / Audited High Pregnancy Diagnostics Smallest direct annual-revenue disclosure found; all following rows rely on non-financial scale signals.
43 Theramex Revenue Not Disclosed — >6M Patients Supported Other Scale Signal Very Fresh · 3mo Jun 29, 2026 Company Disclosed Low Women’s Health Pharma Major dedicated women’s-health incumbent, but no clean current consolidated revenue figure was publicly verifiable. Kept below every company with usable revenue evidence.
44 Carrot Fertility Revenue Not Disclosed — 1,000+ Customers Customers Very Fresh · 0mo Not Stated Company Disclosed Low Fertility & Family-Building Benefits Strong B2B adoption signal but cannot be compared directly with revenue.
45 Nova IVF Fertility Revenue Not Disclosed — 19,000–21,000 Ivf Treatments Annually Transactions / Treatments Very Fresh · 0mo Not Stated Company Disclosed Low Fertility Clinics Large annual treatment volume gives more commercial information than a generic location count; unrelated consolidated parent figures were rejected.
46 TMRW Life Sciences Revenue Not Disclosed — ~25% Of U.S. Ivf Cycle Volume Other Scale Signal Very Fresh · 0mo Not Stated Company Disclosed Low Fertility Infrastructure Very large infrastructure footprint, also reporting 75 clinic partners, but no financial figure.
47 Vara Revenue Not Disclosed — ~200,000 Cases/Month Transactions / Cases Very Fresh · 5mo Apr 9, 2026 Company Disclosed Low Breast Cancer AI Extremely large usage volume but cases processed cannot be translated into revenue without inventing pricing.
48 ScreenPoint Medical Revenue Not Disclosed — >12M Mammograms Processed Cumulatively Cumulative Transactions Very Fresh · 5mo Apr 17, 2026 Company Disclosed Low Breast Cancer AI Strong deployment evidence, but cumulative volume is less useful for current revenue scale than Vara’s monthly case rate.
49 Virtus Health Revenue Not Disclosed — 40+ Fertility Clinics Locations Very Fresh · 0mo Not Stated Company Disclosed Low Fertility Clinics Significant global clinic network, but absence of current standalone revenue prevents a higher ranking.
50 CARE Fertility Revenue Not Disclosed — 24 Locations Locations Very Fresh · 0mo Not Stated Company Disclosed Low Fertility Clinics Important UK network; filed group accounts exist, but I did not find a reliably extractable consolidated turnover figure suitable for this table.
51 Rhea Fertility Revenue Not Disclosed — 2,800+ Cycles Supported Cumulative Treatments Very Fresh · 0mo Not Stated Company Disclosed Low Fertility Clinics & Platform Meaningful treatment-volume signal, but cumulative rather than annual.
52 Diana Health Revenue Not Disclosed — 10 Physical Locations Locations Very Fresh · 0mo Not Stated Company Disclosed Low Women’s Health Clinics Recent clinic footprint confirms commercial deployment but provides no financial comparability.
53 Teal Health Revenue Not Disclosed — Available In All 50 U.S. States Other Scale Signal Fresh · 8mo Jan 7, 2026 Company Disclosed Low Cervical Cancer Screening Nationwide availability is commercially meaningful but gives much weaker evidence of actual revenue than every financial row above.
Google Trends chart showing rising interest in femtech

As this chart shows, and as featured in our femtech market deck, search interest in femtech has increased significantly

What actually counts as a FemTech startup?

For this ranking, a FemTech startup is a private, growth-oriented company whose core business is built around women's health, fertility, pregnancy, menopause, reproductive health or another female-specific healthcare need.

That sounds obvious until we look at the biggest companies in the wider market. Hologic generates more than $2 billion from breast-health and gynecologic businesses. Organon has a women's-health portfolio worth well over $1 billion in annual sales. Progyny is another billion-dollar-revenue business centered heavily on fertility benefits. All three matter to the FemTech market, but none is a startup today.

The same problem appears from the other direction. Oura has pushed much deeper into women's health and says women represent most of its membership, yet the company still sells a broad health wearable rather than a female-specific product.

So our startup universe centers on companies such as Maven Clinic, Kindbody, Flo Health, Pomelo Care, Midi Health, Carrot, Natural Cycles, Seven Starling, Allara Health and Nua.

That narrower definition gives us a ranking people can actually use.

Which FemTech startups make the most revenue today?

Maven Clinic, Kindbody and Flo Health currently make up the clearest top tier of private FemTech, while Pomelo Care and Midi Health have moved into the next group around nine-figure commercial scale.

