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Opinion

Fertility testing shouldn’t be scary – here’s everything you need to know

By Tess Cosad, CEO and co-founder at Béa Fertility

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Tess Cosad

For many experiencing problems conceiving, fertility testing can offer valuable health insights. Here Tess Cosad, CEO and co-founder at Béa Fertility, explains everything you need to know.

Around one in seven couples will have difficulties conceiving. Fertility problems can be caused by a number of factors, including health conditions like endometriosis and fibroids, having a low sperm or egg count, or lifestyle factors such as smoking.

For one in four couples, a specific cause cannot be identified. Nevertheless, the best place to start if you’ve been struggling to conceive for over a year is to undergo fertility testing.

What is fertility testing?

Fertility tests are investigations designed to help determine if there’s an underlying cause as to why you’re not getting pregnant.

You can undergo fertility testing via your GP, or you can order tests online using companies such as Hertility (female hormone and fertility testing) and ExSeed (sperm testing).

Based on the results of your tests, your GP should be able to advise on next steps to help you conceive.

There are different tests available to determine male factor infertility, female factor infertility or unexplained infertility.

What to expect when undergoing fertility testing?

The fertility testing process will differ slightly depending on whether you order tests online, or seek testing through your GP.

If you are going through your GP, they will usually ask questions about your menstrual cycle, your medical history, if you take any medications, how long you’ve been trying to conceive for and when and how often you have sex. These questions will help your doctor work out what investigations to perform.

Most commonly, these investigations will often involve blood tests to establish if you’re ovulating, an ultrasound to assess your uterus, fallopian tubes and ovaries and a semen analysis which will show the quantity and quality of semen and sperm.

It’s important to be honest and transparent when answering your GPs questions. Although the questions may feel personal, responding honestly will help them make well-informed decisions on best next steps.

What are the different types of fertility tests?

When you first approach your GP for fertility testing, they will perform some initial investigations using blood tests.

If you order a fertility testing kit online, you will usually be asked a series of questions to help the company determine which tests to send you.

The exact tests you undergo will depend on your specific circumstances, but will typically involve tests to assess menstrual cycle hormones, thyroid hormones and indicators of ovarian reserve.

  • AMH (anti-müllerian hormone) test – AMH is produced by the follicles in your ovaries, little sacs. Just as women’s egg count decreases with age, so do our AMH levels. An AMH test can give a good indication of egg quantity, and can also help signal some reproductive health conditions like polycystic ovaries.

  • P21 or progesterone test – This is a blood test that is performed in the middle of the luteal phase, which is after ovulation and before your period begins. The test is scheduled for seven days before your period begins, so the timing is based on the length of your cycle. In a 28 day cycle, this test would commonly be performed on day 21. The test measures progesterone levels to assess if ovulation has taken place.

  • FSH (follicle stimulating hormone) test – FSH stimulates the growth and production of eggs in the first part of the menstrual cycle. This blood test may be used to give an indication of the ovarian reserve – how many eggs you have in your ovaries.

  • LH (luteinising hormone) test – LH should reach a peak before ovulation: a rise in the hormone signals to the ovaries to release an egg. If LH levels are overly high, this can have an abnormal effect on the ovaries. The LH test is used to assess LH levels and their impact on egg release.

  • E2 (oestradiol) test – High levels of oestradiol may suppress other reproductive hormones that are responsible for ovulation, so an elevated E2 could mean that you’re not ovulating each month. The E2 test assesses E2 levels to understand whether this hormone is impacting ovulation.

Depending on your circumstances, your GP may also arrange the following tests:

  • Prolactin test – Elevated levels of prolactin may suppress ovulation, so prolactin may be checked if periods are absent.

  • TSH (thyroid stimulating hormone) – Both an overactive and an underactive thyroid gland can have an impact on ovulation. Measuring TSH levels would give an indication as to whether this is the cause of any fertility issues.

  • Testosterone – Raised levels of testosterone in women can disrupt the menstrual cycle and may lead to irregular cycles. In men, low levels of testosterone can impact sperm production.

An ultrasound may also be performed to examine the uterus, fallopian tubes and ovaries and identify abnormalities.

Testing for male factor infertility

During early fertility investigations, a semen analysis is often performed to check if there are any issues with the sperm, such as a low sperm count or low motility (movement of the sperm). They will test for the following factors:

  • Semen volume

  • Sperm concentration (concentration of sperm per millilitre of semen)

  • Sperm count (total number of sperm number)

  • Sperm motility

  • Sperm morphology (whether majority of sperm are ‘normal’ or abnormal forms)

If the result comes back abnormal, a semen analysis would usually be performed again in three months’ time.

