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‘We aren’t talking about it enough’- research reveals gap in fertility education
One in seven women who have not faced fertility issues before reported that they had never talked about fertility with their doctors
New research has found a gap in fertility education in the US, including the basics of reproductive health, a lack of conversation between women and their healthcare providers and misunderstandings around advanced maternal age.
The survey, which looked at 2,000 American women aged 18 to 40, revealed that 70 per cent of participants who have not faced fertility issues before, reported that they had never had a conversation with their primary care doctors, obstetricians or gynaecologists about their fertility.
It found that reproductive health topics that had been discussed with doctors by the full group of those surveyed included birth control pills (46 per cent), vaginal health (39 per cent) and how menstrual cycles work (33 per cent).
This was compared to topics on fertility health that have been discussed, like IVF treatment (five per cent) and IUI treatments (four per cent).
The survey, conducted by Talker Research on behalf of The Prelude Network fertility clinics, showed that 55 per cent of respondents believed they knew enough about sexual intercourse to make decisions about their reproductive future, with a remaining 45 per cent who didn’t feel the same.
However, it found that women felt even less confident about their knowledge of sexually transmitted diseases (28 per cent) or fertility-related topics, such as IVF (six per cent), egg freezing (five per cent) and sperm donor treatment (three per cent).
Lindsey Rabaut, chief marketing officer at Inception Fertility, the parent company of The Prelude Network, said: “The data shows that we as a society aren’t talking enough about female fertility health, and without those conversations, women don’t have the information they need to make empowered, educated decisions about their family building options.
“The great news is that there are opportunities to fill in this information gap. It starts with raising awareness about how fertility works and driving home the message that fertility health is women’s health.
“I wish I had been told more when I was 29 and just starting my career.”
Between female and male bodies, respondents were asked which one they think is the most frequent cause of fertility-related issues.
Results showed that 31 per cent of respondents believe a woman’s body is the cause of these issues compared to just four per cent who said male.
The findings showed that 53 per cent of American women mistakenly believe that the “advanced maternal age” starts before 35 years old, and 41 per cent felt pressure to have children before this age.
Sixty percent of respondents also think of their biological clock as a countdown to when they can no longer conceive a child and 28 per cent expressed “always” or “often” feeling anxious when thinking about their biological clock.
This has left many feeling regretful, as 32 per cent of millennial women wish that they had planned to conceive a child sooner.
As a result, nearly a quarter of women surveyed (24 per cent) feel that it is too late, believing at this point in their life, they are not able to have a child.
The research suggested that women are also worried about potentially facing fertility issues in the future (38 per cent), with four in 10 women (41 per cent) under age 35 expressing worry about this.
Alice Domar, chief compassion officer at Inception Fertility and director of the Inception Research Institute, said: “A clear takeaway from this survey is that women express anxiety about their future fertility, but we can lessen this distress and do a better job of supporting them in their fertility journeys through education.
“By understanding their reproductive health and the family building options that are available today, women can be more proactive in safeguarding their fertility health and increasing their odds of an easy conception and uneventful pregnancy.”
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Why cardiovascular health deserves a spotlight in femtech
When we think about women’s health innovation, certain categories immediately come to mind: fertility tracking, pregnancy care, menopause management.
These are vital areas that have long been neglected, and the femtech revolution has brought much-needed attention and resources to them.
But there’s another area of women’s health that remains dangerously overlooked, despite being the leading cause of death for women worldwide: cardiovascular disease.
Heart disease kills more women than all forms of cancer combined, yet most women don’t know this.
For decades, cardiovascular research has been designed around male bodies, male symptoms, and male experiences.
The result is a healthcare system that often fails to recognise when women are having heart attacks, misdiagnoses their symptoms and prescribes treatments that were never tested on female patients.
Women are more likely to die from their first heart attack or stroke than men, and they’re less likely to receive life-saving interventions in time.
This is precisely why the Femtech World Awards have teamed up with Women As One to create a dedicated category for cardiovascular health innovation.
With this award, we want to shine a light on the entrepreneurs, researchers, clinicians and advocates who are working to close not just a gap in care but a gap in innovation, research and recognition.
The cardiovascular health innovation award is an opportunity to celebrate this work and to call for more of it.
If you know of a company, researcher, or organisation doing groundbreaking work in cardiovascular health for women, now is the time to nominate them.
Perhaps it’s a startup developing wearable technology that predicts cardiac events in pregnant women. Maybe it’s a research team uncovering the links between hormonal health and heart disease.
It could be a community health initiative bringing cardiovascular screening to underserved populations of women.
Whoever they, or you are, submit your nomination here.
News
WHO hosts parliamentary dialogue on women’s health
The World Health Organization (WHO) welcomed a delegation of parliamentarians to its Geneva headquarters for a high-level dialogue on women’s health and sexual and reproductive health and rights.
The meeting on 20 January 2026 focused on women’s health, sexual and reproductive health and rights, noncommunicable diseases (long-term conditions such as cancer and diabetes) and global health cooperation.
The exchange was convened by the Konrad-Adenauer-Stiftung and the UNITE Parliamentarians Network for Global Health, bringing together parliamentarians from Albania, Germany, Georgia, Mexico, Slovakia, South Africa, Sri Lanka, Sweden and Zimbabwe.
