Use of menstruation and fertility app trackers: a scoping review of the evidence

Earle, Sarah; Marston, Hannah; Hadley, Robin and Banks, Duncan (2021). Use of menstruation and fertility app trackers: a scoping review of the evidence. BMJ Sexual & Reproductive Health, 47(2) pp. 90–101.



Introduction: There has been a phenomenal worldwide increase in the development and use of mobile health applications (mHealth apps) that monitor menstruation and fertility. Critics argue that many of the apps are inaccurate and lack evidence from either clinical trials or user experience. The aim of this scoping review is to provide an overview of the research literature on mHealth apps that track menstruation and fertility.

Method: This project followed the PRISMA Extension for Scoping Reviews. The ACM, CINAHL, Google Scholar, PubMed, and Scopus databases were searched for material published between 1st January 2010 and 30th April 2019. Data summary and synthesis were used to chart and analyse the data.

Results: In total 654 records were reviewed. Subsequently, 135 duplicate records and 501 records that did not meet the inclusion criteria were removed. Eighteen (n=18) records from 13 countries form this review. The papers reviewed cover a variety of disciplinary and methodological frameworks. Three main themes were identified: fertility and reproductive health tracking; pregnancy planning; and, pregnancy prevention.

Discussion & conclusions: Motivations for fertility app use are varied, overlap and change over time although women want apps that are accurate and evidence-based regardless of whether they are tracking their fertility, planning a pregnancy or using the app as a form of contraception. There is a lack of critical debate and engagement in the development, evaluation, usage, and regulation of fertility and menstruation apps. The paucity of evidence-based research and absence of fertility, health professionals and users in studies is raised.

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