The term infertility can sound scary, but it doesn’t mean you’ll never become a parent.

Fertility testing is the first step to help doctors identify the potential root of the problem, and they will use this information to recommend treatments and next steps.

Even if you are diagnosed with ‘unexplained infertility’, there are lots of brilliant fertility treatment options out there to help you on your journey to starting a family.

If you choose to seek fertility testing using a private company, rather than going through your GP, do your research to ensure you’re ordering your tests from a reputable source with a track record of accurate and actionable results.

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Opinion

From platforms to people: The next era of femtech

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By Katrina Zalcmane, head of partnerships and growth, Véa

The next era of femtech shifts focus from platforms to people as women rethink how technology fits into wellness and social life.

Women are spending less time on ambient, always-on digital environments and more time in bounded, intentional, in-person settings.

This is not a rejection of technology but a reprioritisation of how and where it belongs. For femtech, this shift is not cosmetic. It signals a structural change in user expectations – one that has implications for product design, engagement models and long-term relevance. 

I explore three key signals underpinning this shift: reduced engagement with social media platforms, the resurgence of in-person, women-led communities and growing fatigue with fragmented digital tools.

Signal 1: Declining Engagement With Social Platforms Among Women

Multiple data sources point to a flattening or decline in engagement with traditional social media platforms, particularly among women:

  • Pew Research Center reports that adults are increasingly “actively limiting” their social media use, with women more likely than men to cite emotional exhaustion and reduced wellbeing as reasons.
  • Ofcom’s Online Nation report shows year-on-year declines in time spent on social platforms among UK women aged 25–44, alongside rising use of messaging and offline coordination tools.
  • Meta itself has acknowledged a shift away from “social graph” engagement toward private, smaller-group interactions in recent earnings calls.

While this is not mass abandonment, it does indicate selective withdrawal: fewer platforms, less ambient presence, more intentional use.

Signal 2: The Rise of In-Person, Women-Led Communities

At the same time, participation in physical, community-based activities has increased. Examples include:

  • the growth of women-led run clubs and fitness collectives across major cities, often operating independently of digital platforms;
  • the expansion of paid, small-scale retreats and circles focused on reflection, creativity or embodiment;
  • increased demand for local, recurring group experiences rather than one-off events.

While women are stepping back from social platforms, they are stepping into real-world communities. ONS data on social capital shows a post-pandemic rebound in in-person participation, particularly among women aged 25-45, with a preference for smaller, repeat gatherings over large social events.

What distinguishes this wave of community-building is intentionality. These spaces are bounded, often invitation-based and deliberately offline.

They are designed to counteract overstimulation rather than add to it.

Signal 3: Tool Fatigue and the Consolidation of Digital Habits

Alongside social media fatigue, there is growing evidence of “tool fatigue” across wellness and productivity categories:

  • App retention rates across health and wellness remain low, with industry benchmarks showing that fewer than 25 per cent of users remain active after 30 days.
  • Deloitte’s Digital Consumer Trends report notes a move toward app consolidation, with users preferring fewer, multi-purpose tools over fragmented stacks.
  • Qualitative studies show women are particularly sensitive to cognitive overload caused by managing multiple apps for mood, cycles, health, reflection and social coordination*.

The implication is not that women want less support but that they want smarter, simpler tools that can actually help manage their inner lives.

What This Means: A Shift in the Role of Technology

Taken together, these signals point to a clear trend: technology is moving from being a primary site of social life to a supporting layer around it.

Women are not asking apps to become communities. They are asking them to:

  • help them reflect and process privately;
  • reduce cognitive and emotional clutter;
  • support real-world relationships rather than replace them;
  • operate in bounded, intentional ways.

This reframes success metrics. Engagement time and daily active use become less meaningful than whether a tool genuinely increases capacity, clarity and presence outside the app.

Implications for Femtech

For femtech, this marks a decisive transition. The first phase of femtech focused on visibility: tracking cycles, symptoms and bodily data that had previously been ignored.

The next phase will focus on integration: helping women make sense of experience in ways that support how they live, relate and gather.

Femtech products that attempt to:

  • replicate community digitally,
  • build social feeds under the banner of wellbeing,
  • position AI as a substitute for real connection,

risk misaligning with where behaviour is actually moving. 

By contrast, femtech that treats technology as infrastructure, not destination, is better positioned for longevity.

Where Véa Fits

Véa was built with this shift in mind.

