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Opinion

“Women’s health has been plagued by gender bias. Where do opportunities for innovation lie?”

by Olivia Brooks, investor at Founders Factory

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Olivia Brooks

Underfunded, under researched, and under innovated. Since the early days of medicine, women’s health has been plagued by gender bias, resulting in poorer delivery, chronic misdiagnosis and higher risk of fatality.

Women in the UK have clearly decided it’s time for change. In March 2021, 110,000 women responded to a call for evidence – around 10x the average response – leading to the first government-led Women’s Health Strategy to address challenges around the gender health gap.

An area ripe for innovation, impacting over half the population, this is a powerful opportunity for founders to drive forward innovation on understanding women’s health challenges, around how women access healthcare and the quality of care they receive.

There are some glaringly obvious areas that require serious attention and innovation.

First and foremost, efforts around improving access to health services.

For one, women-specific conditions – such as endometriosis and PCOS – are chronically underserved, seeing far longer waiting times, and therefore pose considerable risk. Start-ups like Bloomful offer digital care pathways to help improve access for patients.

It’s also worth considering the ease at which women can access reproductive health products, particularly given certain taboos around this topic.

Founded after one of the founders ran into her boyfriend’s mum while buying a pregnancy test, Stix is a DTC women’s health platform offering a convenient and discreet way to access products from emergency contraception to pregnancy tests.

The gender data gap has also come to the fore in recent years, particularly following the popularity of Caroline Criado Perez’s Invisible Women.

For years, women have been directly underrepresented in research and clinical trials—for example, in psychiatry, where mean participation of women in trials was just 42 per cent,  while 60 per cent of patients are women.

Hertility is one start-up looking to close the gap. They’re building the largest data set on gynaecological pathologies, powering their digital diagnostic tool that can screen for 18 reproductive health conditions in just 10 days.

But even among women, there is a huge gap to close. Women experience radically different outcomes depending on their ethnicity and socio-economic background.

Black women in the UK are four times more likely to die in pregnancy and childbirth than white women. The digital health platform Mae, for example, hopes to change this by connecting black expectant mothers to critical resources to drive improved outcomes.

The Women’s Health Strategy has indeed put focus on a number of issues, but there are still challenges that need solving in order to bring women’s health to where it needs to be.

For one, the sector still suffers from a lack of investment. 2021 saw US$1bn invested in women’s health start-ups – a number that needs to grow significantly to see any meaningful change.

Founders need to see the right funding mechanisms in place, with clear aims and assessment criteria to incentivise innovation in that area.

The funding that does exist is largely channelled towards start-ups in the reproductive health space – fertility, menopause, hormone health, and sexual wellness.

This ignores the number of conditions in which women experience vastly different risk factors, or that women can respond differently to certain medications than men.

Take cardiovascular health, which is plagued by misdiagnosis for women, or the fact that despite having a longer average lifespan, women live in poorer health than men.

There’s also the risk of women’s health becoming a ‘women’s issue’. Any start-up innovating in the health space (and beyond) needs to be acutely aware of gender differences, as well as differences across ethnicity and socio-economic background.

It’s also important to note that, to understand health, you need to have a much wider picture of social, economic, and environmental determinants of health. Improving health services is not enough to improve health at a population level.

The job to be done is clear—and it’s a mammoth task. Health providers and governments cannot tackle it alone.

With the right funding mechanisms and a deeper understanding of layers of problems that are steeped in women’s healthcare, progress is promising.

Olivia Brooks is an investor at the London-based venture capital company, Founders Factory.

Opinion

Should men be talking about periods? Absolutely. Here is what every man should know

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By Ruby Raut, founder, WUKA

Every time we post a dad talking to his daughter about periods, the internet seems to split in two.

One side says: “This is brilliant. I wish my dad had spoken to me like this.”
The other says: “Why on earth are men talking about periods?”

And I always find that second reaction fascinating.

  • Because men might not menstruate, but they live in a world with people who do.
  • Your daughter might get her first period while you are the only parent at home.
  • Your teenage niece might bleed through her clothes while you are driving her somewhere.
  • Your girlfriend might wake up at 3am with cramps.
  • Your wife might suddenly realise she has run out of period products.
  • A colleague might bleed through her trousers during a meeting.
  • A girl you coach might quietly tell you she cannot play because she has started her period.

At some point in your life, there is a very good chance a woman or girl will have a period around you.

And at that moment, you have two options. You can be calm, informed and useful. Or you can stand there looking as if nobody ever taught you what a period actually involves.

So perhaps we need a Haynes manual for men and periods. Not a biology degree or a lecture.Just the information every man should probably know.

