Opinion
Femtech is here to stay: macro factors that influence the market
By Dr Pooja Sikka, venture partner at APEX Ventures

It isn’t a surprise that femtech investing continues to grow and catch the attention of European early-stage investors, says Dr Pooja Sikka.
Global investing in femtech has grown by 15 per cent compared to December 2021, and it is forecasted the global femtech market will be worth US$103bn by 2030.
Femtech has caught the attention of investors like us over at APEX Ventures – where our medical fund’s investment team is more than half women, some of us working mothers.
Initially, it might have appeared as a fad or a passing trend, but in my experience as a clinician and an investor, femtech is a trend here to stay because, after all, it’s symptomatic of a number of confounding macro factors:
1. More women are choosing to start their families later, and in the workplace, women are rising in competitive senior professional roles, which often demand a degree of consideration around fertility and family planning.
For example, ‘when is the right time to have a family…’ ‘will my opportunities at work be affected by having a family’ ‘should I freeze my eggs?’ and maybe even ‘ will I face prejudice for having children? Can I and should I delay having a family?’.
These conversations are happening, maybe previously in consultation rooms with their doctors, but now more often more openly in society.
Taking control of your chances of conceiving is now a reality, but requires advice and planning, and technology from providing health information, tracking menstruation, and diagnostic devices has already made it to market and is rapidly scaling.
Apps such as Peanut and health tech solutions such as Levy Health and Hormona are paving the way for a community of women to seek and share information, as well as track their menstruation and hormones.
Not all tech is proving to be evidence-based, but more health tech companies are seeking to combine consistent medical advice with digitally-led information and become regulated solutions.
2. As reproductive medicine becomes better understood, IVF and other infertility treatments are improving. The supply chain is becoming lower cost and more couples, including same-sex couples, are more frequently choosing to start a family later.
As the fertility industry grows with fierce competition between providers, technology at all parts of the pathway will improve outcomes and, therefore, a good investing space.
The most exciting development has, however, been the financing of fertility treatments and the introduction of insurtech companies like Gaia Family, which leverages accessible tech to help women to insure against the costs of future assisted fertility.
3. There is now overwhelming recognition both by women themselves and more recently by employers that perimenopause and menopause are physiological states which can lead to stress and mental health problems, alongside physical symptoms which can be challenging to deal with, especially in the workplace.
Solutions such as Peppy, Vira Health and Midday by Lisa Health are developing products that employees and consumers are able to access, which all promote non-pharmacological options that typically in the past haven’t been leveraged enough in primary care.
Technology and clinical services side-by-side is creating not only better awareness but real support and solutions for women that just weren’t accessible a generation ago.
4. For investors motivated by impact investing, and let’s face it – everyone is getting on the ‘bandwagon’ whether they really value it or not – women’s health, even in high-and-middle-income countries, is facing huge inequalities, especially in deprived and underserved communities.
In 2016, the World Health Organization (WHO) found that although women in the European Union live longer than men, they spend more of their lives in poor health – women spent 19 years of their life in poor health compared to 15 years for men.
In the UK, the government consulted and published Our Vision for the Women’s Health strategy for England, which addresses where the gaps are and the role of tech in improving access.
Tech has the potential to drive real change here and bring better understanding and therapeutic intervention to conditions such as endometriosis, adenomyosis and post-pregnancy complications, leading to intractable pain and pelvic and bladder issues, which women are embarrassed and hesitant to talk about but which interfere with daily life.
5. Whilst cancer awareness is higher than other women’s health problems, early diagnosis still remains an issue globally.
Breast cancer was still the most common cancer in women worldwide, contributing 25.8 per cent of the total number of new cases diagnosed in 2020.
We know that early recognition of breast cancer, ovarian, cervical and endometrial cancer leads to preventable deaths. Better access to tech which supports awareness, prevention, improved and lower cost screening and diagnostics dovetails with the therapeutic innovations emerging and provides an exciting investment space.
In ovarian cancer, for example, which often presents late with painless bloating and abdominal discomfort, there are innovators globally developing effective low-cost screening diagnostics, and similarly, the rise of liquid biopsies to recognise cancer remains exciting especially as increased competition and M&A activity will help to drive down price.
So femtech is slowly embedding into how we invest and into society as a whole. Not only have early-stage investors and VCs helped these investment opportunities to become realised – there have been 105 femtech company exits to date – and continue to do so, but investors are also supporting women’s progression and gender equality.
In parallel, as health tech sees a new era of direct-to-consumer tech rising as well, more women are getting a voice and improving their awareness and care for themselves.
