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Opinion

“Menopause can no longer be ignored if we are to close the gender health gap”

By Harriet Bradley, NHS GP and medical director at Kry Livi

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Despite 13 million women in the UK experiencing perimenopause or menopause, awareness and understanding of this transformative life stage remains behind the curve.

A natural part of female ageing, menopause marks 12 months since a woman’s last period and the end of her reproductive years. During this time, many women experience symptoms that can be intrusive to their daily lives, such as hot flushes, poor sleep and concentration and low self-esteem.

Mental health can also be negatively impacted. And these symptoms can start well before you’ve reached menopause – perimenopause marks the first changes you experience when your hormone levels shift, the average age of perimenopause is 47.5 years, but it’s different for everyone.

These symptoms are compounded by the challenges menopausal women continue to face when it comes to areas such as access to specialist healthcare, relationships and careers.

In a post #MeToo world, menopause and women’s health more broadly should not be an afterthought. More needs to be done to breakdown the barriers for menopausal women and support them through this time.

Dealing with mental health impact

Dr Harriet Bradley

While menopausal women face a myriad of physical symptoms, a significant and less visible challenge is the effect on mental health. As hormones fluctuate, women can experience mood swings, anxiety and/or depression.

According to the Menopause and the Workplace report, produced by the House of Commons Women and Equalities Committee, over 60 per cent of women experienced anxiety or depression as a menopause symptom, while nine per cent say they had suicidal ideation.

Menopause also affects emotional wellbeing with a study by Family Law Partners finding that 80 per cent of women say perimenopause/menopause symptoms put a strain on their children and/or family life.

Many women find themselves managing these symptoms while trying to continue work and family life as usual, leaving them in a no-win situation.

While many of these health issues are inevitable, better access to specialist services is key to alleviating symptoms.

Additionally, increased awareness and support from family members and employers is crucial for improved wellbeing during the menopausal transition.

Barriers to appropriate healthcare

Disparity in access to specialist menopause services is a key issue and British women face a postcode lottery with 58 per cent unable to access services locally.

While GPs are well placed to deliver primary care for most menopausal issues, specialist support is sometimes required.

Yet, depending on location, women face a disparity in the level of care offered and stretched resources mean that women experience delayed access to specialist healthcare.

There also appears to be a menopause education gap amongst GPs whereby 30 per cent of women feel their doctor doesn’t know enough about it. Training issues can be addressed through ensuring menopause education is delivered at all stages of medical training.

The toll on working women’s careers

Women of menopausal age – on average between 45 and 55 – are the fastest growing demographic in the UK workforce. Yet many of these experienced and highly qualified women are considering leaving or have left work because of their menopausal symptoms and the lack of support from employers.

One million women in the UK have left their jobs due to menopause, which has knock on effects on household finances, the gender pay and pension gaps as well as the number of women in leadership positions. More importantly women are forced to leave their careers early, often with detrimental impacts to their finances, health and self-esteem.

In my industry, 30,000 female doctors in the menopausal range have significantly reduced their hours or left medicine altogether. This is a worrying statistic – in addition to the loss in medical workforce at a time when we need more doctors.

Without female healthcare professionals who have lived through and understand patient needs, menopausal care will likely worsen. It also leaves fewer women in the profession to advocate for better employer support.  So, what can be done to help address these challenges?

Increasing understanding and the reach of health services

Digital health can play an integral role in scaling and improving menopausal care, helping to overcome accessibility issues and provide greater education and information. For example, video GP appointments can reach those in areas where access is otherwise difficult, thereby helping to mitigate the disproportionate menopausal barriers caused by the postcode lottery.

Online resources and tools are a great way to empower patients and upskill GPs by providing them with the most up-to-date information for effective menopausal treatment. Adaptive digital content and information enables healthcare professionals to provide tailored resources and personalisation to help women get on the right treatment pathway.

Livi, for example, offers on demand virtual training sessions covering topics from menstruation to menopause, for healthcare professionals and GPs across the UK.

Cultivating inclusive environments

Better education and awareness are also needed for employers, colleagues and family members to reduce the burden on individuals and create supportive and inclusive environments both at work and at home.

Workplace menopause policies can also help to provide recognition, remove stigma and encourage conversations, as well as clearly signpost support. Lastly, employers should consider flexible and sustainable career options for women.  

