{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:08:04Z","timestamp":1784819284686,"version":"3.55.0"},"reference-count":66,"publisher":"Akademiai Kiado Zrt.","issue":"22","license":[{"start":{"date-parts":[[2024,6,2]],"date-time":"2024-06-02T00:00:00Z","timestamp":1717286400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Katolikus Szeretetszol\u00adg\u00e1lat"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,6,2]]},"abstract":"<jats:p>\n                    A spont\u00e1n fogamz\u00e1st t\u00e1mogat\u00f3, a medd\u0151 p\u00e1rok reprodukci\u00f3s k\u00e9pess\u00e9g\u00e9t helyre\u00e1ll\u00edt\u00f3\n                    ir\u00e1nyzat azok sz\u00e1m\u00e1ra igyekszik seg\u00edts\u00e9get ny\u00fajtani, akik az assziszt\u00e1lt\n                    reprodukci\u00f3s technik\u00e1kat nem k\u00edv\u00e1nj\u00e1k ig\u00e9nybe venni, vagy azok alkalmaz\u00e1s\u00e1val\n                    kor\u00e1bban nem j\u00e1rtak eredm\u00e9nnyel. E megk\u00f6zel\u00edt\u00e9s neve angolul\n                    <jats:italic>restorative\n                        reproductive medicine (RRM),<\/jats:italic>\n                    magyarul\n                    <jats:italic>term\u00e9kenys\u00e9get<\/jats:italic>\n                    <jats:italic>helyre\u00e1ll\u00edt\u00f3 medicina.<\/jats:italic>\n                    A term\u00e9szetes csal\u00e1dtervez\u00e9si m\u00f3dszer a\n                    term\u00e9kenys\u00e9get az eg\u00e9szs\u00e9g egyik jel\u00e9nek tekinti. A term\u00e9kenys\u00e9gtudatoss\u00e1gon\n                    alapul\u00f3 m\u00f3dszerek seg\u00edtik a csal\u00e1dtervez\u00e9st, aj\u00e1nlj\u00e1k egyes testi v\u00e1ltoz\u00e1sok,\n                    p\u00e9ld\u00e1ul a m\u00e9hnyakny\u00e1k napi nyomon k\u00f6vet\u00e9s\u00e9t \u00e9s \u00e9rtelmez\u00e9s\u00e9t. Ezek a v\u00e1ltoz\u00e1sok\n                    t\u00fckr\u00f6zhetik a n\u0151i term\u00e9kenys\u00e9gi ciklus hormon\u00e1lis v\u00e1ltoz\u00e1sait, el\u0151seg\u00edtik az\n                    ovul\u00e1ci\u00f3 azonos\u00edt\u00e1s\u00e1t a pap\u00edralap\u00fa vagy elektronikus ciklusnapt\u00e1rakban\n                    (Creighton, Fertilit\u00e1si Oktat\u00e1s \u00e9s Orvosi Kezel\u00e9s, Billings, Sensiplan). A\n                    term\u00e9kenys\u00e9gtudatoss\u00e1gon alapul\u00f3 m\u00f3dszerek nemcsak a vall\u00e1si meggy\u0151z\u0151d\u00e9s\u0171ek\n                    sz\u00e1m\u00e1ra lehetnek fontosak, hanem minden motiv\u00e1lt, eg\u00e9szs\u00e9ges p\u00e1r sz\u00e1m\u00e1ra is\n                    aj\u00e1nlhat\u00f3k. A ciklust\u00e1bl\u00e1zatokb\u00f3l nyert inform\u00e1ci\u00f3k felhaszn\u00e1lhat\u00f3k a kr\u00f3nikus\n                    \u00e1llapotnak tekintett medd\u0151s\u00e9g diagnosztik\u00e1j\u00e1nak kieg\u00e9sz\u00edt\u00e9s\u00e9hez \u00e9s az egyes\n                    kezel\u00e9sek nyomon k\u00f6vet\u00e9s\u00e9hez is. A m\u00f3dszereket a medd\u0151s\u00e9ggel k\u00fczd\u0151 p\u00e1rok\n                    \u00f6n\u00e1ll\u00f3an is haszn\u00e1lhatj\u00e1k, id\u0151z\u00edtett egy\u00fcttl\u00e9tek meghat\u00e1roz\u00e1sa c\u00e9lj\u00e1b\u00f3l a\n                    v\u00e1rand\u00f3ss\u00e1g el\u00e9r\u00e9s\u00e9hez. Hat\u00e9kony alkalmaz\u00e1sukhoz javasolt, hogy k\u00e9pzett\n                    oktat\u00f3kt\u00f3l kapott inform\u00e1ci\u00f3k alapj\u00e1n t\u00f6rt\u00e9nj\u00e9k a haszn\u00e1latuk. A m\u00f3dszerekben\n                    k\u00f6z\u00f6s szempont, hogy a h\u00e1zasp\u00e1r k\u00f6z\u00f6s felel\u0151ss\u00e9g\u00e9v\u00e9 teszik a gyermek\u00e1ld\u00e1s\n                    k\u00e9rd\u00e9s\u00e9t, a f\u00e9rfi \u00e9s a n\u0151 k\u00f6zti meg\u00e9rt\u00e9st \u00e9s a kommunik\u00e1ci\u00f3t hangs\u00falyozva.