Precision Menopause Care in the Era of Artificial Intelligence: Bridging Global Evidence and Indian Realities
Seema Sharma, Reeti Mehra
A
BSTRACT
Background:
Menopause is a universal biological milestone with profound implications for women’s long term health. Increasing life expectancy has shifted the focus of care from symptom relief to healthy aging, chronic disease prevention, and quality of life.
Objectives:
This review explores the evolution of menopause management toward precision medicine, the emerging role of artificial intelligence (AI) and digital health, global evidence, and the opportunities and challenges within the Indian healthcare landscape.
Materials and Methods:
A narrative synthesis of international guidelines, consensus statements, and emerging literature was undertaken to contextualize precision menopause care. The Integrative Precision Menopause Care Framework (IPMCF) is proposed, integrating Clinical, Biological, Digital, Contextual, and Compassionate Precision upon the foundations of evidence based medicine, ethical governance, and woman centred care.
Results:
Precision menopause care extends beyond genomics to encompass multi omics, behavioural, and contextual determinants. AI offers potential for risk prediction, digital phenotyping, and decision support, while digital health ecosystems enable longitudinal monitoring and telemedicine. Global consensus emphasizes individualized assessment, shared decision making, and prevention. In India, opportunities include telemedicine, mobile health, and the Ayushman Bharat Digital Mission, but challenges remain in cultural silence, fragmented services, and limited longitudinal datasets.
Conclusion:
Precision menopause care must balance innovation with equity, ethics, and compassion. Vision 2035 anticipates proactive, preventive, and participatory care shaped by validated AI, digital health, and population specific evidence. Current applications remain largely investigational; robust validation, inclusive datasets, and context sensitive implementation are essential to ensure meaningful improvements in autonomy, equity, and health outcomes for midlife and older women.