Evidence Hub

The impacts of climate change on women's reproductive and sexual health: a systematic review

Albadrani MS

Reproductive health, 2026

Abstract

Background: Climate change is considered a substantial threat to women's health, particularly in their reproductive and sexual well-being. Several studies linked to changes in fertility rates, ovarian reserve, menopause timing, maternal and child health outcomes, and reproductive decision-making. While recent studies have suggested a correlation between climate variability and reproductive and sexual health outcomes, a comprehensive synthesis of existing research on this relationship is lacking.

Aim: This study systematically reviews the available evidence on the association between climate change and women's reproductive and sexual health.

Methods: A thorough search was conducted across Medline/PubMed, Scopus, Web of Science, and Cochrane Library databases up to May 2024. This review follows a registered protocol with the PROSPERO database (ID: CRD42024575251). Data were extracted using a standardized template, and quality evaluation was carried out using the Joanna Briggs Institute's Critical Appraisal Tools.

Results: The search identified 3581 records, from which 12 observational studies were selected following screening. Most included studies were of moderate quality. Exposures were assessed using direct meteorological measures and subjective perceptions of climate change. The findings indicate that high temperatures are significantly associated with adverse outcomes. These include reduced ovarian reserve, lower fertility rates, and diminished reproductive…

How strong is the evidence?

Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free