\n                    Sajnos a term\u00e9kenys\u00e9gtudatoss\u00e1gon alapul\u00f3 k\u00fcl\u00f6nb\u00f6z\u0151 m\u00f3dszerekr\u0151l viszonylag\n                    kev\u00e9s inform\u00e1ci\u00f3 \u00e9rhet\u0151 el az orvosk\u00e9pz\u00e9sben. A m\u00f3dszer a norm\u00e1lis fiziol\u00f3gi\u00e1s\n                    term\u00e9kenys\u00e9g helyre\u00e1ll\u00edt\u00e1s\u00e1ra t\u00f6rekszik, a term\u00e9kenys\u00e9gtudatoss\u00e1gi m\u00f3dszerek\n                    haszn\u00e1lat\u00e1t gy\u00f3gyszeres, m\u0171t\u00e9ti kezel\u00e9sekkel kieg\u00e9sz\u00edtve, teh\u00e1t mindenre, ami\n                    nem assziszt\u00e1lt reprodukci\u00f3s technol\u00f3gia. A ciklusnapt\u00e1rak a hormon\u00e1lis alap\u00fa\n                    testi v\u00e1ltoz\u00e1sok nyomon k\u00f6vet\u00e9s\u00e9vel lehet\u0151v\u00e9 teszik a n\u0151 sz\u00e1m\u00e1ra az ovul\u00e1ci\u00f3s\n                    ciklus \u00e9s a term\u00e9keny id\u0151szak beazonos\u00edt\u00e1s\u00e1t. Ennek seg\u00edts\u00e9g\u00e9vel a h\u00e1zasp\u00e1r\n                    meg\u00e9rtheti, fenntarthatja, jav\u00edthatja a n\u0151 reprodukt\u00edv eg\u00e9szs\u00e9g\u00e9t, gyarap\u00edthatja\n                    \u00f6nismeret\u00e9t. Ilyen szakrendel\u00e9sek a Semmelweis Egyetem Sz\u00fcl\u00e9szeti \u00e9s\n                    N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1nak Assziszt\u00e1lt Reprodukci\u00f3s Centrum\u00e1ban \u00e9s a Budai\n                    Irgalmasrendi K\u00f3rh\u00e1z Kereszt\u00e9ny Csal\u00e1di Centrum\u00e1ban m\u0171k\u00f6dnek. Orv Hetilap. 2024;\n                    165(22): 851\u2013858.\n                  <\/jats:p>","DOI":"10.1556\/650.2024.33044","type":"journal-article","created":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T11:25:45Z","timestamp":1717932345000},"page":"851-858","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["A term\u00e9kenys\u00e9gtudatoss\u00e1gon alapul\u00f3 m\u00f3dszerek lehet\u0151s\u00e9gei a csal\u00e1dtervez\u00e9sben"],"prefix":"10.1556","volume":"165","author":[{"given":"Zolt\u00e1n","family":"Kov\u00e1cs","sequence":"first","affiliation":[{"name":"TritonLife R\u00f3bert Mag\u00e1nk\u00f3rh\u00e1z, Sz\u00fcl\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"B\u00e1lint","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kereszt\u00e9ny Csal\u00e1di Centrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rton","family":"Keszthelyi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Centrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Vizer","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kereszt\u00e9ny Csal\u00e1di Centrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csilla","family":"K\u00e1llay","sequence":"additional","affiliation":[{"name":"Patrona Hungariae Katolikus Iskolak\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Sz\u0151ke","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Integrat\u00edv Medicina Tansz\u00e9k, T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi \u00e9s Dietetikai Int\u00e9zet P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Sexual and Reproductive Health and Research. Infertility prevalence\n                    estimates, 1990\u20132021. World Health Organization, Geneva, 2023."},{"key":"R2","unstructured":"Makay Zs. Why wait so long for a baby? \u2013 Fertility difficulties, age\n                    effects and assisted reproduction in Hungary. [Mi\u00e9rt kell sokat v\u00e1rni a bab\u00e1ra?