Fertility Care in Women’s Sports: How Athletes Balance Family

Women’s sports are entering a pivotal phase, one where athletes are no longer expected to sacrifice personal milestones, like starting a family, to maintain competitive status. Fertility care and motherhood, once largely invisible in the world of elite competition, are now being recognized and supported by some of the world’s most prominent leagues and clubs.

From tennis to soccer, organizations are taking bold steps to support female athletes holistically by offering fertility protection, parental leave, and medical benefits. This shift is not just reshaping sports culture but creating a meaningful opportunity for brands to connect authentically with fans.

Quick Highlights

  • In 2025, the WTA introduced a groundbreaking policy allowing players to retain ranking protection during fertility-related absences, an expansion of its previous maternity rule.
  • Multiple NWSL players have received fertility treatment support, including hormone therapy coverage and time off for egg retrieval.
  • Racing Louisville FC partnered with Kindbody in 2021 to offer fertility preservation services to all players, believed to be a first-of-its-kind deal in pro sports.
  • Veteran WNBA players are eligible for a $60,000 reimbursement for adoption, fertility treatments, and surrogacy costs.
  • The LGPA has removed the 10-game limitation for golfers on maternity leave to enhance player autonomy.
  • FIFA mandates 14 weeks of paid maternity leave for all female footballers under its governance as well as 8 weeks paid leave for those who adopt a child under the age of 2.
female athletes cheering on soccer field

The Overdue Recognition of Fertility Care in Sports

Fertility care has long been overlooked in elite athletics, despite its critical role in female health.

Treatments like egg freezing and in vitro fertilization (IVF) are physically demanding and time-sensitive, often clashing with an athlete’s competition schedule. Olympic bobsledder Kaillie Humphries opened up about her struggle to balance the IVF process while still maintaining her training regimen. Humphries navigated the hardships of ovary stimulation, egg retrieval, and more while actively gearing up for the Olympics. 

Until recently, female athletes risked losing their rankings, contracts, or roster spots simply for prioritizing reproductive health. In a recent study by Cofertility spanning hundreds of female athletes, 70% of participants revealed they have postponed having children due to their careers. An even greater percentage expressed concerns that having children could negatively impact their earning potential and long-term career opportunities. 

New policies from organizations like the WTA and NWSL are finally acknowledging that reproductive health is essential in empowering female athletes and advancing the game.

Redefining Athlete Support: The WTA’s Historic Maternity Initiative

In a groundbreaking move, the Women’s Tennis Association (WTA) and Saudi Arabia’s Public Investment Fund (PIF) have introduced the PIF WTA Maternity Fund Program, marking the first time in women’s sports history that comprehensive maternity benefits are available to independent, self-employed athletes.

This pioneering initiative provides eligible WTA players with up to 12 months of paid maternity leave, grants for fertility treatments, including egg and embryo freezing and IVF, and two months of paid parental leave for those becoming parents through adoption, surrogacy, or partner pregnancy.

To build on this support, the WTA followed up these provisions with a new policy to protect player rankings while they are away for fertility reasons. 

The program is a significant step forward in supporting female athletes, offering financial stability and flexibility to balance professional careers with family life. It empowers players to make personal decisions without the fear of jeopardizing their careers, setting a new standard for athlete support in women’s sports. 

These initiatives also highlight the importance of partnerships in driving positive change.

While the collaboration with PIF has faced scrutiny due to concerns over Saudi Arabia’s human rights record, both the WTA and PIF emphasize the transformative potential of the program in creating a more inclusive environment where athletes can thrive both professionally and personally.

female athlete kicking soccer ball

Changing the Game: Fertility and Family Support in Women’s Soccer

In recent years, the NWSL has emerged as a leader in redefining what athlete wellness looks like through fertility, pregnancy, and motherhood support.

In 2021, the NWSL Players Association ratified its first collective bargaining agreement (CBA), which included comprehensive paid parental leave, adoption support, and guaranteed housing for players with children.

A new CBA executed last year expands on those rights. It states that if a player’s contract expires during her pregnancy, her team must invite her back to give her a chance to earn her spot again. 

