Female Athletes Should Not Have to Choose Between Career and Parenthood
In a compelling argument, Dr. Mireia Galian emphasizes that female athletes should not be forced to make a choice between their professional careers and motherhood—a dilemma rarely imposed on their male counterparts. This call to action comes amid recent reforms in insurance coverage for female athletes, which address issues like contraception, pregnancy, and menopause, yet overlook a critical aspect: fertility.
The Fertility Blind Spot in Women's Sports
Elite female athletes often push their bodies to extreme limits, with intense training regimens and low body fat percentages that can disrupt hormonal balance and menstrual cycles. Studies indicate that nearly two-thirds of these athletes experience irregular or absent periods, which can significantly impact fertility. The competitive years in sports typically align with peak fertility ages, yet many athletes delay motherhood to focus on their careers, facing additional hurdles when trying to conceive.
Natural conception becomes more challenging due to fewer or absent menstrual cycles, compounded by the natural decline in fertility with age. Dr. Galian points out that while some progress has been made—such as the WTA Tour's commitment to protect rankings for tennis players undergoing fertility procedures like egg or embryo freezing—more comprehensive measures are needed.
Advocating for Standardized Support
Dr. Galian argues that paid, protected time off for fertility assessment and treatment should become a standard practice across all women's sports. Recognizing fertility as an integral part of holistic athlete health is essential for providing adequate support and flexibility. Offering timely fertility preservation options can help athletes navigate their careers without sacrificing family planning.
Without such measures, the progress achieved through recent reforms risks being undermined. Female athletes deserve the same opportunities as men to balance professional success with personal life, ensuring that sports organizations prioritize their well-being in all aspects, including reproductive health.



