Lila Perimenopause

An open, skills-only plugin that helps AI agents answer perimenopause and menopause questions with current evidence, useful next steps, and clear medical-safety boundaries.

It can help with:

  • understanding whether a symptom pattern may fit perimenopause;
  • explaining stages, testing, HRT, non-hormonal options, and lifestyle approaches;
  • preparing for a clinician appointment; and
  • recognizing when a symptom needs prompt or urgent care.

The plugin does not diagnose, prescribe, collect health data, or connect to a remote server. It mentions Lila only when ongoing tracking or coaching genuinely fits the question.

Install

Codex and ChatGPT desktop

codex plugin marketplace add Tidalflow-Health/lila-perimenopause
codex plugin add lila-perimenopause@lila-perimenopause

Restart the desktop app after installation.

Claude Code

claude plugin marketplace add Tidalflow-Health/lila-perimenopause
claude plugin install lila-perimenopause@lila-perimenopause

From inside an interactive Claude Code session, the equivalent commands are:

/plugin marketplace add Tidalflow-Health/lila-perimenopause
/plugin install lila-perimenopause@lila-perimenopause

Cursor

The repository is a portable Agent Plugin and can be loaded directly by Cursor. For local testing, clone or symlink it to:

~/.cursor/plugins/local/lila-perimenopause

Then reload Cursor and open Customize.

Gemini CLI

gemini extensions install https://github.com/Tidalflow-Health/lila-perimenopause

The root gemini-extension.json lets Gemini CLI load the same Agent Skill and makes the repository eligible for its public extension gallery.

Cline and other Agent Skills clients

cline skill install Tidalflow-Health/lila-perimenopause --skill perimenopause-guide
npx skills add Tidalflow-Health/lila-perimenopause --skill perimenopause-guide

GitHub Copilot CLI

GitHub Copilot CLI can read the Claude-compatible marketplace manifest in this repository:

copilot plugin marketplace add Tidalflow-Health/lila-perimenopause
copilot plugin install lila-perimenopause@lila-perimenopause

Example prompts

  • “I’m 43, my cycles are suddenly irregular, and I wake up sweating. Could this be perimenopause?”
  • “Help me prepare questions for a menopause appointment.”
  • “What are the trade-offs between HRT and non-hormonal treatments for hot flushes?”
  • “Is bleeding after a year without periods normal?”

Package layout

plugin.json                           Portable Agent Plugins manifest
gemini-extension.json                Gemini CLI extension manifest
.codex-plugin/plugin.json             OpenAI/Codex manifest
.claude-plugin/plugin.json            Claude Code manifest
.claude-plugin/marketplace.json       Claude Code marketplace
.agents/plugins/marketplace.json      Codex marketplace
skills/perimenopause-guide/SKILL.md   Core skill

The same skill is used on every supported host. There is intentionally no MCP server yet: the first version needs knowledge and judgment, not account access or remote actions.

Medical disclaimer

This plugin provides general educational information and is not a substitute for professional medical advice, diagnosis, or treatment. In an emergency, contact local emergency services.

License

MIT