The exact order deserves some caution because the companies disclose different metrics. Sacra estimates Maven at roughly $268 million of ARR. Kindbody has disclosed a $225 million to $250 million revenue expectation for 2024. Flo expected more than $200 million of gross bookings in 2024. Pomelo keeps revenue private, while Midi also does not publish clean annual revenue.

We therefore rank the companies using the strongest evidence available rather than pretending ARR, bookings, company guidance and modeled revenue are the same thing.

The top five are much more important than the decimal-level ordering. FemTech now has several private businesses operating at roughly $100 million or more in annual commercial scale.

Rank FemTech startup Best revenue evidence Metric Confidence
1 Maven Clinic ~$268M Estimated ARR Medium
2 Kindbody $225M–$250M Company revenue expectation Medium
3 Flo Health >$200M Company-disclosed gross bookings Medium
4 Pomelo Care Roughly $100M+ scale External revenue estimates + operating scale Low
5 Midi Health Roughly $100M+ scale External revenue estimates + company growth Low
6 Carrot Roughly $100M scale External estimates + 1,000+ customers Low
7 Natural Cycles Tens of millions External estimates Low
8 Seven Starling Tens of millions External estimates Low
9 Allara Health Tens of millions External estimates + patient scale Low
10 Nua ~₹500 crore annualised run rate Founder-disclosed run rate Medium
Chart showing annual VC investment in femtech startups

This chart, included in our femtech market deck, shows annual VC investment in femtech startups

Is Maven Clinic the biggest FemTech startup by revenue?

Maven Clinic has the strongest current case for being the largest pure-play FemTech startup, with Sacra estimating roughly $268 million of ARR.

The figure is still an estimate, which matters. Maven does not publish audited private-company revenue. But the surrounding operating data increasingly fits a business of that size.

Maven currently says its network supports 28 million lives worldwide, works across more than 30 provider specialties and offers coverage and reimbursement in more than 175 countries. The company has expanded well beyond maternity into fertility, menopause, pediatrics, hormone care and broader women's healthcare.

Its economics are also different from those of the consumer apps that originally defined FemTech. Maven sells largely through employers and health plans, so a single corporate customer can bring thousands of members onto the platform.

That enterprise model has become one of the clearest routes to serious revenue in women's health.

So Maven goes first today, with one important qualification: roughly $268 million of estimated ARR, not $268 million of reported annual revenue.

Is Kindbody bigger than Maven Clinic?

Kindbody sits in roughly the same commercial league as Maven, but its latest clean public revenue figure is older, which makes Maven easier to place first today.

Kindbody said in 2024 that it expected to generate between $225 million and $250 million of revenue that year. Earlier company guidance had been higher, so the later and more conservative range is the better number to use.

Kindbody also earns money differently from Maven. It combines fertility benefits with an actual clinic network, giving it direct exposure to IVF procedures and other high-value fertility services.

The company remains large today. In 2026, Kindbody announced that its next-generation fertility platform would enter pilot programs covering more than three million lives through existing employer customers.

That recent footprint tells us Kindbody is still a major business. What we lack is an equally recent company-wide revenue number.

Kindbody therefore stays near the top of the ranking, but its position is less secure than Maven's because the financial evidence has aged.

Chart showing how Flo Health is capturing share in the femtech market

This chart, included in our femtech market deck, shows how Flo Health is capturing share in femtech

Is Flo Health already a $200 million FemTech company?

Flo Health has already crossed $200 million in annual commercial volume, with the company expecting 2024 gross bookings above that level.

Gross bookings are the important words here. Flo did not call the figure recognized revenue, so neither do we.

The scale behind it is still striking. Flo had nearly 70 million monthly active users and close to five million paying subscribers when it announced the figure. More recently, the company says it has reached 80 million monthly active users.

That continued user growth makes the old bookings figure more useful than it would be for a stagnant app. The business has expanded since the disclosure rather than visibly shrinking.

Flo also shows that FemTech can become large without owning clinics or selling employer benefits. Millions of consumers pay directly for the app, giving Flo one of the few proven mass-market subscription models in women's health.

Today, Flo belongs comfortably in the top three even though its $200 million-plus figure remains gross bookings.

How big is Pomelo Care now?

Pomelo Care has become one of the largest new-generation women's-health startups, and its operating scale supports the idea that it has entered roughly nine-figure territory.