Since then, several clubs have gone even further. Racing Louisville FC, for instance, became the first team in professional sports to partner with a fertility care provider, offering players access to egg freezing and fertility preservation through Kindbody, a groundbreaking move that acknowledged the very real-time pressure female athletes face when it comes to reproductive choices.

But the NWSL has not yet standardized fertility support. In some cases, NWSL reimburses players for hormone therapies or provides time off for egg retrievals, however access varies depending on club policies and individual insurance plans. This uneven landscape highlights both the progress made and the work still ahead.

For Brands, Purpose Drives Connection

Consumers today, especially Gen Z and millennial women, expect brands to stand for something. Companies that back fertility access, parental support, and gender equity in sports are setting the tone for modern advocacy.

Take WHOOP, for example. The wearable tech brand invested in extensive research to launch its Menstrual Cycle Coaching feature, helping female users better understand their physiology. It’s a move that signals real investment in women’s health, not just performance.

This kind of purpose-driven work also delivers returns. A recent study found that fans of women’s sports are 2.8 times more likely to buy products endorsed by female athletes. These endorsements land with more impact because women athletes are seen as 7 points more trustworthy than their male counterparts, largely due to their authenticity.

That authenticity deepens when brands support athletes holistically, honoring the entirety of their lives, including family planning.

The most successful brand campaigns in women’s sports have tapped into that message. Nike’s revision of its maternity policy following public criticism from Allyson Felix not only repaired its reputation, it deepened its connection with women worldwide. Likewise, brands that support fertility care in leagues like the NWSL or WTA have the opportunity to lead with empathy and true action.

female tennis player swinging racket

A Smarter Model for Athlete Development

Maternity leave and fertility care aren’t “extras,” they’re essentials.

For too long, elite sports treated these aspects of health and life as optional or even burdensome. But as more female athletes speak openly about fertility struggles, pregnancy, and parenting, it’s becoming clear: these experiences are not interruptions to a career, they’re part of it.

By embedding fertility and parental support into athlete wellness strategies, leagues are safeguarding careers from being cut short by life events that disproportionately impact women. This matters especially in sports where peak performance years often overlap with the limited window for starting a family.

Athletes who feel supported holistically—physically, emotionally, and financially—are more likely to stay in the game longer, transition into coaching or leadership roles, and give back to the ecosystem that empowered them. This creates a virtuous cycle of mentorship, visibility, and institutional knowledge that elevates the entire sport.

Investing in the Whole Athlete

Athelo Group is helping drive that shift by empowering its female athletes with the resources and brand alignment needed to allow them to navigate their personal lives without compromising their professional goals. 

Investing in athletes as whole people extends beyond sport. It sends a cultural message that women in any high-performance field shouldn’t have to compartmentalize or delay motherhood in order to be taken seriously. Leagues that prioritize fertility care are modeling what inclusive, future-ready leadership actually looks like.

ACL Injuries in Women’s Sports: Why Rates Are Rising & Solutions

The sports industry recently witnessed a major shift towards addressing gender-specific health concerns, especially surrounding anterior cruciate ligament (ACL) injuries in female athletes

Historically, sports medicine research predominantly focused on male athletes, often ignoring the key physical and biomechanical differences in women. But now, growing research is helping explain why female athletes face higher risks for ACL injuries.

This turning point is influencing both sports science and brand strategies

Quick Highlights

female athlete risking acl injury on tennis court

Understanding the Gender Disparity in ACL Injuries

Female athletes are at a much higher risk to tear their ACLs compared to their male counterparts due to a mix of biological and physical factors.

There is a mix of modifiable and non-modifiable aspects that play a part in the difference between male and female risk.

Dr. Mary K. Mulcahey, division director of Sports Medicine at Loyola University highlights that “non-modifiable risk factors, things we cannot change, include gender-related differences in knee anatomy, like the size of the ACL and hormonal fluctuations during the menstrual cycle.” 

She mentions that other factors, like muscle strength and landing technique, can be improved through training and conditioning. With focused research, there is potential for improvements in preventative health for female athletes to better understand their bodies and prevent injury.

The Rise of Female-Focused Medical Research

For decades, most medical and sports science research relied heavily on male participants, shaping protocols, treatments, and training standards based on male bodies and physiology. However, there’s been a growing recognition that female athletes have unique needs that require dedicated attention, from hormones and joint stability to recovery patterns and injury prevention.

