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‘Deeply concerning’: experts react to ‘shocking’ women’s health report

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The US healthcare system urgently needs to change, experts have warned after a damning report revealed that women’s health is in a “perilous” place.

A new report from the Commonwealth Fund has found that growing inequalities across the US are putting women’s health “under threat”, causing higher cancer rates and preventable deaths.

The report, which ranks states based on 32 indicators, ranging from insurance coverage to breast and cervical cancer to Covid-19, found that south-eastern states – most of which now have near-total abortion bans – ranked at the bottom on a wide range of women’s health indicators.

The “shocking” findings, experts have said, highlight that the healthcare system needs to change.

“The maternal mortality rate in the United States is the highest of any developed country in the world and the south-eastern states have some of the highest maternal mortality rates in the nation,” Lucienne Ide, medical doctor and founder of the clinical management platform Rimidi, told Femtech World.

“These statistics are shocking and indicate it is time to try something new – to implement technology-based tools and resources to drive improvements in access and outcomes.”

Digital health capabilities, Ide said, could pave the way for a “meaningful shift” in healthcare delivery, patient engagement and clinical outcomes.

“Virtual solutions like remote patient monitoring (RPM) and chronic disease management could significantly enhance present-day maternal and infant care across the country.”

Monica Cepak, CEO of the telehealth medical abortion service Wisp, said: “This study not only raises awareness on the barriers women face receiving proper healthcare, but it also encourages improvements in policies and practices to better support women’s health across the country.

“There is so much work to be done to improve women’s healthcare, one being access to, and integration of, telehealth services.”

The Commonwealth Fund report found that states that tended to perform worst had not expanded Medicaid and had fewer healthcare providers overall, particularly OB/GYNs.

Poor performing states also tended to miss opportunities to identify and treat women at risk. They screened fewer women for postpartum depression, had higher rates of syphilis and higher rates of cancer.

Rachel Goldberg, perinatal mental health therapist and founder of Rachel Goldberg Therapy, said this is not surprising.

“Disparities in maternal mental healthcare have been an ongoing issue. The report emphasises that mental health is the number one risk factor, yet for many, it is neither accessible nor easy to navigate,” she told Femtech World.

“Even in California, where insurance benefits are more inclusive, there is a shortage of qualified mental health providers in the maternal health space due to fee structures and the complexities of working with health insurance.”

Goldberg believes women living in states with poor health outcomes and limited access to care need to learn to advocate for themselves.

“Unfortunately, this involves researching available resources; but also trusting their instincts,” she explained. “If a provider does not feel right, women should speak up and request a reassignment or advocate for a single-case agreement with a provider they feel comfortable with.

“They should also look into community health centres, telemedicine options and support groups. Traveling to neighbouring states for care might also be a consideration if feasible and safe.”

Dr Shahin Ghadir, board certified reproductive endocrinologist and fertility expert at HRC Fertility Beverly Hills, said it is important that women who live in poor performing states do their research and are extra careful on the quality of the physician and the hospital they choose.

“Being proactive about women’s healthcare is one of the most important aspects of receiving good care in our country, and even if a patient is not in a state that has the utmost highest standards of care, there are still good physicians everywhere.”

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Mental health

New study explores why open water swimming feels so powerful for midlife women

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A team of UK researchers has published a new study examining how middle-aged, middle-class British women describe the effects of regular open water swimming on their wellbeing, including its impact on menopause symptoms and mental health.

The University of East London research uses in-depth interviews to understand women’s own accounts of swimming in outdoor water and how they feel it supports their lives.

The study looks at the patterns that emerged when women talked about what open water swimming meant to them.

Across the interviews, four themes appeared consistently.

Although menopause was never introduced by the researchers, several participants volunteered that cold water and the routine of swimming helped them feel calmer, more emotionally balanced and more in control during a major life transition.

Women felt it supported their mental wellbeing, with many describing a clear “reset” effect, a lift in mood, more energy and an increased sense of what their bodies could do, all expressed in their own terms.

They also spoke about health, strength and resilience.

Participants said the experience of swimming outdoors helped them feel more capable and better able to deal with difficult moments, including bereavement, illness and daily stress.

Finally, Interviewees emphasised the community around the lake and said that the confidence and clarity they gained often carried over into work, relationships and everyday decision-making.

This is the first qualitative study to examine open water swimming through “flourishing” a recognised psychological framework, and that participants’ accounts aligned closely with its components.

Mr James Beale is lead author and Programme Leader for the MSc Applied Sport and Exercise Sciences at the University of East London.

He said: “We are seeing a major shift in women taking up open water swimming, and many are now speaking openly about how it connects to menopause.