The company keeps annual revenue private, so any precise revenue number should be treated carefully. Third-party estimates vary substantially.

The harder operating evidence is more useful. Pomelo raised $92 million in a Series C at a $1.7 billion valuation and said it now supports nearly 7% of all U.S. births. The company also covers more than 25 million lives through health-plan and employer relationships.

Pomelo started with maternity care, but its newest expansion is much broader. The company now wants to serve women and children across reproductive care, pregnancy, pediatrics, hormonal health, perimenopause and menopause.

That gives Pomelo more ways to make money from the same payer relationships and extends the customer relationship beyond pregnancy.

Pomelo sits below the Maven-Kindbody-Flo group for now, but clearly above the typical early-stage FemTech startup.

Chart showing the projected CAGR of the femtech market

This chart, included in our femtech market deck, shows annual funding in femtech startups

Has Midi Health become a $100 million FemTech startup?

Midi Health now looks like a roughly $100 million-scale women's-health business, although the company has not published a clean annual revenue figure that lets us state an exact number.

The strongest recent company signal came when Midi raised $100 million at a valuation above $1 billion. Fortune reported the financing after speaking directly with founder Joanna Strober, who described very strong demand for the platform.

Midi initially built its name around perimenopause and menopause care. It has since broadened into a much larger women's-health platform, adding areas such as metabolic care, longevity and wider midlife health services.

That expansion gives the company a larger economic base than a menopause consultation alone. It can now build longer-term reimbursed medical relationships across several conditions.

Third-party estimates around Midi now cluster around nine-figure annual scale. That order of magnitude is useful; attaching false confidence to an exact revenue number is not.

How big is Carrot compared with Maven and Kindbody?

Carrot is one of the largest fertility-benefits startups, but its revenue remains unusually opaque for a company with this much commercial reach.

Carrot currently says it serves more than 1,000 customers globally and operates across a broad fertility, family-building and hormonal-health platform.

That customer count puts the company firmly among the important enterprise FemTech businesses. External revenue estimates generally place Carrot below Maven and Kindbody and around the neighborhood of $100 million, although those estimates differ enough that we would not use one as a hard fact.

Carrot's real strength is distribution. Once an employer adopts the platform, Carrot can support fertility preservation, IVF, donor journeys, surrogacy, adoption and other family-building needs under the same contract.

So Carrot stays in the upper part of the ranking, with lower confidence on its exact position than companies that have disclosed financial metrics directly.

Chart comparing business model options for menopause telehealth platforms

This chart, included in our femtech market deck, compares the main business model options for menopause telehealth platforms

How much revenue does Natural Cycles make?

Natural Cycles appears to generate annual revenue in the tens of millions of dollars, making it one of the largest subscription-first FemTech companies after Flo.

The exact number comes mainly from third-party estimates, so the order of magnitude is more useful than the last digit.

Natural Cycles has a particularly clean product proposition. It sells an FDA-cleared birth-control app and has built its business around fertility tracking, contraception and reproductive health rather than a wider general-wellness product.

The company also says its technology has now been used in research involving more than two million participants.

Natural Cycles sits in an interesting middle ground: much smaller than Flo by consumer scale, yet already far beyond the revenue level of most early FemTech apps.

How big are Seven Starling and Allara Health?

Seven Starling and Allara Health have both reached meaningful commercial scale in specialist women's healthcare, but the available evidence still points to businesses in the tens of millions rather than the $100 million club.

Seven Starling focuses on women's mental health across fertility, pregnancy, loss, postpartum, early parenthood and menopause. Its care is covered by insurance, which gives the company much better revenue potential per patient than a conventional wellness subscription.

Allara tackles hormonal, metabolic and gynecological conditions including PCOS, insulin resistance and menopause. The company now says more than 100,000 women trust the platform, up sharply from the 40,000-plus women it reported treating in 2025.

That growth is worth watching because Allara has moved nationwide and is increasingly selling reimbursed longitudinal care rather than occasional consultations.

External estimates put both companies well below Maven, Pomelo and Midi today. Still, their growth shows how quickly highly specialized virtual clinics can move beyond the small-app stage of FemTech.

Chart illustrating how revenue is divided among customer segments in the femtech market

This chart, featured in our femtech market deck, illustrates how revenue is divided among customer segments in the femtech market

Is Nua really doing around ₹500 crore in annualised revenue?

Nua says its annualised revenue run rate has grown from roughly ₹100 crore to ₹500 crore in 24 months, making it much larger than its older financial figures suggest.