First: yes, men should know what a period actually is

Let us start with the basics. A period is not simply “a bit of blood once a month”.

Menstruation is part of the menstrual cycle. The lining of the uterus builds up and, if there is no pregnancy, that lining is shed.

That is the bleeding part. But for many women and girls, the experience can also involve cramps, back pain, headaches, bloating, tiredness, diarrhoea, tender breasts, mood changes and generally feeling pretty rotten.

Some barely notice their period. Others are completely floored by it. This is important because one of the least helpful things you can say to somebody struggling with their period is:

“Is it really that bad?”

You do not need to experience period pain to believe someone when they tell you they are in pain.

Second: if a girl tells you she has started her period, do not panic

This one is particularly important for dads.

Imagine your daughter gets her first period while Mum is out. What does she need from you? Probably not a horrified expression or you shouting across the house, “YOUR PERIOD HAS STARTED!”

She needs you to behave as though this is an entirely normal bodily function.

Because it is. Ask her what she needs. Find her a period product. If there is blood on her clothes, help her sort it out without making a huge fuss. If she does not know how to use a pad or period underwear, help her find clear instructions.

And please do not make jokes about her “becoming a woman”.

For a young girl, a first period can already feel confusing, embarrassing and frightening. Your job is not to make it into a ceremony but to make her feel safe. Sometimes the most useful sentence a dad can say is simply:

“Okay. No problem. What do you need?”

Third: learn what period products actually are

Pads.Tampons.Period underwear.Menstrual cups.Period swimwear. You do not have to develop strong opinions about all of them. You just need to know they exist.

If someone asks you to buy pads, do not behave as though you have been sent into a nuclear reactor without protective clothing.

Go to the period aisle. Text them a photo if you are unsure. Ask which absorbency they want. Buy the product. Come home.

And if you are the father of a daughter, having a few period products in the bathroom before she starts menstruating is a very sensible idea.

You keep toilet roll in your house before somebody needs it. Period products should not feel radically different.

Fourth: never announce a period stain

This should be basic human etiquette.

If you notice that a woman or girl has bled through her clothes, tell her quietly and discreetly.

Do not point, laugh, or whisper about it to someone else. And definitely never announce it to the room.

If you have a jumper or jacket she can tie around her waist, offer it. If there is somewhere she can clean up or change, help her get there. Then move on with your life.

Period leaks happen. The embarrassment surrounding them is often far worse than the actual blood.

Fifth: stop using periods as an explanation for every emotion

“Are you on your period?”

Four words capable of making almost any disagreement significantly worse.

Sometimes a woman is angry because she is angry and sometimes she disagrees with you because she disagrees with you. Sometimes you genuinely are being annoying.

Hormonal changes can affect mood for some people, but using menstruation to dismiss a woman’s feelings is patronising and incredibly unhelpful.

If your partner says she feels emotional before her period, listen to her. That does not permit you to diagnose every future disagreement as PMS.

Sixth: period pain is not something every woman should simply put up with

There is an extraordinary tendency to tell girls from a young age that painful periods are just part of being female. For some, mild cramps are manageable.

For others, period pain can be severe enough to disrupt school, work, sleep, exercise and everyday life. So if your daughter is doubled over in pain every month, repeatedly missing school, fainting, vomiting or unable to function normally, do not tell her to toughen up.

Take her seriously and help her seek medical advice.

Being a supportive dad does not require you to know what is causing her symptoms. It requires you to believe her when she says something is wrong.

Seventh: men talking about periods does not take anything away from women

This is perhaps the strangest objection to our Dads and Periods campaign. The idea that periods somehow belong in a conversation that only women are allowed to have.

Women should absolutely lead conversations about their own bodies and experiences. But understanding periods should not be restricted to people who menstruate.

We teach children about digestion even though they are not gastroenterologists and about first aid even though most people are not doctors.

We teach boys about pregnancy even though they will never be pregnant. Knowledge is not ownership. A father understanding periods does not make periods less female. It makes him a better prepared father.

A boy understanding periods does not mean he suddenly understands exactly what menstruation feels like. It means he is less likely to laugh when a girl gets a stain on her skirt.

A male coach understanding periods does not make him an expert on women’s bodies.

It means a teenage player might feel able to tell him why she needs five minutes off the pitch instead of inventing an excuse.

A male partner understanding periods does not mean he has to track every detail of his girlfriend’s cycle. It might simply mean that when she says, “My cramps are awful today,” his response is not, “Again?”

So should men talk about periods?

Yes.