There are, of course, a few that conflate this with a feminist ideology, but more and more, this kind of thinking is being phased out, particularly as more women in tech are being backed and femtech flourishes.
Dr Pooja Sikka is a GP and venture partner at APEX Ventures, an Europe-based early stage venture capital fund investing in healthtech, deeptech and fintech start-ups.
Opinion
Femtech’s next chapter: Building a truly equal and comprehensive health tech category

By Wolfgang Hackl, MD, CEO OncoGenomX, Allschwil, Switzerland
FemTech is moving from a promising niche to a foundational part of modern healthcare.
Over the next decade and beyond, its real promise will not only be better products, but a more equitable system: one where women’s health is treated as an equal area for innovation, investment, clinical care, and public policy.
That shift matters because women’s health has long been under-researched, underfunded, and too often managed through systems that were not designed with female biology and life stages in mind.
The opportunity now is to change that trajectory.
If stakeholders act deliberately, FemTech can become a category that improves outcomes, expands access, and creates measurable value across the HealthTech ecosystem.
From niche to infrastructure
The most important change ahead is a mindset shift. FemTech should no longer be seen as a narrow consumer segment focused only on logging symptoms.
It should be understood as health infrastructure spanning puberty, fertility, pregnancy, postpartum recovery, menopause, pelvic health, chronic disease, mental health, and long-term preventive care.
This broader framing creates a more durable market and a stronger social case. It also encourages innovation that serves people across the full life course, rather than only at highly visible moments.
In practical terms, this means building tools that are clinically relevant, integrated into care pathways, and designed to work for different populations and health systems.
What needs to change
For FemTech to become a truly equal healthcare category and a genuine societal priority, several layers need to move together.
First, the evidence base must deepen. More sex-disaggregated data, more women-inclusive clinical studies, and more research on conditions that disproportionately affect women are essential.
Without stronger evidence, product development, diagnosis, reimbursement, and clinical adoption all remain constrained.
Second, policy and regulation must mature. Privacy protections need to be strong enough to build trust in highly sensitive health data.
Regulatory pathways should be clear enough to help innovators bring safe, effective products to market without unnecessary delay.
Reimbursement frameworks also need to evolve so that useful digital tools are not limited to those who can pay out of pocket.
Third, healthcare systems must become more open to integration. The best FemTech products should not sit outside the care journey as standalone apps.
They should connect with clinicians, diagnostics, telehealth, and care coordination so that patients experience continuity rather than fragmentation.
Finally, society needs a broader cultural shift. Women’s health should be discussed as a mainstream public health and economic issue, not as a side topic or a private concern.
That means normalizing conversations around menopause, miscarriage, postpartum health, chronic pain, infertility, and long-term preventive care.
The role of each stakeholder
A healthier FemTech future depends on the full value chain.
Founders and product teams need to design for clinical relevance, usability, and trust. The strongest solutions will be those that solve real problems, use data responsibly, and fit into everyday life and care.
Investors can help by backing long-term value creation rather than only consumer growth. FemTech deserves capital that supports rigorous validation, regulatory readiness, and scalable business models.
Healthcare providers and systems play a critical role in adoption. By integrating FemTech into clinical workflows, they can reduce delays in care, improve monitoring, and make support more continuous and personalised.
Payers and insurers can accelerate access by recognising the downstream value of early intervention, prevention, and better self-management. Coverage decisions will strongly shape which innovations become standard practice.
Policymakers and regulators should create environments where safety, innovation, and privacy coexist. Clear standards and supportive reimbursement policy can make the difference between isolated success and category-wide growth.
Employers and public institutions also have a role. Women’s health affects productivity, retention, and long-term wellbeing, which means workplace benefits and public programs can help expand access and reduce inequity.
FemTech is not only “women for women.” It is “everyone to solve a health and social issue that has been ignored for far too long.”
When stakeholders across the value chain recognise women’s health as a shared responsibility, FemTech moves from a segmented category to a mainstream force for better outcomes, fairer access, and stronger social impact.
Why the upside is larger than the market
The benefit of getting this right is not only commercial.
Better women’s health tools can improve early detection, support self-management, reduce avoidable complications, and lower the burden on social and healthcare systems.
They can also help close persistent gaps in access and outcomes that affect families, workplaces, and economies.
For HealthTech innovators, this is an opportunity to build products that are both mission-driven and scalable. For health systems, it is a chance to improve care quality and efficiency. For society, it is a way to move women’s health from an afterthought to an equal priority.