As a fundamental part of the female experience, menopause can no longer be ignored – especially if we are to close the gender health gap.

Businesses, governments and the healthcare industry need to work together to increase understanding of menopause and provide access to appropriate healthcare as well as provide better support for women in the workplace.

It is time to properly address the challenges that a significant proportion of women continue to face on a daily basis.

 

Harriet Bradley is a practicing NHS GP and medical director at Kry, Europe’s largest digital health provider.

Opinion

Femtech’s next chapter: Building a truly equal and comprehensive health tech category

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By Wolfgang Hackl, MD, CEO OncoGenomX, Allschwil, Switzerland

FemTech is moving from a promising niche to a foundational part of modern healthcare.

Over the next decade and beyond, its real promise will not only be better products, but a more equitable system: one where women’s health is treated as an equal area for innovation, investment, clinical care, and public policy.

That shift matters because women’s health has long been under-researched, underfunded, and too often managed through systems that were not designed with female biology and life stages in mind.

The opportunity now is to change that trajectory.

If stakeholders act deliberately, FemTech can become a category that improves outcomes, expands access, and creates measurable value across the HealthTech ecosystem.

From niche to infrastructure

The most important change ahead is a mindset shift. FemTech should no longer be seen as a narrow consumer segment focused only on logging symptoms.

It should be understood as health infrastructure spanning puberty, fertility, pregnancy, postpartum recovery, menopause, pelvic health, chronic disease, mental health, and long-term preventive care.

This broader framing creates a more durable market and a stronger social case. It also encourages innovation that serves people across the full life course, rather than only at highly visible moments.

In practical terms, this means building tools that are clinically relevant, integrated into care pathways, and designed to work for different populations and health systems.

What needs to change

For FemTech to become a truly equal healthcare category and a genuine societal priority, several layers need to move together.

First, the evidence base must deepen. More sex-disaggregated data, more women-inclusive clinical studies, and more research on conditions that disproportionately affect women are essential.

Without stronger evidence, product development, diagnosis, reimbursement, and clinical adoption all remain constrained.

Second, policy and regulation must mature. Privacy protections need to be strong enough to build trust in highly sensitive health data.

Regulatory pathways should be clear enough to help innovators bring safe, effective products to market without unnecessary delay.

Reimbursement frameworks also need to evolve so that useful digital tools are not limited to those who can pay out of pocket.

Third, healthcare systems must become more open to integration. The best FemTech products should not sit outside the care journey as standalone apps.

They should connect with clinicians, diagnostics, telehealth, and care coordination so that patients experience continuity rather than fragmentation.

Finally, society needs a broader cultural shift. Women’s health should be discussed as a mainstream public health and economic issue, not as a side topic or a private concern.

That means normalizing conversations around menopause, miscarriage, postpartum health, chronic pain, infertility, and long-term preventive care.

The role of each stakeholder

A healthier FemTech future depends on the full value chain.

Founders and product teams need to design for clinical relevance, usability, and trust. The strongest solutions will be those that solve real problems, use data responsibly, and fit into everyday life and care.

Investors can help by backing long-term value creation rather than only consumer growth. FemTech deserves capital that supports rigorous validation, regulatory readiness, and scalable business models.

Healthcare providers and systems play a critical role in adoption. By integrating FemTech into clinical workflows, they can reduce delays in care, improve monitoring, and make support more continuous and personalised.

Payers and insurers can accelerate access by recognising the downstream value of early intervention, prevention, and better self-management. Coverage decisions will strongly shape which innovations become standard practice.

Policymakers and regulators should create environments where safety, innovation, and privacy coexist. Clear standards and supportive reimbursement policy can make the difference between isolated success and category-wide growth.

Employers and public institutions also have a role. Women’s health affects productivity, retention, and long-term wellbeing, which means workplace benefits and public programs can help expand access and reduce inequity.

FemTech is not only “women for women.” It is “everyone to solve a health and social issue that has been ignored for far too long.”

When stakeholders across the value chain recognise women’s health as a shared responsibility, FemTech moves from a segmented category to a mainstream force for better outcomes, fairer access, and stronger social impact.

Why the upside is larger than the market

The benefit of getting this right is not only commercial.

Better women’s health tools can improve early detection, support self-management, reduce avoidable complications, and lower the burden on social and healthcare systems.