But perhaps “talk” is not even the most important word.

Men should know about periods. Men should be comfortable hearing about periods. Men should know what to do when someone starts one unexpectedly. Men should know how to buy period products. Men should know not to make somebody feel ashamed about bleeding.

And fathers, in particular, should be able to talk about periods with their daughters without embarrassment.

Because there is a bigger point here. Girls learn very quickly which subjects make adults uncomfortable.

If Dad goes silent every time periods are mentioned, she notices. If he leaves every period conversation to Mum, she notices. If he wrinkles his nose at period products, she notices. And she may quietly absorb the message that this part of her body is something men find disgusting or embarrassing.

That is exactly the message we should be trying to dismantle.

At WUKA, we started our Dads and Periods campaign because we want fathers to feel capable of having these conversations.

Not perfectly. Not scientifically. Not with a PowerPoint presentation about the uterus over Sunday lunch. Just normally. Periods happen.

Roughly half the population will experience them at some point in their lives. The other half should probably know what they are.

And if the choice is between a dad who knows what a period is, knows where the period products are kept and can calmly help his daughter when she needs him, or a dad hovering helplessly outside the bathroom shouting, “SHALL I CALL YOUR MUM?”

I know which one I would rather have.

Learn more about WUKA at wuka.co.uk

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News

We built Ema like a nurse: Here’s why that matters

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By Claire Pettengill, science intern and Jade Anstine, clinical AI intern, Ema EQ

Every year, Gallup asks Americans which professions they trust most. Every year, nurses win. Not doctors. Not scientists. Nurses. And if you spend any time thinking about why, the answer is not hard to find.

Medicine runs on the nurse noticing first. In other words, the diagnosis follows the nurse sounding the alarm. They ask questions that feel human, not procedural. They explain what is happening in language you can understand.

And, critically, they know when something is beyond their scope and get you to the right person without making you feel like a burden for needing more.

That is the model we built Ema on.

When we set out to build an AI companion for women’s health, we could have just built something that answers questions efficiently. Pattern matching. Fast retrieval. Clinically accurate outputs.

Those things matter, and Ema does all of them. But accuracy alone does not build trust, and trust is the entire game in healthcare.

A woman asking about her postpartum recovery, her fertility, or her breastfeeding supply is not looking for a search engine. She is looking for someone who will take her seriously.

Women’s concerns don’t just need to be ‘validated’; they also need to be believed. Dismiss a woman’s pain as anxiety once, and you’ve taught her to doubt her own body.

The nursing model of care is built on exactly that premise. It is care that is shaped by her story. It asks about context and symptoms.

It treats the person as a whole, and it recognises that the right answer is sometimes a referral, not a response.

We trained Ema to escalate. That may sound like a small thing, but in AI, it is a deliberate design choice.

Most AI systems are optimised to answer and maintain engagement. Ema is optimised to help, and sometimes helping means saying “you need to speak to a clinician” and making that path easy.

This matters especially in women’s health, where the clinical trust gap is well-documented.

In a 2022 nationally representative survey of over 5,000 women, nearly 1 in 3 reported that their doctor had dismissed their concerns, and 15 per cent said a provider simply didn’t believe them.

Women are more likely to have their symptoms dismissed, their concerns minimised, and their pain undertreated. Among women under 35, nearly half reported at least one of these experiences.

They have had to learn how to advocate within systems designed for efficiency, built on men’s health.

With Ema, every conversation is an opportunity to make a woman feel heard, informed, and directed to the right level of care, neither over-triaged nor undertreated.

The goal is not to replace clinicians. It is to create a trustworthy first point of support that listens carefully, explains clearly, recognises limits, and helps women move toward appropriate care.

The nurses who top those Gallup rankings every year earn that trust through consistency. They show up, listen, follow through, and know their limits.

Ema is simply that trust, built into technology. That is the standard we hold Ema to: a trustworthy presence that knows when to answer and when to hand off.

Medicine spent a long time teaching women not to expect to be believed. Ema is built by the people who never stopped listening.

Bios

Claire Pettengill is a psychiatric nurse and DNP-PMHNP candidate at Columbia University School of Nursing, specialising in women’s mental health across the lifespan and algorithmic justice – ensuring the AI tools shaping women’s care are built to actually listen. She joined Ema EQ as a science intern focusing on clinical safety standards for evaluating AI in women’s health.

Jade Anstine is a senior nursing student at Gustavus Adolphus College looking to bridge the gap between frontline medicine and digital health innovation. He joined Ema EQ as a Clinical AI Intern to assess the Ema AI model across different clinical populations, specifically pediatrics and LGBTQ+.

