Meta rejected our ED, menopause or fertility clinic's ad

What Meta allows for audiences 18 and older

Meta says "Advertisers can run ads that promote sexual health, wellness and reproductive products and services." With an 18+ audience and a focus on health, its list of allowed ads includes:

• Products for sexual and reproductive health issues, such as "Prevention of erectile dysfunction", "Premature ejaculation", "Hypoactive Sexual Desire Disorder (HSDD)", "Pain relief during sex" and "The effects of menopause".
• Family planning, including "Family planning clinics" and "In Vitro Fertilization (IVF) or any other artificial insemination procedures".
• Reproductive surgeries with medical benefits, limited to "Male circumcision", "Vaginoplasty", "Vasectomy" and "Gender reassignment surgeries".
• "Contraceptive products, including condoms", and women's reproductive health apps such as ovulation and pregnancy trackers.

What gets the ad rejected

Meta's rules say ads can't:

• "Promote sexual arousal products that focus on sexual pleasure or enhancement".
• "Promote genital procedures or surgeries focused on sexual pleasure, such as G-spot augmentation, male genitalia enlargement."
• Run without an 18+ age setting. Health-focused sexual and reproductive health ads "must target people 18 years or older."
• Imply the viewer has the condition. Meta's personal attributes policy bars ads that "Imply knowledge of Medical information of a user or user's family", so a line asking readers about their own symptoms can be rejected under a second policy.

If the ad names a prescription drug

ED medication, testosterone and most hormone therapy for menopause are prescription drugs. Meta's note: "For Reproductive health and wellness drugs or treatments that require prescription, please refer to Drugs and Pharmaceuticals ads policy and comply with the geo-targeting, and written permission requirements in addition to this policy."

That means LegitScript certification and Meta's authorization before the ad names, prices or offers delivery of the drug. The steps are in Meta rejected our telehealth ad for promoting prescription drugs. Ads that "Promote telehealth services generally" don't need that authorization.

Fix the ad

1. Read the rejection reason in Meta Business Support Home, then check the ad set's age setting. Set it to 18 or older.
2. Rewrite the copy around the health problem and the care: the condition you treat, the clinician and the consultation. Take out language about performance, stamina, size or pleasure.
3. Check every part of the ad, not just the headline. Meta recommends you "review the policy-violating components, like the image, video, text, targeting or landing page and update them to comply with the Advertising Standards."
4. Edit and publish. Meta says "Your ad will automatically be submitted for another review once it's edited." Once it runs, Curve Compliance can send the consultations it books to Meta server-side under a neutral event name, so the event Meta receives doesn't describe the condition.
5. If the ad already followed the rules, request another review in Business Support Home. Meta says "Requesting another review of an ad will not hurt your standing with Meta in any way."

Keep the tracking as careful as the copy

A rejected ad is a creative problem. A sexual health site often has a second problem that never shows in Ads Manager: page URLs, event names and form answers that describe the condition. Those can trigger potentially prohibited information notices and data restrictions on your dataset.

Curve Compliance's free website scan lists every pixel and tracker on a page, so you can see what fires before you relaunch. For the same offer on Google, see Google's Sexual health and wellness policy for ED telehealth.

Talk to Curve

Sexual health patients expect discretion, and your tracking should give it to them. Curve's team sets up HIPAA-compliant, server-side conversions to Meta and your other platforms under neutral event names, flags condition names and form answers before data reaches an ad platform, and keeps attribution through booking tools such as IntakeQ, Calendly and Jane. Setup is typically live in about a week, with a BAA signed on every plan. Book a call with Curve.

Frequently asked questions

Sources

• Meta Transparency Center: Health and Wellness (Advertising Standards)
• Meta Transparency Center: Drugs and Pharmaceuticals (Advertising Standards)
• Meta Business Help Center: About Meta's Prescription Drugs advertising policy
• Meta Transparency Center: Privacy Violations and Personal Attributes (Advertising Standards)
• Meta Business Help Center: How to troubleshoot a rejected ad

Last verified October 5, 2026

Related pages

• Meta Rejected My Ad Under the Health and Wellness PolicyWhat Meta's Health and wellness ad standard bans, what it allows for 18+ audiences, and when to edit a rejected ad or request a review instead.
• Meta Personal Attributes Rejection: Rewriting Clinic AdsMeta's personal attributes rule, its own allowed and rejected health examples, a rewrite check for clinic ad copy, and how rejections become restrictions.
• Google Ads ED Telehealth Ads: Sexual Health Policy GuideED telehealth ads limited or disapproved by Google? What the Sexual health and wellness policy allows, the certification it needs, and how to fix the ads.
• Meta Removed Potentially Prohibited Information: Next StepsWhat Meta's prohibited information notice means for a health business, where to find what was removed, how to fix it, and why you must never re-send it.
• Meta Removed Health Targeting Options: What Clinics Can UseMeta removed detailed targeting options tied to health causes in January 2022. What a clinic can still target on Facebook and Instagram, and what to avoid.
• Meta Rejected Your Prescription Drug Ad? LegitScript GuideMeta rejected your GLP-1, TRT or telehealth ad for promoting a prescription drug? What Meta requires, how LegitScript and authorization work, and what to fix.