Comparison

Pause vs Attune

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 · Hot flashes — log instantly, rate as mild, moderate, or severe · Night sweats — one tap to log, any time of day · Mood — daily 5-point scale that actually shows you something over time · Sleep — auto-filled from Apple Health, or enter manually · 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: · 30-day and 90-day trend charts · HRT correlation overlay on your hot flash chart · Doctor-ready PDF export with full history · Unlimited log history Start with a 7-day free trial. Cancel anytime. --- Terms of Use: https://pinnaclepath.ai/pause/terms

About

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.

Highlights
  • One-tap hot flash logging
  • Hormone therapy dose tracking
  • Sleep and heart rate integration
  • Customizable reminders
  • Doctor-ready PDF reports
  • Data export to CSV
Features
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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

Pause4 screens
Attune4 screens

Verdict

The call

The clearest difference is update cadence: Attune at every 2 days against Pause's every 2 months. On price, ads, in-app purchases and device support 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. Pause sells 2 in-app purchases, starting at $7.99 per 7 days 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.

UpkeepUpdate frequency

Pause ships an update every 2 months, Attune every 2 days. The most recent releases landed on October 8, 2026 and October 13, 2026 respectively.

Scorecard1 real difference · 9 level
Pause versus Attune: the parameters behind the verdict, then further details
ParameterPauseAttune
PriceFreeFree
Rating—5.0 (2 ratings) — better
Positive reviews—100.0% of reviews
Number of ratings—2 — better
Update frequencyEvery 2 monthsEvery 2 days — better
AdsNoNo
In-app purchasesYesYes
Monetization—Freemium
DevicesiPhone, iPadiPhone, Apple Watch
Requires iOS17.017.0
Further details — not scored
Size4 MB6 MB
Age rating12+12+
DeveloperKenneth YeckIlia Usatov

In-app purchases

2 purchases

Pause

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

Attune

Subscriptions2
  • Monthly$5.991 Month
  • Yearly7 Days trial$49.991 Year

Questions

Is Pause free?
Pause is free to download, with in-app purchases available.
Is Attune free?
Attune is free to download, with in-app purchases available.
Do Pause or Attune have ads?
Neither Pause nor Attune shows ads.
Which is updated more often, Pause or Attune?
Pause ships an update every 2 months, and Attune every 2 days. Most recently, Pause was updated on October 8, 2026 and Attune on October 13, 2026.

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