attune Get Attune
Menopause & HRT, measured

Is your HRT actually working? See it in numbers.

A menopause and HRT diary that puts your therapy next to your hot flashes, sleep and heart data. After every dose change, you see what actually changed.

Download on the App Store 7 days free
then $5.99/month or $49.99/year · cancel anytime
Attune Insights: hot flashes down 62% since a dose change, with weekly bars split into day and night
Your diary is never sent to us No account, no sign-up Works offline iPhone + Apple Watch
The question
nobody can answer
from memory

A dose changed on the 8th. Eight weeks later, did anything else?

How it works

Built around how HRT is actually adjusted.

Three moments, and the app is designed for exactly those three. Nothing happens between them that you have to maintain.

01

One tap when it happens.

Hot flash? Tap once on your iPhone or Apple Watch — logged with the exact time. Night episodes count separately. Details are optional, and you can add them later or never.

Attune Today screen with a single button to log a hot flash
02

Before vs. after, honestly.

Every dose change becomes a line on your charts. Attune compares the real days of data either side of it — and says so plainly when the window is still too short to mean much.

Attune Insights comparing hot flashes per day before and after a dose change
03

Ready to discuss.

A clear summary for the appointment: frequency trends, sleep, the observed change after your last adjustment, and the questions you wrote down at 2 a.m. and would have forgotten.

Attune report screen showing the summary prepared for a doctor
“The first app that actually shows whether my hot flashes go down after a dose change. Logging takes seconds, and it waits for real data before showing insights. Calm and genuinely useful.”
HappyAlexisApp Store reviewGermany
What's inside

Four things a notes app cannot do.

Not features for their own sake. Each one exists because a note in your phone fails at exactly that point.

Your dose timeline, on every chart.

Hot flashes, symptoms, sleep, resting heart rate and HRV — each drawn with a marker where the dose changed. The point is not the chart; it is that you never have to remember when the change was.

  • Day and night episodes coloured separately
  • Two-week, six-week and three-month comparison windows
  • Short windows are labelled preliminary, not presented as findings
Weekly hot flash chart with a dashed dose-change line

Combined therapy, handled properly.

Estradiol patch plus micronised progesterone? Each medication gets its own schedule, its own reminders, and its own adherence record. Perimenopause or post-menopause, with a cycle or without one.

  • Patches, gel, spray, tablets and pessaries
  • Twice-weekly patch changes without arithmetic
  • Sleep and heart history imported from Apple Health, six months back
Attune therapy screen listing each medication with its own schedule
Free, no app needed

Start on paper if you'd rather.

These four are free, work in the browser, need no email, and send nothing anywhere. If they are all you ever need, that is a perfectly good outcome.

What your doctor sees in the report

Section by section, the actual summary Attune produces for an appointment — and the five things it deliberately refuses to claim.

See the report →

Printable hot flash diary

One page, seven days: day and night episodes, how much each day got in the way, your dose. Print it or save it as a PDF.

Open the diary →

Hot flash frequency calculator

Counted before a dose change and after it? Two stretches of different lengths are not comparable until both become a daily rate. This does that.

Open the calculator →

How to count without losing track

The part nobody explains: what counts as one episode, when to mark it, and why a missed day must never be written as a zero.

Read it →
Before you start

A few honest answers.

Where does my health data go?

Your diary is never sent to us. It is stored on your iPhone, and — like everything else on the device — it may be included in your iPhone backup. We run no servers for it and there is no account to attach it to; that is how the app is built, not a promise. The app does send a small set of anonymous usage events, such as which screens were opened. Never what you wrote. They are listed in the privacy policy.

How much does it cost?

$49.99 a year or $5.99 a month, with a 7-day free trial for new subscribers first — so you see your own pattern before you pay anything. Cancel any time from your Apple subscriptions, in one tap.

Do I need an Apple Watch?

No. Everything can be logged on the iPhone with one tap. The Watch removes the step of finding your phone, and brings sleep and heart-rate trends in automatically.

Is this medical advice?

No. Attune records what you log and what Apple Health measures, and reports the change it observed. Whether a dose is right for you, and what to do next, belongs to you and your clinician — Attune only makes that conversation concrete.

Does it work if I've had a hysterectomy, or no longer have a cycle?

Yes. Cycle tracking is optional throughout, and bleeding is a field you can leave switched off. The dose comparison does not depend on a cycle existing.

Who makes it?

One developer, AlmazNurmukhametov, working on it alone. That is why there is no support desk and no sign-up — and why an email to almazic91@gmail.com arrives with the person who can actually change the app.

A health app that doesn't shout at you.

No streaks, no badges

Missing a day is information, not a failure. Nothing in Attune congratulates you or guilts you.

It says when it doesn't know

Thin data gets labelled preliminary. Missing Health readings print as n/a, never as zero.

Built for a year, not a week

Logging stays one tap in month twelve. The charts get more useful, not more crowded.

Stop guessing. Start adjusting with evidence.

Seven days free — long enough to see your own pattern before you pay a thing.

Download on the App Store

then $5.99/month or $49.99/year · free trial for new subscribers · your entries stay on your iPhone

EnglishDeutschEspañolFrançaisItaliano日本語한국어NederlandsPortuguêsРусскийSvenska简体中文