Connect with us

Opinion

“The gender pain gap hurts everyone – including the healthcare system and taxpayers”

By Cindy Moy Carr and Tami Wahl

Published

on

For decades a lot of ink has been spilled both online and in print about pain treatment disparities between men and women, often by the patients themselves.

One very famous case is that of actress comedienne Gilda Radner, who in her book Its Always Something described how she started experiencing acute exhaustion and pain in her upper legs in 1985 while filming Haunted Honeymoon in the United Kingdom.

She sought medical attention, and over the course of the next year, several doctors, the most of whom were in California, gave her differing diagnoses that ultimately turned out to be false. Several told her it was period pain and Epstein-Barr Virus which Radner herself referred to as fitting to “the Queen of Neurosis.”

For many like Radner, period pain has been blamed for what later turns out to be an unrelated illness or physical condition.

Radner continued to feel abdominal discomfort for 10 months. By the time they finally diagnosed her with Stage IV ovarian cancer in October 1986, the tumour inside her had grown to the size of a grapefruit.

Radner had a hysterectomy along with radiation and chemotherapy. Following remission and relapse, she died three years later at age 43. If only the doctors had listened and investigated all the possibilities sooner.

In November 2022, 33 years after the death of Radner, the first-ever gender pain gap report was released. The report, researched and compiled by Nurofen, based on a survey in the United Kingdom of 5,100 participants, analyses the differences in experience of pain for both men and women in the United Kingdom and found:

  1. 56 per cent of women surveyed, compared to 49 per cent of males, felt their pain was disregarded or neglected.
  2. One in four women vs one in six males reported having feelings that generally, no one took their suffering seriously.
  3. Of those that felt this way, 50 per cent said their GP and 27 per cent said their GP (the UK equivalent of a PCP) ignored or dismissed their pain, with partners/spouses (26 per cent) and friends (21 per cent) reacting in similar ways.
  4. Nearly two-thirds (63 per cent) of women believe that doctors and nurses discriminate against women and treat men’s pain more seriously.

The reasons it took so long for such a study are present in the results. The report states that the gender gap found in this study is probably a product of a “male as default” philosophy and historic practice that pervades research, clinical trials, healthcare policy and services.

It seems Radner wasn’t the only one who thought herself neurotic. The report also states that only 28 per cent of women who experience severe daily pain would seek consultation with their GP.

That trend continues with treatments for pain where 74 per cent of women would choose self-care over seeing an GP due to feeling ignored or dismissed compared to just 60 per cent of men. And almost a quarter (24 per cent) of the women surveyed also reported that pain had led to them feeling depressed, compared to 18 per cent of men.

These results, while shocking, are an everyday experience for most women we know.

The first study definitively proving the existence of menstrual pain was released by Harvard and Apple in March 2021. Women obviously knew menstrual pain existed, the pain simply wasn’t considered important enough to merit research funding.

In 1998 sildenafil citrate, later marketed as Viagra, was tested as heart medication and found to offer total relief for serious period pain over four hours. The review panel refused further research funding because cramps were not a public health priority.

In 2007 sildenafil citrate was found to help hamsters recover from jet lag. In 2013 sildenafil citrate was again shown to relieve menstrual pain but the study ran out of funding. Hamsters get priority over women.

More recently one of this article’s authors sought counselling for hypochondria after numerous doctors told her the mysterious ailments she was suffering, including debilitating migraines, dry eyes and vertigo, were psychosomatic.

It was a nurse who told her it was perimenopause. Simple hormone therapy solved years of symptoms.

Gender pain disparity is a safety issue

In 2020, the First Do No Harm report was published by the Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege.

The Review team spent two years speaking to more than 700 women and their families who experienced complications linked to three treatments–1) sodium valproate, an epilepsy drug that increases the risk of birth defects; 2) Primodos, a hormonal pregnancy test withdrawn from the market in 1978, allegedly associated with birth defects and miscarriages; and 3) pelvic mesh implants, used to treat prolapse and urinary incontinence, the complications of which can cause debilitating pain “like shards of glass inside the body”.

The 277-page report is an explicit and gut-wrenching read, laying out in minute detail the multitude and shocking ways in which patients – most of whom are women – were treated dismissively by the healthcare system with the resulting outcomes being just as severe, including job loss, breakdown of family life, children or husbands becoming carers for mothers or wives, and for women with children suffering from foetal valproate spectrum disorder, being accused of abuse by poorly educated clinicians.

