Skip to main content

Best Flo Alternative for Perimenopause — Horiva vs Flo

Last updated: March 21, 2026

TLDR

The best Flo alternative for perimenopause tracking is Horiva. Flo settled FTC charges for sharing health data with Facebook and Google. Horiva stores your data on-device — we structurally cannot sell what we never see.

Quick Verdict

The best Flo alternative for perimenopause tracking is Horiva. Flo settled FTC charges for sharing health data with Facebook and Google. Horiva stores your data on-device — we structurally cannot sell what we never see.

Flo Health settled FTC charges in 2021 for sharing health data with Facebook and Google

Source: Federal Trade Commission — In the Matter of Flo Health, Inc.

$12.99/mo or $79.99/yr for Flo Premium

Source: Flo Health pricing page

COMPETITOR

Flo
FTC data-sharing settlement history — health data shared with Facebook and Google
Feature Flo Horiva
Monthly cost Free + $12.99/mo $9/mo
Data privacy model Free tier funds data monetization On-device only — we never see it
Perimenopause support Bolt-on feature Built specifically for perimenopause
Doctor reports No Yes — PDF export
Free trial Free tier (data-funded) 14-day trial, no card

Horiva is $9/mo with no data selling — vs. Flo at Free + $12.99/mo.

Why Women Are Looking for a Flo Alternative

Flo is one of the most downloaded period apps in the world. It is also a company with a documented history of sharing health data without user consent.

In 2021, the FTC settled charges against Flo Health for sharing sensitive health information — including whether users were pregnant or trying to conceive — with Facebook, Google, and other analytics providers, without disclosing this to users.

For women tracking perimenopause symptoms, this matters. Symptoms like mood changes, sexual health concerns, and irregular bleeding are among the most sensitive health data a person can log.

What Flo Gets Right

Flo has a large symptom library, AI-powered cycle predictions, and a substantial user community. If you have a regular 28-day cycle and want general wellness tracking, it is a competent product.

Where Flo Falls Short for Perimenopause

Perimenopause disrupts the regular cycle patterns that Flo’s predictions depend on. Women in perimenopause report that the AI cycle predictions become unreliable as their cycles lengthen, shorten, or skip entirely.

More importantly: the free tier that makes Flo accessible is funded by the same data monetization model the FTC investigated.

How Horiva Compares

Horiva was built specifically for the erratic patterns of perimenopause. The 40+ symptom library covers the unusual symptoms — electric shock sensations, tinnitus, body odor changes — that generic period trackers don’t track.

Your data is stored on your device. Not on our servers. We built the product this way because we cannot guarantee privacy over data we can access.

Q&A

Does Flo sell your health data?

Flo settled FTC charges in 2021 for sharing health data — including period and pregnancy information — with Facebook and Google without user consent. The free tier's business model depends on data-driven advertising and partnerships.

Q&A

What is the best private alternative to Flo for perimenopause?

Horiva is built specifically for perimenopause with on-device storage — your data never reaches our servers. Flo's free tier is funded by data monetization. Horiva charges $9/mo with a 14-day free trial and no data selling at any price point.

PROS & CONS

Flo

Pros

  • Large symptom library with period tracking and general health tracking
  • AI-powered cycle predictions and health insights
  • Large community of users and educational content
  • Integrates with Apple Health and Google Fit

Cons

  • Settled FTC charges in 2021 for sharing health data with Facebook and Google without consent
  • Free tier is funded by data monetization
  • Perimenopause tracking is a bolt-on — app assumes regular 28-day cycles
  • Health data sent to Flo servers — not on-device storage
  • Premium subscription required for most useful insights
Does Flo sell your health data?
Flo settled FTC charges in 2021 for sharing health data — including period and pregnancy information — with Facebook and Google without user consent. The settlement required improved data practices but did not require deletion of previously shared data.
Is there a Flo alternative with better privacy?
Horiva stores all symptom data on your device using on-device encryption. We never see your data, cannot share it, and have no ad revenue — the privacy guarantee is structural, not a policy promise.
Does Flo support perimenopause tracking?
Flo supports some perimenopause features, but the app is primarily designed around regular menstrual cycles. Women in perimenopause report that the AI predictions become unreliable as cycles become irregular.

Related Comparisons