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Thirty seconds. One question. No forms, no diagnosis, just what felt different today.
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A perimenopause and menopause OS
A hormonal intelligence platform built for the years no one prepared you for.
Founding cohort · limited seats · founding-member rate locked for life
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Doctors get 60 minutes of menopause training in medical school. Search engines send you to forums. Your mother, if you are lucky, offers a shrug. We built Knowher because the version of care that exists is not care. It is guesswork.
Perimenopause does not announce itself in a single appointment. It shows up as a hundred small moments spread across years. Knowher asks one private question each day, remembers every answer, and turns the pattern into something you can act on, long before it becomes a crisis.
Thirty seconds. One question. No forms, no diagnosis, just what felt different today.
Sage holds every log and every question. The pattern starts to show before you would have noticed it yourself.
What is cyclical, what is trending, and what is likely coming next week, with the levers that move it.
Your record becomes a brief. You walk in with the questions, not the hope that you will remember them.
This is the part nobody else does. Clinics see you twice a year. Wearables see your body but not your experience. Knowher lives in the years in between, which is where perimenopause actually happens and where prevention is still possible.
See the first ninety days →One memory runs through all of them. The daily question feeds it, Sage reads it, the Advocate carries it into the exam room, and your community and clinicians pick up where software should stop.
One private question a day: is this normal? Thirty seconds, and your record gets smarter. No feed, no streaks, no guilt.
The inputSage remembers every log and every question, so she can tell you what is cyclical, what is trending, and what is likely coming. Non-diagnostic, and there when you ask.
The memoryWalk into every appointment prepared. A brief of questions built from your record, plain-English translations of your notes and labs, and a memory for every "let's watch it."
The actionSmall, matched circles of women at the same stage. Moderated by trained facilitators, anonymous by default, never a public feed.
The roomWhen a question crosses from information into guidance, you are handed to a menopause-trained clinician or coach. Not a chatbot. Not a "wellness advisor."
The humansApple Health, Oura, Garmin, Whoop. Your HRV, temperature, sleep, and activity feed one hormonal picture and strengthen every pre-visit brief.
The signalVisits are getting shorter. Women leave with labs they do not understand, symptoms that were brushed aside, and no record of what was actually said. The system was not built to advocate for you, so Knowher does.
Questions for your doctor, generated from your longitudinal record, your logged symptoms, and what you want from the appointment.
Upload or dictate what happened. The Advocate translates the notes and labs, organizes what was decided, and flags what deserves a follow-up question.
If a doctor said "let's watch it," the Advocate remembers, and resurfaces it at the right time.
Perimenopausal women report the highest rates of loneliness of any life stage after widowhood. That isolation is not incidental. It drives depression, sleep collapse, and cardiovascular risk. We built the platform around community for the same reason we built it around clinicians: because the evidence says both are required.
A 12-minute intake with a clinician. Connect a wearable. Set the symptoms you care about most.
Daily one-tap check-ins. Knowher starts to correlate hot flashes with sleep debt, mood with cortisol, joint pain with cycle phase.
Your first hormonal report. What is cyclical, what is trending, and what to bring to your next clinician visit.
Knowher tells you what your next two weeks are likely to look like, and which levers move it.
Cardiovascular disease is the leading cause of death in women, and menopause is the single most predictive life stage for it. Almost no product treats the two as connected. We do. Phase 2 brings continuous cardiovascular monitoring into Knowher: cholesterol, blood pressure, HRV, and hormone data in one place, with clinician-reviewed alerts when something is changing.
The daily question, Sage, the Advocate, peer pods, expert escalation, wearables.
The menopause and cardiology intersection, in one product.
Bone density, muscle mass, cognitive baselines. The second half of life, measured.
"We started Knowher because the version of care we needed didn't exist, and the women we love kept telling us theirs didn't either. We're building the platform we wish had been waiting for us."
Des Trueblood and Natalia Salter, co-founders
Board-certified OB/GYNs and menopause-trained specialists shape every feature we ship.
Your data is never sold. Ever. Export or delete anything, any time.
Every product decision passes the "would we send this to our sister?" test.
Every claim on this site is sourced. Ask us for the reading list.
The founding cohort begins onboarding this quarter. Waitlist members get first access, a founding-member rate locked for life, and our perimenopause field guide delivered to their inbox this month.
Women in perimenopause, menopause, or the years leading in. If you are between 35 and 60 and your body is doing things it did not use to, you are who we built this for.
No. Knowher makes the appointment you already have better. You show up with data, patterns, and questions instead of vague symptoms, and the Advocate never diagnoses or contradicts your clinician.
No. Sage and the Advocate explain your own records in plain English and help you ask better questions. Anything that crosses from information into guidance goes to a menopause-trained clinician or coach.
Encrypted, never sold, exportable, deletable. We treat health data the way we would want ours treated, because ours is in here too.
Founding cohort pricing is disclosed at invitation. It is meaningfully lower than what the platform will list for at general launch, and that rate stays locked as long as you stay a member.
Join the founding cohort. We are opening the platform to a small group of women first, and we would like you to be one of them.
Founding member rate locked for life · perimenopause field guide sent this month
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