Comparison

Sage vs Cusp

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

Head to head
About

Sage

Track menopause symptoms with AI-powered insights. Identify triggers, forecast potential flares, and receive personalized lifestyle coaching. Offers a free tier with extensive tracking and a premium subscription for advanced AI analysis.

Highlights
  • AI symptom tracking
  • Trigger identification
  • 7-day symptom forecast
  • Personalized lifestyle coaching
  • 35+ trackable symptoms
  • Apple Health sync
  • Private and secure data
Features
Read full description

Menopause shouldn’t feel like a guessing game. Sage is the AI symptom tracker built for perimenopause, menopause, and postmenopause. Log how you feel in 45 seconds, and let your data tell the story your body has been trying to share. Most days, the question isn’t “what am I feeling” — it’s “why is today worse than yesterday?” Sage answers that. After two weeks of check-ins, our pattern engine begins surfacing triggers you can actually act on: the second glass of wine, the 6-hour night, the week before your cycle finally went quiet. Whether you’re three years into hot flashes or just starting to wonder if “this is it,” Sage gives you a calm, private, evidence-aware place to track your transition. — WHAT YOU CAN TRACK (FREE, FOREVER) — • 35 menopause symptoms with intensity sliders: hot flashes, night sweats, brain fog, mood swings, fatigue, joint pain, sleep disruption, anxiety, irritability, heart palpitations, vaginal dryness, low libido, weight changes, headaches, and more • Sleep quality, caffeine, alcohol, exercise, and stress tags • Apple Health sync for Sleep Analysis and Heart Rate • Beautiful calendar view of your last 28 days — PREMIUM: WHERE THE AI EARNS ITS KEEP — • Pattern Insights — your personal correlations, in plain English Example: “On caffeine days, your hot flashes are 2.3x more intense” or “Nights under 6 hours of sleep drop your next-day mood by 40%.” • 7-Day Symptom Forecast See which symptoms are likely to flare in the week ahead, so you can move that big meeting, pre-stock the cooling spray, or simply give yourself permission to slow down. • Personalized Lifestyle Coaching Evidence-based, non-HRT strategies that match your actual patterns — not a generic top-10 list. — WHO SAGE IS FOR — Women in their 40s, 50s, and 60s navigating perimenopause, menopause, or postmenopause. If you’ve ever stared at a hot flash log on paper and thought, “there has to be a smarter way,” that was us building Sage. — PRIVACY YOU CAN ACTUALLY VERIFY — • All health data encrypted with AES-256 • Your data is never sold and never used to train AI models • Sign in with Apple — no email lists, no spam • Delete your account and every record at any time, in two taps (GDPR-compliant) Sage does not provide medical diagnosis. Our AI insights include guidance to consult a qualified healthcare professional for any clinical decisions. — PRICING — • Free forever: daily check-ins, 35 symptoms, calendar history, Apple Health sync • Premium Monthly: $12.99 / month • Premium Annual: $89.99 / year (≈ $7.50/month — save 42%) • 7-day free trial on the annual plan Subscriptions auto-renew unless cancelled at least 24 hours before the period ends. Manage or cancel anytime in your Apple ID settings. Any unused portion of a free trial is forfeited upon purchase. Terms of Use: https://ootssu.com/sage/terms Privacy Policy: https://ootssu.com/sage/privacy Questions, feedback, or a feature you wish existed? We read every email.

About

Cusp

Track perimenopause symptoms with ease and generate shareable reports for your doctor. Visualize your health patterns with heat maps and gain insights into symptom intensity and frequency.

Highlights
  • Log 80+ symptoms in 30 seconds
  • Generate shareable Doctor Cards
  • Visualize symptom patterns with heat maps
  • Track HRT medication and efficacy
  • Receive auto-generated clinical summaries
  • View cycle-phase symptom clustering
Features
Read full description