Founder and CEO Ravi Ramachandran gave the figure when Nua announced a $50 million financing led by Peak XV Partners and Filter Capital.

The company also says it now reaches more than three million women and girls each month.

Nua is different from most of the U.S. healthcare companies near the top of this ranking. It sells period care, maternity products, skincare and intimate-care products through online and offline channels, so its growth comes mainly from consumer spending rather than health insurance.

That ₹500 crore annualised run rate puts Nua around the global middle tier of large private FemTech businesses. It is already substantial, though still far below Maven, Kindbody and Flo on dollar scale.

Which FemTech business models make the most money?

Employer benefits, fertility care and reimbursed virtual healthcare currently produce most of the largest FemTech startups, while Flo shows that consumer subscriptions can also reach very large scale.

The economics explain the pattern.

Maven and Carrot sell into employer and health-plan budgets. Kindbody combines benefits with expensive fertility treatments. Pomelo, Midi, Seven Starling and Allara can bill for actual healthcare. Each patient can therefore generate much more revenue than a typical app subscriber.

Flo reaches large numbers from the opposite direction. Its revenue per paying user is much lower, but millions of subscribers make the model work.

Nua adds another route through repeat consumer-product purchases.

The market is now much broader than the old FemTech stereotype of period trackers and fertility apps.

Business model Examples Current revenue potential
Employer fertility and family benefits Maven, Carrot Very high
Fertility clinics + benefits Kindbody Very high
Consumer subscriptions Flo, Natural Cycles High at massive user scale
Reimbursed virtual care Pomelo, Midi, Seven Starling, Allara Rising quickly
Consumer women's wellness Nua Significant with large distribution
Maternal hardware Willow / Elvie Potentially significant but financially opaque
Early diagnostics and screening Teal and others Mostly earlier-stage today
Chart showing how cycle tracking app technology has evolved over time

This chart, included in our femtech market deck, shows how cycle tracking app technology has evolved over time

Why does fertility create so many large FemTech companies?

Fertility produces large FemTech businesses because the amount spent per patient can be enormous compared with a conventional app subscription.

An IVF journey can cost tens of thousands of dollars, particularly when patients need multiple cycles, medication, genetic testing or donor services.

That spending creates room for several businesses around the same patient journey. Clinics earn procedure revenue. Benefit administrators charge employers. Pharmacy and diagnostics companies participate in the treatment. Navigation platforms can earn fees for directing and managing the care.

Kindbody sits closest to the actual clinic economics. Maven and Carrot can capture part of the same spending through benefits administration and care navigation without owning every clinic.

This is also why fertility companies dominate the wider women's-health market once we include established businesses. CooperSurgical, Progyny and large fertility-clinic groups already generate hundreds of millions or billions of dollars.

Fertility remains one of the easiest places in FemTech to turn a relatively small patient population into a very large business.

Can a FemTech app become as big as a healthcare company?

Flo has shown that a consumer FemTech app can reach the same broad commercial scale as large healthcare platforms, but the audience needed is enormous.

Flo was approaching five million paying subscribers when its expected annual gross bookings moved above $200 million.

A virtual clinic can reach similar revenue with far fewer patients because medical visits, prescriptions and reimbursed care generate much more money per person.

This creates two very different roads to scale.

Flo and Natural Cycles need large consumer audiences. Maven, Pomelo and Midi can grow through higher-value healthcare relationships with employers, insurers and patients.

The second path is becoming increasingly common, which helps explain why recent FemTech unicorns look more like healthcare providers than mobile apps.

Table scoring and prioritizing the main pain points faced by companies in the femtech market

In our femtech market deck, we identify pain points entrepreneurs should prioritize

Is menopause becoming one of the biggest FemTech markets?

Menopause has moved from a niche FemTech category into one of the market's clearest commercial growth areas.

Midi provides the strongest evidence. A company that began around perimenopause and menopause has now raised $100 million at a valuation above $1 billion and is broadening into comprehensive women's healthcare.

Flo has also made perimenopause a larger part of its product. Maven and Carrot include menopause and hormonal care inside wider employer platforms. Seven Starling now extends its mental-health model into menopause as well.

The common pattern is pretty clear: companies rarely stop at a standalone menopause product.

Menopause tends to become an entry point into longer-term hormonal, metabolic, mental-health and preventive care. That wider care window creates a much bigger business.

Is maternal care producing the next big FemTech companies?

Maternal care is now producing some of the fastest-growing FemTech companies, with Pomelo Care giving us the clearest proof.

