
Fertility-tracking apps can provide misleading information, and shouldnât be relied upon to help conceive or as a contraceptive tool, according to an analysis of mobile phone apps available in the UK and Canada. The most reliable apps tend to be the free ones.
There are hundreds of apps that offer the ability to track periods in order to either achieve or avoid pregnancy. To find out how reliable they might be, Joyce Harper at University College London and her colleagues considered all 200 of the fertility-tracking apps offered on Appleâs mobile iOS app store.
First, they removed apps that were faulty, hadnât been updated within three years and didnât offer to predict a userâs âfertile windowâ. This left 90 apps.
Advertisement
Just over half of the apps predicted this window based on when a user has their period. This âcalendar methodâ is based on the understanding that, typically, ovulation happens on day 14 of the menstrual cycle, and fertility is highest in the days leading up to this.
But this method is flawed, says Harper. âYour menstrual cycle is not a textbook thing,â she says. âNot every woman has a 28-day cycle, we donât all ovulate on day 14.â In fact, Harperâs own recent research, based on the data entered into another fertility app, suggests that .
âIn our study, women ovulated anywhere between day 10 and day 26,â says Harper. Apps that rely only on dates are providing inaccurate information, and could result in some users missing their fertile window, for example, she warns.
The more robust apps took into account other markers of fertility based on user input, such as body temperature, which rises during ovulation, and information about the changing state of cervical mucus. Harper says she was surprised to find that, on the whole, the free apps used more of these biomarkers than paid-for apps.
Still, no prediction will be perfect, and only 57 per cent of apps provided any disclaimer to this effect. Just five of the apps advised against the use of the app for contraception. âThey shouldnât be relied on for contraception,â says Rhonda Zwingerman at the University of Toronto in Canada, who wasnât involved in the study.
That doesnât mean that some apps wonât be useful. Apps that simply track period dates can help those who want to be reminded when their period is due, and might help someone notice when their periods appear to be unusually far apart, which could signal problems with ovulation.
But even the information on periods should be taken with a pinch of salt. As part of ongoing research, Harper entered the same dates into 10 different apps, which gave varying predictions for the date of the next period. âWomen shouldnât worry if their period doesnât come on the day the app says,â she says.
Harper advises looking for an app that takes multiple factors into account to predict ovulation. But Zwingerman cautions that many can still carry inaccurate information.
Zwingermanâs own research found that around 22 per cent of such apps in other information they provided. âAlmost all of those claimed to be able to predict the gender of your child based on when you had intercourse in the cycle,â she says. âJust to be clear, thatâs not how it works.â
Reproductive BioMedicine Online