This broader trend of female-focused medical research is finally gaining traction across multiple fields. In fact, there is an estimated 10 to 20 percent annual increasing rate of research dedicated to female athletes.

Researchers are finding that sex-based differences impact everything from drug efficacy to pain tolerance. In sports, that includes injury risk — yet female athletes are still less likely to receive targeted injury prevention training. One study found that less than half of high school girls reported access to these programs, despite their elevated risk.

This means women need different prevention strategies than men. And for the sports industry, it’s more than a medical update; it’s a strategic opportunity. With better data on women’s physical health, there’s room to rethink training programs, design gear that actually fits, and build recovery systems that protect and empower female athletes.

two female athletes playing soccer on field

Industry Response: Brands’ Commitment to Research

Recognizing the need for focused research, FIFA has pledged support to studies investigating the causes of ACL injuries in female athletes. A notable example is a year-long study at Kingston University in London, which tracks hormonal fluctuations in female athletes aged 18–35 and analyzes their performance during different menstrual phases

The goal is to correlate hormonal changes with movement patterns indicative of injury risk, such as during direction changes or landings. This research aims to contribute to broader efforts to lower ACL injury rates in women’s football, acknowledging that there is no one-size-fits-all solution.

Nike is tackling ACL injuries in women’s sports through Project ACL, a three-year study launched with FIFPRO, the Professional Footballers Association, and Leeds Beckett University. The project looks at risk factors like workload, travel, and match frequency to improve injury prevention and management. By including player feedback, it aims to build more practical, athlete-informed solutions.

Product Innovation

The increasing emphasis on female-specific sports research presents significant opportunities for brands targeting female athletes. Companies like Nike and PUMA are already capitalizing on this trend.

PUMA has invested in a research study to explore ACL injuries in women’s football, aiming to develop an effective training program and enhance women’s fit for football footwear. This commitment underscores the importance of providing tailored equipment and support to female athletes.

Nike created the Phantom Luna boot, designed specifically to curb the risk of an ACL tear by including a circular traction pattern to ensure soccer players are able to pivot freely on the turf.

From designing footwear that accommodates unique biomechanical requirements to creating training programs that address gender-specific injury risks, there is a growing market for innovations that prioritize female athletes’ health and performance.

x-ray of acl injury

Authenticity and Purpose-Led Marketing

Today’s consumers, especially Gen Z and millennial women, actively seek out brands that stand for something. It’s not just about products anymore; it’s about values. Companies investing in research, supporting athlete wellbeing, and advocating for gender equity in sport build deeper emotional connections with this audience.

Campaigns that spotlight long-term athlete health, particularly in areas where women have been historically underserved, help reinforce trust and loyalty. Adidas leaned into this with its “The Ridiculous Run” campaign, which called attention to the safety challenges women face while running and encouraged men to step up as allies.

Athletes themselves are also pushing for change. Allyson Felix, one of the most decorated track and field athletes, publicly criticized Nike after the company refused to guarantee that her sponsorship wouldn’t be penalized during pregnancy. Her New York Times op-ed sparked a wave of attention, leading Nike to implement a new policy that ensures 18 months of protected pay for pregnant athletes.

Brands that authentically back this kind of advocacy, by funding research, promoting safe training environments, or supporting athletes through life transitions, aren’t just making statements. They’re building credibility and long-term loyalty with both athletes and the consumers who support them.

Investing in Women is Investing in the Game

The growing focus on ACL injuries in female athletes signals real progress in sports science and the sports industry at large. 

As leaders like FIFA and Nike invest in research and innovation, brands have a clear opportunity to meet the specific needs of women athletes and build meaningful, lasting connections with consumers.

At Athelo Group, we see this as part of a broader responsibility. We’re committed to supporting our athletes on and off the field, from injury prevention and performance to advocacy and representation. Championing women’s sports isn’t a trend for us, it’s part of how we do business.

