Knowing what’s normal. The Production and Conveyance of Knowledge via Menstrual Tracking Apps and what that has to do with Capitalism

Menstrual tracking and fertility apps have gained popularity in recent years, often sold as tools for self-empowerment through self-knowledge. While critics tend to focus on the gendered design of these apps, this article examines the self-tracking and analytic features of the popular apps, Flo and Clue, to argue that menstrual tracking and fertility apps reinforce discourses of menstrual concealment and bodily alienation. Beginning with an analysis of the daily log interface, the author situates the humorous icons in discourses of menstrual jokes and euphemisms to show how these apps participate in the suppression of menstruation. The author then turns to the analytics features to demonstrate how these apps encourage users to understand their lives through their menstrual cycle. The article ends with a call for collaborations between humanists, scientists, and designers to revise and mobilize these apps to explore under-explored issues of sexual and reproductive health.

We consider why and how women track their menstrual cycles, examining their experiences to uncover design opportunities and extend the field's understanding of personal informatics tools. To understand menstrual cycle tracking practices, we collected and analyzed data from three sources: 2,000 reviews of popular menstrual tracking apps, a survey of 687 people, and follow-up interviews with 12 survey respondents. We find that women track their menstrual cycle for varied reasons that include remembering and predicting their period as well as informing conversations with healthcare providers. Participants described six methods of tracking their menstrual cycles, including use of technology, awareness of their premenstrual physiological states, and simply remembering. Although women find apps and calendars helpful, these methods are ineffective when predictions of future menstrual cycles are inaccurate. Designs can create feelings of exclusion for gender and sexual minorities. Existing apps also generally fail to consider life stages that women experience, including young adulthood, pregnancy, and menopause. Our findings encourage expanding the field's conceptions of personal informatics.

Sustained Engagement and Usability of a Mobile App to Study Menstrual Cycles in Young Adolescents.

Menstrual cycle tracking apps (MCTAs) have potential in epidemiological studies of women's health, facilitating real-time tracking of bleeding days and menstrual-associated signs and symptoms. However, information regarding the characteristics of MCTA users versus cycle nontrackers is limited, which may inform generalizability. We compared characteristics among individuals using MCTAs (app users), individuals who do not track their cycles (nontrackers), and those who used other forms of menstrual tracking (other trackers). The Ovulation and Menstruation Health Pilot Study tested the feasibility of a digitally enabled evaluation of menstrual health. Recruitment occurred between September 2017 and March 2018. Menstrual cycle tracking behavior, demographic, and general and reproductive health history data were collected from eligible individuals (females aged 18-45 years, comfortable communicating in English). Menstrual cycle tracking behavior was categorized in 3 ways: menstrual cycle tracking via app usage, that via other methods, and nontracking. Demographic factors, health conditions, and menstrual cycle characteristics were compared across the menstrual tracking method (app users vs nontrackers, app users vs other trackers, and other trackers vs nontrackers) were assessed using chi-square or Fisher exact tests. In total, 263 participants met the eligibility criteria and completed the digital survey. Most of the cohort (n=191, 72.6%) was 18-29 years old, predominantly White (n=170, 64.6%), had attained 4 years of college education or higher (n= 209, 79.5%), and had a household income below US $50,000 (n=123, 46.8%). Among all participants, 103 (39%) were MCTA users (app users), 97 (37%) did not engage in any tracking (nontrackers), and 63 (24%) used other forms of tracking (other trackers). Across all groups, no meaningful differences existed in race and ethnicity, household income, and education level. The proportion of ever-use of hormonal contraceptives was lower (n=74, 71.8% vs n=87, 90%, P=.001), lifetime smoking status was lower (n=6, 6% vs n=15, 17%, P=.04), and diagnosis rate of gastrointestinal reflux disease (GERD) was higher (n=25, 24.3% vs n=12, 12.4%, P=.04) in app users than in nontrackers. The proportions of hormonal contraceptives ever used and lifetime smoking status were both lower (n=74, 71.8% vs n=56, 88.9%, P=.01; n=6, 6% vs n=11, 17.5%, P=.02) in app users than in other trackers. Other trackers had lower proportions of ever-use of hormonal contraceptives (n=130, 78.3% vs n=87, 89.7%, P=.02) and higher diagnostic rates of heartburn or GERD (n=39, 23.5% vs n=12, 12.4%, P.03) and anxiety or panic disorder (n=64, 38.6% vs n=25, 25.8%, P=.04) than nontrackers. Menstrual cycle characteristics did not differ across all groups. Our results suggest that app users, other trackers, and nontrackers are largely comparable in demographic and menstrual cycle characteristics. Future studies should determine reasons for tracking and tracking-related behaviors to further understand whether individuals who use MCTAs are comparable to nontrackers.