On page 17 of the report, under the subtitle No-one is listening’ – The patient voice dismissed, the Review team writes: “They spoke of being ‘gaslighted’ and of not being believed, particularly in relation to pelvic mesh and the suffering of pain.

“Women, in reporting to us their extensive mesh complications, have spoken of excruciating chronic pain feeling like razors inside their body, damage to organs, the loss of mobility and sex life and depression and suicidal thoughts.”

The Review team goes on: “Some clinicians’ reactions ranged from ‘it’s all in your head’ to ‘these are women’s issues’ or ‘it’s that time of life’ wherein anything and everything women suffer is perceived as a natural precursor to, part of, or a post-symptomatic phase of, the menopause.”

The Review then explains some of the consequences of this treatment, including the increased costs to the UK taxpayer.

“We know that women who accept a normalisation of their pain tend to seek the help they need far later than they should,” they write.

“This precludes the possibility of early, less invasive treatment with potentially better outcomes. It also takes its toll, physically, mentally and emotionally on the patient and their family and imposes ultimately a far greater cost on the NHS and the healthcare system to treat and attempt to put right.”

What steps can we take to narrow the gap?

Nurofen’s study is a good start. They’ve also launched a website called named See My Pain where the stories of real women are posted.

Their parent company Reckitt Benckiser has also committed to several long-term initiatives that go beyond marketing to finally close the gender pain gap.

For instance, the business will invest in creating new tools to help both men and women describe and articulate their suffering while speaking with medical specialists.

Reckitt has also pledged to include gender balance when planning and analysing its clinical studies, provide training in identifying gender bias and will frequently review the Gender Pain Gap Index Report to monitor progress. (Note: The authors are not affiliated with Reckitt.)

These are all good first steps from a brandholder in the medical ecosystem.

Healthcare professionals could receive training in active listening techniques. Medical school curriculums and continuing education sessions could explore and raise awareness of the gap, which may initiate an openness and curiosity for students and physicians to look beyond defined conditions.

Patients should learn to be their own advocates. Today we have technologies, digital platforms, social media and online communities to better inform and empower an individual.

Perhaps if Gilda’s medical team was more curious or she had a broader support network with similar symptoms she wouldn’t have dismissed herself as “neurotic” and she’d still be here making us all laugh with her wonderful characters.

A longer-term and more involved measure is a comprehensive and macro-review of the healthcare model.

The system has become such a behemoth that medical discoveries and any sense of individualised treatments are ultimately limited if non-existent.

The existing model was built decades prior to the array of digital data and technologies that are available today. Is a complete overhaul needed or can the existing system be reconfigured to utilise and meet contemporary times?

A serious review would reveal best next steps to close the gender pain gap among other improvements.

The Nurofen report concludes on a practical note: “Closing the gap on pain will not only provide immediate solutions for women experiencing pain, but we hope will have a ripple-effect in terms of social and economic gains.”

More importantly, closing the gender pain gap will save lives and will absolutely improve the quality of life for women navigating pain.

 

Cindy Moy Carr is the founder and CEO of Vorsdatter Limited which developed mySysters, an app for perimenopause and menopause. She’s an attorney and journalist who authored the American Bar Association’s Guide to Health Care Law.

Tami Wahl serves as legislative and regulatory counsel for innovators across multiple industry sectors. 

Hormonal health

The $128b paradox: Corporate wellness vs women’s burnout

Published

on

By Katrina Zalcmane, co-founder | partnerships and growth, Véa

The global corporate wellness market reached US$70.65 billion in 2024 and is projected to hit US$128 billion by 2033 – Europe leads the charge, capturing over 39.5 per cent of market share.

Meanwhile, femtech investment hit US$2.2 billion in 2024, representing 8.5 per cent of all digital health funding.

The message is clear: companies recognise that employee wellness matters and women’s health technology is finally getting serious investment.

So why are women still drowning?

In the UK, 91 per cent of adults report experiencing high or extreme stress levels – despite consumers spending an average of US$3,342 annually on wellness and self-care.

60 per cent of women in leadership positions report feeling constantly burned out, while 69 per cent of women feel emotionally drained after every workday.

Around 1 in 4 working women say they can’t manage workplace stress, with only 44 per cent confident their employer even has a burnout plan.

The numbers don’t add up. Billions flowing into wellness programmes. A femtech revolution promising personalised solutions.

And yet women ages 25-45 – the backbone of the modern workforce – are hitting crisis levels of exhaustion.

The problem isn’t a lack of investment – it’s what we’re investing in.

