When sexual wellness startup Vibio launched its app on the Google Play Retailer, it was suspended 3 times throughout the first two months. The third time, Vibio’s developer account was shut down, and it needed to launch a censored, stripped-down model of the app. The issue: it used the C phrase — clitoris.
It’s removed from the one well being and wellbeing startup that’s fallen foul of Massive Tech’s moderators.
Fertility testing firm Mojo, femtech Fizimed and hashish startup Sanity Group have all needed to tiptoe round sure phrases and phrases to forestall them being ousted from app shops, social media platforms and on-line marketplaces.
It’s a serious challenge: for a lot of of those firms which depend on Massive Tech to seek out new prospects, the affect of getting their accounts suspended, merchandise misclassified or adverts eliminated might be dire.
Taboo startups turning heads
“There is no such thing as a substitute for direct digital promoting on these platforms,” says Jackie Rotman, founding father of femtech promoting non-profit group the Middle for Intimacy Justice.
For any new startup, promoting on Google, Amazon, Fb and Instagram or that includes within the Google Play Retailer and App Retailer is crucial to achieve customers.
“It speaks to the monopolisation [that Big Tech has on information],” she provides, “and till now we have options to those platforms, [health and wellness startups] are by no means going to have the ability to entry the hockey stick progress that’s enabled by digital promoting.”
👉 Learn: Intercourse, medication and advert bans: How “taboo” startups beat Google censorship
Nonetheless, it’s not put buyers off “taboo” startups too a lot; in keeping with Dealroom, final 12 months femtech, mentech and sextech startups raised $515m. It’s a drop within the ocean in comparison with the huge sums of money snapped up by European tech as an entire, however that determine’s almost 5 instances greater than it was in 2020.
Customers are additionally spending extra on their intimate wellbeing. By 2025 $75bn is anticipated to be splashed on femtech globally — double what it was in 2020. And the sexual wellness market is presently value $35bn.
So, as shoppers and buyers heat to taboo well being and wellness startups, why are Massive Tech platforms nonetheless so prudish?
Dimension issues
When apps and adverts get blocked on Massive Tech platforms, one of many main points for smaller startups is decoding the customarily imprecise and unhelpful explanations from buyer assist chatbots.
Mojo, a startup which sells at-home fertility testing kits for males, had most of its adverts blocked on Instagram and Fb when it launched in autumn final 12 months, cofounder and CEO Mo Taha tells Sifted. Worse nonetheless, it wasn’t in a position to converse to an actual one who might inform the crew particularly why they had been blocked.
“We tried to get in contact with Fb buyer assist, however didn’t handle to [speak to a real person] as a result of we don’t spend sufficient cash with them,” says Taha.

Finally, a good friend of Taha’s who works for a big promoting company that has a “huge account” with Fb spoke to an actual particular person from the platform on Mojo’s behalf. Solely after that was Taha in a position to determine particularly what the blockers had been.
“They mentioned we shouldn’t use the phrase sperm — however that’s what we do,” he says.
Taha’s expertise just isn’t distinctive. On a weekly foundation, Fizimed — a French firm creating a pelvic flooring coach to assist urinary incontinence in ladies — battles in opposition to Fb and Instagram blocking its promoting or social media posts, says cofounder and CEO Emeline Hahn.
“They don’t like the form of the product or what we’re saying about it — although we don’t say it’s a sexual product,” she provides. “In fact, the product can improve intimate wellbeing, however we attempt to not speak loads about that on these platforms. Even when we speak about urinary leaks or prolapses the posts get taken down.”
What’s the price to startups?
For startups that do fall foul of Massive Tech’s strict and infrequently uneven censorship insurance policies, the outcomes might be grim.
Finn Hänsel, cofounder of Sanity Group, a hashish startup primarily based in Berlin, tells Sifted that although CBD is totally authorized in beauty merchandise, adverts for its hashish product Vaay are “usually taken down and accounts are blocked as a result of affiliation with hashish on the whole”.
He estimates that over 200 ads have been taken right down to date throughout all its main social networks.

This has critically affected the corporate’s backside line, says Hänsel. If it weren’t for social media’s crackdown on its content material, he claims, Sanity Group’s income may very well be triple what it’s now.
Likewise, Mojo’s Taha tells Sifted that censorship by Massive Tech has had a direct affect on its funds. The startup’s buyer acquisition value was 4 instances greater than anticipated, he says, as a result of it needed to depend on much less typical (and costlier) advertising channels like out-of-home campaigns — that are much less delicate to sure phrases and phrases.
“This led to a runway drawback, and we needed to do a capital injection from our current and exterior buyers,“ Taha provides. “All mixed [censorship by Big Tech] affected — and is affecting — our backside line and founder possession.”
Vibio’s censorship on the Google Play Retailer, alongside having accounts banned and adverts eliminated on social media, has additionally stunted the startup’s progress, cofounder and CEO Alma Ramírez Acosta tells Sifted.
“We will’t promote, we’ve been beforehand taken down from Instagram — and now the Play Retailer forces us to censor our language and take away all content material,” she says. “Our app downloads through Apple’s App Retailer [which did not require Vibio to censor its app] are 5 instances greater than the Play Retailer, regardless of Android customers representing 75% of customers worldwide.”

