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Why generic fitness plans need to catch up to hormonal science

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Each January, millions engage in intense workout routines and rigid fitness challenges in a bid to enhance personal fitness for the year ahead.

But women-led period and cycle tracker Clue warns that much mainstream fitness advice is based on a flawed assumption: that bodies perform the same way every day.

For people with menstrual cycles, hormonal fluctuations can shape energy, mood, sleep, motivation, perceived effort and recovery, meaning following a generic, one-size-fits-all training plan could in fact be the cause of increased burnout, injury risk and drop-off.

This January, Clue in partnership with ŌURA, the wearable health platform, are calling for a smarter approach to 2026 fitness plans: cycle-aware, data-led routines, that are built around strength, flexibility and recovery.

The January Fitness Boom

Insights from ŌURA prove January fitness culture is real compared to other winter months.

In the UK, ŌURA saw a 28.2 per cent increase in the percentage of days with a logged workout in January 2025 vs December 2025 (excluding housework, walking and “other”).

In the US, the increase was 19.5 per cent over the same period.

Dr Charis Chambers, chief medical officer at Clue, said: “Beginning the new year with a commitment to regular exercise is a common way to prioritise health, but abruptly starting intense fitness training can actually increase risks of health issues.

“This is why the ‘push through it’ fitness culture we often see in January can be particularly harmful for women and people with menstrual cycles.

“Rather than pushing through fatigue, pain or disrupted sleep, people will see greater long term benefit from adapting workouts to how their bodies feel across the cycle and using data to understand what’s normal for them.”

Data-driven Exercise

With wearable fitness tracking now mainstream, more women and people with cycles are building fitness habits using biometric feedback such as sleep, temperature trends and recovery.

This provides a broader picture of their health, allowing them to spot changes, monitor health goals, and adapt routines in ways that feel aligned with their bodies.

Dr Chris Curry, MD, PhD, clinical director of women’s health at ŌURA, said: “By combining ŌURA’s readiness, sleep, and activity data with Clue’s detailed cycle tracking, women have a more complete picture of how hormonal fluctuations impact overall health and well-being.

“This integration enables members to observe how their menstrual cycle phases may align with changes in sleep patterns, energy levels, stress resilience, and recovery capacity, informing more flexible, cycle-aware fitness routines that can be adapted to the body’s natural rhythm.”

Everyday high intensity exercise doesn’t work long term

January fitness culture often equates “more” and “harder”, leading many people to gravitate towards daily HIIT-style workouts that promise quick change.

But experts warn that this approach isn’t always sustainable, particularly for people with menstrual cycles.

Eve Lepage, senior reproductive health specialist at Clue, said: “High-intensity workouts create short-term increases in cortisol, which is normal.

“But repeatedly stacking intense sessions without adequate recovery can lead to fatigue, disrupted sleep and burnout.

What the evidence supports instead is balance, anchoring routines in strength training at least twice per week, using higher intensity in moderation, and allowing flexibility based on how you feel.”

By contrast, excessive cardio or high-intensity training without sufficient recovery can negatively impact the body’s cortisol patterns.

Clue user data shows that walking (32 per cent), rest days (24 per cent), and strength training (16 per cent) are the most commonly tracked activities, highlighting that consistent, everyday movement, rather than extreme routines, forms the foundation of how most people actually exercise.

According to Clue, this is an important reminder during January’s fitness push: movement doesn’t need to be extreme to be effective.

Cycle-awareness doesn’t mean rigid ‘cycle syncing’

While cycle-synced workouts have gained recent attention, Clue experts emphasise that there is a lack of scientific evidence to support this effectiveness as a one-size fits all approach.

Instead, a more effective approach is cycle aware and symptom-guided, using menstrual cycle tracking to understand individual patterns over time and adjusting training intensity based on how the body feels day-to-day.

“Cycle awareness isn’t about following strict rules, it’s about self-knowledge,” said Eve Lepage.

“Some people notice changes in energy, mood or perceived effort across their cycle. Some feel stronger or more energetic during the late follicular phase (on the days leading up to ovulation), while feeling more tired during the luteal phase (after ovulation and before the next period), while others don’t notice much difference at all.

Rather than asking ‘What should I do in this phase?’, a better question is: ‘How do I usually feel here?’ and adjust accordingly.”

Clue health experts encourage an approach to fitness that prioritises long-term health over short-term intensity.

