News
Comment: How cutting-edge femtech can remove the barriers to IVF and close the fertility gap

Hans Gangeskar, CEO of Overture Life, on harnessing lab automation to make IVF more accessible.
As infertility rates continue to rise globally, in vitro fertilisation (IVF) is an increasingly critical aspect of women’s health and reproductive freedom.
The promise that women should be able to choose when and if to have a baby remains unfulfilled without radical technological advances in IVF both to improve outcomes and to reduce prices. At current costs and success rates, IVF remains out of reach for most women due to cost and emotional burden.
IVF has recently reentered the political arena in the US, where most women must pay out of pocket for an IVF cycle can cost in excess of $20,000 (£15,800), and on average it takes 2.5 cycles to have a baby, driving the average cost of an IVF baby to around $50,000 (£39,500).
This is obviously out of reach in most cases. The conversation has centered around better insurance coverage, but that cannot address the underlying lack of capacity. IVF is supply constrained because there are not enough IVF clinics and embryology labs to meet current demand.

Overture Life CEO Hans Gangeskar
The key to expanding access, in the US and globally, is to bring down the cost of each cycle, and drastically reduce the number of cycles necessary.
We need the opposite of the development we have seen in the rest of healthcare, where the price of services increases much faster than inflation.
Driving prices down and quality up to make IVF affordable requires new technology, standardisation and automation.
The costs of infertility and IVF are not just financial, and for many couples the burden of a failed cycle and the stress of the high financial burden combine to reach a threshold where they give up.
Researchers and experts around the world continue to tell us why fertility rates are dropping. Reasons cited range from expense of child rearing, forever chemicals, diseases like cancer and long covid and more.
It is however very clear to us that the time when women want to have children has changed, and this is an area where technology can come in and deliver more reproductive freedom to address fertility obstacles head-on.
Globally, only a fraction of fertility service demand is met, and new technology must deliver lower costs but also better results. Even successful IVF generally takes multiple attempts, with attendant stresses on physical and mental health – 80% of IVF patients report symptoms of clinical depression.
Cutting-edge femtech has the ability to address the fertility gap in novel ways, especially by modernising and miniaturising the embryology lab.
Shrinking costs
One of the main drivers of the high price tag is embryology laboratory expenses, which can account for half of all IVF costs, limiting access in several ways. First, many procedures done today are still manual, resembling ones used 45 years ago. This limits viability rates, driving up the number of cycles needed for a successful IVF.
It also means the procedures remain complex, requiring highly trained staff who are in high demand. This in turn helps make it cost-prohibitive for small facilities to fully staff an embryology lab, thereby capping availability – and over 5 million women in the UK now have limited or no access to local fertility clinics.
Bringing IVF costs down is primarily a question of opening more points of care. We need to make it possible to offer IVF services alongside other medical services making it economically viable to serve only 100 IVF cycles per year, or even as low as 20.
Technology is beginning to enable this potential. In addition, the promise of automation is not just efficiency, it is the ability to standardise and iterate. And this isn’t just the ability to standardize across an industry, but to standardize between shifts in a single clinic.
IVF clinics have pioneered many advances in the field, but it is also a very manual and artisanal practice, making it hard to copy processes from one embryologist to another, let alone from one clinic to the next.
Automated technology helps standardise steps like egg freezing, intracytoplasmic sperm injection (ICSI), and embryo selection, which are prone to human error.
Together, these platforms have been shown to improve viability rates meaningfully – a huge cost savings for patients. It can also shrink the required overhead for a small facility by an order of magnitude, further lowering costs while expanding access.
An automated world
Bringing IVF services to fertility deserts first and foremost requires portability. Microfluidics, a technology popularised in medtech to bring complex processes closer to the point of care, is important for both shrinking and automating vitrification – the freezing and thawing of eggs and embryos.
Because it is a more gentle way of handling cells (eggs), microfluidics reduces osmotic stress on fragile cells, minimising egg and embryo loss. It also enables small, powerful automated devices.
Robotics is also key for any automation paradigm, generally reducing both handling time and process complexity. There is a prime opportunity for improvement when making an embryo, the most challenging task in an embryology lab.
Technology is now in use that can automate the technique known as Piezo-ICSI, a gentle and precise method to inject sperm into an egg that improves both fertilisation and blastocyst development.
Robotic ICSI has already resulted in two live births and has been shown to increase fertilisation rates to 93 per cent, compared to 89 per cent for manual methods.
Of course, the consistency of robotics also removes the potential for human variability and error, removing the potential for fatigue.
Anecdotally, some IVF clinics have noted lower success rates when complex manual procedures are performed by embryologists late in the day.