\n                    \u2013 Teherbees\u00e9si neh\u00e9zs\u00e9gek, \u00e9letkori hat\u00e1sok \u00e9s assziszt\u00e1lt reprodukci\u00f3\n                    Magyarorsz\u00e1gon.] Demogr\u00e1fia 2020; 2020(2\u20133): 137\u2013170.\n                    [Hungarian]"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Calhaz-Jorge C, De Geyter C, Kupka MS, et al. Assisted reproductive\n                    technology in Europe, 2013: results generated from European registers by ESHRE.\n                    Hum Reprod. 2017; 32: 1957\u20131973.","DOI":"10.1093\/humrep\/dex264"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Carson SA, Kallen AN. Diagnosis and management of infertility: a\n                    review. JAMA 2021; 326: 65\u201376.","DOI":"10.1001\/jama.2021.4788"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Marshburn PB. Counseling and diagnostic evaluation for the infertile\n                    couple. Obstet Gynecol Clin N Am. 2015; 42: 1\u201314.","DOI":"10.1016\/j.ogc.2014.10.001"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Vannuccini S, Clifton VL, Fraser IS, et al. Infertility and\n                    reproductive disorders: impact of hormonal and inflammatory mechanisms on\n                    pregnancy outcome. Hum Reprod Update 2016; 22: 104\u2013115.","DOI":"10.1093\/humupd\/dmv044"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"ESHRE Capri Workshop Group, Baird DT, Barry PN, Bhattacharya S, et\n                    al. Economic aspects of infertility care: a challenge for researchers and\n                    clinicians. Hum Reprod. 2015; 30: 2243\u20132248.","DOI":"10.1093\/humrep\/dev163"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Boyle PC, de Groot T, Andralojc KM, et al. Healthy singleton\n                    pregnancies from restorative reproductive medicine (RRM) after failed IVF. Front\n                    Med (Lausanne) 2018; 5: 210.","DOI":"10.3389\/fmed.2018.00210"},{"key":"R9","unstructured":"Boyle P, Stanford J. NaProTechnology (Natural Procreative\n                    Technology) \u2013 a multifactorial approach to the chronic problem of infertility.\n                    Biomedicina 2011; 21: 61\u201368."},{"key":"R10","unstructured":"Smith A. Fertility Awareness Based Methods (FABMs): evaluating and\n                    promoting female interest for purposes of health monitoring and family planning.\n                    Graduate theses and dissertations. University of Alabama, Fayetteville, AL,\n                    2019. Available from: https:\/\/scholarworks.uark.edu\/etd\/3279\n                    [accessed: March 2, 2024]."},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Stanford JB, Willis SK, Hatch EE, et al. Fecundability in relation\n                    to use of mobile computing apps to track the menstrual cycle. Hum Reprod. 2020;\n                    35: 2245\u20132252.","DOI":"10.1093\/humrep\/deaa176"},{"key":"R12","unstructured":"Derzko CM. Natural family planning: an update. Can Fam Physician\n                    1986; 32: 1913\u20131921."},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Vigil P, Lyon C, Flores B, et al. Ovulation, a sign of health.\n                    Linacre Q. 2017; 84: 343\u2013355.","DOI":"10.1080\/00243639.2017.1394053"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Simmons RG, Jennings V. Fertility awareness-based methods of family\n                    planning. Best Pract Res Clin Obstet Gynaecol. 2020; 66: 68\u201382.","DOI":"10.1016\/j.bpobgyn.2019.12.003"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Vigil P, Blackwell LF, Cort\u00e9s ME. The importance of fertility\n                    awareness in the assessment of a woman\u2019s health: a review. Linacre Q. 2012; 79:\n                    426\u2013450.","DOI":"10.1179\/002436312804827109"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"ACOG Committee Opinion No. 651. Menstruation in girls and\n                    adolescents: using the menstrual cycle as a vital sign. Obstet Gynecol. 