**Abstract**

Leptin is a peptide hormone, secreted primarily by the adipose tissue, placenta being the second leptin-producing tissue in humans. Apart from playing an integral role in food intake regulation and energy balance, leptin is an important signalling molecule affecting human reproduction. Accumulated evidence suggests that leptin has potential roles in the regulation of GnRH and LH secretion, puberty, pregnancy, and lactation. Deregulation of leptin levels has been associated with several reproductive disorders including infertility, recurrent pregnancy loss, and polycystic ovary syndrome. This chapter illustrates the importance of leptin in female reproductive health, its role in the metabolic regulation of reproductive axis and its eventual pathophysiological implications in prevalent reproductive disorders.

**Keywords:** leptin, pregnancy, reproduction
