Comparison

Pausa vs Attune

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

Head to head
About

Pausa

Features
Read full description

Pausa is the tracker built for perimenopause and menopause — not a period app with predictions that stop making sense the moment your cycles become irregular. TRACK WHAT YOU TAKE, NOT JUST HOW YOU FEEL Log your HRT exactly as you take it: patches, gels, sprays, pills or vaginal treatments, with dose, schedule and reminders — including every-3-day patch changes. Add lab results like estradiol, FSH or thyroid, and see everything next to your symptoms. A DOCTOR REPORT THAT GETS TAKEN SERIOUSLY One tap creates a clean PDF: symptom frequency and severity, bleeding episodes, your treatment and adherence, labs and vitals. Walk into your appointment with data — data is hard to dismiss. The 30-day report is free, forever. IS YOUR TREATMENT WORKING? When you change a dose, Pausa compares your symptoms before and after — the answer you and your doctor actually want. BUILT FOR IRREGULAR CYCLES No predictions, no false alarms. Pausa expects irregularity — log bleeding when it happens, edit or backdate anything. EVERY SYMPTOM COUNTS Hot flashes, night sweats, brain fog, joint pain, skin crawling, anxiety and more — plus custom symptoms for anything that isn't on anyone's list, with notes on every entry. FIND YOUR PATTERNS (PRO) Log daily factors like alcohol, caffeine, stress and sleep. Pausa conservatively shows real patterns — "hot flashes worse after short nights" — never noise. Connect Apple Health for sleep, resting heart rate, HRV and overnight wrist temperature, automatically. SURGICAL & MEDICAL MENOPAUSE, SEEN A dedicated path for hysterectomy, oophorectomy, ablation or treatment-induced menopause. Your stage is yours — Pausa never reassigns it. PRIVATE BY DESIGN No account. No cloud, unless you choose your own private iCloud sync. Face ID lock. We never sell health data — there is nothing to sell. Pausa Pro adds pattern insights, body signals, extended reports, lab tracking, unlimited treatments and CSV export — as a subscription or a one-time lifetime purchase. The core diary and doctor report stay free forever. Pausa is a tracking and journaling tool, not a medical device. Always consult your doctor about treatment. Privacy Policy: https://www.one4studio.com/pausa-privacy-policy Terms of Service: https://www.one4studio.com/pausa/terms Apple Terms of Service: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

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
Read full description

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

Pausa4 screens
Attune4 screens

Verdict

The call

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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Pausa sells 3 in-app purchases, starting at $5.99 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.

UpkeepUpdate frequency

Both ship on a similar rhythm, roughly every 2 days. Both last shipped on October 31, 2026.

ScorecardNo meaningful differences
Pausa versus Attune: the parameters behind the verdict, then further details
ParameterPausaAttune
PriceFreeFree
Rating—5.0 (2 ratings) — better
Positive reviews—100.0% of reviews
Number of ratings—2 — better
Update frequencyEvery 2 daysEvery 2 days
AdsNoNo
In-app purchasesYesYes
Monetization—Freemium
DevicesiPhone, Apple WatchiPhone, Apple Watch
Requires iOS17.017.0
Further details — not scored
Size14 MB6 MB
Age rating12+12+
DeveloperVUK ANDRIC PR STUDIO ZA GRAFICKI DIZAJN I IZRADU VEB SAJTOVA One4Studio CUPRIJAIlia Usatov

In-app purchases

3 purchases

Pausa

Subscriptions2
  • Pausa Pro - Monthly$5.991 Month
  • Pausa Pro - Annual7 Days trial$34.991 Year
One-time1
  • Pausa Pro - Lifetime$79.99
2 purchases

Attune

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

Questions

Is Pausa free?
Pausa is free to download, with in-app purchases available.
Is Attune free?
Attune is free to download, with in-app purchases available.
Do Pausa or Attune have ads?
Neither Pausa nor Attune shows ads.
Which is updated more often, Pausa or Attune?
Pausa ships an update every 2 days, and Attune every 2 days. Most recently, Pausa was updated on October 31, 2026 and Attune on October 31, 2026.

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