Abstract: Methods, systems, and devices for menopause detection and treatment are described. A system may be configured to receive physiological data associated with a user from a wearable device, and identify one or more physiological indications of a hot flash experienced by the user based on the physiological data satisfying one or more thresholds. Additionally, the system may be configured to determine a metabolic efficiency metric associated with the user based on the received physiological data, and determine a menopause metric for the user based on the metabolic efficiency metric, where the menopause metric is associated with a relative probability that the user will experience menopausal symptoms. The system may then cause a graphical user interface (GUI) of a user device to display information associated with the identified hot flash and/or one or more messages associated with the menopause metric.