News
Sex and the censorship: Raven Faber talks about the difficulties of online advertising
“If you start talking about female pleasure then everyone starts clutching their pearls. We can’t say vagina or run any adverts that support vulva pleasure.”
FemTech World speaks to Raven Faber founder of EngErotics about online censorship, sex tech standards and what needs to change
The slogan for this years’ International Women’s Day was #BreaktheBias. However, it remains difficult for femtech or sex tech companies to even attempt this on the very social media platforms promoting the hashtag.
Over 40 companies have signed a petition aimed at highlighting, and ending, the discrimination faced by female-founded companies online. The companies say their posts and accounts have been blocked, shadow banned and paid advertising banned due to explicit content – including posts on endometriosis, sex tech, vagina health and other female-centric content.
Raven Faber founded EngErotics with the aim of moving into well-designed, accessible sex tech. She also began to include CBD in her business through different self-care products that enhance the experience for users. However, with the increase in online censorship, we ask if being in the cannabis industry and the sex tech industry has been difficult.
She said: “When I started EngErotics, I didn’t realise we were going to enter into cannabis as it was strictly sex tech because that’s what I knew. I didn’t know anything about CBD because I had been working in the corporate world where there were zero-tolerance policies.”
When a client reached out to Raven, she began researching what CBD was and also how it could be combined with sex tech to improve a user’s experience. Through research, she noticed that there was a huge issue with consistent quality and standards in the cannabis industry which was similar to the sex device market.
Raven said: “I discovered, similar to what we see in the intimate device work of sex toys that there were no design standards. There were no formulation standards as it was very much the wild west with no checks or accountability for quality, safety or efficacy. This was another place for engineering and tech to shine to help bring good practise and accountability into the industry.”
Online censorship
In the past few months, campaigns have been launched around the censorship experienced by sex tech or femtech companies online. This includes adverts being removed, social media posts taken down, accounts blocked and banned. Femtech companies are arguing that this has a huge effect on the industry – especially for women- as bans have included products specially designed for women. However, adverts for male products do not struggle with the same level of bans.

In a survey, the Centre for Intimacy Justice found that 60 per cent of femtech companies had had an advert removed by Facebook/Meta. Half of the companies who participated had had their accounts removed by Facebook while 100 per cent had had an advert rejected by Instagram.
Raven remembers how difficult advertising was when she started. After hearing reports of how difficult it was to advertise, she decided to use a grassroots approach with Facebook in comparison to a multi-platform advertising strategy or paid advertising.
She said: “I didn’t really bother with paid advertising as I was hearing from other people that they were having a rough time with it. People were having their social accounts shut down so I did the best that I could. We didn’t have an Instagram or Twitter for a long time but we had a Facebook page where people could find us.”
While Meta platforms cannot stop every account that features sex or fem tech, bots look for certain words to flag from obvious choices such as cannabis or sex to the more unusual word, men. It has led to influencers changing the way they spell certain words to avoid triggering a bot response. This is why accounts use words such as s3x, oud or m3n instead of the actual spelling.
Raven said: “In the beginning, it was just me making things up and hoping it would work. I didn’t censor myself so I would spell sex correctly or not abbreviate the word orgasm. We had to be very careful not to post anything explicit or show pictures of the toys or nudity. Maybe it would be a pretty picture of a black woman with a suggestive copy.”
She added: “How could we put this out there in a way that is going to look benign enough where we do not get shut down because so far our account hasn’t been closed. A lot of our growth has been organic, I never bothered with throwing money into paid advertising because a lot of people were getting shut down anyway.”
Social media censorship
Often with smaller, independent or start-up companies, social media can provide a valuable link between customers and businesses. It’s essential in a world where PR campaigns can be too costly for emerging entrepreneurs or start-ups.
Raven explained: “Social media platforms are necessary evils. It’s where people go looking for you now. I’m not against social media but I hate being told what I can and can’t say when it comes to sexual education because it’s important. However, when you deal with industries that are considered to be vice then this is what you run into.”
Vice industries is the term increasingly used to describe the sex toy, adult pleasure, sex tech and cannabis worlds. In many ways, it can feel like a community where the two have almost identical problems such as bans and banking. They can overlap in many ways when it comes to censorship.
Raven said: “It took us over a year to find a merchant processor. There are a lot of people who struggle to find banking in the intimacy device and cannabis industries. I lucked out because when I opened my business, I named it, registered it and got my tax ID before I started making a product. No one told me to do that but it made sense to do it that way. I saved myself a lot of pain by getting in good with a bank first.”
She added: “If you are looking to hire contractors then there may be certain ones that won’t work with you because of the industry you are in. If it’s not the sex tech then it’s the CBD. There have been a handful of people who don’t feel comfortable providing the service because you sell vibrators because of the stigma. It’s all about the perception of what is seen to be shameful or vice. They worry that it will rub off on them and tarnish their reputation.”
The perception of the vice industry and the stigma has also had a huge effect on brands during the pandemic. Vice brands in the cannabis and fem/sex tech worlds were denied a loan during Covid to help with staffing costs or keep businesses alive.
