The evolution of oral contraceptive pills (OCPs) is a significant milestone in the history of women &# 39;s reproductive health. This revolutionary medicinal development has had a great impact on society, altering outlook towards sexuality, family planning, and women empowerment in the 19 the century. The combined oral contraceptive (COC) pill has become one of the most widely and frequently used methods of contraception worldwide since its discovery in 1960.Early COC formulations were associated with significant adverse effects and increased cardiovascular risk inspite of being highly effective. Without causing any compromises in effectivity value, improvements in tolerability and safety have been made, mainly via reduction in the dosages and the development of several new progestin’s. Continuous research and innovation in hormonal contraception continue to this day. Newer developments aim to improve effectiveness, reduce side effects, and offer more tailored options for individual needs, such as extended-cycle pills that reduce the frequency of menstruation. The evolution of oral contraceptive pills represents a pivotal advancement in reproductive healthcare, granting women greater autonomy over their bodies and reproductive choices

Climate change is occurring rapidly, and this crisis should now be recognized as a “global emergency”. It is one of the major global health threats brought about by global warming, resulting from human activity due in large part to increasing levels of greenhouse gases. The ongoing climate crisis poses significant risks to women, pregnant mothers, unborn fetuses and offspring, who were exposed in-utero to climate stressors, especially those in marginalized communities where effects are magnified. A focus on education, research, and advocacy in responding to changing health consequences and global awareness are key to educating our professional healthcare providers, patients, the lay public, key personnel in the government and other leaders, and by making the changes necessary to address this crisis. Building on the pillars that FIGO has identified (advocacy, research interpretation, capacity building, and education), and following the footsteps of the FIGO Committee on “Climate Change and Toxic Environmental Exposures”, the baby steps yet focussed efforts taken by AOFOG through its recently formed “Climate Change & Pollution Working Group” will be highlighted in this review article. After all, investing in the health of women is investing in the health of current and future generations, and we, as healthcare providers along with health professional organizations should be in the forefront of environmental health advocacy to save the present generation and future generations through engagement as public opinion leaders.