The Mismatch: What Companies Offer vs What Women Actually Need

Health risk assessments captured 21.2 per cent of the European corporate wellness market in 2024, while stress management programmes hold 13 per cent market share and continue expanding.

Companies are checking boxes: biometric screenings, mental health apps, flexible work, meditation subscriptions.

Yet these programmes consistently miss three critical factors:

1. Emotional data is invisible

Modern workplaces reward thinking, problem-solving and constant cognitive output.

What gets lost is the intelligence that comes from recognising early warning signals in the body – somatic indicators that burnout is building long before it becomes visible.

Women are taught to “think through” stress rather than listen to what their bodies are telling them. By the time burnout shows up in productivity metrics or sick days, the damage is done.

2. Hormonal rhythms are ignored

Corporate wellness assumes constant, linear productivity.

But women’s bodies don’t work that way. Menstrual cycles, perimenopause, fertility journeys – all create natural energy fluctuations that impact focus, stress response and cognitive performance.

Instead of working with these rhythms, most women fight against them, blaming themselves for “productivity dips” that are actually biological.

The result is chronic disconnection from their bodies and accelerated burnout.

3. Emotional labour stays uncounted

Women carry disproportionate loads of invisible work – managing team dynamics, mentoring, smoothing conflicts, holding space for others’ stress.

This labour never appears on performance reviews or workload assessments.

It accumulates beneath the surface until women hit a wall.

The Cost of Getting It Wrong

In the UK, mental health-related absences cost the economy approximately £21.6 billion annually, with employees taking 34 million sick days each year due to stress, depression and anxiety.

Employee burnout costs an average 1,000-person company US$5.04 million per year globally. Burned-out employees are 6 times more likely to leave, costing companies 50-200 per cent of salary in recruiting and training.

For women specifically, the crisis deepens.

Women new to leadership report 70 per cent burnout rates; for women of colour in senior positions, it reaches 77 per cent..

Nearly 40 per cent of women actively seeking new jobs cite burnout as the primary reason.

Replacing a mid- or senior-level woman costs up to 213 per cent of her annual salary.

We’re not just losing individual contributors but hemorrhaging the women leaders who hold institutional knowledge, mentor the next generation and drive diversity initiatives.

What Needs to Change

Instead of more generic wellness programs, we need to fundamentally rethink how we support women at work.

1. Shift from crisis response to prevention

Only 44 per cent of women feel confident their employer has a burnout plan – but by then, you’ve already lost.

Companies must teach women to recognise burnout signals in their bodies before a crisis hits. Somatic awareness catches exhaustion early, when intervention still works.

2. Design work around cyclical energy, not constant output

Women need organisational cultures that acknowledge hormonal rhythms as legitimate biological factors affecting performance.

This means training managers to understand energy fluctuations and designing workloads that account for them instead of just offering “flexible arrangements”.

3. Make invisible labour visible

Emotional labor must be quantified, acknowledged and redistributed.

This requires new frameworks for measuring contributions beyond traditional output metrics and structural changes preventing this work from defaulting to women.

4. Prioritise personalisation over one-size-fits-all

Workforce wellness now centres on personalisation powered by AI and data analytics.

A 27-year-old establishing her career has completely different needs than a 42-year-old navigating perimenopause while caring for ageing parents.

AI-driven platforms can deliver tailored support – virtual health assistants, personalised insights, telemedicine – making care more accessible for women balancing careers, family and wellness.

The Opportunity

Closing the women’s health gap could add at least $1 trillion annually to the global economy by 2040.

But unlocking that value requires interventions addressing burnout’s root causes, not just symptoms.

The market is already voting.

Virtual workplace wellness programmes saw substantial growth following the pandemic and Europe continues leading corporate wellness investment.

Companies in the UK and France are implementing AI-driven burnout assessments, hybrid wellness platforms and data-driven mental health monitoring.

Still, investment alone isn’t enough.

The question isn’t whether companies will spend on women’s wellness – they already are.

The question is whether they’ll invest in solutions that actually work: reconnecting women with somatic intelligence before burnout becomes visible, designing around hormonal rhythms rather than fighting them and making invisible labour visible so it can be redistributed.

The companies that do will win the talent war.

The ones that don’t will keep wondering why their best women keep leaving.

About Véa Workshops

Véa offers evidence-based corporate wellness workshops designed specifically for women professionals, addressing the root causes of burnout that traditional programs miss.

Grounded in neuroscience, psychology and somatic awareness, Véa workshops focus on prevention rather than crisis response – teaching women to recognise emotional data and somatic signals, work sustainably with hormonal rhythms and make invisible labor visible.

