Opinion
Biotech and the female gut microbiome: Are we on the brink of a women’s health breakthrough?
By Dr Caitlin Hall, chief dietitian and head of clinical research at myota

Women’s gut microbiomes play a powerful and complex role in the regulation of their physical and mental health, but scientific understanding of this role is limited. Now that the microbiome has begun attracting more attention and investment, are we finally on the brink of a women’s health breakthrough?
Human bodies – both male and female – are home to trillions of microorganisms, such a vast quantity that they equal our own body cells at a 1:1 ratio. That means that every external and internal inch of us plays host to foreign bacteria much too tiny to see without the aid of a sophisticated microscope.
It’s inside our digestive system where you’ll find the highest concentration of these ‘friendly’ organisms.
In the large intestine, a huge volume of bacteria – our gut microbiome – ferments the fibre that we consume as part of our everyday diet to produce powerful molecules called short-chain fatty acids (SCFAs).
A significant volume of research has proven that these SCFAs – including butyrate and propionate – are responsible for strengthening the gut lining, hormone regulation, reducing inflammation, reducing risk of chronic disease, regulating appetite, and even boosting mood and cognition.
However, owing to a lack of targeted research, there is a wide knowledge gap regarding the sex-specific differences in the workings of the gut microbiome, SCFA production and SCFA activity. This is because – until very recently – the majority of microbiome research studies were carried out with male participants, leaving us with a scarcity of data on female gut health.
What we do know is that the gut microbiome displays sexual dimorphism, which suggests that it is influenced by sex hormones. This in itself is significant when trying to understand the workings of the female microbiome, given that women’s sex hormone levels fluctuate constantly and undergo significant change during and after the menopause.
We also know that women are statistically more likely than men to suffer from digestive discomfort, and from inflammatory conditions such as Inflammatory Bowel Disease (IBD) – both of which are influenced by SCFAs produced by the microbiome.
In December 2021, authors of a study into sexual dimorphism in the gut microbiome highlighted the likelihood of a correlation between this dimorphism and the female predisposition to autoimmune disorders.
And, in April 2022, a paper published in the International Journal of Women’s Health on the gut microbiome and the menopause concluded: “Given the potential to modify the gut microbiome through specific prebiotic, probiotic, or antibiotic drugs, the gut microbiome represents an unexplored new frontier in peri- and post-menopausal health. For example, could the gut microbiome be harnessed to improve menopause symptoms, effectiveness of hormone therapy, or menopause-related health outcomes?”
Research in this space, coupled with recent advances in next-generation sequencing technology that have vastly expanded the study of the microbiome, has generated significant interest within the biotech sector.
Increasingly, companies such as EnteroBiotix are turning their attention – and funding – to building a better understanding of the female gut microbiome and the development of novel therapeutics.
As the wealth of data and analysis increases, we will soon see new insights into exactly how microbiome activity intersects with a broad array of mental and physical markers of women’s health.
If the current pace continues, it’s likely that more effective treatments for inflammatory conditions, menopause symptoms, digestive conditions – and other conditions that women have disproportionately been impacted by – are on the horizon. And that’s something to celebrate.
myota is a gut health start-up based in London that uses machine learning, microbiome sequencing and analytical chemistry to explore and promote the therapeutic benefits of a healthy and properly balanced gut microbiome.
Insight
Emotions are data: The missing layer in femtech’s measurement era

