**Abstract**

Metabolic syndrome (MetSy) is a compilation of interrelated pathologic conditions characterized by central obesity, hypertension, insulin resistance and atherogenic dyslipidaemia. The prevalence of MetSy is rising globally. There is growing evidence which linked the individual components of MetSy to the increasing prevalence of poor reproductive health in both the male and female community. This text reviews the recent evidence associating MetSy to poor reproductive health as well as the underlying pathophysiology. The aims to study the relationship between MetSy and reproductive health. The effects of MetSy on fertility were examined and supporting evidence explaining the pathophysiology of dysfunction with each MetSy component extracted from the following medical databases, including CINAHL, MED- LINE, EMBASE, PubMed, and ERIC were described. Noncommunicable disease is rising at an alarming rate globally. Metabolic disorders like hyperlipidaemia, obesity, and insulin resistance can directly or indirectly affect the reproductive health and fertility in both men and women through the interruption of hypothalamic – pituitary – gonadal axis functions. Metabolic syndrome's adverse effects are likely transgenerational (Barker hypothesis), where children born to obese mothers are at increased risk for obesity, diabetes and cardiovascular disease later in life. Therefore MetSy deserves attention and screening should be upscaled at all contacts for all age group of patients to save the future generations.

**Keywords:** body mass index, diabetes, fertility, metabolic disorders, obesity, male and female reproductive health, screening