2015;\n                    126: 143\u2013146.","DOI":"10.1097\/AOG.0000000000001215"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Martyn F, McAuliffe FM, Wingfield M. The role of the cervix in\n                    fertility: is it time for a reappraisal? Hum Reprod. 2014; 29:\n                    2092\u20132098.","DOI":"10.1093\/humrep\/deu195"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Ecochard R, Boehringer H, Rabilloud M, et al. Chronological aspects\n                    of ultrasonic, hormonal, and other indirect indices of ovulation. BJOG Int J\n                    Gynaecol Obstet. 2001; 108: 822\u2013829.","DOI":"10.1111\/j.1471-0528.2001.00194.x"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Ceric F, Silva D, Vigil P. Ultrastructure of the human periovulatory\n                    cervical mucus. J Electron Microsc (Tokyo) 2005; 54: 479\u2013484.","DOI":"10.1093\/jmicro\/dfh106"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Ecochard R, Duterque O, Leiva R, et al. Self-identification of the\n                    clinical fertile window and the ovulation period. 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Comparison of\n                    woman-picked, expert-picked, and computer-picked peak day of cervical mucus with\n                    blinded urine luteinising hormone surge for concurrent identification of\n                    ovulation. Paediatr Perinat Epidemiol. 2020; 34: 105\u2013113.","DOI":"10.1111\/ppe.12642"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Blackwell LF, Brown JB, Vigil P, et al. Hormonal monitoring of\n                    ovarian activity using the Ovarian Monitor, part I. Validation of home and\n                    laboratory results obtained during ovulatory cycles by comparison with\n                    radioimmunoassay. Steroids 2003; 68: 465\u2013476.","DOI":"10.1016\/S0039-128X(03)00049-7"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Simmons RG, Jennings V. Fertility awareness-based methods of family\n                    planning. 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J Obstet Gynecol Neonatal Nurs. 2004; 33: 34\u201343.","DOI":"10.1177\/0884217503258549"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Webb S, Cheng AL, Simmons R, et al. A mixed-methods assessment of\n                    health care providers\u2019 knowledge, attitudes, and practices around fertility\n                    awareness-based methods in title X clinics in the United States. Womens Health\n                    Rep (New Rochelle) 2020; 1: 354\u2013365.","DOI":"10.1089\/whr.2020.0065"},{"key":"R33","unstructured":"Vigil P. Clinical guidelines. 5th ed. Reproductive Health Research\n                    Institute, Santiago de Chile, 2018."},{"key":"R34","unstructured":"Fertility Education and Medical Management. Available from:\n                        https:\/\/femmhealth.org\/ [accessed: Feb 24,\n                    2024]."},{"key":"R35","unstructured":"Billings Ovulation Method. Available from:\n                        https:\/\/billings.life\/en\/ [accessed: Feb 24,\n                    2024]."},{"key":"R36","unstructured":"International Institute for Restorative Reproductive Medicine.\n                    Available from: https:\/\/iirrm.org [accessed: Feb 24,\n                    2024]."},{"key":"R37","unstructured":"NeoFertility. Available from: https:\/\/neofertility.ie\/\n                    [accessed: Feb 24, 2024]."