Infertility can be described as a woman who is unable to conceive as well as being unable to carry a pregnancy to full term. Infertility is the inability of a person, plant or an animal to reproduce by natural means. It is normally not the innate state of a healthy adult organism, except in particularly among certain eusocial species (predominantly haplodiploid insects). Understanding the socio demographic factors parallel with use may assist newly married couples with family planning. As discussed in many gynecologic conferences and gynecologic meetings worldwide, the use of infertility services is not random and roughly about 50% of the women evaluated for infertility progressed to treatment, and in which only a small proportion were treated with additional advanced assisted reproductive technologies essentially Invitro fertilization. Obesity in reproductive health will centralize on two important areas which are infertility and heavy menstrual bleeding. Women who are fertile will experience a natural period of fertility before and during ovulation, and they will be naturally infertile during the latter part of the menstrual cycle. Medical and surgical management of heavy menstrual bleeding is described including the many varied issues in hysterectomy of obese woman.