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10 IPCLJ 1 (2025)

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  THE   DIGITAL DOCTOR-PATIENT RELATIONSHIP: IMPOSING
             HEIGHTENED DUTIES ON FEMTECH APPS

                               Kevin  Frazier*

                               INTRODUCTION

   Every  human being of adult years and sound mind has a right to
determine  what  shall be done  with his own  body.1

   Not   all apps  are  created  equal.   Users  have   drastically  different
relationships  with the  developers  of the  flip a coin  app  (which  does
exactly  what  its name   suggests  and  enjoys  a 4.5-star  rating based  on
nearly 2,000  reviews)2  than  with the developers  of femtech   apps, which
target   individuals   seeking    services   and   information    related   to
reproductive  health, among   other  topics.3 The law  should  not ignore  the
differences in those relationships. A  failure to adjust the legal relationship
between   femtech  apps  and users  may  leave users  with too few  means   to
protect   their  significant   privacy   interests  over    sensitive  health
information.  Femtech   apps, akin  to medical  providers, collect a range of
reproductive  health  information  from  users  and  offer medical  advice  to



* Emerging Technology and Democracy Fellow, Leadership Center for AG Studies. Adjunct Professor,
Delaware Law. Affiliated Scholar in Emerging Technology and Constitutional Law, St. Thomas
University College of Law.
      1. Schloendorff v. Soc'y of N.Y. Hosp., 105 N.E. 92, 93 (N.Y. Ct. App. 1914).
      2. Flip a Coin App Ratings and Reviews, APP STORE, https://apps.apple.com/us/app/flip-a-coin-
app/id898035102 (last visited Nov. 13, 2024).
      3. Kaitlyn Tiffany, Period-tracking apps are not for women, VOX (Nov. 16, 2023),
https://www.vox.com/the-goods/2018/11/13/18079458/menstrual-tracking-surveillance-glow-clue-
apple-health; see Catriona McMillan, Monitoring Female Fertility Through 'Femtech': The Need for a
Whole-System Approach to Regulation, MED. L. REV. 410, 414 (2022) (The femtech industry includes a
wide range of technologies that visualise female sexual and reproductive processes, from tracking one's
menstrual cycle in a calendar app to real-time guidance for 'kegel' exercises. While some types of femtech
go beyond the realms of the womb, the majority of it focuses on and around reproduction and fertility-
related processes.).


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