News
The innovators driving the period tracking tech revolution

Period tracking has moved on from the days of jotting down dates in your diary and menstrual apps have been in business for a while now. But with femtech a growing market, having exploded so much over the past 12 months that it is predicted to be worth US$60 billion by 2027, period tracking is getting increasingly advanced, as Femtech World discovers.
Period tracking apps heralded the start of the focus on femtech, which has since developed into a lucrative industry, tapping into what has traditionally been a somewhat neglected field of healthcare.
However, there is still plenty of development going on in the field of tracking women’s menstrual cycles, with new innovations – and, admittedly, concerns – arriving on the scene all the time.
These are just some of the latest developments.
Choosing a tracker
While period trackers have one main goal – to track menstrual cycles – not all are created equal, and some may be more or less suitable depending on why a woman is tracking her period.
With reasons ranging from fertility concerns to preparing for menopause, the apps currently on the market perform a range of functions; some are a simple tracker, while others are more educational and interactive.
In a comparison of the main brands on the market, Nandhini Gopal, founder of Femcy, an app for menstrual health guidance, found that Flo, which has more than 200 million users, had the most all-round features, from tracking and analytics to knowledge courses and anonymous communities.
Meanwhile, Glow was commended for catering to the whole menstrual cycle in detail, from tracking period, trying to conceive, tracking pregnancy and caring for a newborn.
All together
Femtech company Orchyd has taken period tracking one step further, launching an app along with a connected smart wallet to store a one-day supply of period products.
The app will track users’ periods, ovulation and overall health, using artificial intelligence in order to collect information about a user’s history. Women can also set up the app to give them alerts telling them when to remove tampons, to avoid the risk of toxic shock syndrome.
The tool can also alert users a few days before their expected period with a reminder to be ready and make sure they have everything they need in the associated smart wallet.
Ending period poverty
It was only a matter of time before women’s hygiene brands entered the tracking app market, and Always did so earlier this year – with a difference.
In partnership with behaviour change technology company Thrive Global, the firm launched the Always You app, a period tracker and wellness app that also aims to end period poverty.
The tracker also leverages Thrive Global’s expertise to bring users exclusive Thrive Microsteps – small, science-backed actions users can take to build positive habits.
For every new Always You registration and for every 100 donation points earned, Always pledged to donate one period product to US non-profit Feeding America, up to a maximum donation of 1,000,000 pads.
Users earn 20 points for every period or bladder leak event tracked, with a maximum of 200 per month, 10 donation points per day by completing all Microsteps, and five donation points for each piece of content consumed.
Ringing the changes
Most period trackers are found on either phones or smart watches, such as FitBits or Apple Watches. However, in October, Oura, a sleep and activity tracker ring, announced the addition of a menstrual tracker to its Generation 3 smart ring.
The ring will use changes in temperature and user feedback to predict when a women might get her period up to 30 days in advance. Body temperature changes through the menstrual cycle, rising just before ovulation and falling as menstruation begins.
The company said period prediction was only the beginning of its interest in menstruation and fertility, as the area is currently underinvested. A study in partnership with researchers at the University of California San Diego has previously showed that the Oura ring can use temperature changes to identify pregnancy around nine days before an at-home pregnancy test, although pregnancy prediction is not part of the device at this point.
Privacy issues
As women share their most intimate health details with apps and wearables, it is not surprising that some privacy concerns have come to light.
As Michelle Richardson, director of the Privacy and Data Project at the US Center for Democracy and Technology, told Marie Clare: “Everything I put into my period-tracking app is fair game to be sold.”
Reports of women downloading a pregnancy app only to be bombarded with baby-related ads on their phones are commonplace.
A study, led by Lori Andrews, a professor at Chicago-Kent College of Law, backed those reports up. Her team set up a tracking device to monitor 600 medical apps, of which some collected period data, and found that the majority sent identifiable information such as a user’s prescriptions to both the app developer and marketing companies.
As Andrews points out, such tracking could have real-life repercussions for women, especially in the US where many employers encourage staff to use such apps. “There are real possibilities women could get fired because they’ve disclosed [to an app] they were trying to conceive,” she says.
Pregnancy
Black mothers left without targeted mental healthcare in most of England, report finds

