Comparison

Pause vs Perika

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

Head to head
About

Pause

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Perimenopause is unpredictable. Pause gives you clarity. Log hot flashes, night sweats, mood, sleep, and HRT or supplement intake in seconds — then watch your patterns emerge over days and weeks. When your next doctor's appointment comes, generate a clean, shareable PDF report instead of trying to remember from memory. Track what matters Ā· Hot flashes — log instantly, rate as mild, moderate, or severe Ā· Night sweats — one tap to log, any time of day Ā· Mood — daily 5-point scale that actually shows you something over time Ā· Sleep — auto-filled from Apple Health, or enter manually Ā· HRT & supplements — daily check-in, correlated with your other symptoms See your patterns 7-day trends are free. Upgrade to Pause Premium to unlock 30-day and 90-day views and spot the patterns that only emerge over time. Doctor-ready PDF export One tap generates a clean symptom summary — formatted for your gynecologist or GP — that you can email, AirDrop, or print directly from your phone. Your data stays yours Everything you log is stored on your device only. Pause never creates an account, never uploads your health data, and has zero third-party tracking or analytics. CloudKit sync works across your devices using your own iCloud — we never see it. Pause Premium unlocks: Ā· 30-day and 90-day trend charts Ā· HRT correlation overlay on your hot flash chart Ā· Doctor-ready PDF export with full history Ā· Unlimited log history Start with a 7-day free trial. Cancel anytime. --- Terms of Use: https://pinnaclepath.ai/pause/terms

About

Perika

Features
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Is your HRT working, or is this just a good week? Perika answers that from your own daily check-ins, before and after every dose change. It is a private log for women on hormone therapy. Record what you take and when it changed, then rate how you feel in about 20 seconds a day. Perika compares your own symptom scores either side of the change and says in plain language what moved and what did not. DID THE CHANGE ACTUALLY HELP • Log hot flashes, night sweats, sleep, mood, brain fog, anxiety, fatigue and joint pain in about 20 seconds a day • Record every dose increase, decrease and stop, with the date it happened • Get a plain sentence for each change: which symptoms moved, which did not, and how many check-ins each number is built on BUILT FOR THE MESSY PARTS • It was working, and then it stopped • You stopped one and started another • Your dose went up three weeks ago and you still cannot tell READY FOR YOUR NEXT APPOINTMENT • Your regimen, your change dates, and what your most recent change did to your overall symptom load, free in the app • Every earlier change decoded, plus the per-symptom before and after breakdown as a PDF, with Perika Pro PRIVATE BY DESIGN • No account. No sign up. • Your check-ins and regimen never leave this phone • Export everything to a file whenever you like, and take it with you Free to log, always. One payment of $19.99 unlocks the decode for every change you have recorded rather than only the most recent one, plus the clinician PDF export. No subscription, nothing to cancel. Perika is a personal tracking tool, not medical advice and not a diagnosis. It reports what you logged. Always make treatment decisions with your clinician.

Screenshots

Pause4 screens
Perika3 screens

Verdict

The call

The clearest difference is update cadence: Perika at every 3 weeks against Pause's every 2 months. On price, ads, in-app purchases and device support there is nothing between them.

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

CostPrice Ā· In-app purchases Ā· Ads Ā· Monetization

Both are free to download. Pause sells 2 in-app purchases, starting at $7.99 per 7 days and Perika sells 2 in-app purchases, starting at $9.99 per month. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Pause ships an update every 2 months, Perika every 3 weeks. The most recent releases landed on October 25, 2026 and October 28, 2026 respectively.

Scorecard1 real difference Ā· 5 level
Pause versus Perika: the parameters behind the verdict, then further details
ParameterPausePerika
PriceFreeFree
Update frequencyEvery 2 monthsEvery 3 weeks — better
AdsNoNo
In-app purchasesYesYes
DevicesiPhone, iPadiPhone, iPad
Requires iOS17.016.4 — better
Further details — not scored
Size4 MB43 MB
Age rating12+12+
DeveloperKenneth YeckTYLER ZACHARY DALE

In-app purchases

2 purchases

Pause

Subscriptions2
  • Pause Premium Weekly$7.997 Days
  • Pause Premium Annual7 Days trial$49.991 Year
2 purchases

Perika

Subscriptions2
  • Perika Pro (Monthly)$9.991 Month
  • Perika Pro (Yearly)1 Month trial$59.991 Year

Questions

Is Pause free?
Pause is free to download, with in-app purchases available.
Is Perika free?
Perika is free to download, with in-app purchases available.
Do Pause or Perika have ads?
Neither Pause nor Perika shows ads.
Which is updated more often, Pause or Perika?
Pause ships an update every 2 months, and Perika every 3 weeks. Most recently, Pause was updated on October 25, 2026 and Perika on October 28, 2026.

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