Women’s Soccer Shines Light on ACL Injury Research

International support for women’s soccer has surged over the past decade, fueled by star players and major tournament victories. With this growing popularity comes increased scrutiny on the health challenges female athletes face. Rising participation rates and heightened competition have exacerbated the issue of sports injuries, particularly anterior cruciate ligament (ACL) ruptures. Health experts warn that women are 6x more prone to an ACL injury than men, and 25% less likely to fully recover. This concerning trend among female soccer players demands attention from the entire sports community. Yet one major question remains: where is the research to prevent this? 

acl injury

ACL Epidemic

ACL injuries in women’s soccer are robbing top competitions, leagues, and even the World Cup of some of their top international talent. This is especially true within major professional teams such as Arsenal Football Club, where in 2023, ACL tears sidelined 4 players out of a 25-person roster. Such a high number of starters succumbing to the same injury has spotlighted the training conditions of the Arsenal women’s team. Among them is Arsenal FC & Netherlands striker Vivianne Miedema, who said, “Instead of 30 games a season, we now play 60. But we don’t have the time and investment that is needed to keep players fit.” Women’s soccer players are not being offered the proper training schedules, facilities, or nutrition to contribute to their success on the field. Season-ending injuries have become the consequence.

Lack of Female-Focused Studies

There are thousands of sports-science academic studies, but few are primarily focused on women’s health in soccer. Female health specialist Dr. Emma Ross explained how misinformation stems from this disparity: “We published a paper over a year ago which showed that, in sport and exercise science research, only 6% of studies are done exclusively on females.” As a result, female ACL injuries fall into this misinformation trap. One common misconception is that body shape, hip width, and the menstrual cycle are all contributing factors. Yet there is still no solid scientific evidence depicting the role they play. Many professional players say this isn’t enough– more research must to be done.

The Right Shoes

One possible culprit for ACL ruptures is women’s athletic footwear. Despite being top athletes, female players frequently find themselves competing in shoes originally tailored for their male counterparts. A recent study by the European Club Association and St. Mary’s University, London revealed that 82% of elite female footballers reported experiencing “pain or discomfort” due to ill-fitting cleats. Soon after this research, Nike released the Phantom Luna, a football boot created with women in mind. Its innovative design incorporates contours specific to female feet, a circular cleat pattern, and a much-requested snug ankle fit. Nike’s preventative technology aims to stabilize the knee and protect against ACL tears. Female players around the world are big fans: Brazilian professional soccer star, Debinha Miri, says the new cleat makes her feel “secure and confident” on the pitch. Given the shoe’s success, it’s likely more brands will follow Nike’s lead.

acl injury

Looking Ahead: Project ACL

The future of ACL ruptures in women’s soccer does have a silver lining. Weeks ago, a new initiative to research and prevent ACL injuries in women’s soccer began. This collaboration incorporates major players like FIFPRO, the Professional Footballers’ Association, Nike, and Leeds Beckett University. The ambitious three-year inquiry is called Project ACL. It will follow the experiences of 300 professional female soccer players across England’s Women’s Super League (WSL), spanning 12 clubs. Although the focus is currently on England, FIFPRO harbors aspirations to expand this initiative on a global scale. The U.S.-based National Women’s Soccer League (NWSL) seems to be the next research target within a few years. As women’s soccer continues to expand, it’s imperative that major leagues and teams continue to research these injuries. Without player health, there is no way to sustain the growth and professionalization of women’s soccer globally.

Sources:

  1. https://theathletic.com/5460039/2024/04/30/acl-injuries-womens-football-study/
  2. https://www.cbssports.com/soccer/news/fifpro-launches-project-acl-aims-to-shift-the-narrative-with-study-into-injuries-in-womens-soccer/
  3. https://www.theguardian.com/football/2024/apr/30/project-acl-wsl-clubs-to-take-part-in-pioneering-injuries-research-project
  4. https://www.nytimes.com/2023/07/19/sports/soccer/womens-world-cup-soccer-torn-acl.html
  5. https://www.thenews.com.pk/print/1184057-fifpro-nike-and-others-team-up-to-study-acl-injuries-in-women-s-game https://www.skysports.com/football/news/11095/12926431/future-of-football-why-acl-injuries-have-been-on-rise-in-women-s-game-and-the-technology-and-solutions-to-fix-it

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