However not everybody sees Massive Tech’s insurance policies round censorship of well being and wellness startups as a completely unhealthy factor.
“There are an abundance of unhealthy actors in [the health and wellness space], particularly in on-line pharmacy,” says founder and CEO of erectile dysfunction remedy startup Numan Sokratis Papafloratos.
“There must be strict regulation while you’re coping with remedy and controlled merchandise.”
“The world is constructed for males”
Massive Tech’s censorship of healthtechs has a gender bias, too. In January, a report by the Middle for Intimacy Justice discovered that social media firms like Fb had been rejecting femtech adverts way more usually than merchandise designed for males.
Most of those, the report mentioned, had been banned as a result of Fb labeled the advert as containing “grownup content material”. Whereas theoretically Fb permits adverts that promote sexual well being — akin to contraception and household planning — it says they need to not give attention to sexual pleasure.
Some examples of banned adverts for girls within the report embrace sexual consent training, a breastfeeding workshop and a Kegel coach. In distinction, adverts geared toward males selling lube to “degree up your solo time” and erectile dysfunction remedy that helps customers “get arduous and keep arduous” had been allowed.

The report chimes with the experiences of many founders that Sifted spoke to. Cindy Gallop, founding father of “social intercourse” web site Make Love Not Porn, tells Sifted that “any promoting associated to the feminine lens on sexual well being and wellness” is taken down, whereas something associated to the male genitals is left untouched.
“Why? As a result of the world is constructed for the typical man,” says Dominnique Karetsos, normal accomplice at Amboy Avenue Ventures, which claims to be the one female-led fund in Europe targeted on sexual well being.
“The enter of the digital sphere — these individuals writing the algorithms for social media platforms — are all males. So, it’s okay to speak about erectile dysfunction as a result of the boys can relate to it. They will’t relate to menstrual intervals.”
Based on CIJ’s Rotman, Fb has recognized about the issue for years.
“Many of the firms [CIJ interviewed for its report] had been attempting to foyer Fb’s representatives for years,” she says. “So, we all know that Fb has been conscious of the difficulty, it’s simply that they don’t appear to care about fixing it.”
Sidestepping censorship
Startups — money strapped, with few assets or contacts — usually come to Karetsos and her crew at Amboy Avenue Ventures and ask “if I can’t promote on social media, how can I promote my product?”
Her reply is at all times to “suppose past merely promoting a product” and attempt to “personal a dialog that’s beneficial” to your potential buyer. That method, you may usually get across the linguistic challenges related to utilizing the phrase “vagina” on social media.
For instance, should you’re promoting a vibrator, it’s additionally an “alternative to have a dialog about bringing in want and intimacy in a wedding after 30 years,” explains Karetsos.
Mojo turned to out-of-home campaigns like billboards — that are having one thing of a renaissance among the many tech group — to sidestep social media censors. Whereas being far costlier than digital promoting, they did include unexpected upsides.

“[Out-of-home campaigns] helped fertility clinics, femtechs and digital well being platforms to note us and change into eager to collaborate,” Taha tells Sifted. “This B2B2C collaboration helped us develop our person base with out compromising our branding or language.”
Utilizing scientific language on digital promoting campaigns additionally helped Mojo, provides Taha, however that got here with its personal set of challenges.
“I genuinely don’t wish to change into a basic navy-blue-on-white medical model talking in phrases that nobody understands, simply to go the Zuckerberg check,” he says. “[The difficulty for us] is discovering a stability between actually scientific language and referring to the wellness model we’re constructing.”
“I genuinely don’t wish to change into a basic navy-blue-on-white medical model talking in phrases that nobody understands, simply to go the Zuckerberg check.”
Whereas manufacturers must get smarter to navigate this “bullshit”, in Karetsos’s phrases, what’s going to actually transfer the needle is massive and small manufacturers pulling collectively to type a motion.
“It’s the accountability of excessive degree CEOs, founders, individuals in coverage to get in rooms with the administrators of the Metas of the world and invite them to speak about these items.
“There needs to be an allyship with these massive digital giants, as a result of with out it, we will’t shift the algorithm. We will’t shift the narrative.”
Miriam Partington is Sifted’s Germany correspondent. She additionally covers future of labor, coauthors Sifted’s Startup Life e-newsletter and tweets from @mparts_. Kai Nicol-Schwarz is a reporter at Sifted. He covers healthtech and group journalism, and tweets from @NicolSchwarzK