Reproductive health challenges such as hysterectomies, infertility, and teenage pregnancy are often discussed only in terms of medical procedures and treatment, yet the reality is far more complex. Dr. Richard Billy Ndiwalana, a Senior Consultant -Head department Obstetrics and Gynecology explains that, hysterectomy—the surgical removal of the uterus—are usually performed as a last resort and are commonly caused by: severe uterine fibroids, endometriosis, chronic pelvic infections, life-threatening postpartum hemorrhage, or gynecological cancers. In many cases, delayed access to care means patients arrive at health facilities when surgery is the only option left. Similarly, infertility remains a significant but often silent challenge, caused by female factors including: ovulation disorders like (PCOS), fallopian tube blockages- often caused by pelvic inflammatory disease, infections like gonorrhea or past surgeries and endometriosis -where uterine tissue grows outside the uterus, causing inflammation that affects eggs and fallopian tubes., Male factors including: low sperm count, obstructions like physical blockages in the reproductive tract, STIs, advanced age, and life style factors such as smoking, and excessive alcohol. Beyond the physical diagnosis, infertility carries emotional distress, social stigma, and pressure within families and relationships. Dr Billy, adds that teenage mothers face even greater barriers, particularly since the organization that previously supported some reproductive health services is no longer present. Without this support, services such as antenatal care, counseling, and follow-up care have become harder to access, leaving many young mothers vulnerable to both medical complications and psychological stress. As World Health Organization, defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease.” Dr Billy believes that many healthcare facilities struggle to meet this holistic definition due to limited resources and the absence of integrated mental health services. “Women undergoing hysterectomies may experience grief or a sense of loss, couples dealing with infertility often face anxiety and social pressure, and teenage mothers frequently struggle with fear, stigma, and uncertainty about their futures. Yet the hospital does not have a full-time clinical psychologist available, instead, a psychologist is only called in, when a particularly complex case arises. While this approach may help in emergencies, it does not provide consistent psychological support for patients who need ongoing care” he adds. These realities highlight the critical need for mental health support within reproductive healthcare by integrating mental health professionals into routine care so that treatment addresses not only the body but also the emotional and social well-being of patients.