Available in formats from 45-minute executive sessions to half-day leadership offsites, these workshops support sustainable performance without asking women to step back from ambition.

Learn more at veajournal.app/workshops.

Continue Reading

Opinion

From platforms to people: The next era of femtech

Published

on

By Katrina Zalcmane, head of partnerships and growth, Véa

The next era of femtech shifts focus from platforms to people as women rethink how technology fits into wellness and social life.

Women are spending less time on ambient, always-on digital environments and more time in bounded, intentional, in-person settings.

This is not a rejection of technology but a reprioritisation of how and where it belongs. For femtech, this shift is not cosmetic. It signals a structural change in user expectations – one that has implications for product design, engagement models and long-term relevance. 

I explore three key signals underpinning this shift: reduced engagement with social media platforms, the resurgence of in-person, women-led communities and growing fatigue with fragmented digital tools.

Signal 1: Declining Engagement With Social Platforms Among Women

Multiple data sources point to a flattening or decline in engagement with traditional social media platforms, particularly among women:

  • Pew Research Center reports that adults are increasingly “actively limiting” their social media use, with women more likely than men to cite emotional exhaustion and reduced wellbeing as reasons.
  • Ofcom’s Online Nation report shows year-on-year declines in time spent on social platforms among UK women aged 25–44, alongside rising use of messaging and offline coordination tools.
  • Meta itself has acknowledged a shift away from “social graph” engagement toward private, smaller-group interactions in recent earnings calls.

While this is not mass abandonment, it does indicate selective withdrawal: fewer platforms, less ambient presence, more intentional use.

Signal 2: The Rise of In-Person, Women-Led Communities

At the same time, participation in physical, community-based activities has increased. Examples include:

  • the growth of women-led run clubs and fitness collectives across major cities, often operating independently of digital platforms;
  • the expansion of paid, small-scale retreats and circles focused on reflection, creativity or embodiment;
  • increased demand for local, recurring group experiences rather than one-off events.

While women are stepping back from social platforms, they are stepping into real-world communities. ONS data on social capital shows a post-pandemic rebound in in-person participation, particularly among women aged 25-45, with a preference for smaller, repeat gatherings over large social events.

What distinguishes this wave of community-building is intentionality. These spaces are bounded, often invitation-based and deliberately offline.

They are designed to counteract overstimulation rather than add to it.

Signal 3: Tool Fatigue and the Consolidation of Digital Habits

Alongside social media fatigue, there is growing evidence of “tool fatigue” across wellness and productivity categories:

  • App retention rates across health and wellness remain low, with industry benchmarks showing that fewer than 25 per cent of users remain active after 30 days.
  • Deloitte’s Digital Consumer Trends report notes a move toward app consolidation, with users preferring fewer, multi-purpose tools over fragmented stacks.
  • Qualitative studies show women are particularly sensitive to cognitive overload caused by managing multiple apps for mood, cycles, health, reflection and social coordination*.

The implication is not that women want less support but that they want smarter, simpler tools that can actually help manage their inner lives.

What This Means: A Shift in the Role of Technology

Taken together, these signals point to a clear trend: technology is moving from being a primary site of social life to a supporting layer around it.

Women are not asking apps to become communities. They are asking them to:

  • help them reflect and process privately;
  • reduce cognitive and emotional clutter;
  • support real-world relationships rather than replace them;
  • operate in bounded, intentional ways.

This reframes success metrics. Engagement time and daily active use become less meaningful than whether a tool genuinely increases capacity, clarity and presence outside the app.

Implications for Femtech

For femtech, this marks a decisive transition. The first phase of femtech focused on visibility: tracking cycles, symptoms and bodily data that had previously been ignored.

The next phase will focus on integration: helping women make sense of experience in ways that support how they live, relate and gather.

Femtech products that attempt to:

  • replicate community digitally,
  • build social feeds under the banner of wellbeing,
  • position AI as a substitute for real connection,

risk misaligning with where behaviour is actually moving. 

By contrast, femtech that treats technology as infrastructure, not destination, is better positioned for longevity.

Where Véa Fits

Véa was built with this shift in mind.

Rather than attempting to replace connection or build another social layer, Véa focuses on internal processing – neuroscience-backed journaling, emotional pattern recognition and reflective AI support – so that women can show up more clearly in their real lives.

Importantly, Véa is not only a digital tool.

It is designed to extend into physical space, through curated in-person experiences and community gatherings that prioritise presence, embodiment and shared reflection.