},{"key":"R38","unstructured":"What is Sensiplan\u00ae? Available from:\n                        https:\/\/www.sensiplan.de\/en\/what-is-sensiplan [accessed: Feb 24,\n                    2024]."},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Bigelow JL, Dunson DB, Stanford JB, et al. Mucus observations in the\n                    fertile window: a better predictor of conception than timing of intercourse. Hum\n                    Reprod. 2004; 19: 889\u2013892.","DOI":"10.1093\/humrep\/deh173"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Bouchard TP, Fehring RJ, Schneider MM. Achieving pregnancy using\n                    primary care interventions to identify the fertile window. Front Med. 2018; 4:\n                    250.","DOI":"10.3389\/fmed.2017.00250"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Mu Q, Fehring RJ. Efficacy of achieving pregnancy with fertility\n                    focused intercourse. MCN Am J Matern Child Nurs. 2014; 39:\n                    35\u201340.","DOI":"10.1097\/NMC.0b013e3182a76b88"},{"key":"R42","doi-asserted-by":"crossref","unstructured":"Evans-Hoeker E, Pritchard DA, Long DL, et al. Cervical mucus\n                    monitoring prevalence and associated fecundability in women trying to conceive.\n                    Fertil Steril. 2013; 100: 1033\u20131038.e1.","DOI":"10.1016\/j.fertnstert.2013.06.002"},{"key":"R43","doi-asserted-by":"crossref","unstructured":"Gnoth C, Godehardt D, Godehardt E, et al. Time to pregnancy: results\n                    of the German prospective study and impact on the management of infertility. Hum\n                    Reprod. 2003; 18: 1959\u20131966.","DOI":"10.1093\/humrep\/deg366"},{"key":"R44","unstructured":"Thijssen A, Meier A, Panis K, et al. \u2018Fertility Awareness-Based\n                    Methods\u2019 and subfertility: a systematic review. Facts Views Vis Obgyn. 2014; 6:\n                    113\u2013123."},{"key":"R45","doi-asserted-by":"crossref","unstructured":"Johnson S, Marriott L, Zinaman M. Can apps and calendar methods\n                    predict ovulation with accuracy? 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Erratum: J Am Board Fam Med. 2008; 21:\n                    583.","DOI":"10.3122\/jabfm.2008.05.070239"},{"key":"R52","doi-asserted-by":"crossref","unstructured":"Boyle P, Andralojc K, van der Velden S, et al. Restoration of serum\n                    estradiol and reduced incidence of miscarriage in patients with low serum\n                    estradiol during pregnancy: a retrospective cohort study using a multifactorial\n                    protocol including DHEA. Front Reprod Health 2024; 5: 1321284.","DOI":"10.3389\/frph.2023.1321284"},{"key":"R53","doi-asserted-by":"crossref","unstructured":"Van der Steeg JW, Steures P, Hompes PG, et al. Investigation of the\n                    infertile couple: a basic fertility work-up performed within 12 months of trying\n                    to conceive generates costs and complications for no particular benefit. Hum\n                    Reprod. 2005; 20: 2672\u20132674.","DOI":"10.1093\/humrep\/dei157"},{"key":"R54","doi-asserted-by":"crossref","unstructured":"Peragallo Urrutia R, Polis CB, Jensen ET, et al. Effectiveness of\n                    fertility awareness-based methods for pregnancy prevention: a systematic review.\n                    Obstet Gynecol. 2018; 132: 591\u2013604. Erratum: Obstet Gynecol. 2019; 133:\n                    382.","DOI":"10.1097\/AOG.0000000000002784"},{"key":"R55","doi-asserted-by":"crossref","unstructured":"Frank-Herrmann P, Gnoth C, Baur S, et al. Determination of the\n                    fertile window: reproductive competence of women \u2013 European cycle databases.