Rather than attempting to replace connection or build another social layer, Véa focuses on internal processing – neuroscience-backed journaling, emotional pattern recognition and reflective AI support – so that women can show up more clearly in their real lives.

Importantly, Véa is not only a digital tool.

It is designed to extend into physical space, through curated in-person experiences and community gatherings that prioritise presence, embodiment and shared reflection.

The digital layer exists to support the human one, not compete with it. In a context of tool fatigue and selective disengagement, this hybrid model – digital support paired with real-world interaction – aligns closely with how women are choosing to engage today.

Over the next decade, the most resilient femtech products will not be those that maximise time spent inside ecosystems but those that give women back the capacity to return to their lives – with greater clarity, energy and real-world connection.

It’s time to design femtech that empowers presence over engagement.

*Reich-Stiebert, N., Froehlich, L. and Voltmer, J.-B. (2023). ‘Gendered mental labor: A systematic literature review on the cognitive dimension of unpaid work within the household and childcare’, Sex Roles, 88, pp. 475–494.

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Opinion

How Women in Tech Switch Off Without Switching Off

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Modern tech work blurs the boundary between focus and fatigue. Notifications spill into evenings, side projects jostle for attention, and the same screens we use to ship code stream our downtime. The answer is not to disconnect completely. It is to design small, protective rituals that restore energy while keeping a gentle sense of control. Short, low pressure restorative online play can sit alongside other evening habits without draining tomorrow’s focus.

Make Recovery a Feature, Not a Fix

Burnout rarely arrives in a single moment. It builds through micro stresses that never get cleared. Treat recovery as a product feature you ship every evening, simple and reliable rather than grand and rare. Start with boundaries that mark the end of the workday. Close the laptop, write a one line note about tomorrow’s first task, and put your kit out of sight. That single gesture creates a clean edge the brain respects.

Then change the environment. Shift lighting from cool to warm, swap the chair for the sofa, and set your phone to a calmer home screen. These cues matter. They tell your nervous system the mode has changed so you can mix mental rest with light engagement that still feels intentional.

Short, Screen-literate Rituals That Actually Work

  • A ten minute mobility or stretch video resets posture after hours at a desk
  • A tidy loop, like clearing the downloads folder or filing screenshots, reduces digital noise
  • A breath guided practice that ends on the dot gives a measurable downshift
  • A single chapter of a book or a short podcast episode keeps attention light and finite

When energy is low, aim for the smallest possible win. Two minutes of breathing still counts. One drawer tidied is still progress. Preserve the shape of recovery rather than chasing perfection.

Where Light Online Play Fits

Play is a human need, not a teenage phase. In the right dose it helps down regulate stress and restores a sense of agency after a day of reacting to tickets and pings. Keep it light and bounded. Choose modes that resolve in fifteen to twenty minutes, mute work apps, and set a visible stop time before you start. The aim is a calm, finite session that ends cleanly.

Cosy builders, puzzles, or narrative adventures often deliver novelty without social pressure. If you prefer something social, co-op rounds that finish quickly provide connection without dragging the night. Headphones with a gentle volume limit protect shared spaces and evening quiet.

Pair play with tiny chores so life runs smoother. Start a short download, fold laundry while it completes, then enjoy your round guilt free because the house already feels calmer. This is deliberate energy management, not indulgence.

Design a Space That Calms On Sight

  • Put a warm lamp on a simple timer so evenings do not begin under harsh light
  • Keep controllers, headphones, and chargers in one tray so play starts cleanly and puts away fast
  • Use a standing phone dock during dinner to avoid reflex checks
  • Keep the bedroom device light and cool in tone so your brain associates the space with sleep

If you live with others, make the evening rhythm visible. A shared quiet hours note, a soft household wind down alarm, and a last call for dishwashing help everyone respect the boundary between work and rest.

A Weeknight Template That Holds Under Pressure

  • Shutdown: one line for tomorrow, close tabs, quick desk tidy
  • Reset: ten to fifteen minutes to settle the kitchen and lay out morning basics
  • Nourish: simple dinner that keeps cleanup minimal
  • Reward: one short activity on a timer, with light online play as an option
  • Wind down: warm lights, gentle stretch, phone on do not disturb, consistent lights out

If you miss a step, shrink it rather than skipping the whole routine. Small completions compound. Over a month they beat heroic bursts every time.