BackgroundMenstrual apps facilitate observation and analysis of menstrual cycles and associated factors through the collection and interpretation of data entered by users. As a subgroup of health-related apps, menstrual apps form part of one of the most dynamic and rapidly growing developments in biomedicine and health care. However, despite their popularity, qualitative research on how people engaging in period-tracking use and experience these apps remains scarce.MethodsBetween June 2016 and March 2017, we conducted 26 qualitative interviews with menstrual app users living in Austria and Spain. The participants were asked about their practices and experiences regarding app-supported menstrual tracking. The interviews were audio recorded, transcribed verbatim, and coded using the software NVivo.ResultsAn inductive content analysis was performed and eight characteristics of app-supported menstrual tracking were identified: 1) tracking menstrual cycle dates and regularities, 2) preparing for upcoming periods, 3) getting to know menstrual cycles and bodies, 4) verifying menstrual experiences and sensations, 5) informing healthcare professionals, 6) tracking health, 7) contraception and seeking pregnancy, and 8) changes in tracking. Our study finds that period-tracking via apps has the potential to be an empowering practice as it helps users to be more aware of their menstrual cycles and health and to gain new knowledge. However, we also show that menstrual tracking can have negative consequences as it leads to distress in some cases, to privacy issues, and the work it requires can result in cessation. Finally, we present practical implications for healthcare providers and app developers.ConclusionsThis qualitative study gives insight into users’ practices and experiences of app-supported menstrual tracking. The results provide information for researchers, health care providers and app designers about the implications of app-supported period-tracking and describe opportunities for patient-doctor interactions as well as for further development of menstrual apps.

Mobile software applications (apps) have transformed how individuals oversee and maintain their own health. One way that girls can monitor their menstrual cycles is through the increasingly widespread use of mobile menstrual tracking apps. This study aimed to examine menstrual symptom tracking for adolescents in English and Chinese apps, exploring menstrual literacy, cross-cultural differences, and framing, or presentation, of symptoms. The mixed-methods content analysis involved 15 popular free menstrual tracking apps in English (n = 8) and Chinese (n = 7), sampled from December 2022 to January 2023. A quantitative analysis of qualitative data was conducted through manual coding of content and automatically analyzing sentiment, or emotional tone, using a computational approach. We found that (1) menstrual literacy on symptom management or treatment was generally insufficient, (2) there were more available emotional than physical symptoms in English than Chinese apps, and (3) symptoms were framed more negatively than positively somewhat more in Chinese than English apps. Our findings emphasize the urgency to provide better evidence-informed communication about symptoms, either presented more positively or neutrally, in menstrual tracking apps for adolescent users. Since adolescence is a critical developmental stage that requires ample support, we recommend that digital menstrual trackers be crucially improved and future research should investigate how they can uniquely shape attitudes and experiences, and subsequent sexual and reproductive health empowerment and bodily autonomy.

In this article it will be concluded that systematic menstrual tracking in women's sport has the potential to cause harm to athletes. Since the ruling of Dobbs v. Jackson Women's Health Organization (2022) in the United States, concerns regarding menstrual health tracking have arisen. Research suggests that the menstrual tracking of female athletes presents potential risks to "women's autonomy, privacy, and safety in sport" (Casto 2022, 1725). At present, the repercussions of systematic menstrual tracking are particularly under-scrutinized, and this paper seeks to combine novel research in the sport sciences with present ethical debates in the philosophy of sports. Utilizing Beauvoir's feminist philosophy (2011), this paper argues that systematic menstrual tracking may contribute to the wider system of women's oppression by exploiting female athletes, as well as enabling the internalization of submissive behaviour in cultures where athletes are expected to comply unquestioningly. Five policy recommendations are made concerning autonomy, informed consent, education, safeguarding and data access. The overall findings of this paper propose that a more in-depth understanding of the links between data, privacy, and the menstrual cycle are required by sports organizations and governing bodies if athletes are to be protected in a future where systematic menstrual tracking is inevitable.

Aim. The aim of this article is to explore the attitudes of young women towards menstrual cycle tracking applications. Methods. The study involved 85 women aged 18 to 30 years to investigate their experiences and opinions regarding the use of menstrual tracking apps. In this work, the method of diagnostic survey was used. Results and conclusion. The vast majority of respondents use apps to track their menstrual cycle. The most frequently mentioned applications are: Flo and Clue. Respondents who do not use these applications cite as the main reason that they did not know about the existence of such applications or do not like the format. The study shows that most respondents learn about these types of applications from the Internet. The vast majority of surveyed women report that the application correctly monitors the menstrual cycle and use it mainly for this purpose. Cognitive value. The cognitive value of this article is that women aged 18-30 often use menstrual cycle tracking apps and find them useful but also most of the respondents confirm the credibility of the application in monitoring the menstrual cycle.