By Zahra Bhatti, founder and CEO, Véa
We are living through a measurement boom.
Wrist-worn wearables ship in the hundreds of millions IDC forecast worldwide shipments at 537.9 million units in 2024, with 136.5 million units shipped in Q2 2025 alone.
We can track steps, sleep stages, heart rate, HRV, temperature, glucose variability and recovery scores.
We have never had more physiological insight into the human body.
So why are women still burning out? Still overwhelmed? Still carrying invisible cognitive load that never appears on a single dashboard?
If the data revolution in health tech was supposed to empower women, why do so many feel more monitored than supported?
A number on your wrist can tell you what happened in your body. It rarely tells you why it happened, what it meant or what you need next.
That missing layer is emotional data. And femtech is uniquely positioned to build it.
We Built Dashboards. We Didn’t Build Interpretation.
Picture this.
It’s 6:47am. You’ve been up since 4 with a teething toddler, made packed lunches on autopilot, managed a meltdown at the school gates and arrived at your desk already running on fumes.
Your watch buzzes. Sleep score: 38. Stress: High. Recovery: Poor. Thanks. You already knew.
This is the problem no one in health tech wants to name.
Wearables are extraordinary at capturing signals but measurement without meaning stops at awareness.
Your HRV dips and a notification pings. It cannot tell you whether that dip came from the argument you didn’t finish with your partner, the guilt of missing bedtime again, the weight of being the only one who remembers the GP appointment or the hormonal crash of your luteal phase hitting while all of it lands at once.
The sensor caught the signal but it missed the entire story.
The evidence backs up what women already feel in their bones.
While activity trackers can increase step counts, a Lancet Digital Health umbrella review found their effect on broader psychological wellbeing is limited.
A 2024 systematic review went further, calling the evidence for wearables improving mental health “extremely limited”.
The sensors work but the interpretation doesn’t. That gap between data and meaning is exactly where women fall through.
Women’s Mental Health Is Not a Niche Concern. It Is a Systems Failure.
Consider the architecture of burden women navigate daily.
Depression is approximately 1.5 times more common among women than men, according to the World Health Organization.
The gender gap emerges at puberty and persists through the lifespan, driven by biological, psychological and social factors that compound over decades.
In the UK, 26.2 per cent of women reported high anxiety in the most recent ONS quarterly data, compared with 18.8 per cent of men – a gap that has remained statistically significant for over a decade.
But here is the question nobody in wellness tech seems to be asking: where does all that invisible labour live in the data?
Globally, women perform 2.5 times more unpaid care and domestic work than men.
That is time, emotional bandwidth and cognitive effort that never surfaces in economic metrics or health dashboards.
Forty-five percent of working-age women are outside the labour force because of unpaid care responsibilities, compared with just 5 per cent of men.
For those who do stay at work, the toll compounds: CIPD research found that 67 per cent of women aged 40–60 experiencing menopause symptoms report a mostly negative impact at work, with 79 per cent feeling less able to concentrate and one in six considering leaving their role entirely.
These are not isolated statistics.
They describe accumulated cognitive and emotional load across a lifetime a compounding interest of stress that no single intervention can repay.
Yet most wellness technologies still focus on optimisation metrics such as: output, recovery, movement and productivity.
Women do not simply need better tracking. They need systems that reduce the burden of self-interpretation.
When did we decide that measuring a woman’s body was more important than understanding what she’s carrying inside it?
Emotions Are Not Soft Signals. They Are Early Data.
Emotions are routinely dismissed as subjective, anecdotal and too messy to measure.
But from a systems perspective, they are high-frequency signals about safety versus threat, capacity versus overload, connection versus isolation and alignment versus self-betrayal.
They are early-warning indicators arriving long before burnout becomes clinical, long before sleep deteriorates especially long before productivity drops.
Physiology lags behind the emotional moment.
Your heart rate spikes after the confrontation. Your sleep fragments after a week of over-functioning. Your inflammation markers will never capture the micro-stresses that accumulated all day. Emotions do.
They are the body’s first responders faster than cortisol, more specific than HRV, more honest than any self-reported wellness score.
When emotional data is captured consistently, patterns emerge that no wearable can detect alone: anxiety clustering after specific meetings, energy dipping during certain cycle phases, irritability rising after relational overextension, creative clarity following solitude or movement.
This is not mood tracking for novelty. This becomes behavioural pattern recognition – the diagnostic layer women have been missing and needing.
From Self-Optimisation to Self-Understanding
We have built extraordinary tools to measure the female body.
We have not yet built infrastructure to interpret the emotional load women carry daily, the invisible labour, the relational tension, the hormonal transitions and most importantly the resulting cognitive overload.
These forces rarely appear in a recovery score rather they show up unmistakably in emotional patterns.
Imagine: a wearable detects sustained stress variability. An emotional check-in identifies relational strain. Context shows deadline pressure and reduced recovery. The system responds not with another metric, but with a small, realistic intervention that fits your life.
From dashboard to preventative mental health infrastructure. THIS is the golden opportunity femtech has to lead.
When emotions are treated as structured, longitudinal data rather than vague self-expression, they become a preventative signal.
They reveal when capacity is shrinking, when boundaries are leaking, when resilience is building. They show what no heart rate monitor ever could: the moment a woman stops prioritising herself, and the pattern that follows.
This shift is already beginning.
Platforms like Véa are building emotional operating systems that treat emotions as legitimate health data translating micro-check-ins and pattern recognition into contextual insight, reducing the invisible labour of self-analysis rather than adding to it.
Not more optimisation. Not more self-surveillance. Structured self-understanding that actually lightens the load.
In a world saturated with metrics, the competitive advantage is no longer more data. It is better meaning.
Emotions remain the most underutilised dataset in women’s health. Femtech has the infrastructure, the audience and the moment to build the missing layer.
The question is whether it will.
News
The NHS doesn’t have a productivity problem: It has a precision problem

