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Femtech by numbers – the rise of women’s health innovation

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Female health has historically been underfunded and under researched, but the latest developments in femtech are aiming to restore the balance. Femtech World finds out all the figures you need to know about this booming industry…

Over the past decade or so, firms have been harnessing the power of technology to innovate in the world of female healthcare – and about time too.

Women have traditionally been overlooked when it comes to healthcare, in terms of both research and representation.

For example, around 65 per cent of healthcare employees are women, but they make up only 33 per cent of senior executives and 13 per cent of CEOs.

Male-dominated leadership, along with historical bias, has led to the overrepresentation of men in clinical trials, medical guidelines that fail to take women’s biology into account and a lack of innovation in women’s healthcare technologies.

And when we look at spending power, such male domination looks even more short-sighted; it is estimated that 90 per cent of women are the primary healthcare decision makers for their households, while also being responsible for 80 per cent of family healthcare spending. What’s more, women over age 19 also spend more per capita on healthcare than men.

Which is why the male dominated industry makes little sense, least of all financial – which is exactly the thinking behind the new generation of femtech businesses.

Let’s talk money

The femtech industry is predicted to be worth a massive $60bn by 2027, up from an already healthy $21.7m in 2020. Meanwhile, total global venture capital investments in femtech stood at $520m dollars last year.

However, the sex bias can even be seen in the world of venture capitalism. According to the Kauffman Foundation, private tech companies led by women achieve 35 per cent higher ROI than those led by men, but, in 2018, companies founded solely by women founders received only 2.2 per cent of VC funding. This could also be down to the inequality; women make up just nine per cent of venture capitalists working with start-ups.

In business

While femtech is certainly a booming field, it pales into insignificance compared to some of its tech-based peers.

The market is made up of over 200 start-ups worldwide, 92 per cent of which are founded and led by women. In comparison, there are around 12,000 fintech, or financial tech, start-ups in operation today.

However, a handful of dedicated femtech support programmes have been launched in the past two years, such as Station F in France, AXA Femtech Accelerator and the Tech4Eva accelerator in Switzerland.

What’s the focus?

In the early days of femtech, the focus was largely on periods, fertility and pregnancy, and some of the biggest names in the field, such as menstrual tracking apps Clue and Flo, are still concentrated here.

In fact, according to Emergen Research, the key field has been focused around pregnancy and nursing. In the US, pregnancy and nursing care apps are still the major shareholder of the market, holding around 40.2 per cent of it in 2019.

Unsurprisingly, given this market share, reproductive health is the recipient of the bulk of the funding too; 25 per cent of femtech investors are spending their money in this sub-sector.

However, as interest grows, femtech start-ups are broadening their horizons and investigating a variety of issues and conditions that disproportionately affect women, such as osteoporosis, breast cancer, stroke and depression.

And there are already signs that the landscape is shifting; in 2021 so far, the top funded sector has been preventative and primary care, bringing in $668m, followed by fertility support with $330m, and the pregnancy and parenthood area standing at $316m.

The biggest deals

In the 12 months to August 2021, women’s heath digital health start-ups in the US raised $1.3bn, nearly doubling 2020’s full-year total of $774m.

One of the biggest deals in that period was the $110m in Series D funding raised by Maven Clinic, a virtual women’s and family healthcare provider, which revealed it planned to use the funding to expand into new patient populations and invest in products.

In September, Tia, a healthcare company combining a virtual care with a real-life presence, announced a $100m Series B funding round.

Combining virtual and in-person care for a variety of women’s health needs, Tia provides primary, mental and gynaecological care, as well as acupuncture, for women across the US.

In a statement, the company said it plans to use the capital to expand its care model to more than 100,000 women by 2023.

In the UK, innovative femtech firm Elvie raised £97m in a Series C funding round in September. The firm, which was established in 2013, focuses on creating products that revolutionise women’s lives, such as an award-winning app-connected Kegel trainer and the world’s first silent wearable breast pump, Elvie Pump.

 

 

Events

Research project of the year: What the judges want to see

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Submitting your research project for Femtech World Awards recognition can feel daunting.

What makes one project stand out from another?

After reviewing successful submissions from previous years, we’ve identified the key elements that transform good research into award-winning work.

Innovation That Solves Real Problems

Judges aren’t just looking for novelty – they’re looking for innovation that addresses genuine gaps in women’s health.

The best submissions clearly articulate a specific problem and demonstrate how their research offers a fresh approach to solving it.

Ask yourself: Does your research tackle an underserved area? Are you approaching a known problem from a new angle?

The most compelling projects often focus on issues that have been overlooked, understudied or inadequately addressed by existing solutions.

Whether you’re investigating menopause in the workplace, developing better diagnostic tools for endometriosis, or exploring mental health interventions for new mothers, clarity about the problem you’re solving is essential.

Rigorous Methodology

Strong research stands on solid foundations. Judges carefully evaluate your methodology to ensure your findings are credible and reproducible.

This doesn’t mean your research needs to be complete – early-stage projects are welcome – but you should demonstrate thoughtful research design.

Include details about your sample size, data collection methods, controls, and analytical approaches.

If you’re conducting qualitative research, explain how you’re ensuring validity. If you’re building a technological solution, describe your testing protocols.

Transparency about limitations shows intellectual honesty and strengthens rather than weakens your submission.

Measurable Impact Potential

The research projects that win hearts and awards are those with clear pathways to real-world impact.

