Fear of Infertility Among Adults in Pakistan: A Cross-Sectional Survey on Emotional, Social, and Informational Aspects

Abstract

Infertility is increasingly recognized as a multifaceted issue encompassing biomedical, psychological, and sociocultural dimensions. This cross-sectional study examines the prevalence and intensity of fear of infertility among adults in Pakistan, exploring associated emotional responses, societal pressures, and access to fertility-related information. An online structured questionnaire was distributed via social media and email in April–May 2025, yielding 270 valid responses from participants aged ≥18 years residing in Pakistan. Fear of infertility was self-rated on a 0–10 scale, with emotional reactions, societal pressure, and informational access also assessed. Results revealed that 68.8% of participants reported moderate to extreme fear (scores 5–10), with marked variations by gender, marital status, and residence. Anxiety was the predominant emotional response (45.6%), followed by sadness (30.1%). Societal pressure was rated moderate to extreme by 18.8%, and 12.7% reported poor access to information. Notable gender differences emerged, with males reporting higher rates of extreme fear. These findings underscore the need for comprehensive public education, culturally sensitive psychological support, and improved equitable access to fertility services and information.