Rather than aiming for perfection, Clue experts recommend building routines around four evidence-based principles, designed to support strength, recovery, and consistency:

  • Strength training as the foundation – Supporting long-term muscle, metabolic and bone health, strength training is one of the most effective ways to build resilience and reduce injury risk. It also offers flexibility: intensity and load can be adjusted based on symptoms, fatigue, or low readiness days.
  • Adequate recovery (non-negotiable) – Recovery is when the body adapts and improves. Without enough rest days, people are more likely to experience persistent fatigue, disrupted sleep, reduced motivation, or injury, all of which increase drop-off and burnout.
  • Aerobic training with flexible intensity — not “push through it” culture – Sustainable fitness is built around adapting workouts to real-life signals. On lower-energy or symptom-heavy days, a routine might shift from HIIT to lower-impact movement like cycling, or reduce duration, all without “failing” the plan. Most important is to move regularly, on most days, even when it’s just going for a walk on some days.
  • Listening to bodily signals (including cycle changes) – Persistent fatigue, pain, disrupted sleep, emotional exhaustion and even cycle changes such as irregular, missed or lighter periods can be signs the body is under excessive stress. Clue experts emphasise that the menstrual cycle is a vital sign, and significant changes can indicate it’s time to scale back and prioritise recovery.

Together, Clue’s cycle insights and ŌURA’s biometric tracking help people better understand how menstrual cycle phases may align with changes in energy, mood and recovery — supporting training routines that are sustainable year-round.

Head to www.helloclue.com for more information and to download the app and learn more about Oura Ring and Oura health insights at www.ouraring.com

Entrepreneur

From Hologic to Ark Surgical: Why Joseph LaBruzzo is betting on the future of women’s surgical innovation

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After more than two decades leading organisations at some of the world’s most respected medical device companies, including Hologic, SenoRx Breast Care, and BTL Industries, Joseph B. LaBruzzo is embarking on a new chapter as President & CEO of U.S. Operations and Board Member at Ark Surgical.

We sat down with Joseph to discuss what drew him to Ark Surgical, why he believes women’s surgical innovation is entering a transformative era, and what it takes to bring meaningful technologies from concept to standard of care.

You have held leadership positions at some of the biggest names in MedTech. What attracted you to Ark Surgical?

Throughout my career, I’ve been fortunate to work with organisations that developed technologies capable of changing the standard of care.

What attracted me to Ark Surgical is the opportunity to help address a meaningful unmet need in gynecologic surgery with an innovation that has the potential to improve patient outcomes while preserving the benefits of minimally invasive surgery.

Opportunities like that don’t come along very often.

FemTech World recently highlighted that many women remain unaware of gynecologic cancers and that unexpected diagnoses continue to have a profound impact on patients and families.

How has your own experience shaped the way you think about innovation in women’s health?

Earlier in my career, I witnessed many women receive life-changing cancer diagnoses.

Those experiences stayed with me and reinforced my belief that if there’s an opportunity to reduce risk through better innovation, it’s one worth pursuing.

That’s one of the reasons I was drawn to Ark Surgical.

The vast majority of minimally invasive gynecologic procedures are performed for conditions believed to be benign. Unfortunately, in rare cases, pathology later reveals an unexpected malignancy.

LapBox was designed with a proprietary dual-wall tissue containment system to help facilitate contained specimen retrieval and minimise the risk of tissue spillage during laparoscopic procedures.

I believe innovations like this can help surgeons manage the unexpected while preserving the many benefits of minimally invasive surgery for women.

Women’s health has gained significant momentum in recent years, yet surgical innovation often receives less attention than diagnostics or therapeutics. Why do you think that is?

Women’s health has historically been underfunded and underserved across many areas of medicine, and surgery is no exception.

While we’ve seen tremendous advances in diagnostics and pharmaceuticals, there are still important opportunities to improve the surgical experience for both physicians and patients.

Innovation that enhances safety, efficiency, and outcomes has the potential to make a lasting impact.

What excites you most about LapBox?

LapBox addresses a very real challenge that gynecologic surgeons face during minimally invasive procedures.

It was thoughtfully designed to integrate seamlessly into the surgical workflow while providing an added layer of confidence when tissue retrieval is required.

I believe technologies that solve real clinical challenges in a practical way have the greatest potential to become part of the standard of care.

What do you see as the biggest unmet needs in minimally invasive gynecologic surgery today?

The future of surgery isn’t simply about making procedures less invasive. It’s about making them smarter and safer.

Surgeons need technologies that integrate seamlessly into their workflow while helping them navigate increasingly complex clinical situations.

Every advancement that helps reduce risk while preserving the benefits of minimally invasive surgery has the potential to improve outcomes for both physicians and patients.

