News
The rise of preventive gynaecology: What women need to know

Co-written By Dr Claire Gillvray and Tarang Majmudar, Welbeck Cambridge (2026)
Gynaecological cancers, cervical, ovarian, uterine, vaginal, and vulvar, pose a significant health risk across all age groups.
While treatment has advanced in recent years, early detection remains the single most crucial factor in improving survival, reducing the need for invasive treatments, and preserving quality of life.
Why Early Detection Matters
When gynaecological cancers are detected early, the five-year survival rate exceeds 90 per cent.
In contrast, late-stage diagnosis can reduce survival chances by more than half. Early detection truly can mean the difference between life and death.
In England, the introduction of cervical screening in 1998 and HPV vaccination in 2008 has drastically reduced the incidence and mortality associated with cervical cancer.
For endometrial cancer, postmenopausal bleeding is a red flag symptom, prompting timely medical intervention and generally resulting in early diagnosis.
Yet, ovarian and vulval cancers often go unnoticed.
Ovarian cancer’s vague symptoms such as bloating, abdominal discomfort, and appetite changes, are frequently mistaken for benign conditions.
Vulval cancer symptoms like itching or soreness are often overlooked, especially post-menopause.
To improve early detection, a threefold strategy is essential:
- Screening
- Symptom recognition
- Lifestyle modification
1. Screening
Cervical cancer is one of the few gynaecological cancers that is both preventable and detectable through routine screening.
Caused primarily by the human papillomavirus (HPV), cervical cancer rates have dropped significantly due to HPV vaccination and cervical screening programmes.
In 2023, NHS England outlined its goal to eliminate cervical cancer by 2040.
Despite high HPV vaccination coverage (approximately 80 per cent), screening uptake has declined, particularly among younger women, where participation has dropped to 70 per cent.
The upcoming introduction of self-sampling for HPV aims to address this gap and improve participation.
However, no effective population-wide screening methods currently exist for ovarian, uterine, vaginal, or vulvar cancers.
This reality reinforces the importance of self-awareness, recognising symptoms, and attending regular gynaecological check-ups.

Dr Claire Gillvray
2. Recognising Warning Symptoms
Awareness of key symptoms is vital for early diagnosis:
- Cervical cancer: abnormal vaginal bleeding, post-coital bleeding, unusual discharge
- Ovarian cancer: persistent bloating, pelvic discomfort, urinary urgency, loss of appetite, weight loss
- Uterine cancer: postmenopausal bleeding, irregular or heavy periods
- Vaginal cancer: unusual bleeding or discharge
- Vulvar cancer: itching, pain, lumps, or ulceration
Although many of these symptoms can have benign causes, persistence or change from the norm should always prompt medical review.
Historically, women’s gynaecological symptoms have often been minimised or dismissed.
This has led to diagnostic delays for conditions like endometriosis, which still takes nearly 9 years on average to diagnose.
Young women are particularly vulnerable, with symptoms too often attributed to hormonal changes or stress.
Rather than placing blame, we must push for better education, research funding, and structural support to help clinicians, especially in primary care, identify early warning signs across diverse age groups and health backgrounds.
3. Lifestyle and Risk Reduction
Healthy habits can reduce the risk of several gynaecological conditions:
- Maintain a healthy weight
- Eat a balanced, nutrient-rich diet
- Avoid tobacco and limit alcohol
- Get vaccinated for HPV and practice safe sex
- Attend regular health checks
- Manage conditions like diabetes and hypertension
- Seek genetic counselling if there’s a family history of breast, bowel, or gynaecological cancers
Prevention isn’t only about medical care, it’s also about empowering people with the knowledge and tools to take charge of their health.
The Role of Men and Partners in Gynaecological Health
Preventative gynaecology isn’t a “women-only” issue. Men and partners play an essential role in recognising early warning signs, supporting open health conversations, and advocating for equitable care.
Awareness campaigns must include all genders, so that everyone can support informed decisions, challenge stigma, and help normalise seeking help early.
The Rise of FemTech
Preventative gynaecology is being transformed by FemTech with technologies including:
- Menstrual tracking apps
- Wearable hormone monitors
- At-home diagnostics
- AI-powered symptom tools
These innovations give people more insight into their own health and more confidence when seeking care.
Yet, technology alone isn’t enough. It must be paired with systemic changes in how symptoms are recognised and responded to.
Chronic pain, abnormal bleeding, and fatigue are too often normalised, leading to prolonged suffering and delayed diagnoses.
Empowering Through Self-Advocacy

