Hormonal imbalances and metabolic dysfunction caused by excess adiposity significantly impact reproductive health & obesity, affecting both men and women. In women, obesity is a leading contributor to polycystic ovary syndrome (PCOS), menstrual irregularities, and infertility due to disrupted estrogen and insulin levels. Men with obesity often experience lower testosterone levels, reduced sperm quality, and erectile dysfunction. Pregnancy complications, including gestational diabetes, preeclampsia, and an increased risk of cesarean delivery, are also linked to maternal obesity. Additionally, excess weight can influence fetal development, predisposing offspring to metabolic disorders later in life. Weight management strategies tailored to reproductive health, such as lifestyle interventions, targeted medical therapies, and fertility treatments, can enhance fertility outcomes. Addressing obesity within reproductive care is crucial for reducing pregnancy-related risks and improving overall well-being.