Judges want to see beyond the research itself to understand how your work will improve women’s lives.

Consider questions like: Who will benefit from this research? How many people could be affected? What would successful implementation look like?

Whether your impact is clinical, social, economic, or policy-related, be specific.

Instead of saying “this will help women,” try “this diagnostic tool could reduce endometriosis diagnosis time from 7-10 years to under 2 years for an estimated 200 million women worldwide.”

Inclusivity and Diversity Considerations

Award-winning FemTech research recognises that women are not a monolith.

Judges increasingly value projects that consider diversity across age, race, ethnicity, socioeconomic status, disability, and geographic location.

Have you thought about how your research applies across different populations? Are you inadvertently excluding certain groups?

The strongest submissions acknowledge these considerations and, where possible, design research to be inclusive or clearly define the specific population being served.

Clear Communication

Even groundbreaking research won’t win if judges can’t understand it. The ability to communicate complex ideas clearly is crucial.

Avoid unnecessary jargon, define technical terms, and structure your submission logically.

Think of your submission as telling a story: Here’s the problem, here’s why it matters, here’s what we did, here’s what we found, and here’s why it matters for the future.

Feasibility and Sustainability

Judges appreciate ambitious research, but they also value realistic plans.

Show that you’ve thought about practical considerations: Do you have the resources to complete this work? Is your timeline reasonable?

For projects seeking commercialisation, is there a viable path to market?

Demonstrating that you’ve considered challenges and have strategies to overcome them shows maturity and increases confidence in your project’s success.

Your Passion Matters

Finally, don’t underestimate the power of genuine passion.

The researchers who win aren’t just technically proficient – they deeply care about their work and its potential to create change.

Let that commitment shine through in your submission.

Ready to submit? Find out more about the awards and enter for free here.

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Topical HRT protects bone density in women with period loss – study

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Transdermal HRT best protects bone density in women with functional hypothalamic amenorrhoea, a condition that stops periods, a review of trials has found.

The meta-analysis pooled randomised clinical trials involving 692 participants and found transdermal hormone replacement therapy and teriparatide increased bone mineral density by between 2 and 13 per cent.

Functional hypothalamic amenorrhoea can follow anorexia or intense exercise. Bone mineral density measures bone strength and the amount of mineral in bone.

Around half of women with the condition have low bone mineral density, compared with about 1 per cent of healthy women, and their fracture risk is up to seven times higher.

The research was conducted by scientists at Imperial College London and Imperial College Healthcare NHS Trust.

Professor Alexander Comninos, senior author of the study and consultant endocrinologist at the trust, said: “Bone density is lost very rapidly in FHA and so addressing bone health early is very important to reduce the lifelong risk of fractures.

“Our study provides much needed comparisons of all the available treatments from all available studies.

“Clearly the best treatment is to restore normal menstrual cycles and therefore oestrogen levels through various psychological, nutritional or exercise interventions – but that is not always possible.

“The foundation for bone health is good calcium and vitamin D intake (through diet and/or supplements) but we have additional treatments that are more effective.”

When FHA is diagnosed, clinicians first try to restore periods through lifestyle measures, including psychological and dietary support, but these can fail. Guidelines then recommend giving oestrogen, though the best form was unclear.

The team reviewed all prior randomised trials comparing therapies, including oral and transdermal oestrogen, and also assessed teriparatide, a prescription bone-building drug used for severe osteoporosis.

They found no significant benefit for oral contraceptive pills or oral hormone therapy.

A recent UK audit reported that about a quarter of women with anorexia-related FHA are prescribed the oral contraceptive pill for bone loss; the study suggests using transdermal therapy instead.

Comninos said: “Our goal is simple: to help women receive the right treatment sooner and to protect their bone health in the long-term.

“We hope this study provides clinicians with better evidence to choose transdermal oestrogen when prescribing oestrogen and so inform future practice guidelines.

“Right now, millions of women with FHA may not be receiving the best treatments for their bone health.”

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AI cuts interval breast cancers in Swedish trial

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An AI tool cut interval breast cancers by 12 per cent in a Swedish screening trial of more than 105,000 women.

The study also found 27 per cent fewer aggressive breast cancers detected at screening when AI was used.

Interval cancers are cancers found between routine screening appointments because they were missed at the original scan. They are often more dangerous and linked to higher death rates than cancers found at screening.

The MASAI trial is described as the first large randomised study to test whether AI can improve mammography screening, which uses low-dose X-rays to examine breast tissue for signs of cancer.

The AI tool, called Transpara Detection and developed by ScreenPoint Medical, supported radiologists in analysing mammography images.

Earlier results from the same trial showed that Transpara Detection increased cancers found by 29 per cent and reduced radiologist workload by 44 per cent compared with standard double-reading, where two radiologists independently review each scan.

The latest findings indicate higher accuracy with AI support. Sensitivity, the ability to detect cancer, was 6.7 percentage points higher in the AI group while specificity, the ability to rule out healthy cases, was maintained. Results were similar across age groups and breast density levels.

Women screened with AI had 16 per cent fewer invasive interval cancers and 21 per cent fewer large interval cancers than those in the standard screening group.

The system also helps doctors assess risk more precisely by subdividing suspicious findings into BI-RADS 4 categories A, B and C. BI-RADS (Breast Imaging Reporting and Data System) is a standardised scale that guides whether a patient needs closer monitoring, further tests or treatment.

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