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Fertility Gap in Women's Sports Ignored
5 Apr
Summary
- Elite athletes' extreme training can disrupt fertility.
- Many athletes delay motherhood, impacting fertility chances.
- Paid fertility leave should be standard in women's sports.

Changes addressing female athletes' health, including contraception and menopause, are being implemented, but a critical issue of fertility remains overlooked. Elite athletes often experience hormonal disruptions and irregular menstrual cycles due to intense training and low body fat, significantly affecting their fertility. Nearly two-thirds of these athletes report absent or irregular periods, complicating natural conception.
The prime reproductive years for many athletes align with their peak competitive careers, leading many to postpone starting families. This delay, coupled with the natural decline in fertility with age, presents a significant challenge for those wishing to conceive later.
While some progress has been made, such as the WTA Tour protecting player rankings for fertility procedures like egg freezing, comprehensive support is lacking. Paid, protected leave for fertility assessment and treatment should become a standard provision across women's sports. This would allow athletes to pursue parenthood without jeopardizing their careers, a choice rarely imposed on their male counterparts.
Recognizing fertility as a key component of an athlete's overall health is essential. Providing robust support, offering flexibility, and making timely fertility preservation options accessible are crucial steps. Failure to address these needs risks undermining the very progress these new health reforms aim to achieve.