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Menopause and Midlife

Know where you are.

Your stage in the transition, from the dates you already logged.

This program follows two connected pathways. First it helps you make sense of the menopause transition, using the cycle dates and symptoms you've already logged. Then it carries your story forward into heart, bone, metabolic, cognitive and physical health, so the years after the transition stay as connected as the years before it.

Explore the pathways

Published reference

A transition measured from change over time.

These figures describe STRAW+10 staging criteria, not outcomes produced by Shiora.

3broad phases: reproductive, menopausal transition and postmenopause
7 dayspersistent cycle-length difference used to mark early transition
60 daysor longer without bleeding used to mark late transition
12 monthswithout bleeding identifies the final menstrual period retrospectively when no other cause applies

Published reference metrics, not Shiora outcomes. Source: STRAW+10 Executive Summary.

Program architecture

Two pathways. One continuous view of midlife and healthy aging.

Menopause and Midlife connects the menopause transition with the health priorities that become increasingly important after it, without collapsing either stage into a generic wellness offer.

Menopause transition

The change, in context

Brings cycle changes, symptoms, sleep, mood, cognition, sexual health and daily context into a stage-aware record that supports more informed menopause-care conversations.

Transition care

Longevity and vitality

The years that follow

Extends the connected view into cardiovascular, bone, metabolic, cognitive and physical-health priorities, with selected clinical results and wearable information kept in context.

Healthy aging

The program in practice

A stage-aware view without a guess.

Menopause and Midlife shows what the recorded sequence supports, and keeps uncertainty visible when bleeding criteria cannot be interpreted.

What you see

Cycle change, symptom timing and stage context in one view.

The record shows cycle intervals and relevant symptoms across time, then sets any applicable STRAW+10 staging context beside them. Selected cardiovascular, bone, metabolic and physical-health information can continue into the longevity and vitality pathway without turning a general framework into an individual diagnosis.

Stage aware

Worked example

Illustrative record: Nadia, with simulated information.

Nadia has recorded cycle start dates over time. Her later entries show a sustained change rather than one unusual month, so Sana presents the applicable staging context for a clinician conversation. Her mood, sleep and hot-flush notes remain beside the dates. As her priorities change, her record carries the relevant history into bone, cardiovascular and mobility review.

Simulated example

What it needs from you

A sequence of cycle dates, not a perfect daily streak.

Staging becomes more informative as consecutive cycle dates accumulate because one isolated cycle cannot establish a persistent pattern. Symptom timing adds context. The final menstrual period is identified retrospectively after 12 months without bleeding when no other cause applies. Clinical results and wearable information remain optional.

Longitudinal input

How it connects

The other programs provide the context that a midlife visit often has to reconstruct.

Cycles and Pregnancy supplies earlier cycle history. Mind and Mood keeps mood and sleep measures beside reproductive stage. Intimate Health preserves sexual and pelvic-health change. Prevention and Vitality connects menopause context with screening, bone and physical capacity. Where relevant, Specialist Care can keep fertility-treatment history traceable in the same member-controlled record.

One record

Published criteria

STRAW+10 puts sequence before assumptions.

The framework centers reproductive aging around the final menstrual period and does not use age alone to assign a stage.

Late reproductive

Regular cycles with subtle changes beginning to appear.

Longitudinal dates help preserve the baseline against which later changes can be understood.

Baseline

Early transition

A persistent difference of 7 days or more between consecutive cycle lengths.

Persistence matters because one unusual cycle does not establish a stage by itself.

Pattern

Late transition

A bleeding-free interval of 60 days or longer.

The criterion is based on menstrual history, with biomarkers used as supportive information in the published framework.

Interval

Postmenopause

The final menstrual period is identified retrospectively after 12 months without bleeding when no other cause applies.

The date becomes clear only after time has passed, which makes an accurate record especially useful.

Retrospective

The connected record

A long-term record changes the quality of the question.

When permitted, cycle dates and relevant health information recorded earlier remain available as Menopause and Midlife moves from transition staging into longer-term prevention and healthy-aging priorities.

  • Earlier cycle dates establish a personal baseline.
  • Changes in consecutive cycle length can be assessed over time.
  • Long bleeding-free intervals remain visible without relying on recall.
  • Relevant transition context can continue into the longevity and vitality pathway, supporting a more coherent view of cardiovascular, bone, metabolic and physical health.

Program boundary

A stage is context, not a complete clinical answer.

STRAW+10 staging is most directly applicable when menstrual bleeding can be observed. Hormonal contraception, hysterectomy, some medical treatments and other circumstances can make bleeding criteria difficult to interpret.

Menopause and Midlife organizes the recorded history. Diagnosis, investigation and decisions about treatment remain with an appropriately qualified clinician.

Pathway questions

Menopause and Midlife FAQs.

Detailed answers for both pathways, including transition staging, treatment preparation, healthy-aging context and clinical boundaries.

Menopause transition

What symptoms does Shiora track?

Shiora tracks more than 34 recognized menopause symptoms, including hot flashes, night sweats, sleep disruption, mood changes, brain fog, joint pain, vaginal dryness, libido changes and weight changes.

Can Shiora help with an HRT conversation?

Shiora provides evidence-based information about HRT options, benefits and risks, and Sana can organize a report for discussion with a qualified clinician. It does not prescribe treatment.

When can menopause support become useful?

It can be useful when cycle changes or other possible perimenopausal symptoms begin, or earlier in midlife to establish a personal baseline.

How does Sana personalize menopause information?

Sana looks for patterns among recorded symptoms, potential triggers and your responses to interventions. It does not diagnose a menopause stage.

How does Shiora support workplace conversations?

The program includes symptom-management guidance and preparation for conversations about practical workplace support or accommodations.

Can partners access menopause education?

Yes. Permission-controlled resources can explain common symptoms, communication approaches and practical support. The member decides what personal information is shared.

How long can the menopause transition last?

The experience varies substantially. The National Institute on Aging notes that menopause-related symptoms may last two to eight years, while some people experience them for a shorter or longer time.

Longevity and vitality

What longer-term health information is tracked?

Shiora can bring cardiovascular markers, bone-density indicators, metabolic information, cognitive function, strength and balance, sleep quality and vitality measures into one longitudinal view.

Can DEXA scan results be added?

Yes. DEXA results can be added for trend review and follow-up reminders. Interpretation remains with a qualified clinician.

What cardiovascular support is provided?

Shiora can organize blood pressure, wearable-derived heart information and available lipid results, provide evidence-based lifestyle information and support referral when indicated.

Which connected sources can contribute information?

Depending on availability and permission, compatible wearables and uploaded clinical results can contribute selected information while retaining their source.

How does the program continue after the transition?

Your record carries relevant menopause and midlife context into longer-term cardiovascular, bone, metabolic and physical-health priorities.

How does this connect with strength and mobility support?

Bone, strength, balance and mobility context can connect with the strength and mobility pathway in Prevention and Vitality, while qualified professionals remain responsible for assessment and exercise planning.

Is a vitality or biological-age score a diagnosis?

No. These measures are informational estimates that can support a wider conversation. They do not determine an individual's longevity or replace clinical assessment.

Clinical reference: Harlow and colleagues, STRAW+10 Executive Summary.

One continuous record

Every Shiora program reads the same record.

What you log here counts in every other chapter of your life, and it stays yours.

Start your record