They can also help close persistent gaps in access and outcomes that affect families, workplaces, and economies.

For HealthTech innovators, this is an opportunity to build products that are both mission-driven and scalable. For health systems, it is a chance to improve care quality and efficiency. For society, it is a way to move women’s health from an afterthought to an equal priority.

Actions that will move the field forward

The right direction will not happen automatically. It requires deliberate action across the ecosystem.

  • Build products around real clinical needs, not only consumer engagement.
  • Invest in women-inclusive research and validation from the start.
  • Design privacy and governance into the product architecture.
  • Create reimbursement models that reward prevention and continuity.
  • Integrate FemTech into mainstream care pathways.
  • Expand education for clinicians, employers, and the public.
  • Expand the category to the invisible concerns to cover the full range of women’s health needs.

When these actions align, FemTech can mature into something larger than a market category. It can become a model for how health innovation should work: evidence-based, inclusive, trusted, and built to improve lives at scale.

A strong FemTech future is not just possible. It is a practical next step if the ecosystem chooses to treat women’s health as what it truly is: a core healthcare priority and a major driver of innovation.

Table: FemTech Focus Areas

FieldApproximate number of active solutions/companies
Reproductive health & fertility120+
Pregnancy & maternal care80+
Menstrual health60+
General women’s health & wellness50+
Diagnostics & monitoring45+
Menopause & perimenopause40+
Pelvic & uterine health30+
Chronic women’s health / integrated care30+
Sexual health & wellness25+

Legend: FemTech is becoming a multi-category healthcare layer. Reports also show that software/apps remain the largest product type overall, while reproductive health continues to dominate as an application area. Best-effort estimates based on category listings, company directories, and market reports, not audited totals.

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Opinion

Q1 momentum: Female founders are advancing, but the system still hasn’t caught up

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By Melissa Wallace, CEO Fierce Foundry

The first quarter of 2026 tells a familiar but evolving story for female founders in the U.S.: measurable progress, paired with persistent structural gaps.

On the surface, the numbers suggest momentum.

A recent Pitchbook report showed female-founded companies captured 27.7 per cent of U.S. venture capital in 2025, up significantly from 19.9 per cent the year prior.

This is not a marginal shift, it reflects a broader recognition that women are building scalable, investable companies across sectors.

But the deeper cut tells a different story.

When you isolate companies founded solely by women, funding drops to just 1.1 per cent of total venture dollars.

As many of us continue to preach, this gap has remained largely unchanged for decades, hovering around 2 per cent on average.

This is the paradox: performance is not the issue—access is.

Research consistently shows that women-led companies generate stronger capital efficiency, yet they continue to receive a fraction of funding.

As Leslie Feinzaig has pointed out, the challenge is not a lack of ambition or quality, it’s that the system still evaluates women through a narrower lens, often expecting more proof, more traction, and more certainty before capital is deployed.

A Shift in How Women Are Getting Funded

What’s changed in Q1—and what’s most important—is not just how much funding is flowing, but how it’s being accessed.

Based on the data shared by Forbes in their 6 Trends Reshaping Women’s Health Investments this is what is clear:

  • A rise of angel and operator capital: More women are entering the cap table as investors, not just founders, reshaping early-stage decision-making
  • Alternative vehicles gaining traction: Donor-advised funds (DAFs), syndicates, and community-driven capital pools are stepping in where traditional VC has been slow
  • Lower barriers to entry for investors: Smaller check sizes and structured angel education are expanding who participates in funding innovation

This diversification matters. Traditional venture capital has historically been concentrated both in who writes checks and what gets funded.

Broadening capital sources doesn’t just increase access; it changes what is considered “investable.”

At Fierce Foundry, this is a core assumption.

The venture studio model is not just about building companies, it’s about engineering capital access from day one.

By combining capital with shared services, investor networks, and early validation, the goal is to reduce the friction female founders face long before a Series A.

Why This Matters for Women’s Health

Nowhere is this shift more critical than in women’s health.

Despite being one of the fastest-growing sectors in healthcare, projected to exceed $200B globally in the next decade, FemTech and women’s health startups remain significantly underfunded. In 2024, only ~6 per cent of healthcare venture funding went to this category.

This disconnect is not due to lack of opportunity. In fact, the opposite is true.

