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Hormonal health

The missing layer in the women’s health conversation

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By Jenny Duan, co-founder of Clair Health

In the lead up to International Women’s Day 2026, women’s health leaders, experts and insiders explore the critical challenges shaping the future of women’s health

“When was your last period?”

For many women, that’s the first, and often only, hormone-related question asked during a doctor’s visit.

A complex system that influences everything from sleep quality to pain sensitivity is reduced to a singular data point: a date.

This simplification reflects a medical system shaped by decades of a lack of research in women’s health, where cyclical information was treated as a confounding factor, rather than a foundational pillar of health.

In fact, until 1993, the National Institutes of Health did not require women to be included in clinical trials.

Because of this, diagnostic frameworks were built to recognise the steady baselines of male physiology, leaving hormone-driven symptoms disregarded, and ultimately misunderstood.

I witnessed this first-hand in high school, when I volunteered at Rose Haven, a nonprofit for women and children experiencing homelessness and domestic violence.

Many of the women I worked with described debilitating symptoms, yet were met with dismissal from healthcare providers.

Without quantitative data to validate it, their symptoms were minimised.

This was the first time I understood that what cannot be measured is not taken seriously, even when someone is sitting in front of you telling you that they feel something is wrong.

The women at Rose Haven weren’t the only ones who experienced this dismissal.

Nearly 70 per cent of women with polycystic ovary syndrome (PCOS) remain undiagnosed. The average time to diagnose endometriosis is seven years.

Even cardiovascular disease, the leading cause of death among women, is more frequently misdiagnosed because symptom checklists were originally developed using male data.

These are the patterns that emerge when hormones are ignored, and while awareness has increased, many of the insight solutions available today remain outdated.

When it comes to getting hormones measured, the process lacks efficiency, accessibility, and even accuracy.

Blood tests provide a single snapshot in time, both expensive and invasive, and ultimately disconnected from daily experience.

                      Jenny Duan

Ovulation strips require precise timing and daily interpretation, confirming a surge only as it’s happening, and basal body temperature tracking tells you ovulation has already occurred.

Although more recently developed, calendar-based apps still rely on population averages, assuming 28-day cycle regularity when nearly one in three women experience irregular cycles.

Each method is either reactive or fragmented, again attempting to simplify dynamic and individualised patterns.

The opportunity in femtech today is to build systems that embrace and interpret that complexity rather than reduce it to one hormone level from three days prior.

With continuous data collection and smarter analytical models, we can begin to see hormonal patterns as they unfold in real time.

Hormone health is the missing layer in the women’s health conversation, and for decades, women have navigated their health without the tools to help them understand it.

The idea for Clair Health came from that realisation.

At Stanford, I met my co-founder, Abhinav Agarwal, and we bonded over a shared thought that healthcare innovation, especially wearable health technology, had not been built with women in mind.

Devices had been collecting heart rate, temperature, HRV, and sleep data for years, but no one had built the algorithms to translate those signals into hormonal insight.

Clair was created to change that, continuously monitoring hormones to give women a personalized understanding of their hormone health, and how the state of their hormones influences everyday well-being.

Clair is grounded in the belief that women should not have to guess when it comes to their health.

By translating continuous physiological signals into individualised patterns over time, the goal is to make hormone health more interpretable and ultimately let women understand their overall health by taking information into their own hands.

When women have access to longitudinal insight, symptoms become contextualised within patterns, and care can move from reactive to preventative.

Femtech is entering a period of acceleration as technology advances and research gaps begin to close.

The next chapter of this industry must build the infrastructure that reflects women’s unique biology.

Clair won’t force healthcare providers to ask better questions, but it will equip women with the data to back up their symptoms when they walk into the room.

When this information becomes accessible through innovations in this space, women begin to have a long-overdue and deeper understanding of their health.

Hormonal health

Women’s health leaders warn of censorship

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More than 600 women’s health leaders warn social media censorship is restricting medically accurate, life-saving women’s health information.

In an open letter, as reported in the Independent, they said essential health advice was being restricted as posts about menstruation, fertility, menopause, postpartum recovery and sexual wellbeing were being systematically censored.

The posts are frequently misclassified as “adult content” and removed or restricted by automated moderation systems, even though they are educational or medically accurate.

Dr Aziza Sesay, medical doctor and broadcaster, said: “Online censorship perpetuates the narrative that women’s and gynaecological health is inappropriate and should remain taboo.

“This amplifies the embarrassment that already surrounds these topics.

“I often say that women are dying of embarrassment because they’re not coming forward about their problems due to shame, and when they present late, outcomes are poorer.

“Shame and stigma are costing lives.”

A survey by CensHERship, a campaign to tackle the social media censorship of women’s health and sexual wellbeing content, found 95 per cent of women’s health creators experienced censorship in the past year.

Respondents cited rejected advertising campaigns, removal of educational posts, reduced reach on social platforms and a lack of transparent appeals processes.

More than half said they now self-censor their language to avoid being taken down from social media platforms.