That’s where I believe the greatest opportunities for innovation exist.

As you take on this new role, what are your priorities over the next 12 months?

Our focus over the next 12 months is to build a strong foundation for growth. That means expanding physician partnerships, driving early clinical adoption, growing our team, and ensuring that more surgeons have access to technologies like LapBox.

At the same time, we’re focused on building strategic relationships with investors, healthcare systems, and industry partners that support our long-term vision.

What advice would you give entrepreneurs building the next generation of women’s health companies?

Start with a real clinical problem and never lose sight of the patient.

Great technology alone isn’t enough. You also need strong clinical evidence, physician advocates, and a clear market strategy. The companies that succeed are the ones that bring all of those pieces together while remaining focused on improving patient care.

About Joseph B. LaBruzzo

As President & CEO of U.S. Operations and Board Member, Joseph LaBruzzo is leading Ark Surgical’s U.S. growth strategy, physician partnerships, strategic investment initiatives, and organisational expansion, supporting the company’s mission to advance safer minimally invasive gynecologic surgery through innovative technologies.

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Cancer cells secretly hijacking fertility protein to survive chemo, research finds

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Cancer cells may hijack a fertility protein to repair damaged DNA and survive chemotherapy, research suggests.

The findings could point to a way of making existing cancer treatments more effective.

SYCP1 is a protein normally involved in producing sperm and eggs.

Researchers at the University of Liverpool found that the protein, previously thought to work only in reproduction, can be reactivated in cancer cells, where it helps tumours survive and grow.

SYCP1 usually helps chromosomes pair during meiosis, the form of cell division that produces reproductive cells.

In cancer cells, however, the protein appears to take on another role. It enters the nucleus, the cell’s control centre, binds directly to DNA and regulates genes involved in cell division and DNA repair.

DNA repair is how cells fix damage to their genetic code. In cancer, this process can help tumour cells survive treatment.

The researchers found that removing SYCP1 made cancer cells much more sensitive to chemotherapy drugs that damage DNA.

The findings suggest cancers may use SYCP1 to repair damage caused by treatment and continue growing.

Dr Urszula McClurg, lecturer in biochemistry, cell and systems biology at the University of Liverpool, said: “Our findings show that cancer cells can hijack proteins that normally exist only in reproductive tissues and give them completely new jobs.

“Understanding these unexpected functions opens up exciting opportunities to develop new treatments that make existing cancer therapies more effective.”

The work challenges the long-held belief that proteins active only in fertility have no biological relevance outside the reproductive system.

Researchers say these specialised proteins could provide new treatment targets across many types of cancer.

The study also offers a new view of how cancers evolve by repurposing developmental and reproductive processes.

The findings highlight SYCP1 as a candidate for future precision cancer therapies, which are treatments based on the specific biology of a patient’s cancer.

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What “women’s healthmaxxing” means for patient trust and the femtech industry

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Women’s health has become one of the most searched and shared topics online, from cycle syncing and cortisol management to menopause hacks, supplements, hormone testing and clinician-creator content.

That surge in attention, sometimes dubbed “healthmaxxing,” is changing how women find, evaluate and act on health information, and it is starting to reshape the relationship between patients, clinicians and the companies building products for this market.

For providers, the shift means patients are arriving better informed but also more exposed to unverified claims, putting pressure on clinicians to engage with online narratives rather than dismiss them.

For femtech and pharma companies, it opens a route to reach and educate consumers at scale, but also raises the stakes on credibility: products and messaging that ride the trend without clinical grounding risk eroding the trust the industry has spent years building.

Investors are watching the same dynamic from a different angle.

Attention-driven demand can be a signal of where the next wave of femtech growth will come from, but distinguishing genuine clinical need from viral momentum is increasingly part of due diligence.

The net effect is a widening gap between companies that treat cultural attention as a distribution channel for credible, evidence-based care, and those that risk being swept up in trends with little clinical substance behind them.

How that gap plays out will shape patient trust, clinical relationships and commercial opportunity across the women’s health industry for years to come.

These themes will be explored in more depth in an upcoming webinar, “Women’s Healthmaxxing: The Opportunity & Risks of Cultural Attention for the Women’s Health Industry,” hosted by the Women’s Health Innovation Summit (WHIS), featuring Ellen Wilcox (Listen Ventures), Jessica Bell van der Wal (Frame Fertility), Dr. Tosin Sotubo-Ajayi (NHS, BBC and more) and Nora Lansen (Elektra Health).

Register free for the webinar on 23 July 2026 at https://events.virtualpro.com/womens-health-series-webinar-july-2026/registration

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