Tarang Majmudar
A central tenet of preventative gynaecology is self-advocacy. This involves:
- Know your normal—cycles, mood, energy, libido
- Use tech to track symptoms and patterns
- Push for answers when something feels “off”
- Recognise that stress, sleep, and environment all play a role in health
Empowerment also means expecting and demanding respectful, informed care. It’s about being heard, not dismissed.
Prevention in Action: Real Progress
We’re already seeing the benefits of preventative measures:
- The HPV vaccine is reducing cervical cancer rates significantly.
- Early hormone therapy during perimenopause can protect bone, brain, and heart health.
- Growing awareness of reproductive conditions is shortening the diagnostic journey for many.
When supported by data and technology, people can have more meaningful conversations with healthcare providers and make informed choices about their bodies and care.
Looking Forward
For individuals:
Use digital tools to track trends and flag changes. Treat this data as a conversation starter, not a diagnosis.
For clinicians:
Engage with new technologies. Ask proactively about menstrual, hormonal, and sexual health.
For innovators:
Design inclusive, accessible tools for all bodies, all ages, all ethnicities.
For policymakers and researchers:
Support funding for research that focuses on earlier detection, better diagnostics, and equitable access to care.
The future of gynaecological care is not just about reacting to disease, it’s about preventing it, detecting it early, and empowering everyone to take control of their health.
Preventative gynaecology is more than a trend, it’s a necessity.
With education, accessible tools, cultural change, and collaborative action, we can make early detection the norm, not the exception.
Insight
What “women’s healthmaxxing” means for patient trust and the femtech industry

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
Insight
Rising number of young midwives quitting NHS due to burnout

