Your cycle can influence the way you feel throughout the month in ways you might have never considered.

As your hormone levels rise and fall, it can have subtle and dramatic impacts. Changing hormone levels can influence headaches, hunger, sleep patterns, and energy levels. It can seem like your body is changing at random, but it’s not. With Ava, you can finally start to make sense of it.

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See patterns in your health over time

With graphs, charts, and trend analysis, Ava makes it easy to compare your health parameters and cycle details month to month.

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Track your physiological stress levels

Everyone feels stressed from time to time. But the stress that you feel on the surface is different from the stress that your body is actually experiencing.

Things like exercise, poor sleep, eating habits, and more can create physiological stress, even if you don’t feel stressed. Ava reveals your physiological stress levels through a parameter called heart rate variability, empowering you to take action to reduce your stress levels.

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Track sleep quantity and quality

You may think you’re getting eight hours of sleep each night, but with Ava, you’ll also see what percentage of that sleep is light versus deep/REM.

You’ll be able to see how your sleep varies depending on what phase of your menstrual cycle you’re in, or whether too little sleep might have delayed your ovulation.

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Understand your fertility

Many women don’t start learning about their fertility until they start trying to get pregnant. They all say the same thing: why didn’t anyone teach them about this earlier? Knowing when you’re ovulating is just plain cool. And if you want to get pregnant someday, you’ll be way ahead of the game.

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Tracks your cycle window in real time

Unlike period tracking apps or women’s fitness wearables, Ava tracks physiological parameters which act as markers for your hormone levels.

This allows it to sense—not simply predict—what phase of your menstrual cycle you’re in.

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Track your resting heart rate

Your resting heart rate can tell you about your fitness, stress level, or even act as an early warning that you’re about to come down with a cold.

Ava’s resting heart rate tracking is more accurate than simply taking your pulse, because it tracks continuously throughout the night, capturing your true resting heart rate.

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What Ava measures

How often your heart beats per minute at rest.

Resting pulse rate is lower during the follicular phase than the luteal phase. Ava’s clinical study identified further variation in resting pulse rate throughout the menstrual cycle: resting pulse rate rose by about three beats per minute at the beginning of the fertile window.

Typical resting pulse rates are between 40 and 80 bpm. If you are very physically active, your resting pulse rate may be even lower than 40 bpm. Stress, illness, and alcohol can cause temporary increases in resting pulse rate.

The temperature of your skin at your wrist.

Skin temperature is one of the parameters Ava uses to identify your fertile window. If you’ve ever tracked your basal body temperature orally, you’ll notice that Ava’s temperature reading is several degrees lower than your oral temperature. It’s normal for skin temperature to be lower and more variable than oral temperature.

Average skin temperature reading (when taken at a room temperature of 64.5 – 77 degrees Fahrenheit) are between 90.5 – 98.2 degrees Fahrenheit.

The lower your HRV ratio, the less stressed you are.

HRV is the variation in the time interval from one heartbeat to the next. It can be used as an indicator of physiological stress: when there is a lot of variation in the time interval between heartbeats—high HRV—it means you are more resilient and less stressed. Ava measures the ratio between low frequency and high frequency waves in your heart rate. Because Ava measures HRV using this ratio, a lower number means you are less stressed.

Normal HRV ratio varies widely from person to person, but by looking for an increase or decrease from your baseline HRV ratio, you can learn about your body’s physiological stress level.

Total sleep hours and ratio of light to deep + REM sleep.

The quality and quantity of sleep you’re getting each night are important parameters to track for your fertility. Your menstrual cycle can affect your sleep, and your sleep, in turn, can affect your menstrual cycle.

Ava tracks the amount of sleep you get each night. This doesn’t count time you might spend reading in bed; Ava can distinguish between sleeping and lying quietly. Ava also tracks the percentage of light sleep and the percentage of combined deep and REM sleep.

Typical sleep cycles for adults are 50 – 65 percent light sleep and 35 – 50 percent deep sleep + REM.

The process of supplying blood to the tissues of your body.

As blood flows through your capillaries, it delivers nutrients to the tissues and helps sweep away waste. Then, the blood flows back to the heart, and begins the process all over again.

If you’ve ever had an elastic band around your finger and felt the blood flow being cut off, you’re already familiar with the process of perfusion. While you can limit perfusion with an elastic band, perfusion can also change naturally for different reasons. For example, your perfusion changes in order to keep you warm or cool you down. Perfusion also changes in relation to the menstrual cycle: it is higher in the fertile days and lower during the luteal phase.

Rate of respiration per minute.

Ava tracks your movement with an accelerometer.

This parameter allows Ava to distinguish between light and deep + REM sleep.

Heat loss is closely related to the onset of sleep.

As you lose heat through your hands and feet, your skin temperature increases and your core body temperature decreases.

Heat loss is also related to your metabolic rate. The mechanism for the maintenance of the higher temperature during the luteal phase is still a matter of scientific discussion. Some researchers believe that reduced heat loss is responsible, while others believe that higher internal heat production (increased metabolic rate) is the cause.

Bioimpedance measures the resistance of body tissue to tiny electric voltages.

This parameter provides information about the skin, including hydration and sweating patterns. As you have probably observed throughout your life, reproductive hormones have an impact on your skin. Your skin can change at different phases of the menstrual cycle, during puberty, and during pregnancy.