By Dr Melinda Rees, CEO, Psyomics
Spend enough time in the NHS and you stop flinching at the word “productivity”.
You hear it in every strategy document, every board meeting, every government announcement.
And almost every time, it means the same thing: do more with less.
It’s the wrong framing.
After 25 years working in and around clinical services – from NHS leadership to service delivery in the independent sector to where I am building technology that works with NHS mental health services – I’d argue it’s part of why progress has been so hard to achieve and sustain.
Productivity in healthcare shouldn’t mean squeezing more out of an already over stretched workforce.
It should mean something more precise: delivering greater value per pound by protecting and deploying finite clinical expertise intelligently.
That distinction sounds subtle. In practice, it changes everything about how you approach the problem.
The demand side of this equation isn’t going to get easier.
Multi-morbidity is rising. Mental health need is growing. Cases are more complex, and patient expectations – rightly – are higher.
The assumption that we can recruit our way out of this is understandable but wrong.
Training pipelines take years. Financial resources are finite. Even in an optimistic scenario, workforce expansion alone doesn’t close the gap.
So, the real question isn’t how do we get more clinicians. It’s whether we’re deploying the ones we have with maximum precision.
And honestly, in most services, the answer is no.
- Clinical time – the most valuable finite resource in the system – is routinely lost to things that have nothing to do with clinical decision-making.
- Administration.
- Repetitive documentation.
- Poor workflow.
- Systems that don’t share information across boundaries.
- Inconsistent and variable clinical decision-making.
- Referrals that shouldn’t have reached a specialist clinic in the first place.
- Reactive care models that wait for deterioration rather than anticipating it.
- Gathering baseline information that could have been collected earlier, more consistently, and without the clinician in the room.
Meanwhile, the waiting list grows.
This isn’t a motivation problem or a workforce culture problem. It’s a system design problem.
And it’s solvable – meaningfully – if we’re willing to rethink how technology fits into the picture.
The challenge with digital implementation in the NHS has rarely been the technology itself – it’s been layering new tools onto processes that were already under strain.
A new system that digitises an inefficient workflow is still an inefficient workflow.
Real productivity gains come when technology is used to redesign how work actually happens – not just record it.
In practice, that means four things.
First, automating the tasks that don’t require clinical expertise – structured data capture, digital triage, standardised assessment pathways.
Every minute saved on documentation is a minute returned to care. At scale, those minutes add up fast.
Second, bringing patients into the process earlier.
When a patient contributes structured, meaningful information before their first appointment, the clinician and patient have a great head start.
Better routing, smarter questions, faster and safer decisions, quicker access to the right treatment.
Third, monitoring caseloads intelligently.
Utilising tools that flag deterioration or signal when a care plan needs to change, rather than waiting for a crisis to trigger a review.
Finally fourth, making sure every appointment actually advances care. That sounds obvious.
In practice, without recorded structured outcome data, it’s surprisingly hard to know.
None of this requires drastic AI transformation or futuristic promises.
Some of the biggest gains come from making simple workflow tasks consistent and seamless – the kind of unglamorous operational improvement that doesn’t make headlines but compounds quietly across thousands of patient interactions and increases productivity.
A 1-2 per cent productivity gain per clinician sounds modest.
At NHS scale, across millions of appointments, it isn’t. It’s the difference between a system grinding and one with genuine headroom to breathe.
It’s the difference between your close relative being able to get an appointment when they genuinely need one or languishing on a waiting list with little hope.
I think about this a lot through the lens of mental health services specifically, where I’ve spent most of my career and where Psyomics works.
Mental health has historically been underfunded and under-prioritised – something that disproportionately affects women, both as patients and as the clinicians and carers holding those services together.
The pressure to do more with less lands hardest here. And the argument that productivity means working harder is, in this context, particularly damaging.
Burnout in mental health services isn’t a footnote. It’s a crisis within a crisis.
The better argument – the one I’d like to see shape NHS policy – is that productivity means precision.
Precision in how we route patients. Precision in how we use structured data to reduce variation and improve decisions. Precision in how we protect clinical time for the work that only a skilled clinician can do and loves to do.
That’s not a technology story, exactly. It’s a system design story, in which technology plays an enabling role.
The NHS doesn’t need to do more with less.
The goal isn’t harder-working, exhausted clinicians – it’s smarter-working, compassionate enabled clinicians, and patients who are seen sooner.
Opinion
The $128b paradox: Corporate wellness vs women’s burnout

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.
Entrepreneur3 weeks agoOura launches women’s health AI model
Entrepreneur4 weeks agoKindbody unveils next-gen fertility platform
Insight2 weeks agoThe missing layer in the women’s health conversation
Insight3 weeks agoWomen’s HealthX launches in Boston this December to transform women’s health through data and science
International Women's Day 20262 weeks agoHow AI is shaping the future of women’s health
Entrepreneur2 weeks agoMenstrual health apps market tipped to reach US$13bn
Entrepreneur4 weeks agoMatresa raises £315k for maternal health platform
Hormonal health3 weeks agoEndometriosis-sufferer wins landmark tribunal case on workplace discrimination












Pingback: Why the growth of gut-tech could transform female health outcomes - FemTech World