More young midwives are leaving the NHS before 35 as burnout adds pressure to stretched maternity services, new research has revealed.
The trend has raised concerns about the quality and safety of care for mothers and babies in understaffed maternity units.
During 2025-26, 1,669 midwives aged 34 or under left the health service in England, representing 57 per cent of the 2,949 midwives of all ages who resigned.
The pressures of maternity care, including increasingly complex childbirth and the risks involved, are thought to be among the factors behind the trend.
Hannah Leonard, deputy chief midwife at the Royal College of Midwives, said the exodus of midwives under 35 was “deeply worrying” and showed that too many were ending up “burnt-out within a few years of qualifying because every shift means too few colleagues, missed breaks and unpaid hours”.
She added: “Losing these midwives, and students, even before they qualify, is a terrible waste of talent.”
The figures, revealed in parliamentary questions tabled by the Liberal Democrats, show that 205 of last year’s younger leavers were under 25, while 655 were aged 25 to 29 and 809 were aged 30 to 34.
The number of midwives under 35 leaving the NHS has risen sharply in recent years. The 2025-26 figure was 59 per cent higher than the 1,051 who left in 2014-15, according to NHS figures.
Burnout means long-term physical and emotional exhaustion, often linked to sustained pressure at work.
Separate figures obtained by the Liberal Democrats suggest almost one in four midwifery students are leaving before completing their three-year degree.
In 2021, 3,565 students started a midwifery degree, but 2,725 graduated in 2024, meaning 840, or 24 per cent, did not complete the course.
Midwifery students spend much of their second and third years learning on the job in maternity units.
The loss of staff and students underlines what the Royal College of Midwives has described as a “staffing emergency” in maternity care across the UK.
A recent survey by the Royal College of Midwives found that three-quarters of midwives had considered leaving the profession over the last year, mainly because of concerns over staffing levels and patient safety.
Both recent large-scale reviews of maternity care in England, led by Donna Ockenden and Valerie Amos, identified staffing shortages as a key problem affecting patient safety.
Helen Morgan, the Liberal Democrat health spokesperson, said: “These statistics reveal an alarming crisis in maternity, with far too many midwives burning out early in their career and in their training. Patients are paying the price, and mothers are left with no alternative but to give birth on understaffed and unsafe wards.
“Rather than throw money at yet more new recruits who quit under intolerable pressure, the government needs a new approach. Through guaranteeing protected, year-round training and professional development we can help midwives cope with rising complexity and risk.”
About 10 per cent of all midwives leave the NHS each year.
However, the figures show higher leaving rates among younger midwives, with one in seven, or 14.6 per cent, of those aged 25 to 29 and one in six, or 16.6 per cent, of those aged 30 to 34 leaving during 2025-26.
A Department of Health and Social Care spokesperson said: “Under this government we have a record number of midwives in the workforce and we value the vital service they provide in maternity and neonatal units across the country.
“To make the NHS the best employer it can be, we have introduced new NHS staff standards to improve health and wellbeing support, promote flexible working, as well as crucial measures to tackle violence, sexual harassment or abuse and racism.
“Alongside consecutive above-inflation pay rises, we’ve bolstered the midwifery workforce through our graduate guarantee and recently opened up 1,000 more midwifery roles backed by £10m to help prevent student midwives leaving the profession.”
Department of Health and Social Care figures show a record 25,500 full-time-equivalent midwives are working in the NHS, 2,000 more than when the Labour government took office in July 2024.
Mental health
Nearly 60% of young women get health advice from influencers, research finds

Nearly six in ten young women get health and wellness advice from influencers, new research shows.
Women aged 18 to 29 were more likely than young men to use online influencers for health information.
The topics included beauty, alternative medicine, mental health, weight loss and fitness.
The Pew Research study found that 57 per cent of women aged 18 to 29 said they get health and wellness information from online influencers, 10 percentage points higher than young men.
While Americans still mostly rely on healthcare providers, the research suggests social media influencers also play a major role in how young people find health advice.
Among women who get health and wellness information from influencers, 51 per cent said they often hear about beauty and appearance, compared with 18 per cent of men.
Young women were also around twice as likely as young men to say they see content about alternative medicine, meaning treatments or health practices used outside mainstream medical care.
A third or more of both young men and young women said they often hear about mental health and weight loss from influencers.
Around half or more of both groups said they often see fitness content.
When asked why they seek health and wellness information from influencers, around half of young women said they wanted to make a change to their health or lifestyle.
That compared with 37 per cent of young men.
The research also found that 23 per cent of young women said hearing from people who share their background or beliefs was one reason they used influencers, compared with 14 per cent of young men.
A further 19 per cent of young women said they learnt about things they did not want to ask their doctor, compared with 10 per cent of young men.
Diagnosis2 weeks agoTwo “gamechanger” tests set to speed up endometriosis diagnosis on the NHS
Insight2 weeks agoWomen with PMOS should have annual NHS checks, new guidance says
News5 days agoNew menopause drug approved for use by NHS in Scotland
Cancer2 weeks agoThousands of women could avoid painful cancer exam with new AI blood test
Entrepreneur2 weeks agoApplications open for the third W Accelerate with Merck KGaA and M Ventures
Fertility2 weeks agoOlder women face lower chance of fertility treatment working, even with donor eggs, study finds
News2 weeks agoWe built Ema like a nurse: Here’s why that matters
News2 weeks agoExperts call for regulation of toxic period product chemicals













2 Comments