Actions that will move the field forward
The right direction will not happen automatically. It requires deliberate action across the ecosystem.
- Build products around real clinical needs, not only consumer engagement.
- Invest in women-inclusive research and validation from the start.
- Design privacy and governance into the product architecture.
- Create reimbursement models that reward prevention and continuity.
- Integrate FemTech into mainstream care pathways.
- Expand education for clinicians, employers, and the public.
- Expand the category to the invisible concerns to cover the full range of women’s health needs.
When these actions align, FemTech can mature into something larger than a market category. It can become a model for how health innovation should work: evidence-based, inclusive, trusted, and built to improve lives at scale.
A strong FemTech future is not just possible. It is a practical next step if the ecosystem chooses to treat women’s health as what it truly is: a core healthcare priority and a major driver of innovation.
Table: FemTech Focus Areas
| Field | Approximate number of active solutions/companies |
| Reproductive health & fertility | 120+ |
| Pregnancy & maternal care | 80+ |
| Menstrual health | 60+ |
| General women’s health & wellness | 50+ |
| Diagnostics & monitoring | 45+ |
| Menopause & perimenopause | 40+ |
| Pelvic & uterine health | 30+ |
| Chronic women’s health / integrated care | 30+ |
| Sexual health & wellness | 25+ |
Legend: FemTech is becoming a multi-category healthcare layer. Reports also show that software/apps remain the largest product type overall, while reproductive health continues to dominate as an application area. Best-effort estimates based on category listings, company directories, and market reports, not audited totals.
Opinion
Q1 momentum: Female founders are advancing, but the system still hasn’t caught up

By Melissa Wallace, CEO Fierce Foundry
The first quarter of 2026 tells a familiar but evolving story for female founders in the U.S.: measurable progress, paired with persistent structural gaps.
On the surface, the numbers suggest momentum.
A recent Pitchbook report showed female-founded companies captured 27.7 per cent of U.S. venture capital in 2025, up significantly from 19.9 per cent the year prior.
This is not a marginal shift, it reflects a broader recognition that women are building scalable, investable companies across sectors.
But the deeper cut tells a different story.
When you isolate companies founded solely by women, funding drops to just 1.1 per cent of total venture dollars.
As many of us continue to preach, this gap has remained largely unchanged for decades, hovering around 2 per cent on average.
This is the paradox: performance is not the issue—access is.
Research consistently shows that women-led companies generate stronger capital efficiency, yet they continue to receive a fraction of funding.
As Leslie Feinzaig has pointed out, the challenge is not a lack of ambition or quality, it’s that the system still evaluates women through a narrower lens, often expecting more proof, more traction, and more certainty before capital is deployed.
A Shift in How Women Are Getting Funded
What’s changed in Q1—and what’s most important—is not just how much funding is flowing, but how it’s being accessed.
Based on the data shared by Forbes in their 6 Trends Reshaping Women’s Health Investments this is what is clear:
- A rise of angel and operator capital: More women are entering the cap table as investors, not just founders, reshaping early-stage decision-making
- Alternative vehicles gaining traction: Donor-advised funds (DAFs), syndicates, and community-driven capital pools are stepping in where traditional VC has been slow
- Lower barriers to entry for investors: Smaller check sizes and structured angel education are expanding who participates in funding innovation
This diversification matters. Traditional venture capital has historically been concentrated both in who writes checks and what gets funded.
Broadening capital sources doesn’t just increase access; it changes what is considered “investable.”
At Fierce Foundry, this is a core assumption.
The venture studio model is not just about building companies, it’s about engineering capital access from day one.
By combining capital with shared services, investor networks, and early validation, the goal is to reduce the friction female founders face long before a Series A.
Why This Matters for Women’s Health
Nowhere is this shift more critical than in women’s health.
Despite being one of the fastest-growing sectors in healthcare, projected to exceed $200B globally in the next decade, FemTech and women’s health startups remain significantly underfunded. In 2024, only ~6 per cent of healthcare venture funding went to this category.
This disconnect is not due to lack of opportunity. In fact, the opposite is true.
Thanks to another incredible article from Geri Stenger in Forbes, we know women’s health has already generated over $100 billion in exits, with 27 billion-dollar transactions and increasing M&A activity.
This is not an emerging category, it is a proven one that has simply been misclassified, undercounted, and undervalued.
The implication is clear: capital is not flowing in proportion to outcomes.
The Role of New Models in Closing the Gap
This is where new models, particularly venture studios, are becoming essential.
The traditional startup pathway assumes equal access to networks, capital, and operational expertise.
