1 in 4 Couples Facing Infertility in Pakistan Due to Rising PCOS in Women
Infertility is becoming a serious issue in Pakistan, and recent health reports show that 1 out of every 4
Infertility is becoming a serious issue in Pakistan, and recent health reports show that 1 out of every 4 couples in the country is facing difficulty in conceiving a child. The biggest reason? A medical condition called Polycystic Ovary Syndrome (PCOS) a hormonal disorder that affects women of reproductive age.
This article will explain the causes, symptoms, treatment, and social challenges of PCOS, especially in Pakistan. We also answer common questions at the end to help more people understand and manage this condition.
Alarming Statistics About PCOS in Pakistan
- Over 52% of Pakistani women of childbearing age are affected by PCOS.
- Around 80% of Pakistani women are either overweight or obese, which increases the risk of PCOS.
- It is the leading cause of infertility among women in the country.
Despite these shocking numbers, most cases remain undiagnosed—mainly due to lack of awareness and social taboos about discussing reproductive health.
What Is PCOS?
Polycystic Ovary Syndrome (PCOS) is a common hormonal problem in women where the ovaries produce too many male hormones (called androgens). This hormonal imbalance leads to the development of small cysts (fluid-filled sacs) on the ovaries, which affects ovulation.
Key Effects of It:
- Irregular periods
- Infertility
- Excess hair on face/body
- Acne and oily skin
- Weight gain
- Mood swings or depression
Main Causes of PCOS in Pakistan
1. Cousin Marriages (Genetic Risk)
Cousin marriages are very common in Pakistan. While they have cultural value, they also increase the risk of passing on genetic conditions like PCOS from one generation to another.
The Mind-Body Connection: How Meditation Enhances Physical Health
2. Unhealthy Lifestyles
More women are now living sedentary lives—less movement, junk food, and high sugar diets. These habits lead to obesity, insulin resistance, and eventually PCOS.
3. Social Stigma Around Menstruation
In Pakistan, women are often ashamed to talk about their periods or reproductive health. As a result, many cases of PCOS remain undiagnosed for years until the woman faces trouble conceiving.
4. Unqualified Medical Advice
Many women turn to quacks or unregistered doctors, who give harmful medications that can lead to serious issues like uterine or ovarian cancer.
Expert Opinions
Dr. Zubaida Masood
Dr. Masood shared during a PCOS awareness seminar that PCOS is no longer a minor issue—it’s one of the biggest reasons why women in Pakistan are unable to get pregnant. Even if a woman does get pregnant, PCOS increases the risk of miscarriage.
Dr. Jeanne Conry (International Expert)
Dr. Conry, former President of the American College of Obstetricians and Gynecologists, explained that PCOS is not just a fertility issue. It’s a chronic metabolic disease that can damage physical and mental health for life.
She warned that if not controlled, It could turn into a “silent epidemic” putting the reproductive future of an entire generation at risk.
How PCOS Affects Women’s Lives
PCOS causes several painful or embarrassing health issues that go beyond just infertility:
- Facial hair and acne → Low self-confidence
- Weight gain → Risk of diabetes and heart disease
- Irregular periods → Trouble tracking fertility
- Hair loss → Emotional stress
- Mood swings → Depression and anxiety
These symptoms can deeply affect a woman’s emotional, social, and married life.
How Is PCOS Diagnosed?
Doctors usually check for the following:
- Medical history (especially period patterns)
- Physical exam
- Ultrasound scan of the ovaries
- Blood tests to measure hormone levels
Early diagnosis is important for better management and chances of pregnancy.
Common PCOS Treatments in Pakistan
There is no complete cure for Its, but with early diagnosis and regular treatment, the condition can be managed. Treatments include:
1. Metformin
Reduces insulin resistance in the body.
2. Hormonal Birth Control Pills
Regulates periods and reduces facial hair and acne.
3. Ovulation Stimulators
Clomiphene Citrate or Letrozole help release eggs to support pregnancy.
4. Anti-Androgens
Medications that control male hormones, reduce hair growth, and acne.
5. Weight Loss Programs
Losing just 5% to 10% of body weight can improve fertility and hormone balance.
Holistic Approach Recommended
According to Dr. Hany W. Fawzi, an international gynecologist based in the UK, Its treatment should include a team of experts, not just gynecologists. A strong treatment plan involves:
- Dietitians
- Mental health experts
- Endocrinologists
- Lifestyle coaches
He also emphasized the importance of cultural sensitivity when educating patients.
Prevention Tips
While not all PCOS cases can be prevented, healthy habits can reduce the risk:
- Avoid sugary and processed foods
- Exercise at least 30 minutes a day
- Drink water, not sugary sodas
- Sleep 7–8 hours a night
- Avoid stress through meditation or yoga
- Get medical checkups if periods are irregular
Frequently Asked Questions (FAQs)
Q1. Can PCOS go away on its own?
No, Its a long-term condition. It does not go away completely, but symptoms can be controlled with lifestyle changes and medicine.
Q2. Is PCOS only a problem for married women?
No. It can affect teenagers and unmarried girls. Early diagnosis helps prevent complications later in life.
Q3. Can women with PCOS get pregnant?
Yes, many women with It have healthy pregnancies with the right treatment and support.
Q4. Is PCOS life-threatening?
It is not directly fatal, but it can lead to diabetes, heart problems, and cancer if left untreated.
Q5. How does It affect mental health?
It often causes anxiety, depression, and low self-esteem due to symptoms like weight gain, hair growth, or infertility.
Q6. Can exercise alone cure PCOS?
Exercise is a very effective part of It management, but it works best when combined with proper diet and medical treatment.
Q7. Is it safe to use birth control pills for PCOS?
Yes, when prescribed by a licensed doctor. Avoid taking any pills from unregistered sources.
Final Words
PCOS is silently affecting millions of Pakistani women and it’s no longer just a medical issue, but a social and national concern. If we want healthier future generations, we must break the silence, spread awareness, and give women the support they deserve.
Whether you’re a doctor, parent, teacher, or woman yourself start the conversation today. PCOS is treatable. Ignoring it is not.