The warning comes as leading brands including Essity, Clue, Hertility, Daye and Mooncup join a newly formed coalition, the Women’s Health Visibility Alliance (WHVA), created to challenge what campaigners say is systemic bias in how digital platforms moderate women’s health content.

Clio Wood, co-founder of CensHERship, said: “Women’s and reproductive health content is not a threat to anyone’s safety.

“This is about accurate, life-saving health information being treated as obscene, and about women-led innovation being blocked at scale.

“Our members are tired of self-censoring, of replacing ‘vagina’ with euphemisms, of seeing menopause and fertility treated as taboo.

“Visibility is not a ‘nice to have’. It is fundamental to public health, innovation and gender equity.”

The open letter also called for policymakers to “help bring platforms to the table”, by ensuring “digital regulation addresses gender bias and recognises the public health and economic cost of this issue”.

Deirdre O’Neill, chief commercial and legal officer at Hertility, said: “Hertility has carried out more than 29 research trials and operates within some of the strictest regulatory frameworks in healthcare.

“If a company like Hertility, built on peer-reviewed science and clinical evidence, can be censored while misinformation spreads freely, then the system designed to protect people is clearly failing them.”

Rhiannon White, chief executive of Clue, a period tracking app, said: “Women are the world’s largest health and wellness consumers, controlling the majority of household spending in every market, yet they remain strikingly underserved relative to their economic power.

“This gap creates three systemic pain points: a profound lack of accessible female health knowledge that forces women to self-diagnose, a confusing marketplace filled with unproven products and little evidence-based guidance, and persistent barriers to accessing care.

“Yet when companies such as ourselves and the other members of the Women’s Health Visibility Alliance seek to address these pain points, providing health information that prioritises evidence-based guidance rooted in real science, we are consistently blocked for an array of baffling, unclear and frankly biased reasons.”

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Features

Study reveals how oestrogen protects women from high blood pressure

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Oestrogen helps protect premenopausal women from hypertension by relaxing and widening blood vessels, according to new research examining why women develop high blood pressure less often before menopause.

High blood pressure, also known as hypertension, affects more than a billion people worldwide and is a leading cause of heart disease and stroke.

Premenopausal women are less likely to develop the condition than men or postmenopausal women, but the biological reason has been unclear.

Researchers used a mathematical model of the cardiovascular and kidney systems to analyse how oestrogen influences blood pressure.

The analysis found that oestrogen’s strongest protective effect comes from vasodilation, the process by which blood vessels relax and widen, helping blood flow more easily and lowering pressure in the arteries.

Anita Layton, Canada 150 Research Chair Laureate in Mathematical Biology and Medicine and professor of applied mathematics, said: “Oestrogen is often thought of only in terms of reproductive health, but it plays a much broader role in how the body functions.

“It affects how blood vessels respond, how the kidneys regulate fluids and how different systems communicate with one another.

“What we found is that its impact on blood vessels is especially important for regulating blood pressure.”

The findings may also have implications for treating women after menopause, when oestrogen levels naturally decline.

The model predicted that angiotensin receptor blockers, a common class of blood pressure drugs, could be more effective than another widely used treatment group known as angiotensin converting enzyme inhibitors in treating women with hypertension, even after oestrogen levels decline after menopause.

Layton said her team has spent years developing a mathematical model of women’s kidneys and the cardiovascular system, designed to explore how different biological mechanisms affect blood pressure.

The model allows researchers to test individual effects separately and examine how each influences the body.

“We can turn on one effect, then another, and see exactly how each one affects the body,” Layton said.

She added: “For too long, women’s health, especially older women’s health, has been overlooked by medicine.

“Understanding how age and sex affect the body and, therefore, treatment, is an equity issue.”

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Entrepreneur

Korean firm launches plant-based period pads in US

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A South Korean femtech firm has launched plant-based period pads in the US, replacing synthetic superabsorbent polymers used in most pads with a plant-derived alternative.

Most period pads, including those marketed as organic, use synthetic superabsorbent polymers, or SAPs.

These plastic-based materials sit in the pad’s core and absorb menstrual fluid.

Inertia says its Prism Pads instead use LABOCELL, a patented cellulose-based absorbent matrix derived from plants.

The company says the material manages menstrual flow while remaining lightweight and breathable.

Co-founder and chief executive Hyoyi Kim said: “In a category that has relied on the same internal materials for decades, we believed innovation had to begin at the core.”

The startup was founded by female scientists from the Korea Advanced Institute of Science and Technology.

It says many pads sold as organic use organic cotton only on the surface layer but still rely on synthetic SAPs in the absorbent core, the part of the pad that does the actual absorbing.

Each Prism Pad combines an OCS-certified organic cotton topsheet, the bio-based LABOCELL core and a sugarcane-derived backsheet.

The company says the pads contain no plastic-based SAPs, chlorine, fragrance or dyes.

The product carries USDA Certified Biobased Product status with 82 per cent biobased content and Dermatest five-star certification for skin compatibility.

Inertia says it has sold more than 10m pads in South Korea since launch and claims the number one feminine care product ranking at Olive Young, the country’s largest health and beauty retailer.

The US launch marks the company’s first international market entry.

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