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September 12, 2025Proceedings of the ACM on Human-Computer Interaction0 citationsOpen Access

“An Ad Posing as Medical Advice”: User Accounts of Dark UX in FemTech mHealth Apps MHCI003

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GAGhada AlsebayelGTGiovanni Maria TroianoJGJohanna Gunawan

Key Points

  • User accounts identified several dark patterns in FemTech mHealth apps, emphasizing the importance of transparent design.
  • User reviews from sixteen FemTech mHealth apps were thematically analyzed to uncover deceptive practices in user experience.
  • The presence of dark UX poses significant risks for minors, calling for urgent attention and regulation in the FemTech field.
  • Recommendations for ethical UX design were provided to enhance user safety and accountability in FemTech applications.

Abstract

FemTech is an emerging industry offering products, software, and services to support women’s health and well-being. Within FemTech, mobile health applications (mHealth apps) are popular for managing menstruation, fertility, pregnancy, and menopause. Yet, these apps expose users to deceptive and misleading practices, which can be characterized as Dark Patterns in user experience (or dark UX). Dark UX in commercial FemTech mHealth apps is underexplored, leaving a critical gap in understanding how deceptive patterns manifest in intimate health contexts, the harms they cause, and how to address them. We crowd-source and thematically analyze user accounts of dark UX through user reviews from sixteen systematically selected FemTech mHealth apps. User-reported accounts of dark UX in FemTech mHealth apps reveal several problematic design patterns, which emphasize risks for minors and the need for more transparent design of FemTech mHealth apps. Based on our results, we outline recommendations for enhancing ethical UX design and furthering regulatory action in FemTech.

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Cite This Study

Alsebayel et al. (2025) studied this question.

synapsesocial.com/papers/68d44a1d31b076d99fa52f34https://doi.org/10.1145/3743736
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