“In 2020, the government gave out loans to businesses that qualified during Covid but businesses they defined as lewd didn’t qualify for assistance. This could include owners of strip clubs trying to pay their bartenders or adult pleasure stores that couldn’t get help. Getting a loan can be really difficult,” Raven said.
“The activity I saw on social media during this time from business owners was that those offering intimacy devices were running into brick walls because the definition of what was defined as a ‘lewd’ business was too broad and subjective. It affected everyone from those who had brick and mortar stores to e-commerce or potentially even sex therapists too. A lot of people didn’t qualify and they were hurting.”
“The funny this was, that a lot of politicians or government workers were enjoying the products they were stigmatising. A lot of my peers in this industry had people on a payroll that they couldn’t afford to pay because they didn’t qualify for this loan.”
The sex tech industry has taken massive steps into the wellness industry in recent years. The backstreet stores and dodgy websites have been replaced by glossy marketing campaigns, well-packaged items with self-care instructions or free chocolates. The vibe in modern times seems to be more focused on masturbation as a part of your wellness and self-care routine making sex tech less scary or inaccessible to all.
Industry progression
But while the industry goes forward, the advertising channels and options seem to be going backwards.
Raven said: “It’s really backwards in that you can’t advertise now. There are some companies that get away with it but a lot of the smaller ones cannot. It’s really unhelpful because you know exactly what a good campaign can do. You pump money into your ad spend with a campaign to increase your reach substantially but it’s hard. It’s difficult to get organic growth and traction.”
She added: “It’s sex educators too who are having their accounts closed down. It’s good educational stuff to do with sex which is so badly needed. It’s heavily biased in that if we are talking about men then you can run ads for erectile dysfunction medication or erectile devices. But if you start talking about female pleasure then everyone starts clutching their pearls. We can’t say vagina or run any adverts that support vulva pleasure.”
When it comes to moving forward, Raven is focusing on the journey rather than the number of followers. She believes the smaller numbers of genuine fans or customers are better than the larger audience.
Raven said: “It takes a lot of tenancy to go after that organic growth. Do we have 40,000 followers on our Instagram? No, but we will get there after a while. What I have noticed with those who follow us is that they are really into what we do. If we have 1000 followers then 60 per cent of those are actual customers in comparison to those accounts with thousands of followers where no one buys a thing.
Make no mistake, social is important. Due to the obstacles and the red tape, I’ve been focusing more on the journey, and the quality rather than the quantity.”
Read more: Sword Health launches bloom: a new pelvic pain product
Insight
Parents sue IVF clinic after delivering someone else’s baby
A Florida couple have sued an IVF clinic after giving birth to a baby who is not genetically related to either of them.
Tiffany Score and Steven Mills hired IVF Life, which operates as the Fertility Center of Orlando in Longwood to help them conceive about five years ago using in vitro fertilisation.
The couple had an embryo implanted in April and welcomed a baby girl nine months later, but soon suspected the clinic had made an error.
Both Score and Mills are white, but the baby had the appearance of a racially non-Caucasian child, according to the lawsuit.
Genetic testing confirmed that the baby is not biologically theirs. The couple filed the lawsuit on 22 January after allegedly trying to contact the clinic multiple times without getting a response.
Jack Scarola, one of the couple’s lawyers, told the Orlando Sentinel: “They have fallen in love with this child. They would be thrilled in the knowledge that they could raise this child.
“But their concern is that this is someone else’s child, and someone could show up at any time and claim the baby and take that baby away from them.”
Score and Mills are also concerned that one of the three fertilised eggs they had frozen at the clinic may have been mistakenly implanted into someone else.
They have demanded that the clinic share what happened with all other patients who had embryos stored at the facility during the year before Score gave birth. They also want IVF Life to pay for genetic testing of every child born as a result of its services over the last five years, and to account for their remaining embryos.
The couple said in a statement: “We love our little girl. We would hope to be able to continue to raise her ourselves with confidence that she won’t be taken away from us.
“At the same time, we are aware that we have a moral obligation to find and notify her biological parents, as it is in her best interest that her genetic parents are provided the option to raise her as their own.”
A family spokesperson said: “Based upon leads discovered to date, and despite the lack of help or cooperation from the clinic, there is hope that we will be able to introduce our daughter to her genetic parents and to find our own genetic child soon.”
The lawsuit names IVF Life LLC and Dr Milton McNichol, who runs the clinic.
The Fertility Center of Orlando had posted a notice on its website stating it is “actively cooperating with an investigation to support one of our patients in determining the source of an error that resulted in the birth of a child who is not genetically related to them.”
The notice was removed after a court hearing on Wednesday.
During the hearing, the judge ordered the clinic to submit a thorough plan for handling the situation by Friday.
McNichol was reprimanded by Florida’s Board of Medicine in May 2024 after an inspection of the clinic in June 2023 revealed several issues, including equipment that did not meet current performance standards, failure to comply with a risk-management plan and missing medication.
