What your doctor sees in an Attune report

Ten minutes is a normal length for a menopause follow-up, and most of it goes on reconstructing the last three months from memory. This is the summary Attune hands over instead — every section of it, including the parts it marks as preliminary and the claims it refuses to make.

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Example — the numbers below are made up

HRT Symptom Report

Generated 8 June 2026 · Attune
Current regimen

Estradiol patch 50 µg, since 12 March 2026 · micronised progesterone 100 mg nightly

Dose changes in period: 8 Mar → 25 µg; 8 Jun → 50 µg


Hot flash frequency, last 8 weeks
13 Aprdose change 8 Jun8 Jun

Observed change after last dose adjustment 14-day window

Before (14 days of data): 6.1 hot flashes/day · After (14 days): 1.6/day

−73% since 8 June 2026

Average intensity (1–3): 2.4 before · 1.7 after


Self-reported triggers Preliminary
Hot drinks
19 episodes (31%)
Stress
14 episodes (23%)
Alcohol
7 episodes (11%)

Tagged by the patient on 40 of 61 episodes. Association only — not evidence of cause.


Last 30 days
Hot flashes total
61
Night episodes
17
Avg sleep (Apple Health)
6 h 12 m
Latest resting HR
64 bpm
Days with bleeding
3
Avg sleep quality (1–5)
3.4
Avg mood (1–5)
3.9
Avg brain fog (1=low, 5=high)
2.6

Doses logged, last 30 days
Estradiol patch — days marked
29 of 30
Progesterone — days marked
26 of 30

Based on what was marked in the app, not on what was taken.


Questions I want to ask
  1. The night sweats have not improved as much as the daytime flashes. Is that expected?
  2. Can I stay on this dose, or is 50 µg a step on the way to something else?
  3. The bleeding in week three — does that change anything?

Section by section

Current regimen, with the dates

The first line answers the question a clinician asks first and patients answer worst: what are you actually on, and since when. Attune fills it in from the therapy you set up, so the date is the date you recorded the change, not the date you remembered it. Dose changes within the reporting period are listed underneath, in order.

Eight weeks of frequency, with the change marked on it

A bar per week, and a dashed line where the dose changed. This is the part that turns "I think it's a bit better" into something you can both look at. Eight weeks rather than a year, because a year of bars compresses the recent change into invisibility.

Observed change, stated as a rate

Not totals. Attune counts the days it actually has data for on each side of the dose change and divides — so a fortnight with three missed days is reported as a fortnight with three missed days, not quietly averaged as fourteen. When the window is short, the section is labelled preliminary rather than presented as a finding.

Triggers, labelled as association

If you tag episodes, the report lists what was tagged most. It also prints how many episodes carried a tag at all, and the sentence "Association only — not evidence of cause." Both of those are there so the section cannot be read as more than it is.

Thirty days of context

Night episodes separately from the total, average sleep and latest resting heart rate if Apple Health has them, days with bleeding if you track it, and the average of each daily rating you keep. Where Apple Health has nothing, the line reads n/a rather than zero, because those are different facts.

Adherence, described accurately

Days marked, out of days in the period, with the caveat printed in the report itself: this is what was marked in the app, not what was taken. A clinician reading "29 of 30" needs to know which of those two they are looking at.

Your questions, at the end

You can write questions into Attune whenever they occur to you, and they print at the end of the report. This is the section people say they use most, because the questions that matter are the ones you think of at 2 a.m. and forget by the appointment.

What the report deliberately does not do

A note on what to expect at the appointment. Bringing a summary does not oblige anyone to read it, and clinicians work in different ways — some will take the PDF, some will want you to talk them through it, some will glance at the frequency section and nothing else. The value is not that the document gets filed; it is that you can answer "how has it been?" with something better than a guess.

How to get one

Open Attune, go to the Report tab, choose the period, and share it. It comes out as a PDF you can print, email to yourself, or hand over on the phone screen. You can also export everything as CSV from Settings if you would rather keep the raw rows.

If you are not ready for an app, the free printable diary collects the same core numbers by hand, and the frequency calculator does the before-and-after arithmetic from them.

Walk in with numbers instead of memories

Attune logs a hot flash in one tap from an iPhone or Apple Watch, marks every dose change on the chart, and builds this report from what you actually recorded.

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