{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:01:20Z","timestamp":1785484880057,"version":"3.56.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Turksoy Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Women are increasingly delaying childbearing and utilizing assisted reproductive technology to achieve pregnancy. As the demand for reproductive endocrinology and infertility (REI) care increases, there is potential for sharing responsibility for fertility counseling and care with generalist obstetrics and gynecology physicians (OB\/GYNs). The American College of Obstetrics and Gynecology (ACOG) recommends discussing reproductive plans during annual visits; however there are concerns about the feasibility of guideline implementation due to the comprehensive nature of these visits. The purpose of this study was to explore whether OB\/GYN generalists at our outpatient clinic are addressing patients\u2019 needs for fertility counseling. An Institutional Review Board (IRB)-approved electronic survey was distributed by Quick Response (QR) code on exam room posters at our clinic between April 1 and August 30, 2024 with a $5.00 gift card incentive. Of the 166 patients who met inclusion criteria, the minority of patients (33%) responded \u201cyes\u201d when asked, \u201cIn the last two years, did you discuss your fertility with an OB\/GYN at an annual\/routine visit?\u201d Those who had not discussed their fertility with their OB\/GYN were significantly more likely to be under age 32 than 32 or older (80% vs. 20%). The majority of patients (64%) who had not discussed fertility responded \u201cyes\u201d when asked \u201cWould you like to discuss fertility at annual visits?\u201d These findings suggest that generalist OB\/GYNs may not be meeting the needs of patients, particularly younger patients, who desire fertility counseling. Concerningly many patients are obtaining information on fertility from sources other than their clinicians.<\/jats:p>","DOI":"10.1177\/23743735261461885","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:39:37Z","timestamp":1785267577000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Patient Perspectives on Fertility Counseling During Annual Generalist Obstetrics and Gynecology Visits: A Survey-Based Study"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0772-2134","authenticated-orcid":false,"given":"Nairi","family":"Strauch","sequence":"first","affiliation":[{"name":"Tufts Medical Center Department of Obstetrics and Gynecology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Morgan","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devika","family":"Lekshmi","sequence":"additional","affiliation":[{"name":"Tufts Medical Center Department of Obstetrics and Gynecology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noopur","family":"Ghade","sequence":"additional","affiliation":[{"name":"Tufts Medical Center Department of Obstetrics and Gynecology"},{"name":"Tufts University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"ART Surveillance. Assisted Reproductive Technology. 2024. [cited 2025 Apr 7] [Internet] Available from. https:\/\/www.cdc.gov\/art\/php\/surveillance\/index.html#:\u223c:text=In_2022%2C_there_were_435%2C426 infants_born_in_the_U.S"},{"key":"e_1_3_7_3_2","volume-title":"National Summary Report","author":"All SART Member Clinics","year":"2022","unstructured":"All SART Member Clinics. National Summary Report; 2022. [cited 2025 Apr 7] [Internet] Available from. https:\/\/sartcorsonline.com\/Csr\/Public?ClinicPKID=0&reportingYear=2022&newReport=True"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2023.01.007"},{"key":"e_1_3_7_5_2","volume-title":"ACOG Committee Opinion","author":"Well-Woman Visit","year":"2018","unstructured":"Well-Woman Visit. ACOG Committee Opinion; 2018. [cited 2025 Apr 7] [Internet] Available from. https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2018\/10\/well-woman-visit"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-018-1273-7"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.12.006"},{"key":"e_1_3_7_8_2","volume-title":"CDC Releases Guidelines on Improving Preconception Health Care","author":"Graham L","year":"2006","unstructured":"Graham L. CDC Releases Guidelines on Improving Preconception Health Care. American Family Physician; 2006. [cited 2025 Apr 9];[Internet] Available from. https:\/\/www.aafp.org\/pubs\/afp\/issues\/2006\/1201\/p1967.html"},{"key":"e_1_3_7_9_2","unstructured":"Female Age-Related Fertility Decline. ACOG Committee Opinion; 2014. [cited 2025 Apr 9] [Internet] Available from. https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2014\/03\/female-age-related-fertility-decline"},{"issue":"3","key":"e_1_3_7_10_2","first-page":"99","article-title":"Age and Fertility: A Study on Patient Awareness","volume":"20","author":"Deatsman S","year":"2016","unstructured":"Deatsman S, Vasilopoulos T, Rhoton-Vlasak A. Age and Fertility: A Study on Patient Awareness. JBRA Assist Reprod. 2016;20(3):99-106.","journal-title":"JBRA Assist Reprod"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des011"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.07.201"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbms.2021.10.003"},{"key":"e_1_3_7_14_2","first-page":"403","article-title":"Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians","volume":"31","author":"Yu L","year":"2015","unstructured":"Yu L, Peterson B, Inhorn MC, Boehm JK, Patrizio P. Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians. Human Reproduction. 2015;31:403-411. dev308.","journal-title":"Human Reproduction"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13524-011-0034-3"}],"container-title":["Journal of Patient Experience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261461885","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23743735261461885","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261461885","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T07:47:50Z","timestamp":1785484070000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23743735261461885"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"alternative-id":["10.1177\/23743735261461885"],"URL":"https:\/\/doi.org\/10.1177\/23743735261461885","relation":{},"ISSN":["2374-3735","2374-3743"],"issn-type":[{"value":"2374-3735","type":"print"},{"value":"2374-3743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"23743735261461885"}}