The decline in birth rates has become a major concern in Western societies, with France experiencing a 6.6% drop in births in 2023, the lowest level since 1946. However, the physical and psychological challenges associated with reproductive health remain largely unaddressed due to persistent taboos surrounding issues such as miscarriages, abortion, gynecological pain, and changes in libido. According to a report published in The Lancet, the minimization of suffering and the secrecy surrounding reproductive health contribute to the degradation of women's mental and physical health. A national survey conducted by L'ObSoCo (Les Françaises et leur corps à l'épreuve du silence, March 2026) and the insights from midwife Sophia Rakrouki highlight how these taboos affect daily care pathways. Miscarriage, the most frequent event during pregnancy, is often experienced in silence. The L'ObSoCo study reveals that nearly 31% of women who have been pregnant have experienced a miscarriage before five months of pregnancy, and 40% of women who have experienced a pregnancy have encountered a difficult event related to the loss or death of a fetus or a newborn. Despite the high prevalence, the psychological and physical suffering that results continues to face a lack of social and medical recognition. Sophia Rakrouki notes that women who experience miscarriages are often left to themselves in the general healthcare system, with no structured care circuit. She observes that women often mention miscarriages hesitantly and may apologize when discussing their experiences. Rakrouki also highlights the lack of preparation and information surrounding miscarriages, leading to situations where women expel the fetus in emergency rooms or toilets without appropriate accompaniment. Abortion, while regulated, remains a subject of shame. According to the L'ObSoCo survey, 16% of women have had recourse to an abortion in their lifetime. While most discuss it with their partner and doctor, more than half keep it a secret from family or friends. The social taboo surrounding abortion still feeds a persistent guilt that sometimes delays the expression of feelings towards close ones or the medical body. However, the medical management of abortion has gradually become structured, generating "less trauma" from an organizational point of view than during a miscarriage. The dysfunction or decrease in the frequency of relations within the couple represents another major dimension of the reproductive and intimate taboo. More than 60% of women affected by fertility problems declare that these procedures have affected their sexuality, with 39% qualifying this impact as strong or very strong. Rakrouki warns against the contraceptive impact on desire, noting that patients on the pill who no longer have libido may force themselves into relations. She also points out that medical consultation reasons sometimes mask a sexual discomfort, such as recurring yeast infections or urinary tract infections, which may indicate a lack of desire. The normalization of physical suffering represents one of the most tenacious flaws of female health. The L'ObSoCo study indicates that 79% of women with regular periods suffer from at least one disorder related to their cycle, with half (52%) experiencing painful periods. However, 55% of women suffering from these disorders have never benefited from the advice of a health professional. Rakrouki notes that suffering can be normalized in consultation, with patients often not receiving adequate attention or care. She highlights the need for better education and training for healthcare professionals to address these issues.