How we research the educational guides on Nila.

Nila is a wellbeing and education app for people moving through perimenopause and menopause. The guides, community, and tools here are designed to help you understand what's happening and have better conversations with the clinicians who can actually diagnose and treat you. They are not medical advice, not a diagnosis, and not a treatment plan.

Don't start, stop, or change any medication, hormone therapy, or supplement based on what you read on Nila without first talking to a qualified healthcare provider who knows your history. If you are experiencing a medical emergency, call your local emergency number.

Symptom and treatment guides are written against the most recent position statements from the major menopause and endocrine societies. When those guidelines update, the affected guides are re-reviewed. When the science is genuinely contested, we say so on the page rather than pretend there's a consensus.

• The 2022 Hormone Therapy Position Statement

  North American Menopause Society (NAMS) · 2022

  Read the source

• IMS White Paper on Menopausal Hormone Therapy

  International Menopause Society (IMS) · 2024

  Read the source

• Menopause: identification and management (NG23, 2024 update)

  NICE (UK National Institute for Health and Care Excellence) · 2024

  Read the source

• Treatment of Symptoms of the Menopause: Clinical Practice Guideline

  Endocrine Society · 2015

  Read the source

Every symptom guide ends with a "References for this guide" block that lists the clinical guidelines, systematic reviews, cohort studies and landmark papers behind the editorial summary above it. We prioritise the highest-grade evidence available for each topic (clinical guideline > systematic review > cohort / RCT > narrative review > mechanism), and we label each source with its evidence grade so you can judge it for yourself.

We deliberately do not pin every individual sentence to a single citation. That pattern reads as precise but, done honestly, it's brittle: medical claims are usually supported by a body of work, not one paper. Instead, the bibliography under each guide is the evidence base for the claims above it. The same approach used by NHS, Cleveland Clinic, and Endocrine Society patient libraries.

• Nila is not a medical device. The guides are educational, not diagnostic, and not a substitute for an appointment with a qualified healthcare provider.
• We do not claim a specific named clinician has reviewed every guide unless that is true and we can name them with their credentials. Where named clinical review exists for a specific guide, it appears on that guide.
• We do not present alternative or unregulated therapies as equivalent to evidence-based care. We label them clearly when we mention them at all.
• We do not accept editorial control from sponsors. Sponsored placements are siloed in optional, clearly-marked, dismissible sections and never appear inside the body of a clinical guide. See our sponsorship policy.

• You are bleeding heavily, bleeding after sex, or bleeding after menopause.
• You have chest pain, severe shortness of breath, fainting, or new neurological symptoms.
• You are experiencing thoughts of self-harm or suicide. In that case please use the local resources on our crisis page.
• You are pregnant or might be, or you have a history of hormone-sensitive cancer and are weighing hormone therapy.

We take corrections seriously, especially on medical claims. Email editor@hellonila.com with the URL of the page and the specific claim, ideally with the source you think we should have used. We respond to every correction request, and we credit reviewers when we make a substantive update.