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Insight

The technology exists: Why are women still waiting?

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By Jane Lewis, chief operating officer, chief financial officer and women’s health lead, ABHI

For years, the conversation around women’s health has rightly focused on recognition.

Recognition that women wait longer for diagnosis. Recognition that symptoms are too often dismissed or normalised. Recognition that healthcare systems have historically been designed around male biology, leaving gaps in research, evidence and care.

That recognition matters. But awareness alone will not improve outcomes.

The challenge facing women’s health today is no longer simply identifying the problem. It is acting on the solutions already available.

At ABHI’s Women’s Health Summit earlier this year, leaders from across healthcare, government, academia and industry came together to discuss the future of women’s health.

One message emerged repeatedly throughout the day: we do not have an innovation problem.

Across medical devices, diagnostics, digital health and genomics, there are already technologies capable of transforming outcomes for women.

From self-sampling approaches for cervical screening and non-invasive diagnostics to AI-enabled tools and advanced imaging, innovation is happening. The question is whether healthcare systems can adopt it quickly enough.

Too often, promising technologies become trapped in pilot programmes, fragmented procurement processes or lengthy implementation pathways. Evidence generation, commissioning and adoption are frequently treated as separate challenges rather than part of a single journey.

The consequence is that innovations capable of improving quality of life and reducing pressure on health services take years to reach the women who could benefit from them.

This matters because women’s health extends far beyond reproductive health.

Historically, many discussions have centred on fertility, pregnancy and gynaecological conditions. These remain critically important, but they represent only part of the picture.

Women experience cardiovascular disease differently to men. They are disproportionately affected by autoimmune conditions. They face distinct health challenges throughout their lives, from adolescence to healthy ageing.

                            Jane Lewis

Yet healthcare systems often continue to approach these issues in isolation.

A woman does not experience her health in separate compartments. Pregnancy, cardiovascular risk, menopause, mental health and musculoskeletal conditions are interconnected.

Healthcare systems need to reflect that reality through more integrated, life-course approaches to care.

There has never been a better opportunity to do so.

Across the NHS, the shift towards prevention, community-based care and digital transformation aligns closely with the needs of women’s health.

Women’s Health Hubs are already demonstrating the benefits of bringing services together around the needs of women rather than organisational boundaries. Digital technologies are helping to identify risk earlier and support more personalised care.

Innovation can help deliver all three of the NHS’s major transformation ambitions: moving from treatment to prevention, from hospital to community, and from analogue to digital care.

But innovation alone is not enough.

Closing the women’s health gap also requires us to address longstanding gaps in research and evidence.

Women remain underrepresented in many areas of clinical research, and sex-disaggregated analysis is not always applied consistently. The result is that clinical pathways and treatment decisions are often based on evidence that does not fully reflect female physiology.

Better data, stronger research participation and greater focus on female-specific and female-predominant conditions will be essential.

There is also a compelling economic case for action.

Women’s health is often framed as an equality issue, and equality remains central. But poor health affects workforce participation, productivity and economic growth.

Improving outcomes for women benefits not only patients, but employers, healthcare systems and wider society.

Yet despite this, women’s health innovation continues to attract only a fraction of the investment directed towards other areas of healthcare.

That is beginning to change.

Across the UK and internationally, momentum is building. Governments, investors, researchers and innovators increasingly recognise that women’s health is both a societal necessity and an economic opportunity.

The conversation has moved on significantly in recent years. Topics that were once overlooked are now firmly on the policy agenda.

The next challenge is ensuring that awareness translates into action.

The technologies exist. The evidence is growing. The policy direction is increasingly clear.

ABHI is increasingly taking this agenda beyond national boundaries. Through our engagement with international industry associations, policymakers and healthcare leaders, we are working to ensure that women’s health is recognised as both a health and economic priority.

We are helping to shape discussions on innovation, regulation, investment and adoption, while sharing lessons from the UK with partners around the world.

Whether addressing the gender health gap, improving access to diagnostics or accelerating the uptake of new technologies, international collaboration will be essential.

The challenge now is not recognising the need for change, but delivering it.

Women have waited long enough for acknowledgement of the problem. They should not have to wait any longer for the benefits of the solutions that already exist.

ABHI is the UK’s leading industry association for HealthTech. Its members, ranging from multinationals to small and medium-sized enterprises (SMEs), develop and supply technologies spanning everything from syringes and wound dressings to surgical robots, diagnostics, and digitally enabled healthcare solutions. ABHI’s 400 member companies represent approximately 80% of the UK HealthTech sector by value.

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