Female founders, particularly in women’s health, are often navigating all three deficits simultaneously:
Limited access to early-stage capital
- Higher burden of proof in clinical and regulatory environments
- Fewer embedded operators with domain expertise
- The studio model addresses this by collapsing time and risk:
Co-building companies alongside founders
- Providing shared services across product, regulatory, and go-to-market
- Embedding investor alignment and exit pathways from the beginning
What Q1 Signals for the Future
If Q1 tells us anything, it’s that the narrative is shifting but the infrastructure is still catching up.
We are seeing:
- Increased participation of women across both sides of the cap table
- New funding mechanisms that challenge traditional VC gatekeeping
- Growing recognition that women’s health is not niche, but foundational
But we are also seeing that progress is uneven, and in many cases, still fragile.
The next phase of growth will not come from incremental increases in funding percentages.
It will come from rebuilding the systems that determine how capital flows in the first place. Because the real opportunity is not just funding more female founders.
It’s building an ecosystem where they don’t have to fight so hard to access what they’ve already proven they can return.
Learn more about Fierce Foundry at thefiercefoundry.com
Opinion
India’s top court rejects menstrual leave petition

India’s top court rejected a menstrual leave petition for women and female students, saying such a law could mean “no-one will hire women”.
The two-judge bench, headed by chief justice Surya Kant, said mandatory leave would make young women think they were “not at par” with their male colleagues and would be “harmful for their growth”.
The subject of menstrual leave has long divided opinion in India. While many agree with the judges’ view, others argue that a day or two off can help women manage painful periods.
Some states and a number of large private companies have already introduced menstrual leave for employees.
The court’s comments came while hearing a petition filed by lawyer Shailendra Mani Tripathi, who was seeking a national menstrual leave policy, legal website LiveLaw reported.
Tripathi later told news agency IANS that he had hoped working women would receive “two-to-three days of leave” to account for menstrual difficulties.
The judges, however, said introducing such a policy would not benefit women. Instead, they said it would reinforce gender stereotypes and affect employability.
They said this could make private-sector employers hesitant to hire women and might ultimately discourage their recruitment.
They added that “the government could come up with a menstrual leave policy in consultation with all stakeholders”, LiveLaw reported.
The comments from the top court have again put the issue in the spotlight in India, reviving debate over whether menstrual leave is a progressive step or whether it encourages stereotypes that women are weaker and unfit for the workplace.
Public health expert and lawyer Sukriti Chauhan told the BBC that by saying menstrual leave would make women “unattractive” as employees, the judges “reiterate the taboo around menstruation and rights that we have failed to address”.
She said there were laws in India covering “workplace dignity, gender equality, and safe working conditions” for women and that “denying menstrual leave violates these principles by forcing women into uncomfortable, undignified or hazardous work environments”.
“Providing menstrual leave not only supports women’s health and well-being, but also promotes productivity and efficiency in the workplace,” she added.
Some argue that giving women extra leave would be discriminatory to men and that, in a country where periods are often a taboo subject, with women barred from temples or isolated at home as “unclean”, menstruating women may be too shy to claim it.
But campaigners point out that countries such as Spain, Japan, South Korea and Indonesia already offer menstrual leave, and that studies have shown this time off can be beneficial to women.
Some Indian states also offer limited menstrual leave. Bihar and Odisha give two days per month to government employees, while Kerala provides it to university and industrial training institute staff.
Last year, the southern state of Karnataka introduced a law approving one day off a month for all menstruating women.
In the past few years, several companies have also introduced similar policies for female staff.
In 2025, industrial and services conglomerate RPG Group announced a two-days-a-month period leave policy for employees in its subsidiary CEAT.
Engineering giant L&T also introduced a similar policy, offering a one-day leave in a month, while food delivery company Zomato offers up to 10 days of period leave a year.
Events3 weeks agoThree sessions that show exactly where women’s health is heading in 2026
Menopause4 weeks agoCalifornia plans US$3.4m menopause care overhaul
Pregnancy3 weeks agoHow NIPT has evolved and what AI NIPT means in 2026
Menopause4 weeks agoWatchdog bans five ads for women’s heath claims
Entrepreneur4 weeks agoWHIS USA 2026 announces first ticket release for landmark Women’s Health Innovation Summit
Menopause4 weeks agoMenopause has no lasting impact on cognition, research finds
News3 weeks agoTwo weeks left to make your mark in women’s cardiovascular health
Opinion3 weeks agoQ1 momentum: Female founders are advancing, but the system still hasn’t caught up













3 Comments