Dear Mr. Zuckerberg,

We represent a diverse group of advertising and marketing executives and women's health advocates writing to you today to draw your attention back to a critical issue that impacts inclusivity of advertising and patient-focused education on your platforms. 

The Center for Intimacy Justice (CIJ) has been at the forefront of identifying the biases present in the advertising review processes on platforms such as yours—the efforts of which we are sure you are already aware.

The CIJ’s research has been instrumental in bringing us to this point. We are writing to further illuminate and address this ongoing yet-to-be-rectified issue. There continues to be a glaring discrepancy in how advertising targeting women’s and men’s sexual health and wellness is reviewed on your platforms. 

In healthcare marketing and medical affairs education, clear communication can be the difference between safety and harm. Using accurate terms like “vulva,” “vagina,” and “Kegel” is essential for women to understand their bodies, know their options, and take charge of their health. That is why we advocate for the usage of correct terminology. 

Despite this, ads promoting women's health products are regularly and permanently rejected, while advertising aimed at men for erectile dysfunction products or solutions to prevent premature ejaculation are readily approved.

The censorship not only renders our marketing efforts ineffective and sometimes impossible, but it also perpetuates a harmful narrative that women's health is something to be ashamed of or hidden. Our struggle with these platforms' policies extends beyond a matter of business; it is a fight—which it should never be—for women to see their health concerns addressed openly and accurately.

Our message is clear: Women’s health is not obscene. The stark contrast in the treatment of women's versus men's health-related ads suggests a bias that Meta must investigate further and rectify.

Please address the discriminatory practices that disproportionately affect ads related to women's health and sexual wellness, starting here:

Conduct a Review: Investigate the presence of "algorithmic bias" in the ad review process, especially in how it contributes to the discriminatory treatment of women's health advertisements.

Allocate More Resources: Dedicate resources and team members to monitor and ensure that women's health ads are evaluated with the same standards as men's health ads, correcting any discrepancies.

Create an Oversight Committee: Form an independent committee of women’s health advocates to oversee the advertising review process, including representatives from women's health advocacy groups, to ensure transparency and accountability.

Engage Regularly With Stakeholders: Hold regular consultations with women's health advocates, businesses, and other stakeholders to gather feedback and make continuous improvements in the advertising policies and review mechanisms.

We would love to host a meeting to discuss how we might rectify these issues and start making a change in the women’s health marketing and advertising space.

We believe these actions not only are necessary for promoting fairness and equality on your platforms but also align with Meta's stated commitment to supporting diverse communities and fostering an inclusive digital environment.

This could be a turning point—a moment to enable growth, learning, and unity in our collective approach to women’s health for Meta. It is within your ability to make this a reality. We ask that you seize this opportunity and stand with women in their pursuit of health.

This petition has been signed by: 

Lauren Stralo, LevLane
Sarah  Fleischer, LevLane
Matt Solomon, LevLane
Stephen Lipenta, LevLane
Mariya Avramenko, LevLane
Lauren Hepburn, LevLane
Ashley Louth, LevLane
Kiersten Aldridge, LevLane
Alanah Barnes, LevLane
Ally Darmo, LevLane
Taylor Irwin, LevLane
Michele  Burns, LevLane
Katie Gavin, LevLane
Nat Gutwirth, LevLane
Kevin  Dunn, LevLane
Julia Reilly, LevLane
Liz Weir, LevLane
Victoria Kosciusko, LevLane
Lori Miller, LevLane
Kelly Ryan, LevLane
Dana Vernacchio, LevLane
Alana Aninipot, LevLane
Kristen Mansfield, LevLane
Julia Ramsey, LevLane
Alex Aloise, LevLane
Christopher Shea, LevLane
Tyler Heileman, LevLane
Shannon Shay, LevLane
Lindsey Love, Haven Marketing
Zach Piester
Anna Rau
Supriya Laknidhi
Somer Baburek, Hera Biotech
Barbara Van Eeckhout
Maria Gil
Meghan Doyle, Partum Health
Kerry Krauss
Lyndsey Harper, Rosy Wellness
Pita Navarro, Evvy
Jamie DelCane, PFG MedComm
Margo Harrison, Wave Bye Inc
Susan Kindig
Sarah Adams 
Staci Tanouye
Gina Taylor
Rebecca Ando
Celine Vignal, Seesaw Health
Brianna Brennan
Kristina Meyers-Hansen
Karla  Loken, HerMD 
Elizabeth VonderHaar
Becky Baxendell
Christine Picard
Nelly Heiman
Becky Lynn, Evora Women's Health
Laurie Tickle, Bayer
Sydni Crowell, OMG
Morgan Miller, Maryville Women’s Center
Karen Tang
Christina Cox Lebreton
Carrie Haverty, Mirvie
Anisha Sarma
Analisa Marki, Associates in Women’s Healthcare 
Liza Kunz, Private Physician
Kim Moreland, Private physician
Megan Schneider
Amy Kelley
Susan MacMillan, Kaiser
Anna Rabinov
Tricia  Wright, UCSF 
Allison  Duncan
Stella Huang, OBGYN Mom’s group
Emily Cheston
Rachel Villalon, NorthBay Health
Shanna Snow, OMG
Marjorie Bhogal
Kristie Sutton, Palo Alto Medical Foundation
Ale Rincon
Morgan Morton, Confluence Health 
Kim Tustison
Dawn Bingham
Kellie DeLozier, University of California, Santa Barbara
Kristen Sharpe
Leah Dowdell, HerMD
Alson Burke
Roderick Kersch