ReviewJournal of human reproductive sciences
Prevalence of Infertility in South Asia: A Systematic Review and Meta-Analysis.
Review in Journal of human reproductive sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Infertility affects about 16.5% of adults in low- and middle-income countries, according to the World Health Organization, and represents a major global public health concern. Despite this burden, population-level estimates from South Asia remain limited. Objective: To address this gap, we conducted a systematic review and meta-analysis to estimate the pooled prevalence of infertility in South Asia and to assess the quality of existing studies. Materials and Methods: We systematically searched PubMed, Scopus and Embase from inception to 12 April 2025 for studies reporting infertility prevalence in South Asia, excluding studies that did not report the total population from which the prevalence was calculated. Two reviewers independently screened studies, extracted data and assessed study quality using the Joanna Briggs Institute checklist. A random-effects meta-analysis of proportions was performed, and heterogeneity was assessed using Results: Of 4326 records screened, 16 studies met the inclusion criteria and were included in the systematic review, of which five were eligible for primary analysis. Except for one study from Nepal, the remaining studies were from India. The pooled prevalence of infertility was 8% (95% confidence interval [CI]: 5%-13%; Interpretation: The review shows a pooled prevalence that is lower than recent global estimates, highlighting the need for robust region-specific data. Limitations: Considerable variation in infertility definitions contributed to substantial heterogeneity and reduced comparability across studies. About one-third of the included studies were clinic-based, which are not ideal for estimating population prevalence. PROSPERO Registration: CRD42024623937.
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