Can Apple Watch Track Perimenopause? An Exclusive Look at New Health Features

by Chief Editor

Apple has integrated new perimenopause and menopause tracking features into its Health app, allowing users to log symptoms and monitor cycle deviations. According to Apple Health Director Dr. Lauren Cheung, the update identifies potential perimenopause by analyzing six months of cycle data for recurring irregularities. The feature is available to users aged 40 and older, with supplemental support provided by a new “Strong Through Menopause” program on Apple Fitness+.

How does Apple identify perimenopause in the Health app?

The system relies on a six-month window of cycle data to identify potential hormonal transitions. Dr. Cheung states that the algorithm looks for more than one abnormal occurrence of irregular or infrequent menses to trigger a notification. By following guidelines from the Federation of International Obstetricians and Gynecologists (FIGO), the app differentiates between standard cycle fluctuations and patterns suggestive of perimenopause. While Apple Watch temperature sensors improve the accuracy of retrospective ovulation tracking, the company confirms that symptom logging remains a manual process for the user.

Pro Tip: You can export your logged symptoms and cycle history as a PDF from the Health app. This report can serve as a primary document to facilitate more productive conversations with your physician during check-ups.

Why is the tracking feature restricted to users aged 40 and older?

Apple limits the automated perimenopause notification to users 40 and older because, while perimenopause can occur in one’s late 30s, it is statistically less common. Dr. Cheung notes that for individuals under 40, cycle irregularities should be evaluated by a healthcare provider to rule out other medical conditions, such as Polycystic Ovary Syndrome (PCOS). This approach prioritizes clinical oversight for younger populations where hormonal shifts may stem from non-menopausal factors.

What is the focus of the “Strong Through Menopause” fitness program?

The “Strong Through Menopause” program on Apple Fitness+ moves away from traditional performance metrics to focus on bodily resilience. According to Julz Arney, Apple’s Director of Fitness, the three-week program features three 20-minute sessions per week centered on yoga and strength training. The curriculum specifically addresses common barriers to exercise in this life stage, such as pelvic floor health and incontinence. Trainers in the program are intentionally selected from this age demographic to provide relatable, peer-led instruction.

Did you know? Research from the Harvard T.H. Chan School of Public Health is supported by data from the Apple Women’s Health Study. Apple integrates user-consented, anonymized data from these features into the study to further clinical understanding of under-researched life stages.

Frequently Asked Questions

Do I need an Apple Watch to use the new tracking features?

No. The Cycle Tracking features are available directly within the Health app on iPhone and iPad. While Apple Watch sensors can enhance data accuracy, they are not required for symptom logging.

Merging Tech & Health w/ Apple’s Dr. Lauren Cheung | Health Next Summit

Are sleep disturbances automatically linked to night sweats?

Currently, the app does not automatically correlate night sweats with sleep tracking metrics. Users must manually log these symptoms in the Cycle Tracking section to view them alongside their sleep data in the generated PDF reports.

How does this differ from previous cycle tracking?

Previous iterations of Cycle Tracking focused primarily on fertility and period prediction. The new update expands the scope to include longitudinal symptom tracking and specific notifications designed to help users identify the transition into perimenopause, a stage historically underserved in medical research.


Have you used the new health tracking tools to monitor your well-being? Share your thoughts in the comments or subscribe to our newsletter for the latest updates on health technology.

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