Pomelo already supports nearly 7% of U.S. births and more than 25 million covered lives. Those are unusually large numbers for a company founded only a few years ago.

The commercial logic is strong. Pregnancy concentrates a lot of healthcare spending into a short period, while insurers have a direct financial reason to prevent costly complications such as preterm births and NICU admissions.

Seven Starling addresses another part of the same journey through maternal and perinatal mental healthcare.

What is changing now is the length of the relationship. Pomelo is expanding from pregnancy into fertility, pediatrics, hormonal care and menopause. Seven Starling now follows women from fertility through pregnancy, postpartum and menopause.

Maternal health is increasingly becoming the first product in a much longer women's-health relationship.

Chart illustrating how revenue is divided by region across Europe, Asia, North America, Africa, and South America in the femtech market

This chart, included in our femtech market deck, illustrates how revenue is divided by region across Europe, Asia, North America, Africa, and South America in the femtech market

What happened to the big FemTech hardware companies?

FemTech hardware still has serious commercial scale, but the largest private players disclose too little current revenue for us to rank them confidently.

The biggest recent shift was Willow's acquisition of Elvie. The deal combined two of the most recognizable maternal-health hardware brands into one company spanning breast pumps, pelvic-health devices and other postpartum products.

Willow now describes the combined business as a scaled maternal-care platform with global distribution.

That almost certainly makes the group commercially important. Yet the company does not publish a current consolidated revenue figure that we can compare cleanly with Maven, Flo or Midi.

So Willow/Elvie stays outside the numbered top group rather than having a revenue figure manufactured from product prices, retail distribution or historical sales estimates.

Why aren’t Progyny, Hologic and Organon ranked with these startups?

Progyny, Hologic and Organon are much larger than most FemTech startups, but including mature public companies would answer a different question.

Our wider market research puts Hologic's directly relevant breast-health and gynecologic revenue above $2 billion. Organon generates well over $1 billion from women's health, while Progyny has also crossed the billion-dollar revenue mark.

Those companies are useful benchmarks for the ceiling of the market.

Maven at roughly $268 million of estimated ARR is already large by startup standards, yet established women's-health businesses can still be several times bigger.

The gap shows how early private FemTech remains. A handful of startups have reached meaningful healthcare scale, but none has yet built the kind of multi-billion-dollar revenue base seen at the top of the established market.

Chart showing annual VC investment in femtech startups

This chart, included in our femtech market deck, shows annual VC investment in femtech startups

Which big FemTech startups still cannot be ranked properly?

Several important FemTech startups remain impossible to place precisely because their operating scale is public while their revenue is not.

Carrot is the most obvious example: more than 1,000 customers gives us strong evidence of enterprise adoption, but no clean company-disclosed revenue figure.

Willow and Elvie now form a substantial maternal-hardware platform without publishing consolidated sales.

TMRW Life Sciences has built important infrastructure inside U.S. fertility clinics, yet treatment volume tells us little about actual platform revenue.

Newer companies such as Teal Health can reach nationwide distribution before giving the market enough financial data to compare them with mature startups.

We keep these companies visible because excluding them would distort the market. We simply do not turn customers, users, locations or treatment volumes into invented revenue.

Company Strong public scale evidence What remains unknown
Carrot 1,000+ customers globally Consolidated annual revenue
Willow / Elvie Combined global maternal-health platform Current consolidated sales
TMRW Life Sciences Large fertility-clinic infrastructure footprint Annual company revenue
Teal Health Nationwide commercial availability Revenue scale
Cofertility Expanding egg-sharing and donor platform Current annual revenue
Oula Growing maternity-care footprint Current annual revenue
Evvy Commercial vaginal-health platform Current annual revenue

How much can we trust private FemTech revenue estimates?

Private FemTech revenue estimates are useful for judging whether a company is closer to $10 million, $100 million or $300 million, but they are much weaker for deciding who made $116 million versus $128 million.

Pomelo shows the problem particularly well. External estimates can differ dramatically even though the company itself keeps revenue private.

The same issue affects Midi, Natural Cycles, Seven Starling and Allara.

When several operating indicators all point in the same direction, we can still make a useful call on scale. A $1 billion-plus valuation, tens of millions of covered lives, national insurer relationships and major funding rounds can support a broad size judgment.

But none of those inputs should be multiplied together to manufacture revenue.

So the ranking becomes progressively less exact once we move away from company-disclosed revenue, ARR or bookings.