Thanks to another incredible article from Geri Stenger in Forbes, we know women’s health has already generated over $100 billion in exits, with 27 billion-dollar transactions and increasing M&A activity.

This is not an emerging category, it is a proven one that has simply been misclassified, undercounted, and undervalued.

The implication is clear: capital is not flowing in proportion to outcomes.

The Role of New Models in Closing the Gap

This is where new models, particularly venture studios, are becoming essential.

The traditional startup pathway assumes equal access to networks, capital, and operational expertise.

Female founders, particularly in women’s health, are often navigating all three deficits simultaneously:

Limited access to early-stage capital

  • Higher burden of proof in clinical and regulatory environments
  • Fewer embedded operators with domain expertise
  • The studio model addresses this by collapsing time and risk:

Co-building companies alongside founders

  • Providing shared services across product, regulatory, and go-to-market
  • Embedding investor alignment and exit pathways from the beginning

What Q1 Signals for the Future

If Q1 tells us anything, it’s that the narrative is shifting but the infrastructure is still catching up.

We are seeing:

  • Increased participation of women across both sides of the cap table
  • New funding mechanisms that challenge traditional VC gatekeeping
  • Growing recognition that women’s health is not niche, but foundational

But we are also seeing that progress is uneven, and in many cases, still fragile.

The next phase of growth will not come from incremental increases in funding percentages.

It will come from rebuilding the systems that determine how capital flows in the first place. Because the real opportunity is not just funding more female founders.

It’s building an ecosystem where they don’t have to fight so hard to access what they’ve already proven they can return.

Learn more about Fierce Foundry at thefiercefoundry.com

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Opinion

India’s top court rejects menstrual leave petition

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India’s top court rejected a menstrual leave petition for women and female students, saying such a law could mean “no-one will hire women”.

The two-judge bench, headed by chief justice Surya Kant, said mandatory leave would make young women think they were “not at par” with their male colleagues and would be “harmful for their growth”.

The subject of menstrual leave has long divided opinion in India. While many agree with the judges’ view, others argue that a day or two off can help women manage painful periods.

Some states and a number of large private companies have already introduced menstrual leave for employees.

The court’s comments came while hearing a petition filed by lawyer Shailendra Mani Tripathi, who was seeking a national menstrual leave policy, legal website LiveLaw reported.

Tripathi later told news agency IANS that he had hoped working women would receive “two-to-three days of leave” to account for menstrual difficulties.

The judges, however, said introducing such a policy would not benefit women. Instead, they said it would reinforce gender stereotypes and affect employability.

They said this could make private-sector employers hesitant to hire women and might ultimately discourage their recruitment.

They added that “the government could come up with a menstrual leave policy in consultation with all stakeholders”, LiveLaw reported.

The comments from the top court have again put the issue in the spotlight in India, reviving debate over whether menstrual leave is a progressive step or whether it encourages stereotypes that women are weaker and unfit for the workplace.

Public health expert and lawyer Sukriti Chauhan told the BBC that by saying menstrual leave would make women “unattractive” as employees, the judges “reiterate the taboo around menstruation and rights that we have failed to address”.

She said there were laws in India covering “workplace dignity, gender equality, and safe working conditions” for women and that “denying menstrual leave violates these principles by forcing women into uncomfortable, undignified or hazardous work environments”.

“Providing menstrual leave not only supports women’s health and well-being, but also promotes productivity and efficiency in the workplace,” she added.

Some argue that giving women extra leave would be discriminatory to men and that, in a country where periods are often a taboo subject, with women barred from temples or isolated at home as “unclean”, menstruating women may be too shy to claim it.

But campaigners point out that countries such as Spain, Japan, South Korea and Indonesia already offer menstrual leave, and that studies have shown this time off can be beneficial to women.

Some Indian states also offer limited menstrual leave. Bihar and Odisha give two days per month to government employees, while Kerala provides it to university and industrial training institute staff.

Last year, the southern state of Karnataka introduced a law approving one day off a month for all menstruating women.

In the past few years, several companies have also introduced similar policies for female staff.

In 2025, industrial and services conglomerate RPG Group announced a two-days-a-month period leave policy for employees in its subsidiary CEAT.

Engineering giant L&T also introduced a similar policy, offering a one-day leave in a month, while food delivery company Zomato offers up to 10 days of period leave a year.

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