Comparison

ephira vs Tessera PMOS

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

ephira

This period tracker prioritizes your privacy by encrypting all data locally on your device. Log your cycle, symptoms, moods, and medications with confidence, knowing your information is secure and can be protected with biometrics or a password.

Highlights
  • Local data encryption
  • Track flow, symptoms, moods
  • Log medications and birth control
  • Biometric and password lock
  • Open source code available
  • Data deletion option
Features
Read full description

Stay aware of your cycle without sacrificing your privacy. Ephira is a secure period-tracker that keeps your data encrypted locally on your device. Track Your Health: Log menstrual flow, symptoms, moods, medications, birth control, and notes. Privacy First: Data is encrypted and never leaves your device. It can be locked behind biometrics (Face ID/Fingerprint) or a custom password, and can be deleted at any time. Open and Transparent: Ephira is open source under the MIT license, and you can review the code at any time on Github.

About

Tessera PMOS

Features
Read full description

Tessera PMOS is the first app built around PMOS — the condition formerly known as PCOS, officially renamed in May 2026 to better reflect what it actually is: a multi-system endocrine and metabolic condition that affects 170 million women worldwide. Every tessera tells your story. A tessera is a single tile in a mosaic. Every meal you log, every skin scan, every cycle entry — one tessera. Together, they show the whole picture of your PMOS, and what to actually do about it. WHAT TESSERA DOES • Tessera Score — your daily, evidence-based read on insulin, inflammation, sleep, cycle, and skin. Updates as you log. • Plate Scan — snap your meal, get a PMOS Impact Score with the exact carbs / fat / fiber that matter for your subtype. • Face Scan — weekly skin progress over time, scored on inflammation, acne, and hormonal markers. • Cycle tracking — phase-aware insights, warm period messages, ovulation window. • Maya, your AI coach — trained on functional medicine, talks like a knowledgeable older sister, never preachy. • Apple Health, deep — cycle, sleep, HRV, resting HR, weight, BBT, VO₂ max, walking HR, respiratory rate, and more. • Widgets + Watch — your score and today's action, with a wilting-leaf mood that gently nudges when you skip meals or water. • Doctor Brief — one tap exports a clinician-ready PDF of your last 30 days. PRIVACY FIRST Your photos never leave your device unencrypted. Plate scans are sent transiently to our AI provider, never stored, never used for training. Cycle and reproductive data is encrypted at rest and never shared with third parties under any circumstance. ABOUT THE PMOS NAME CHANGE In May 2026, a global consensus of 56 medical organizations — including The Lancet, the Endocrine Society, and Monash University — officially renamed PCOS to PMOS (polyendocrine metabolic ovarian syndrome). The new name finally reflects what the condition truly is. Tessera uses PMOS. Both terms will be in use for a 3-year transition period. SUBSCRIPTION 7-day free trial, then $9.99/month or $59.99/year. Cancel anytime in iOS Settings. Tessera PMOS is a lifestyle and tracking app. It does not diagnose, treat, or cure any condition. Maya is an AI assistant, not a medical professional. Always talk to your doctor. Terms of Use (EULA): https://tesserapmos.com/terms Privacy Policy: https://tesserapmos.com/privacy

Screenshots

ephira4 screens
Tessera PMOS4 screens

Verdict

The call

The clearest difference is in-app purchases: ephira at none against Tessera PMOS's 2. ephira also leads on device support (3 vs 1) and iOS requirement (15.1 vs 18.0). Tessera PMOS's advantage is update cadence (every 9 days vs every 6 months). On price and ads there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Tessera PMOS sells 2 in-app purchases, starting at $19.99 per month. ephira asks for nothing beyond the download.

UpkeepUpdate frequency

ephira ships an update every 6 months, Tessera PMOS every 9 days. The most recent releases landed on October 24, 2026 and October 28, 2026 respectively.

Scorecard4 real differences · 5 level
ephira versus Tessera PMOS: the parameters behind the verdict, then further details
ParameterephiraTessera PMOS
PriceFreeFree
Rating5.0 (3 ratings) — better—
Number of ratings3 — better—
Update frequencyEvery 6 monthsEvery 9 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree—
DevicesiPhone, iPad, iPod — betteriPhone
Requires iOS15.1 — better18.0
Further details — not scored
Size34 MB52 MB
Age rating17+17+
DeveloperAlexander UlbrichGabor Levente Pinter

In-app purchases

None

ephira

No in-app purchases

2 purchases

Tessera PMOS

Subscriptions2
  • Tessera PMOS Pro – Monthly7 Days trial$19.991 Month
  • Tessera PMOS Pro – Yearly7 Days trial$99.001 Year

Questions

Is ephira free?
ephira is free to download, with no in-app purchases.
Is Tessera PMOS free?
Tessera PMOS is free to download, with in-app purchases available.
Do ephira or Tessera PMOS have ads?
Neither ephira nor Tessera PMOS shows ads.
Which is updated more often, ephira or Tessera PMOS?
ephira ships an update every 6 months, and Tessera PMOS every 9 days. Most recently, ephira was updated on October 24, 2026 and Tessera PMOS on October 28, 2026.

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