Reproductive and Metabolic Aspects of Women in a Public and University Reproductive Counseling Program

Objective: Infertility affects one in six couples worldwide, significantly impacting reproductive capacity.Beyond the inability to conceive, it carries profound social, economic, and psychological consequences.This study describes the reproductive and metabolic characteristics of women receiving preconception counseling in a university-based reproductive health program.Methods: This retrospective, crosssectional study analyzed medical records of infertile women (18-45 years) enrolled in the APOIAR program at HUPES, Salvador, between 2021 and 2023.Data included sociodemographic, reproductive, and metabolic factors.Ethical approval was obtained, and descriptive statistical analysis was performed.Results: Among 204 infertile women, 77% had been trying to conceive for over 12 months, and 84% had no living children.Obesity was observed in 36%, and 71% had an increased waist circumference.Polycystic Ovary Syndrome (20%) and thyroid diseases (15%) were common.Regarding lifestyle, 52% were physically inactive, 98% were non-smokers, and 79% did not consume alcohol.Dyslipidemia was frequent, with 73% presenting high LDL and 54% low HDL.FSH and TSH levels were mostly within normal ranges, while AMH was unassessed in 80% of cases.Conclusion: Findings underscore the need for early reproductive counseling and lifestyle interventions.The high prevalence of obesity highlights the importance of promoting healthier habits to improve metabolic control.Early evaluation and treatment of endocrine-metabolic disorders may enhance reproductive outcomes.Future studies and continued follow-up could further assess the impact of these strategies on reproductive health.