We studied 122 women with a transplanted kidney to evaluate their reproductive performance. Fifteen patients were either menopause or had a hysterectomy, 33 were unmarried. Of 74 married women at the reproductive age 8 (10.8%) had infertility. Two had male factor infertility, two other had ovulatory problem and four cases were unexplained infertility. Only 4 cases were actively treated by ovulation induction+/- IUI, one of them became pregnant. Four other patients refused infertility treatment, one because of old age (40 years), another one was HBsAg positive and had relative contraindication to use hormone, other one had her second kidney graft and was unwilling to take any risk, last case had side effects of clomiphene in her first attempt. It is concluded that incidence of infertility among kidney transplant recipients is same as general population, but they are less motivated to be treated for this problem.