A central theme was the need to move beyond fragmented approaches to women’s health.
Dr Alia El-Yassir, WHO director for gender, equity and diversity, highlighted that outcomes are shaped by gender inequalities, social norms and structural barriers across the life course, requiring coordinated action across health systems.
Thirty years after the Beijing Declaration and Platform for Action, a landmark framework adopted in 1995 to advance gender equality and women’s rights, Dr Anna Coates, WHO gender equality technical lead, noted that progress on women’s health remains uneven.
She called for health systems that are more gender-responsive and able to address women’s health holistically across the life course.
Parliamentarians stressed that health is inseparable from wider social and economic policies, and called for stronger links between evidence, legislation and measurable impact at country level.
The meeting also focused on sexual and reproductive health and rights, where parliamentarians expressed interest in engaging on issues that directly affect their constituents.
Dr Pascale Allotey, director of WHO’s Department of Sexual, Reproductive, Maternal, Child, Adolescent Health and Ageing, outlined WHO’s life-course approach to sexual and reproductive health and rights.
She highlighted how needs evolve from birth to older age and how these are shaped by social determinants, humanitarian crises and demographic trends.
Dr Allotey underscored the role of parliamentarians in advancing sexual and reproductive health and rights and the importance of continued engagement with WHO to support evidence-based policy-making.
The agenda highlighted cancer as a growing priority for women’s health and for health system sustainability. Dr Prebo Barango, lead for the Cervical Cancer Elimination Initiative, Dr Meghan Doherty, consultant for palliative care, and Santiago Milan, lead for the WHO Global Platform for Access to Childhood Cancer Medicine, presented WHO’s integrated approach to cancer control.
Palliative care is treatment and support that aims to improve quality of life for people with serious illness by managing pain and other symptoms.
The discussion underlined the need for sustained political commitment and domestic investment to address noncommunicable diseases.
Parliamentarians shared national experiences showing the social and economic impacts of cancer on families and caregivers, reinforcing the importance of improving health literacy, reducing stigma and delivering people-centred care.
The meeting also addressed the state of global multilateralism.
Dr Jeremy Farrar, assistant director-general for health promotion, disease prevention and care, outlined how WHO has restructured to enhance efficiency, impact and capacity to support countries.
He reaffirmed WHO’s commitment to more systematic engagement with parliaments, recognising their role in shaping health policy, legislation and budgets.
The exchange concluded with a call for continued collaboration, including through partnerships with the Konrad-Adenauer-Stiftung and the UNITE Parliamentarians Network for Global Health, ahead of the UNITE Global Summit 2026 on 6–7 March in Manila, the Philippines.
News
Women’s health firms face banking barriers after being tagged as ‘adult services’
Financial services providers across Europe and the UK are incorrectly classifying female-focused healthcare ventures as high risk enterprises, placing them in the same category as weapons dealers and tobacco companies.
As reported by The Banker, research by advocacy organisation CensHERship found that many women’s wellness technology companies are being denied standard banking services and payment processing facilities because of flawed classification protocols.
The investigation found significant inconsistencies in how financial institutions assess these businesses.
SheSpot, a British company specialising in female intimate wellness, received conflicting decisions from different divisions within the same bank.
Co-founder Kalila Bolton, who took part in the study, explained that one department initially classified their venture as “higher risk” alongside firearms and tobacco, while another branch of the same bank later said they were “fine with it”.
Similarly, HANX, a manufacturer of condoms designed to support vaginal microbiome health, faced payment processing rejection after being incorrectly labelled as an “adult services business”.
Published this week, the CensHERship analysis links these barriers to “outdated classification systems, over-compliance and cultural discomfort” that together prevent legitimate healthcare enterprises from accessing essential financial infrastructure.
The findings suggest that women’s wellness ventures are “routinely flagged, delayed, rejected or deplatformed”, outcomes that stem not from actual regulations but from financial and ecommerce systems that “default to caution” when dealing with women’s health topics that remain poorly understood or culturally sensitive.
CensHERship co founder Anna O’Sullivan said these results usually arise from unfamiliarity rather than deliberate discrimination.
“In most cases, this isn’t malicious or intentional — it’s what happens when people and systems meet something unfamiliar,” O’Sullivan said in a statement.
“But this unconscious bias can materially affect a founder’s ability to start, grow and scale a business.”
Investment platform The Case for Her, which partnered with CensHERship on the report, described the issue through co founders Wendy Anderson and Cristina Ljungberg as a clear “market failure” when founders cannot secure basic banking relationships.
“Fixing this issue is essential if we want to unlock one of the most promising growth markets in global health,” they said.
Risk consultant Aoife Mansfield, managing director at Athrú Group and a contributor to the report, said that terms such as “vagina” or “menstrual” trigger automated alerts within financial systems because they appear on the same watchlists as adult entertainment or pornography, raising a “red flag” in the systems used by banks and payment service providers.
O’Sullivan urged financial service providers to update their internal procedures, review their risk tolerance settings and explicitly include women’s healthcare within their approved client categories.
“They could remove this friction almost overnight,” she said.
The CensHERship analysis includes findings from across the UK and Europe, based on survey responses from more than 30 women’s health enterprises and interviews with founders, insurance underwriters, and compliance and risk professionals.
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