Leadership Starts With Example

Team norms shape personal wellbeing more than any tool. If you manage others, model sane hours and visible shutdowns. Delay send late emails, publish focus blocks, and praise outcomes over urgency theatre. Encourage short, restorative breaks through the day so evenings do not have to undo quite as much. When leaders normalise humane rhythms, teams follow and results improve because people are not running on fumes.

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Opinion

Why period pain feels worse in winter

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By Ruby Raut, founder and CEO, WUKA

If you have ever noticed that your cramps feel sharper, your mood dips harder, or your energy seems to disappear during the colder months, you are not imagining it. Winter can genuinely make periods feel more painful and more difficult to manage. The combination of cold weather, less sunlight, increased tension in the body, and reduced activity creates the perfect storm for stronger cramps and heavier emotional symptoms.

Understanding why this happens gives you the power to manage your cycle with more confidence. Here is the most digestible explanation of why winter and period pain are so closely linked.

Cold weather tightens blood vessels

When temperatures drop, your body goes into protection mode. To conserve heat, it tightens your blood vessels, especially around your hands, feet, and lower abdomen. While this is a smart survival response, it comes with an unwanted side effect for menstruation.

Your uterus is a muscle. Like any muscle, it needs good blood flow to relax and function smoothly. When the blood vessels around your pelvis tighten, circulation naturally becomes slower. Less blood flow means the uterus has to contract harder to shed its lining, and this can make cramps feel deeper, sharper, and more persistent.

This is why heat has always been one of the most effective comfort tools during a period. Warmth helps blood vessels open again, improves circulation, and relaxes the muscle of the uterus.

Your muscles tense up in the cold

Cold weather does more than chill your skin. It makes your whole body tighten without you even realising it. Think about how your shoulders creep upward when you step into the winter air or how your spine curls slightly for warmth. The same tension can build in your abdomen and pelvic floor.

Tighter muscles mean more resistance against the natural contractions of the uterus. When everything around the uterus is tense, cramps can feel more intense and more difficult to soothe. Even mild pain can feel magnified when the surrounding muscles are already stiff.

This is one of the reasons gentle movement, stretching, and warm baths can make such a difference during winter periods. Anything that eases tension also eases pain.

Less sunlight affects your mood and pain perception

Winter brings shorter days and longer nights, and that naturally reduces your exposure to sunlight. Sunlight plays a key role in regulating serotonin, the hormone that helps stabilise mood and influences how we experience pain.

Lower serotonin can lead to lower energy, stronger mood swings, and more emotional sensitivity. Because serotonin also impacts the way the brain processes discomfort, low levels can make cramps feel more intense.

This emotional shift can make PMS symptoms feel heavier too. Irritability, sadness, and bloating can all feel amplified during the colder months, creating a cycle that feels harder to manage.

Winter usually means less movement

Colder months naturally lead to less physical activity. We walk less, we spend more time indoors, and many people find it harder to stay motivated to exercise. While rest is important, the lack of movement has a direct impact on period pain.

Moving your body improves blood circulation and reduces inflammation. When you sit for longer or avoid movement due to cold weather, blood flow becomes slower and inflammation can rise. Both of these factors contribute to stronger cramps.

Even gentle activity makes a difference. A short stretch, a ten minute walk, or simple breathing exercises that open the chest and abdomen can support circulation and ease pain.

Prostaglandins may spike in colder weather

Prostaglandins are natural chemicals that help the uterus contract during menstruation. Higher levels are linked to stronger cramps and heavier flow. Some research suggests that colder temperatures and lower physical activity may increase the production of prostaglandins, although this varies from person to person.

This means that the natural winter slowdown combined with the physical effects of cold weather can lead to more intense uterine contractions, which again results in more painful periods.

How to make winter periods easier

The good news is that small, accessible habits can make a big difference to how your body feels during winter.

Use warmth generously

Heat patches, warm showers, hot water bottles and cosy clothing help open up blood vessels and soothe the uterine muscle.

Move your body even a little

Short walks, stretching routines or low impact workouts help improve circulation and reduce inflammation.

Support your mood with sunlight

Get outside during daylight hours whenever possible. Sitting near windows or using a light therapy lamp can also support serotonin levels.

Eat warming and nourishing foods

Soups, ginger, turmeric and herbal teas help comfort the body and may reduce inflammation.

Choose period products that keep you comfortable

Secure, breathable period underwear can help you feel more relaxed and confident, especially when your body already feels tense from the cold.

Winter does not have to mean more painful cycles.

With warmth, gentle movement, and an understanding of how your body responds to the season, you can navigate cold month periods with more comfort and control.

Find out more about WUKA at wuka.co.uk

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