Silent PCOS Infertility Crisis: A National Emergency in Pakistan
An alarming reproductive health emergency is unfolding in Pakistan, as 52% of women of reproductive age suffer from Polycystic Ovary Syndrome (PCOS), with over 80% remaining undiagnosed, health experts revealed at an international conference.
The event, jointly organised by the PCOS, Adolescent and Reproductive Health Society of Pakistan, the Endometriosis and Adenomyosis Society, and PharmEvo, brought together leading gynaecologists, endocrinologists, and maternal health specialists to address this silent PCOS infertility crisis and its devastating impact on women’s reproductive health.
PCOS and Infertility: A National Concern
Experts warned that Pakistan’s PCOS prevalence far exceeds the global average of 4 to 18%, largely due to genetic predisposition from cousin marriages, obesity, sedentary lifestyles, and lack of awareness about menstrual and reproductive health.
According to Dr. Rizwana Chaudhry, “Women suffer silently, unaware that their inability to conceive, frequent miscarriages, hormonal imbalances, and metabolic disorders stem from undiagnosed PCOS.”
Cultural Barriers and Lack of Awareness
PCOS remains hidden due to cultural stigma, preventing young girls from recognising warning signs like irregular periods, excessive facial hair, and unexplained weight gain.
Dr. Ghazala Mahmood emphasised the need for early screening programs in schools and colleges, stating, “Girls are never taught that these symptoms indicate a deeper hormonal imbalance. By the time they seek help, the damage is often irreversible.”
A Multidisciplinary Approach Needed
Dr. Hani W. Fawzi, consultant obstetrician and gynaecologist at South Tyneside NHS, UK, described PCOS as a “wicked problem”, requiring intervention from gynaecologists, endocrinologists, dietitians, psychologists, and public health experts.
“This isn’t just a gynaecological disorder—it demands a multidisciplinary approach. He emphasised the need for focused research on Pakistan-specific genetic, cultural, and environmental factors, stating, “Without a proper diagnosis, there can be no care.”
Urgent National Action Required
Experts, including Dr. Saima Zubair, Dr. Shamsa Rizwan, Brigadier Dr. Mamoona Mushtaq, Dr. Nabia Tariq, Dr. Nosheel, and Dr. Shumaila Tanveer, underscored the need to prioritise PCOS as a national health issue.
Brigadier Dr. Mamoona Mushtaq warned, “PCOS is silently destroying women’s reproductive health, and myths surrounding periods and fertility further worsen the problem.”
Technology and Future Solutions
Artificial intelligence is now emerging as a key tool for early detection and patient support.
Dr. Saima Zubair announced, “AI-powered screening tools will soon help diagnose PCOS, and a dedicated chatbot launching in September will allow women to self-assess and connect with specialists.”
A Nationwide Awareness Movement
Nabeel Akhtar, Business Unit Head at PharmEvo, reiterated the urgency of nationwide screening efforts.
“PCOS has quietly become one of the most neglected yet widespread health conditions affecting Pakistani women. Therefore, this silent PCOS infertility crisis must be addressed immediately through awareness, education, and medical intervention.”
PharmEvo aims to support millions of undiagnosed women through education, screening, and counselling initiatives.
The conference concluded with a joint appeal to health authorities to integrate PCOS education and treatment into national health programs; consequently, this will ensure early intervention for future generations.