A robotic platform can also reduce inconsistency between embryologists and between labs, which translate into more consistent, better outcomes.
The third critical piece for automation excellence is advanced analytics, especially when paired with AI techniques. Technology has been deployed to improve on standard preimplantation genetic testing (PGT), which helps identify and select embryos without genetic disease.
However, standard PGT predicts embryo implantation at just 60%, leaving plenty of room for improvement. It also relies on a biopsy to remove cells from the embryo, which carries a small risk of damaging it.
Newer methods utilize metabolomics powered by machine learning. These platforms have been shown to improve implantation prediction accuracy above 80%, and can identify and discard 90% of aneuploid embryos (with chromosomal abnormalities). Because only metabolites produced by the embryo, no invasive biopsy is required, reducing the demand on embryologists while helping to identify stronger embryos.
Given the significant and growing fertility challenges around the world, and the notable gaps in access to treatment driven by cost and geography, it’s clear that we in the fertility field need to do a better job of reaching women everywhere. Because labwork is not patient-facing, its impact can be broadly underestimated or even ignored.
However, the reality is that there are multiple opportunities to improve the embryology lab through automation, improving outcomes and ensuring embryologists can spend more time with more patients.
Hans Gangeskar is CEO of Overture Life, which aims to simplify and automate the complex processes of embryology.
News
UK femtech investment surges 194% in a decade, research finds

UK femtech investment has risen by more than 194 per cent over the past decade, with deal activity and funding both increasing, new research has found.
The number of deals increased from 18 in 2015 to 53 in 2025, while total funding rose from £9.4m to more than £100m over the same period.
Despite the growth, deal volume and value remain relatively low compared with other parts of the health and care market. Healthcare recorded 69 deals in 2015 and 171 in 2025.
More companies have raised funding over the past decade, while investment values have also increased. Average deal size more than doubled from £527,000 in 2015 to £1.9m in 2025.
Some of the largest funding rounds last year included SheMed at more than £37m, Gaia at £12m, emm at £6.8m and Hertility at £5.9m, with the majority of investors based in the UK.
The research found femtech remains largely early-stage, with seed investments accounting for most deals.
However, venture capital involvement has increased over the past decade, which the research said showed the market was becoming more mature. The number of VC deals rose by 600 per cent.
Vicky Protano, corporate partner at Mills & Reeve, which conducted the research, said: “Over the last decade, the UK femtech ecosystem has expanded, both in terms of deal activity and funding levels. This positive upward trend demonstrates growing investor confidence in femtech and increasing institutional interest in the sector.
“Whilst companies in femtech have relied heavily on angel investors and angel networks to fund their growth ambitions, dynamics are shifting, with more venture capital and PE investors appearing in funding rounds. However, this is just the beginning and there is still more to do. While the sector has experienced strong growth, more work needs to be done to create the right funding environment that is balanced and evenly spread across the UK.”
The research found most deals had taken place in London. While the capital has strengthened its position as the UK’s main hub for femtech start-ups, regional clusters are gradually emerging elsewhere.
Protano said: “Whilst London clearly remains a dominant location for women’s health businesses and investment – both in terms of deal activity and total funding – there is a gradual move to regional expansion outside of the capital, with the South West, South East and the East of England showing increased investment activity in the femtech sector. What the data also highlights is a growing North/South divide, with areas such as the North East, North West, and Yorkshire & Humber significantly underrepresented in the national figures.
“As a national firm, we are also witnessing that similar divide. More investments are being made into women’s health businesses based in the South – and more businesses are, often as a result, locating themselves there, rather than in the North. This is representative of the investment landscape as a whole. However, growth in the femtech sector is being supported by growing regional innovation hubs, the increasing influence of university spin-outs, as well as improved support for start-ups at a regional level.”
She added: “Looking at the positives, we have advised and are continuing to advise on some significant investments in the sector. This further evidences the growing nature of femtech, with sector specific investors also coming to the market.”
Examples include Northern Gritstone’s investment in IVF technology business IVF Micro and Phoenix Private Equity’s investment in London Gynaecology, a provider of private gynaecology clinics.
Other deals include an EKA Ventures-led investment in tech-enabled postnatal care company Hesta Health and Amulet Capital’s acquisition of TFP Fertility.
September marks 10 years since the term “femtech” was coined by Ida Tin, co-founder and chief executive of Clue, one of the first period-tracking apps for women, and founder of think tank Femtech Assembly.
The global market grew to US$9.12bn in 2025 and is projected to reach US$41.4bn by 2034.
Despite that growth, women’s health is still not treated as a priority and significant gender inequalities remain globally in research, trials, diagnosis and treatment, continuing to disadvantage women.
