Stronger, smarter, healthier: the case for female-focused health education in the WTA

Objectives: High-performance sport has traditionally been shaped by male physiology, with limited consideration for female-specific health needs. As women's sport grows, tailored health education is increasingly recognised as essential. This study delivered and evaluated embedding women's health education into the Women's Tennis Association (WTA) Annual Physicals at the 2024 Miami Open.

Design: Brief one-on-one education sessions on four priority women's health topics: sports bra

design and fit; pelvic health; menstrual cycle and hormonal contraceptives; and preconception, pregnancy, and postpartum return to sport.

Methods: During the 2024 WTA Annual Physicals, athletes were invited to attend four women's health educational sessions delivered by WTA Women's Health Taskforce members and the WTA Performance Health Team. Quantitative data were analysed descriptively; qualitative data were analysed using content analysis.

Results: Of 138 athletes who completed physicals, 99 (72%) participated in at least one optional women's health educational session, with 263 sessions delivered. Thirty-three athletes (33%) attended all four. Evaluation data showed 80% found sessions worthwhile, 90% rated their experience positively, and 90% learned something new. Key

Findings: included limited baseline knowledge of sports bra fit, pelvic floor function, and menstrual health, with strong interest in learning more. Numerous athletes were referred for further medical review.

Conclusion: Integrating women's health education into routine athlete care appears feasible and well-received in elite sport environments. The WTA model shows how brief, targeted education may enhance health literacy, prompt symptom disclosure, and support athlete well-being and performance. This initiative offers a scalable framework for other sporting organisations.