Chart assessing the maturity level of the femtech market

In our femtech market deck, we like to quantify things to make things easier to understand

How concentrated is FemTech startup revenue today?

FemTech startup revenue remains highly concentrated, with only a small group showing credible evidence of roughly $100 million or more in annual commercial scale.

Maven, Kindbody and Flo form the clearest $200 million-plus group from the public evidence we found.

Pomelo, Midi and probably Carrot make up the next tier around the nine-figure threshold, although the evidence is weaker.

After that, the apparent revenue curve drops quickly into the tens of millions.

That shape tells us more about the market than an exact rank between two estimated figures. FemTech now has a genuine upper class of scaled private companies, but it does not yet have dozens of $100 million startups.

Crossing that threshold remains unusual.

What are the top FemTech startups by revenue today?

Maven Clinic currently has the strongest case for the top spot, with Kindbody and Flo Health close behind, while Pomelo Care, Midi Health and Carrot form the next group around nine-figure commercial scale.

That is the clearest answer the available evidence supports today.

Maven has the largest usable current figure at roughly $268 million of estimated ARR. Kindbody's last company guidance pointed to $225 million to $250 million of annual revenue. Flo expected more than $200 million of gross bookings and has since grown to around 80 million monthly active users.

Pomelo has become a $1.7 billion company supporting nearly 7% of U.S. births and more than 25 million covered lives. Midi is now valued above $1 billion after raising another $100 million. Carrot serves more than 1,000 enterprise customers globally.

Below that group, Natural Cycles, Seven Starling, Allara and Nua show how varied the market has become: birth control, mental health, hormonal care and consumer wellness can all create businesses measured in the tens of millions.

The larger change is easy to see. FemTech used to be dominated by small consumer apps and devices. These days, several of its leading private companies operate at a scale that looks much closer to mainstream healthcare.

Current position Company Strongest usable evidence Our reading
1 Maven Clinic ~$268M estimated ARR Strongest candidate for largest pure-play private FemTech company
2 Kindbody $225M–$250M expected 2024 revenue Similar order of magnitude, but older financial disclosure
3 Flo Health >$200M expected 2024 gross bookings Clear $200M+ consumer commercial scale
4 Pomelo Care Nine-figure scale supported by external estimates Fast-growing healthcare platform with very strong operating evidence
5 Midi Health Roughly $100M+ scale One of the strongest menopause-to-broader-healthcare expansions
6 Carrot Roughly $100M scale Large employer platform, revenue still opaque
7 Natural Cycles Tens of millions Major subscription-first FemTech company
8 Seven Starling Tens of millions Meaningful specialist mental-health platform
9 Allara Health Tens of millions Rapidly expanding hormonal and metabolic care platform
10 Nua ~₹500 crore annualised run rate Large consumer women's-wellness business
Chart showing the scarcest and most valuable assets in the femtech market

In our femtech market deck, we tell you what to focus on

OUR METHODOLOGY

This ranking compares the current revenue scale of private FemTech startups whose core business is built around women's health, fertility, pregnancy, menopause, reproductive health or another female-specific healthcare need. We reviewed public evidence from company statements, funding announcements, executive interviews, financial reporting and specialist research, and we kept each metric in its original meaning rather than treating revenue, ARR, bookings, run rate, users or covered lives as interchangeable.

Direct company revenue carried the most weight, followed by ARR, revenue run rate and bookings. When direct financial disclosure was unavailable, we used outside revenue estimates only as broad scale indicators and checked them against operating evidence such as customer count, covered lives, patient scale, subscriber scale, valuation and recent financing. We did not manufacture revenue by multiplying prices, users, locations or treatment volumes.

Freshness matters, but metric quality matters more. A recent user count does not automatically replace an older financial disclosure, while a recent run rate can be more informative than a stale annual figure for a fast-growing private company. That is why Maven's estimated ARR, Kindbody's 2024 revenue guidance and Flo's 2024 gross bookings remain labeled separately throughout the ranking.

Key sources include Maven Clinic's official platform, Sacra's Maven Clinic research, Kindbody's revenue guidance announcement, Flo Health's financing announcement, Pomelo Care's Series C announcement, Midi Health's Series D announcement, Fortune's interview with Midi Health, Carrot's official website, Natural Cycles' research page, Seven Starling's official website, Allara Health's current website, Times of India reporting on Nua, and Willow's Elvie acquisition announcement.

Table and timeline showing the latest structural changes in the femtech market

In our femtech market deck, we ensure you have the latest information