Tin said: “I want men with money and power to get femtech on their radar. The business opportunity is there. The societal economic argument is there.”
Charlotte Lewis, commercial health lawyer at Mills & Reeve who specialises in healthtech and women’s health, said: “For far too long, ongoing disparities in women’s healthcare across the UK have adversely impacted women’s health outcomes, often resulting in prolonged diagnosis and treatment – some of which are well publicised, including the time it takes to diagnose women’s health issues such as endometriosis and rising maternal mortality rates.
“However, we are seeing the landscape beginning to shift in a more positive direction. Our experience is that this is helped by more open discussion and conversations which highlight the issues.
“The data around the sector is valuable and growing and demonstrates the progress that is being made from an investment point of view, creating a better environment where digital innovation can thrive, with a renewed focus on prevention through market-leading consumer-driven products.
“The UK has a real opportunity to transform women’s healthcare into a model of fairness, accessibility, and excellence, and femtech businesses have a crucial part to play in achieving this transformation. As a firm, Mills & Reeve is passionate and dedicated to continuing to influence and support this transformation.”
Fertility
No clear evidence common embryo transfer techniques improve IVF success, review finds

Common IVF preparation techniques used before embryo transfer have no proven effect on pregnancy rates, according to a review.
Researchers said evidence for the widely used practices remains uncertain because available studies are limited and generally of low quality.
Embryo transfer is the final and most vulnerable stage of IVF, when an embryo is placed into the womb. Only around one in three transfers results in pregnancy.
Practice varies between clinics, with some routinely using preparation techniques such as adjusting bladder fullness while others do not consider them necessary.
Dr Ryosuke Akino, practising obstetrician-gynaecologist from Kato Ladies Clinic, said: “To an extent, this is a case of tradition driving practice rather than the evidence.
“Current practices in this area often reflect local protocols, clinician preference, and historical convention rather than strong, high-quality evidence.”
The Cochrane review analysed 11 studies involving 2,524 women undergoing embryo transfer.
Researchers looked at three preparation techniques used by fertility clinics: having women arrive with a full bladder to straighten the angle between the uterus and cervix, removing cervical mucus and using a technique called afterloading.
Afterloading is a technique used to guide the embryo through the cervix.
The review found no reliable evidence that any of the three approaches improved pregnancy rates compared with standard care.
Researchers rated the evidence as low or very low certainty because the trials were small and had methodological weaknesses. They found no grounds to recommend any of the techniques over standard care.
There was also limited information about possible side effects.
The review team, which included methodologists and practising obstetrician-gynaecologists, said full bladder preparation and cervical mucus removal were generally considered safe, with no clear evidence of harm or major complications.
Dr James Brown, obstetrician-gynaecologist from Women’s Health and Research Institute Australia, said: “While these techniques are generally considered safe, it’s still important to test their effectiveness.”
Akino and Brown added: “A full bladder can be uncomfortable, although it may ease catheter insertion in certain uterine positions and reduce procedural difficulty.
“Mucus removal is usually quick, but if done roughly and causes bleeding, it may affect the woman’s experience.
“Overall, the risks are minor and relate mostly to discomfort and procedural factors rather than clinical harm.”
The authors said embryo transfer has changed relatively little despite major advances elsewhere in IVF.
Research has instead focused more heavily on embryo quality and genetic factors, which have a greater bearing on treatment success than transfer technique.
Embryo transfer also depends heavily on the person carrying out the procedure and can be difficult to standardise, making large, rigorous clinical trials harder to design.
Researchers said women may also be reluctant to risk valuable embryos by taking part in randomised studies comparing different transfer techniques.
Dr Noyuri Yamaji from Showa Medical University in Japan said: “Sixteen years of research still haven’t answered a basic IVF technique question.
“This is a critical step in the IVF process and these small changes and techniques have the possibility to make a massive difference, but we won’t know more until more robust, better-quality trials are conducted.”
All the studies assessed were carried out in high-income countries, meaning the findings may not necessarily apply to other healthcare settings and populations.
The authors said further research could be particularly valuable in resource-limited settings, where these procedures are inexpensive and simple to change and basic procedural standardisation could matter more than advanced technical modifications.
Hormonal health
Menstrual data is missing a critical layer: The mind

By Aleena Ashraf, neuroscientist, published author and part of Véa’s Clinical Advisory Board
Menstrual data is missing a critical layer: the mind.
The menstrual cycle won’t be fully understood until we track the mind alongside the body.
We measure the body exceptionally well.
Just three period-tracking apps, Clue, Flo and Period Tracker, have been downloaded over 200 million times combined.
Dates, symptoms, mood and fertility windows are all diligently monitored.