Economic globalization results in unbalanced development and growing inequality between the centre and the periphery of the global economic map. This process is driven by the expansionist policies of the corporations and the financial capital, being in collision with the social protection system. Markets are good for wealth creation, but they fail to take care of the citizens’ social needs. Social justice is a public good that can be provided for only by means of the political process. Globalization fails to meet the needs of the ultimate beneficiary of the development processes - the citizen. The modality in which economic localization foundations were set in the development and transitional economies, did not exhibit clear development capacities in order to improve the global position of these countries. Alternative development strategies are required in order to keep the territorial integrity of the nation-state and radical reforming of the central government role in the process is a prerequisite. The main driving force of the sustainable governance concept refers to the participation, knowledge and information distribution and cooperation among stakeholders. Economic prosperity is dependent on the effectiveness in production, collection and use of knowledge in the economic processes. Economy converts into a hierarchy of networks and what comes out as a result is a network society in which individual or corporative capacity for participation and networking determines the socio-economic position. Knowledge - Based Economy (KBE) refers to an economy that applies information resources, technology and knowledge into the economic development processes. Innovations entail increased communication intensity and feedback among companies, academic institutions, laboratories, consumers. They are a result of a number of interactions and synergies of specific innovative systems that tend to expand outside national borders, ideally becoming global, incorporating numerous global-local connections. (JEL Q01, F60, F00)

Mobile Application Vs. Paper Pictorial Blood Assessment Chart to Track Menses in Young Women: A Randomized Cross-over Design

Digital self-tracking tools can be part of body work to measure, monitor, and optimise progress towards idealised versions of the self. Fitness and calorie trackers are obvious examples but menstrual tracking apps, which can track a large range of bodily ‘symptoms’, can also be part of body work. In this article, I present accounts of young people’s menstrual and fitness tracking experiences from existing literature, illustrating how both types of trackers can function as part of their users’ body work. I interweave these stories with an autoethnographic account of my own embodied experiences with and through menstrual and fitness tracking apps. I explore the ways in which health, beauty, and wellness can become enmeshed in self-tracking practices; how emotions, stress, and sleep can become personal problems to solve; how tracking tools can make body work feel more ‘real’; and the mutual but asymmetrical shaping of digital tracking tools and their users. Though there is an existing body of work on young people’s experiences of digital self-tracking tools more generally (particularly health and fitness tracking tools), young people’s use of menstrual tracking apps is a relatively understudied phenomenon to date. The themes identified in this article point towards possible avenues for future research.

PCOS is the most predominant endocrine problem among women of reproductive age, which affects ovaries and causes irregularities in menstrual cycles, weight gain, and hirsutism [Bulsara J., P. Patel, A. Soni, S. Acharya (2021) A review: Brief insight into PCOS, Endocrine and Metabolic Sci., 3, 1–7]. The condition probably results from a mix of causes, including qualities and ecological elements. The aim of this study is to investigate the performance of Binarized Butterfly Optimization Algorithm, Binarized Grey Wolf Optimization Algorithm, Binarized Genetic Algorithm and Binarized Cuckoo Optimization Algorithm in terms of classification accuracy. Kaggle PCOS dataset is used for this work and it has 541 records and 43 attributes. The study aims to investigate the performance of four optimization algorithms in terms of classification accuracy for predicting PCOS disease. The BGWO optimization algorithm outperformed the other algorithms with 99% accuracy, while the BGA produced the most optimal subset. The study highlights the significance of feature selection in improving the performance of classification algorithms.

050 Normal menstrual cycles

Fox and Epstein interrogate and reimagine menstrual tracking technology, focusing on mobile applications designed to document and quantify menstrual cycle data. While such technology promises to provide users with new insights and predictions, the authors highlight how these apps are inscribed with particular visions of menstruation and encourage users to extract intimate information about their bodies. Apps regularly assume, for instance, that all possible users are women, heterosexual, and monogamous, have a “normal” cycle, and use tracking techniques exclusively to gauge fertility. Fox and Epstein present two case studies: (1) examining core issues of usability and inclusion in the design of existing applications; and (2) using participatory approaches to highlight the lived experiences of menstruators and introduce alternatives to dominant menstrual app protocols. In offering this two-part analysis, they point to important openings for exploring how these technologies might support the needs of a multiplicity of menstruating bodies.

Objective The objective of this research was to evaluate how menstrual tracking applications can promote gynaecological health. Materials and methods We performed a systematic review in Medline and Scopus, for papers evaluating menstrual tracking mobile applications. We excluded review articles and those not written in English. Results We identified 14 articles measuring the outcome resulting from the use of a single Fertility Tracking Application (FTA). Eight studies evaluated 2 different applications used as a contraception method. One study assessed a fecundity enhancing application. Five studies referred to applications, used to treat or monitor various gynaecologic issues. All studies reported efficacy for their intended use or a high satisfaction rate. Discussion There is a plethora of FTAs, however a minority of them are appraised by medical experts. Several safety and privacy concerns have been expressed regarding their use and these issues should be addressed in the future. All studies identified in our search demonstrated that FTAs can facilitate users in terms of contraception, fertility, and menstrual awareness. Conclusion Menstrual tracking applications can serve as a valuable health tool, nevertheless, their content should be more vigorously evaluated.