Black mothers across most of England lack targeted maternal mental health support despite facing higher risks during and after pregnancy, a report has found.
The analysis found a patchwork of provision across England, with inconsistent data, funding and support for Black women.
The vast majority of Integrated Care Boards (ICBs) do not commission services specifically for Black maternal mental health, while five hold no information on such provision.
The findings come from Understanding local provision for Black maternal mental health, a briefing produced through the Black Maternal Mental Health project, led by The Motherhood Group in partnership with the Maternal Mental Health Alliance and Centre for Mental Health.
The briefing is based on Freedom of Information responses from 35 of England’s 36 ICBs.
Most ICBs rely on general perinatal mental health services, but gaps in available data mean it is impossible to determine whether these services meet the needs of Black mothers, the report found.
Black women face a higher risk of developing mental health problems during and after pregnancy but are less likely to receive the support they need, according to the briefing.
Mental health problems also remain a leading cause of maternal deaths.
The report found that many ICBs do not have a complete picture of activity in their areas, including training delivered by community organisations, making it difficult to hold the NHS to account.
Some ICBs are commissioning targeted services and working with community groups, showing that good practice exists.
The briefing calls on NHS England and the Department of Health and Social Care to establish clear national guidance on ICBs’ responsibility for commissioning, monitoring and evaluating culturally competent, trauma-informed services for Black mothers, coproduced with Black women and communities.
It also calls for routine, linked data collection on Black mothers’ perinatal mental health experiences and outcomes.
ICBs are also urged to invest sustainably in community-led services, work with organisations trusted by Black mothers and learn from existing good practice, including anti-racism and cultural competency training.
Pregnancy
UK commits £254m to boost women’s maternal healthcare choices

A £254m UK funding package will expand reproductive health access for millions of women and girls across 54 countries.
The government said the investment will support family planning for more than 15 million women each year and could prevent 14 million unintended pregnancies and more than 35,000 maternal deaths by 2028.
The funding will expand access to contraceptives and safe abortion products, as well as medicines and equipment for maternal and newborn healthcare.
Women will be supported to access family planning products including condoms, pills, implants and coils.
The programme will also provide equipment to improve early detection of post-partum haemorrhage, severe bleeding after childbirth, and treatments shown to reduce severe bleeding by almost two thirds.
Kirsty McNeill, minister for development, said: “It is a scandal that women and girls are denied the fundamental right to make informed choices about their own body, free from coercion, discrimination and violence.
“Every woman and girl should be able to make decisions about her own future. That choice can mean staying in school, finding work or surviving childbirth.
“The funding I have announced will help give millions more women and girls across the world autonomy over their bodies, control over their futures, and the chance to fulfil their full potential.”
The funding will be delivered through the CHOICES programme, working with the United Nations Population Fund (UNFPA) and Clinton Health Access Initiative (CHAI) across more than 50 of the world’s poorest countries, including conflict zones.
An estimated 259 million women who want to avoid or delay pregnancy are not using safe, modern contraceptive methods.
The government said it will also work with national governments to support sustainable health systems as countries transition away from donor funding.
Maternal deaths have fallen by 40 per cent since 2000, but progress has been uneven, with 70 per cent occurring in sub-Saharan Africa.
CHOICES operates in more than 50 countries, including Afghanistan, Chad, the Gambia, Malawi, Sudan and Yemen. It focuses on countries with the highest rates of death in childbirth and lowest rates of contraceptive use, as well as providing emergency support during humanitarian crises.
Cancer
Trust to decide how far back to review unnecessary breast cancer surgeries

A health trust will decide how far back to review breast cancer cases after more than 30 women were found to have undergone unnecessary surgery.
It has already been established that hundreds of patients came to harm during treatment at the breast unit at County Durham and Darlington Foundation Trust (CDDFT).
The trust has apologised and is using specialists from other hospitals to review cases to see if other women underwent unnecessary operations or received otherwise poor care.
An extraordinary trust board meeting in Durham will consider the scope of its Look Back Exercise.
Board papers recommend reviewing cases as far back as 2015, working backwards one year at a time.
Documents estimate that this could take five years and involve reviewing the care of approximately 4,500 patients.
Members of the Pink Justice Network, an online support group for women who have received breast cancer treatment from the trust, will attend the meeting.
Nadeen Lister, who runs the group of around 150 women with Amelia Green, said members were calling for a public inquiry into what went wrong.
Lister told the Press Association: “When we started the group, nobody was talking about compensation, they just wanted justice for what has been done.
“The Look Back Exercise has cost the trust more than £500,000 this year, with staff checking back over records, medical experts reviewing cases and psychological help offered to patients affected.”
Green said the trust could avoid the expense of the exercise “by backing our call for a public inquiry”.
Hayley Collinson, of Hudgell Solicitors, which represents many affected patients, said: “Given the scale of harm revealed so far, we can’t see how the Trust board can come to any other decision than to extend this lookback investigation given the findings of the first batch of cases to have been reviewed, and the high percentage of harm being identified.
“The reality is that any woman who had breast cancer treatment at this Trust from 2015 onwards is now going to be questioning whether their treatment was appropriate and if they were actually harmed.”
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