Your labs are normal. Your doctor said so. But something is happening, and it has been for months. Ember is a perimenopause symptom tracker built around one idea: make the chaos legible. Log how you feel in 30 seconds a day. After two weeks, Ember turns those logs into a monthly heat map - 80 symptoms, every day, intensity-coded from barely-noticed to can't-function. Then you show it to your doctor instead of trying to explain it. THE DOCTOR CARD Every existing perimenopause app lets you log. None of them turn the log into something you can hand to a clinician. Ember does. Tap "Doctor Card" and Ember renders a 1080×1920 shareable image: your symptom grid for the month, your top three symptoms by frequency and severity, the days when three or more symptoms hit hard at the same time, and an automatically generated pattern note. Save it to Photos or share directly to your provider via iMessage, WhatsApp, or your patient portal. Pro unlocks PDF export - a clean, clinic-printable version your doctor can file. DOCTOR BRIEF (PRO) Walk into the appointment with the paragraph already drafted. Ember reads your last 30 days (or 3 or 6 months) and writes a plain-English clinical summary - your top concerns, your HRT narrative, and a numbered list of what you'd like to discuss. Toggle between a clinical tone and a warmer conversational one. Share via iMessage or paste directly into your patient portal. THE HEAT MAP A grid of every day this month by every symptom you logged, colored by intensity. A cycle-phase band runs above the grid so you can see whether your hot flashes cluster in the luteal phase or your brain fog tracks with the bleed. Ember auto-generates a pattern note - phase clustering, symptom co-occurrence, month-over-month trends - so you do not have to do the analysis yourself. HRT TRACKING Add your estradiol patch, progesterone gel, or any other medication. Each day, Ember shows a checkbox on the Today screen - one tap to log it taken. Pro users can see the HRT efficacy view: does your symptom intensity actually move on days you take your medication versus days you miss it? Clinical-grade correlation, on-device, no servers. LOG 80 SYMPTOMS IN 30 SECONDS Hot flashes, night sweats, brain fog, joint pain, heart palpitations, electric-shock sensations, rage spikes, low mood, sleep disruption, dry mouth, ear pressure, frozen shoulder, formication, vaginal dryness - and dozens more across 13 categories. Tap to log, hold to set intensity and triggers. Your eight most-used symptoms stay in a quick-access row so most days take less than half a minute. INSIGHTS A weekly view shows days logged, peak-intensity days, your top symptom, and your loudest cluster day. A lifetime strip shows total days, streak, months tracked, and symptoms covered. The Spotlight card calls out the month's most active symptom with a sparkline. Constellation View (Pro) traces any single symptom across every month you have ever logged - so you can see whether your joint pain has been improving since you started HRT. PRIVACY - LOCAL ONLY Your symptom log lives in a single database file on this device. There is no account. There is no server. There are no analytics SDKs in this app - no Firebase, no Sentry, no Amplitude. We have no way to read what you log, and neither does anyone else. When you generate a Doctor Card, it stays on your phone until you choose to share it. FREE VS PRO Free: full symptom logging (all 80), Today screen, heat map for the current and one prior month, one Doctor Card image per calendar month, 14-day backfill. Pro ($9.99, one-time, lifetime): unlimited Doctor Cards, PDF export for clinic printouts, Doctor Brief with discussion list, HRT efficacy tracking, Constellation View, extended heat map (30 rows), no ads. One purchase. No subscription. No upsell. Less than one HRT consultation copay.

Screenshots

Sage3 screens
Cusp4 screens

Verdict

The call

The clearest difference is review sentiment: Sage at 100% against Cusp's 0%. Sage also leads on update cadence (every 6 days vs monthly). Cusp's advantage is device support (3 vs 1) and iOS requirement (15.1 vs 17.6). On price, ads, in-app purchases and monetization model 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. Sage sells 2 in-app purchases, starting at $12.99 per month and Cusp sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Sage ships an update every 6 days, Cusp monthly. The most recent releases landed on October 26, 2026 and October 6, 2026 respectively.

Scorecard4 real differences · 6 level
Sage versus Cusp: the parameters behind the verdict, then further details
ParameterSageCusp
PriceFreeFree
Rating—3.0 (1 ratings) — better
Positive reviews100.0% of reviews — better0.0% of reviews
Number of ratings—1 — better
Update frequencyEvery 6 days — betterMonthly
AdsNoNo
In-app purchasesYesYes
MonetizationFreemiumFreemium
DevicesiPhoneiPhone, iPad, iPod — better
Requires iOS17.615.1 — better
Further details — not scored
Size16 MB52 MB
Age rating12+12+
DeveloperJIYULMOMKwan Cheng Lee

Customer experience

Sage

Written reviews1 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

Cusp

Written reviews1 reviews
Positive0.0%
Neutral100.0%
Negative0.0%

In-app purchases

2 purchases

Sage

Subscriptions2
  • Sage Pro Premium$12.991 Month
  • Sage Pro Premium7 Days trial$89.991 Year
1 purchases

Cusp

One-time1
  • Ember Pro — Lifetime$9.99

Questions

Is Sage free?
Sage is free to download, with in-app purchases available.
Is Cusp free?
Cusp is free to download, with in-app purchases available.
Do Sage or Cusp have ads?
Neither Sage nor Cusp shows ads.
Which is updated more often, Sage or Cusp?
Sage ships an update every 6 days, and Cusp monthly. Most recently, Sage was updated on October 26, 2026 and Cusp on October 6, 2026.

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