Still, logging when a period starts doesn’t document what it’s like to live inside a cycle.
A recent survey reported 61.9 per cent of participants used period-tracking apps for more than two years, yet only surface-level data could be observed.
Mental clarity, motivation, resilience, mental load, none of this gets recorded.
Which is why the data can’t answer one of the most common questions women ask themselves: why does the same task feel manageable one week and impossible the next?
Get this right and the payoff is significant: more precise, predictive and personalised care.
Neuroscience and the menstrual cycle
The menstrual cycle isn’t only a reproductive process.
It’s a neurobiological rhythm that the brain actively regulates.
Ignoring that means overlooking the system driving much of what gets logged as “mood”.
After menstruation, rising estradiol lifts serotonin and dopamine, sharpening mood, motivation and mental efficiency.
This is the phase where pushing hard toward a goal tends to feel the easiest.
Later, progesterone takes over and increases GABA, the brain’s calming neurotransmitter.
The body shifts toward rest and recovery: slower pace, more introspection and less drive for risk.
The brain isn’t weaker in one phase and stronger in another. It’s continuously realigning to match hormonal change.
This isn’t a drop in capability but a shift in cognitive mode.
Hormonal changes aren’t disruptive – they’re informative.
The subjective experience of every woman living through them is exactly where current data systems fall short.
The lived experience is missing
What it actually feels like to think and function differently across the month remains almost entirely undocumented.
Women keep pushing through their cycle to meet constant demands at work and at home.
The cost doesn’t show up immediately but builds quietly, then surfaces as burnout, anxiety or withdrawal.
The turning point is rarely dramatic. It lives in small, recurring thoughts:
“Why does this feel harder today?”
“Why can’t I think straight?”
“Why is everything triggering me?”
During the luteal phase, irritability is usually treated as a symptom to control or tolerate.
There is lower tolerance for social demands, heightened sensitivity to routine tasks and occasional emotional outbursts.
But tracked over time against the cycle’s stages, it stops looking random.
It becomes a measurable signal of cognitive and emotional load.
The same is true for the urge to withdraw.
Read in isolation, it looks like disengagement, a dip in performance or a personal shortcoming.
Read longitudinally, it frequently lines up with the phase where the brain is shifting toward introspection and recovery.
Rather than seeing it as avoidance, it’s regulation.
Picture a professional in a high-pressure role.
In one phase of her cycle she is sharp, decisive and efficient.
In another, she is re-reading the same email, struggling to focus and disproportionately overwhelmed by routine tasks.
Without context, that looks like inconsistency.
With context, it’s a pattern that can be understood, anticipated and supported.
Journaling reveals the missing layer
Journaling is already a proven way to surface this deep layer.
It’s well established for improving mental health and stress regulation.
A 2022 systematic review reported a 9 per cent decrease in anxiety levels through writing.
But its potential goes further than that.
Journal entries build a longitudinal record of how someone’s inner state and hormone-linked rhythms evolve across the cycle, across roles, across time.
The problem is journaling can be hard to sustain without structure.
It’s also tricky to know what to write, as it’s self-directed.
Insights end up buried in raw writing, disconnected from the neurological pattern actually driving it.
Véa is a digital platform that guides women to document their lived experience over time, surface recurring trends and put words to what they’re going through.
It develops freeform writing into systematic self-reflection through a framework supported by neuroscience.
This captures snapshots of how women are thinking and feeling across different phases of the cycle.
Guided support peels back layers of cognition and emotion, surfacing what current menstrual data misses.
No single narrative gets imposed on every user.
Instead, the method leaves room for genuinely different perspectives of productivity to emerge.
Performed well, this turns journaling into a system of signals, not a pile of disconnected entries.
Done responsibly, privately and anonymously, this kind of data could help understand more about female health.
It isn’t diagnostic and it isn’t here to label anyone. But it can feed clinical understanding and future research alike.
What changes if we take this seriously
Treat the menstrual cycle as a neurological framework rather than a purely reproductive one, and the entire model of care begins to change.
It’s possible to identify strain earlier.
Work can be paced differently.
For clinicians, it means treatment plans that account for cyclical variation in symptoms and inner state.
For researchers, it gives a richer dataset that moves past static and linear measurements toward dynamic patterns.
For employers, it’s a chance to build more personalised ways of working around shifting cognitive load.
For families, it’s a reason to recognise and redistribute the invisible load carried by female homemakers.
This also fits within the broader shift toward preventative healthcare.
Catch the early signs and intervention can happen before burnout or more serious conditions take hold.
The menstrual cycle may be one of the richest data systems we have, if we are willing to read it correctly.
Learn more about Véa at veajournal.com
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