Infertility does not discriminate—but access to care does; Breaking the Silence on Infertility, A Call for Equality in Low-Middle-Income-Countries

Abstract

For millions of women, subfertility is not just a medical condition—it is a deeply personal struggle that affects every aspect of their lives, yet reproductive healthcare remains out of reach for many women in low-resource settings. Despite the United Nations Sustainable Development Goals (SDGs) 3.7 and 3.8 advocating for universal access, Assisted Reproductive Technology (ART) remains a luxury few can afford. In many societies, a woman’s worth is still unfairly tied to her ability to bear children, leaving those facing infertility to endure stigma, emotional distress, and even domestic violence. Cultural beliefs and superstitions only deepen their isolation, turning what should be a shared journey into a lonely battle. Yet, hope remains. Across the world, women pray, perform rituals, and cling to faith, searching for solace in a system that often fails them. But faith alone cannot replace access to proper fertility care. On International Women's Day (IWD) 2025, we must recognize that reproductive justice is not a privilege—it is a right. Every woman, regardless of wealth or background, deserves access to fertility treatments. It is time to ensure that all women’s reproductive choices are supported, respected, and truly their own.