The digital layer exists to support the human one, not compete with it. In a context of tool fatigue and selective disengagement, this hybrid model – digital support paired with real-world interaction – aligns closely with how women are choosing to engage today.

Over the next decade, the most resilient femtech products will not be those that maximise time spent inside ecosystems but those that give women back the capacity to return to their lives – with greater clarity, energy and real-world connection.

It’s time to design femtech that empowers presence over engagement.

*Reich-Stiebert, N., Froehlich, L. and Voltmer, J.-B. (2023). ‘Gendered mental labor: A systematic literature review on the cognitive dimension of unpaid work within the household and childcare’, Sex Roles, 88, pp. 475–494.

Continue Reading

Opinion

How Women in Tech Switch Off Without Switching Off

Published

on

Modern tech work blurs the boundary between focus and fatigue. Notifications spill into evenings, side projects jostle for attention, and the same screens we use to ship code stream our downtime. The answer is not to disconnect completely. It is to design small, protective rituals that restore energy while keeping a gentle sense of control. Short, low pressure restorative online play can sit alongside other evening habits without draining tomorrow’s focus.

Make Recovery a Feature, Not a Fix

Burnout rarely arrives in a single moment. It builds through micro stresses that never get cleared. Treat recovery as a product feature you ship every evening, simple and reliable rather than grand and rare. Start with boundaries that mark the end of the workday. Close the laptop, write a one line note about tomorrow’s first task, and put your kit out of sight. That single gesture creates a clean edge the brain respects.

Then change the environment. Shift lighting from cool to warm, swap the chair for the sofa, and set your phone to a calmer home screen. These cues matter. They tell your nervous system the mode has changed so you can mix mental rest with light engagement that still feels intentional.

Short, Screen-literate Rituals That Actually Work

  • A ten minute mobility or stretch video resets posture after hours at a desk
  • A tidy loop, like clearing the downloads folder or filing screenshots, reduces digital noise
  • A breath guided practice that ends on the dot gives a measurable downshift
  • A single chapter of a book or a short podcast episode keeps attention light and finite

When energy is low, aim for the smallest possible win. Two minutes of breathing still counts. One drawer tidied is still progress. Preserve the shape of recovery rather than chasing perfection.

Where Light Online Play Fits

Play is a human need, not a teenage phase. In the right dose it helps down regulate stress and restores a sense of agency after a day of reacting to tickets and pings. Keep it light and bounded. Choose modes that resolve in fifteen to twenty minutes, mute work apps, and set a visible stop time before you start. The aim is a calm, finite session that ends cleanly.

Cosy builders, puzzles, or narrative adventures often deliver novelty without social pressure. If you prefer something social, co-op rounds that finish quickly provide connection without dragging the night. Headphones with a gentle volume limit protect shared spaces and evening quiet.

Pair play with tiny chores so life runs smoother. Start a short download, fold laundry while it completes, then enjoy your round guilt free because the house already feels calmer. This is deliberate energy management, not indulgence.

Design a Space That Calms On Sight

  • Put a warm lamp on a simple timer so evenings do not begin under harsh light
  • Keep controllers, headphones, and chargers in one tray so play starts cleanly and puts away fast
  • Use a standing phone dock during dinner to avoid reflex checks
  • Keep the bedroom device light and cool in tone so your brain associates the space with sleep

If you live with others, make the evening rhythm visible. A shared quiet hours note, a soft household wind down alarm, and a last call for dishwashing help everyone respect the boundary between work and rest.

A Weeknight Template That Holds Under Pressure

  • Shutdown: one line for tomorrow, close tabs, quick desk tidy
  • Reset: ten to fifteen minutes to settle the kitchen and lay out morning basics
  • Nourish: simple dinner that keeps cleanup minimal
  • Reward: one short activity on a timer, with light online play as an option
  • Wind down: warm lights, gentle stretch, phone on do not disturb, consistent lights out

If you miss a step, shrink it rather than skipping the whole routine. Small completions compound. Over a month they beat heroic bursts every time.

Leadership Starts With Example

Team norms shape personal wellbeing more than any tool. If you manage others, model sane hours and visible shutdowns. Delay send late emails, publish focus blocks, and praise outcomes over urgency theatre. Encourage short, restorative breaks through the day so evenings do not have to undo quite as much. When leaders normalise humane rhythms, teams follow and results improve because people are not running on fumes.

Continue Reading

Trending

Copyright © 2025 Aspect Health Media Ltd. All Rights Reserved.