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However, structured preconception counselling (PCC) has not yet been established in Germany or Austria. To explore knowledge, awareness, and counselling needs, a\u00a0pilot survey was conducted among 52\u00a0participants (41\u00a0women, 11\u00a0men, 1\u00a0unspecified) during the \u201cLong Night of Science\u201d at Ulm University. Fertility knowledge was moderate, with notable gaps regarding age-related fertility decline and other relevant aspects of preconception health (e.g., folic acid intake, normotension, review of medication). Lifestyle factors such as abstaining from alcohol and nicotine were widely acknowledged. Most participants expressed an interest in reproductive health and considered PCC beneficial, preferably delivered by gynaecologists. The findings of our exploratory study underscore the need for developing a\u00a0structured program for PCC and call for larger representative studies.<\/jats:p>","DOI":"10.1007\/s10354-026-01150-x","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T19:53:09Z","timestamp":1776196389000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and needs concerning fertility and preconceptional health in Germany\u2014insights from a\u00a0pilot survey","Wissen, Einstellungen und Bed\u00fcrfnisse hinsichtlich Fertilit\u00e4t und pr\u00e4konzeptioneller Gesundheit in Deutschland\u00a0\u2013 Erkenntnisse aus einer Pilotstudie"],"prefix":"10.1007","author":[{"given":"Leonie","family":"Zikarsky","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Hancke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-8958","authenticated-orcid":false,"given":"Karin","family":"Bundschu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"1150_CR1","unstructured":"Statistisches Bundesamt (Destatis). 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