He was fined US$5,000.
Features
AI mammography leads to fewer advanced breast cancers, study finds
AI mammography finds more cancers at screening and cuts diagnoses between screens by 12 per cent, a major trial has found.
The study involving over 100,000 Swedish women is described as the first randomised controlled trial investigating the use of AI in a national breast cancer screening programme.
Women who underwent AI-supported screening were less likely to be diagnosed with more aggressive and advanced breast cancer in the two years following, compared with standard mammography read by two radiologists.
The research was led by Lund University in Sweden.
Lead author Dr Kristina Lång said: “Our study is the first randomised controlled trial investigating the use of AI in breast cancer screening and the largest to date looking at AI use in cancer screening in general.
“It finds that AI-supported screening improves the early detection of clinically relevant breast cancers which led to fewer aggressive or advanced cancers diagnosed in between screenings.
“Widely rolling out AI-supported mammography in breast cancer screening programmes could help reduce workload pressures amongst radiologists, as well as helping to detect more cancers at an early stage, including those with aggressive subtypes.
“However, introducing AI in healthcare must be done cautiously, using tested AI tools and with continuous monitoring in place to ensure we have good data on how AI influences different regional and national screening programmes and how that might vary over time.”
Between April 2021 and December 2022, women who were part of mammography screening at four sites in Sweden were randomly assigned to either AI-supported screening or standard double reading by radiologists without AI.
In the AI-supported group, a specialist system analysed the mammograms and triaged low-risk cases to single reading and high-risk cases to double reading performed by radiologists. AI was also used to highlight suspicious findings in the image.
During the two-year follow-up, there were 1.55 interval cancers per 1,000 women in the AI-supported group, compared with 1.76 per 1,000 women in the control group.
Interval cancers are those diagnosed after a negative screen and before the next scheduled appointment, and are often more aggressive than cancers detected during routine screening.
Additionally, there were 16 per cent fewer invasive cancers, 21 per cent fewer large cancers, and 27 per cent fewer aggressive sub-type cancers in the AI group. The rate of false positives was similar for both groups.
Jessie Gommers is first author and PhD student at Radboud University Medical Centre in the Netherlands, said:
Gommers said: “Our study does not support replacing healthcare professionals with AI as the AI-supported mammography screening still requires at least one human radiologist to perform the screen reading, but with support from AI.
“However, our results potentially justify using AI to ease the substantial pressure on radiologists’ workloads, enabling these experts to focus on other clinical tasks, which might shorten the waiting times for patients.
Dr Lång added: “Further studies on future screening rounds with this group of women and cost-effectiveness will help us understand the long-term benefits and risks of using AI-supported mammography screening.
“If they continue to suggest favourable outcomes for AI-supported mammography screening compared with standard screening, there could be a strong case for using AI in widespread mammography screening, especially as we face staff shortages.”
Cancer
£200m fund to tackle cancer screening inequalities
Patients in deprived and underserved areas of England will receive earlier cancer diagnosis through a new £200 million scheme to tackle postcode lotteries in cancer care.
Local communities are set to benefit from the investment, aimed at reducing cancer screening inequalities and catching more cancers early.
More people survive cancer than ever before, but progress has slowed over the last decade with survival in England now behind many other European countries for several cancer types.
Health and social care secretary, Wes Streeting, said: “Advances in medical science allow us to screen much more accurately for early signs of cancer.
“Bringing this to every part of our country will help catch cancer earlier and treat it faster.”
Breast screening is a vital tool in detecting breast cancer earlier, and the sooner treatment begins the more likely it is to be successful.
Breast Cancer Now’s analysis of the latest available NHS breast cancer screening data (for 2023-2024) found that if the 80 per cent attendance target had been met, an extra 2,029 women would have had their breast cancer detected via screening.
But ensuring all eligible women can easily attend their breast cancer screening appointment is a significant challenge.
Screening is less accessible to women from ethnic minorities, women living in deprived areas, and women with disabilities – who are at greater risk of poor breast cancer outcomes.
Just 63.3 per cent of eligible women living in the most deprived areas of England, are up to date with their breast cancer screening.
This compares with 74.1 per cent of women in the most affluent areas.
Claire Rowney, chief executive of Breast Cancer Now, said: “We welcome the UK Government’s commitment to address health inequalities as part of the National Cancer Plan for England, and to tackle local disparities in screening and early diagnosis, so that everyone has an equal opportunity to live, and live well.
“But, in order to be effective, the work of Cancer Alliances and local teams to increase awareness and access to screening needs to be supported by improvements to the screening programme at a national level.
“The UK Government must publish its Breast Screening Programme Uptake Improvement Review urgently, so that Alliances can learn from previous efforts to improve attendance.
“We also need to see a rapid rollout of the long-promised digital booking system to make arranging screening fast and convenient.
“We are ready to share our expertise and insight to support the UK Government in its delivery of the Cancer Plan and ensure everyone receives an early and fast breast cancer diagnosis, the best care and support, and access to ground-breaking treatments that pave the way for a cure.”
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