Pausa vs Attune
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Pausa
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How many hot flashes this week? How did you sleep, and how was your mood? You don't have to remember. When a hot flash hits, one tap is enough, and Pausa shows you how your week went, all in one place. Menopause and the years before it are hard to keep track of in your head. What you write stays with you. No sign-up: we don't ask for an email or a password. No ads, and your information is never sold. Pausa has no servers, so we can't see what you write. Your entries are part of your iPhone's own backup. You can lock Pausa with Face ID if you like. Everything in Today. When a hot flash hits, tap the circle: you see right away how many you've had today and when the last one was. You can also log from the Lock Screen, on Apple Watch or by asking Siri. Add your sleep and mood with one tap each, and write what happened that day. Missed a day? "Add to another day". Connect Apple Health if you like, and things like your nighttime body temperature fill in on their own. If you log your period there, your period days show up on the symptom calendar too. Describe your day. Write it however it comes to you: "Woke up sweating twice last night, three hot flashes in the evening." The AI on your iPhone turns it into a note; you see what it understood before saving and fix anything that's off. What you write never leaves your iPhone. Works on iPhones with Apple Intelligence. Your hormone medications, one by one. Patch, gel, pills, spray: add each medication separately, with its dose and how often you use it, the way your doctor told you. Pausa never suggests a dose. On the Today screen, mark each one Taken or Skipped with one tap. When your dose or schedule changes, tap "Changed"; the old one stays in your history. Set a reminder per medication if you like: your Lock Screen only says "Pausa reminder", never the medication name. It starts with you. The first time you open Pausa, we ask what bothers you most and which stage you're in. Your picks stay on the Today screen, and we skip questions that don't fit you. Trends: a short summary every week. At the end of the week you see how your hot flashes, sleep and mood went. We also compare it with what you told us at the start: "At the start you said about 5 a day; this week you averaged 3." Pausa points out links you might want to notice, in plain sentences, such as more hot flashes the day after a poor night. They're there to help you notice, never a diagnosis. Doctor: go prepared. Turn weeks of notes into a tidy summary to show your doctor. Instead of "I just don't feel right", you have the real picture in your hand. Your medications, their doses and since when you've used them are included too. What's free and what's Premium. Notes, reminders, the weekly summary and asking about your notes in the Ask tab are always free: questions like "How many hot flashes did I have this week?" are answered from your own notes, and answers to general questions are based on sources such as The Menopause Society, NICE and ACOG. Premium adds: • A tidy summary to show your doctor • Seeing what changed after your medication changed • Comparing your hot flashes on period days with other days • Asking anything in your own words and getting a written answer • A short write-up of your week Open-ended questions and the weekly write-up work on iPhones that support Apple Intelligence. If you're new to Premium, it's free for 14 days on the yearly plan and 7 days on the monthly plan. We remind you 2 days before the trial ends; cancel before then and you pay nothing. The price is shown clearly on the payment screen. Pausa is a helper to get to know your body better. It isn't a medical device; it doesn't diagnose or suggest treatment. If something doesn't go away or worries you, talk to your doctor. Privacy: https://heypausa.com/legal/#privacy-en Terms of use: https://heypausa.com/legal/#eula-en
Attune
Effortlessly track hot flashes and monitor the impact of hormone therapy. Log symptoms with a single tap on your iPhone or Apple Watch, and visualize changes in your health data over time. Generate comprehensive reports for your doctor.
- One-tap hot flash logging
- Hormone therapy dose tracking
- Sleep and heart rate integration
- Customizable reminders
- Doctor-ready PDF reports
- Data export to CSV
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Track hot flashes in one tap. See what your hormone therapy actually changed. Log hot flashes with one tap — on your iPhone or right from your Apple Watch. Every dose change becomes a line on your charts, so you can see exactly what happened after: fewer hot flashes, better sleep, calmer heart rate. REMINDERS THAT CLOSE THE LOOP Patch days (twice a week, your schedule), daily gel or pills. If you don't mark it done, Attune follows up 45 minutes later. Mark it done right from the notification — no more "did I change it on Thursday?" EVERY MEDICATION ON ITS OWN SCHEDULE Two tablets at once is the normal prescription, not the exception. Each medication keeps its own doses, its own schedule and its own reminders — including cyclical progesterone by day of the month. Nothing is merged, nothing overwrites anything else. THE DOSE LINE Change your patch, gel or pills — Attune marks the date on every chart and compares before with after over 2 weeks, 6 weeks or 3 months, and flags short coverage as preliminary. Not on therapy yet? Start logging now — the "before" period can only be recorded while it is happening. "Hot flashes down 40% since your dose change" is a sentence your doctor can work with. ONE-TAP LOGGING Hot flashes happen anywhere. Tap once on your Apple Watch and it's recorded with the exact time — day and night episodes counted separately. Adjust intensity and triggers later, only if you want. APPLE HEALTH, BUILT IN Attune imports 6 months of sleep and heart history the moment you connect, so your charts mean something from day one. Sleep, resting heart rate and HRV update automatically. A REPORT YOUR DOCTOR TAKES SERIOUSLY A concise PDF: hot flash frequency by week, response to your last dose change, sleep and heart trends. Generate a PDF and walk into your appointment with evidence. WHAT YOU TRACK IS UP TO YOU Add your own symptoms — joint pain, anxiety, palpitations — and rate them 1–5 next to the built-in ones. Log bleeding on any day, or never: there is no cycle setup anywhere in Attune, and it works the same after a hysterectomy. Fix a wrong entry or add a missed one on any past day. YOUR DATA STAYS YOURS No account is required, and your diary and Apple Health readings never leave your device. Export to CSV anytime. Subscription: after a 7-day free trial, at the price shown in your App Store. Payment is charged to your Apple Account. Subscription renews automatically unless cancelled at least 24 hours before the end of the period. Manage or cancel in Settings. Attune is a tracking tool, not a medical device. Always consult your clinician about your therapy. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://attunehrt.pages.dev/privacy
Screenshots
Verdict
Pausa and Attune are too close to call on the numbers: across 6 compared parameters — price, update cadence, ads and in-app purchases among them — neither pulls far enough ahead to decide it. What separates them is feature set and interface, not measurable difference.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Pausa sells 2 in-app purchases, starting at $8.99 per month and Attune sells 2 in-app purchases, starting at $5.99 per month. Whichever you choose, the download price is not the number that matters.
Both ship on a similar rhythm, roughly every 2 days. The most recent releases landed on October 28, 2026 and October 13, 2026 respectively.
| Parameter | Pausa | Attune |
|---|---|---|
| Price | Free | Free |
| Rating | — | 5.0 (2 ratings) — better |
| Positive reviews | — | 100.0% of reviews |
| Number of ratings | — | 2 — better |
| Update frequency | Every 2 days | Every 2 days |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Monetization | — | Freemium |
| Devices | iPhone, Apple Watch | iPhone, Apple Watch |
| Requires iOS | 18.0 | 17.0 — better |
| Further details — not scored | ||
| Size | 14 MB | 6 MB |
| Age rating | 12+ | 12+ |
| Developer | Mehmet Sisoglu | Ilia Usatov |
In-app purchases
Pausa
- Pausa Premium Monthly7 Days trial$8.991 Month
- Pausa Premium Annual14 Days trial$59.991 Year
Attune
- Monthly$5.991 Month
- Yearly7 Days trial$49.991 Year