“Until now, this discussion has been largely anecdotal.

“Our study shows that women repeatedly link outdoor swimming with emotional steadiness, confidence and coping during this stage of life.

“That points to an emerging area of women’s health that deserves greater attention.”

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AHA invests in AI aimed at cardiology’s gender bias problem

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Ultromics, a developer of AI-driven cardiology solutions, has announced an investment from the American Heart Association’s Go Red for Women Venture Fund, a fund within American Heart Association Ventures (the venture capital programme of the American Heart Association).

The funding will support Ultromics’ mission to make early identification of heart failure a standard part of cardiac care, expanding access to its FDA-cleared AI platform.

Ultromics’ technology helps clinicians detect heart failure with preserved ejection fraction (HFpEF), a condition that disproportionately affects women and is too often missed until it’s advanced.

Tracy Warren is senior managing director, Go Red for Women Venture Fund.

Warren said: “Closing the diagnostic gap by recognising disease before irreversible damage occurs is critical to improving health for women—and everyone.

“We are gratified to see technologies, such as this one, that are accepted by leading institutions as advances in the field of cardiovascular diagnostics.

“That’s the kind of progress our fund was created to accelerate.”

Heart failure remains one of the leading causes of death for women, yet symptoms of HFpEF like fatigue, shortness of breath, and swelling are often dismissed or misattributed to ageing, weight or other conditions.

Studies show that women are twice as likely as men to develop this form of heart failure, and that up to 64 per cent of cases go undiagnosed in clinical practice.

The result is a diagnostic blind spot that leaves many women without access to new, life-prolonging therapies now proven to reduce hospitalisations and improve survival.

Ultromics’ AI helps detect the subtle changes in a cardiac ultrasound that mark the earliest stages of heart failure.

EchoGo Heart Failure is built on one of the largest echocardiography datasets in the world, representing a diverse population of patients.

The technology analyses routine ultrasound scans to quantify heart function and identify patterns that signal HFpEF.

By validating against diverse outcomes data, the system sees early signs of disease even when symptoms are not obvious.

The technology aims to give physicians an objective, accurate report within the same workflow hospitals already use.

Ross Upton, PhD is CEO and founder of Ultromics.

He said: “By augmenting physicians’ decision making with EchoGo, we can help them recognise disease at an earlier stage and treat it more effectively.

“Heart failure with preserved ejection fraction is one of the most complex and overlooked diseases in cardiology.

“For too long, clinicians have been expected to diagnose it using tools that weren’t built to detect it, and as a result, many patients are identified too late.”

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Hormonal health

New research centre aims to tackle gender health gap

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Wales has opened its first women’s health research centre, backed by £3m to tackle health inequalities through research and innovation.

The centre, led by Women’s Health Research Wales, marks the first anniversary of the Women’s Health Plan for Wales, published in December 2024.

First minister Eluned Morgan and minister for mental health and wellbeing Sarah Murphy visited staff, researchers and collaborating communities at the launch.

The work covers prevention, early-onset conditions, rare diseases and care for under-served communities.

The centre brings together researchers, NHS partners, industry, policy makers and communities to develop more effective treatments and ensure services meet women’s needs throughout their lives.

It is designed to strengthen investment in women’s health research, including representation in clinical trials.

Morgan said: “I am passionate about improving women’s healthcare.

“To do that, we must invest in research to gather the evidence we need.

Morgan added: “I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women.

“This will result in better care and better health outcomes for women.”

Projects in development include exploring symptom reporting tools to help manage conditions such as diabetes, heart failure and chronic obstructive pulmonary disease.

Researchers are also investigating how chemicals in menstrual products might affect health, ways to help young people stay active during periods, and pathways to prevent people with polycystic ovary syndrome developing conditions like diabetes and heart disease later in life.

Other projects are exploring fertility issues, including a decision-making tool for women with kidney disease considering whether to have children.

One project is working with women undergoing fertility treatment, investigating why this can lead to mental health issues such as PTSD (post-traumatic stress disorder), with the aim of creating guidance for trauma-informed fertility care.

Morgan said: “This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences.

“It will lead to more effective treatments and make sure that our health service delivers improved outcomes for women in Wales.”

Debbie Shaffer is founder and director of Fair Treatment for the Women of Wales and chair of Women’s Health Wales Coalition.

Shaffer said: “Research into health issues experienced by women throughout the life course is vital.

“By working co-productively, in partnership with women and communities, we have a fantastic opportunity to reduce health inequalities and improve treatment options and support.

“We look forward to helping facilitate more opportunities for those with lived experience, whose voices may not have been heard before, to get involved.”

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