What people ask.
The questions that come up most, answered plainly. Nothing here is medical advice — Threshold is a record you keep, not a diagnosis, and the answers below say so where it matters.
How do I know if I'm in perimenopause?
There is no single blood test — hormone levels move too much for one reading to settle it. What helps is a record: when your periods change, when the flushes and broken nights happen, how often. Threshold keeps that record for you, so the pattern is there when you talk to a doctor.
What are the first signs of perimenopause?
Most often irregular periods, disrupted sleep, mood changes, brain fog, hot flushes and night sweats, and shifts in energy or libido. They rarely arrive together or in order, which is exactly why they are hard to notice from memory and easier to see written down over a few months.
At what age does perimenopause start?
Usually the early to mid forties, though it can begin as early as thirty-five and last several years before periods stop. Because it is gradual, the beginning is often only obvious in hindsight — which is the argument for starting a record before you are certain you need one.
Where can I use Threshold?
Anywhere both app stores reach, which is most of the world, with the price shown in your own currency. It is made in Australia and written in Australian English — hot flushes, GP — and nothing in it is specific to one country: it records what you notice and prints it for whoever you see.
Can I take a menopause symptom checklist to my GP?
Yes, and most doctors ask for one. Jean Hailes publishes a printable checklist and it works well. Threshold does the same job continuously: it keeps the record as you go and prints a clear summary of the window you choose, so nothing is reconstructed the night before.
How do I prepare for a menopause appointment?
Book a longer appointment and say it is about menopause. Bring what you are taking, when symptoms happen and how often, and the two or three things affecting you most. Threshold's summary lays that out on one page, ordered the way a GP reads it.
Does Threshold sell or share my data?
No. Your record stays on your phone. There is no advertising, no third-party analytics on your health data, and nothing is sold. Backup is optional and encrypted, and you can delete everything from inside the app at any time.
Is Threshold a private menopause app?
Yes — privately by design rather than by policy. What you log is held on your device, not on a server we can read. That matters because tracking apps have repeatedly been found sharing intimate health data with advertisers, and the safest data is the kind that never leaves.
Can I track HRT in Threshold?
Yes. Record patches, gel, tablets, pessaries, an IUD or anything else you take, with the date you started — which is the one date a doctor reads first, because it lets a change show up against it. Reminders are optional and never required.
Does Threshold track hot flushes and night sweats?
Yes, with how often and how strong, alongside sleep, mood, energy, bleeding, headaches and anything else you want to note. A moment takes a few taps, so it can be logged as it happens rather than remembered later.
Does it work with an Apple Watch or Fitbit?
Threshold can read sleep and heart-rate data you have already recorded, through Apple Health or Health Connect on Android, and shows it beside what you have logged yourself. It is optional — the app is complete without a watch.
Do I need a subscription?
No — Threshold is a subscription. You can look around a full sample record before paying anything, and keeping a record of your own needs an active subscription: the check-ins and moments, the readings, the conversations and the printable summary. What you have already written stays readable if you stop.
What happens if my subscription lapses?
You keep everything you have already written, and you can still read it — your story, the printable summary and a full export of your own data. What stops is adding to it: new check-ins and moments, the readings and the conversations. Nothing is deleted and nothing is held to ransom.
Still wondering something? Send a message.