\n                    Gynecol Endocrinol. 2005; 20: 305\u2013312.","DOI":"10.1080\/09513590500097507"},{"key":"R56","doi-asserted-by":"crossref","unstructured":"Frank-Herrmann P, Heil J, Gnoth C, et al. The effectiveness of a\n                    fertility awareness based method to avoid pregnancy in relation to a couple\u2019s\n                    sexual behaviour during the fertile time: a prospective longitudinal study. Hum\n                    Reprod. 2007; 22: 1310\u20131319.","DOI":"10.1093\/humrep\/dem003"},{"key":"R57","doi-asserted-by":"crossref","unstructured":"Leiva R, McNamara-Kilian M, Niezgoda H, et al. Pilot observational\n                    prospective cohort study on the use of a novel home-based urinary pregnanediol\n                    3-glucuronide (PDG) test to confirm ovulation when used as adjunct to fertility\n                    awareness methods (FAMs) stage 1. BMJ Open 2019; 9: e028496.","DOI":"10.1136\/bmjopen-2018-028496"},{"key":"R58","doi-asserted-by":"crossref","unstructured":"Redmond JJ, Jensen ET, Stanford JB, et al. Effectiveness of\n                    fertility awareness-based methods for pregnancy prevention during the postpartum\n                    period. Contraception 2022; 114: 32-40.","DOI":"10.1016\/j.contraception.2022.06.007"},{"key":"R59","doi-asserted-by":"crossref","unstructured":"Ayala-Ramirez M, Grewe ME, Kaiser J, et al. Understanding the\n                    perspective of women who use the Billings Ovulation Method\u00ae: a focus\n                    group study. BMC Womens Health 2023; 23: 251.","DOI":"10.1186\/s12905-023-02398-w"},{"key":"R60","doi-asserted-by":"crossref","unstructured":"Unseld M, R\u00f6tzer E, Weigl R, et al. Use of Natural Family Planning\n                    (NFP) and its effect on couple relationships and sexual satisfaction. A\n                    multi-country survey of NFP users from US and Europe. Front Public Health 2017;\n                    5: 42.","DOI":"10.3389\/fpubh.2017.00042"},{"key":"R61","unstructured":"Diczfalusy E. The special programme of research, development and\n                    research training in human reproduction. The first 20 years. [Hum\u00e1n\n                    reprodukci\u00f3-kutat\u00e1s, a WHO fejleszt\u00e9si \u00e9s kutat\u00f3k\u00e9pz\u00e9si speci\u00e1lis programja: az\n                    els\u0151 20 \u00e9v.] Magy N\u0151orv L. 1993; 56: 155\u2013165. [Hungarian]"},{"key":"R62","unstructured":"Szil\u00e1gyi A, Jakab A, Molvarec A. Most pertinent results of\n                    gynecological endocrinology, trends of development. [A n\u0151gy\u00f3gy\u00e1szati\n                    endokrinol\u00f3gia leg\u00fajabb eredm\u00e9nyei, fejl\u0151d\u00e9si ir\u00e1nyai.] Magy N\u0151orv L. 2016; 79:\n                    21\u201329. [Hungarian]"},{"key":"R63","doi-asserted-by":"crossref","unstructured":"Sikl\u00f3si GS, B\u00e1nhidy FG, \u00c1cs N. Fundamental role of folliculo-luteal\n                    function in recurrent miscarriage. Arch Gynecol Obstet. 2012; 286:\n                    1299\u20131305.","DOI":"10.1007\/s00404-012-2433-0"},{"key":"R64","doi-asserted-by":"crossref","unstructured":"P\u00e1llinger \u00c9, Nagy B, Kir\u00e1ly A, et al. Immune cell functionality\n                    during pregnancy. [Terhess\u00e9g az immunsejtek szemsz\u00f6g\u00e9b\u0151l.] Orv Hetil. 2023; 164:\n                    2006\u20132015. [Hungarian]","DOI":"10.1556\/650.2023.32935"},{"key":"R65","doi-asserted-by":"crossref","unstructured":"Nagy B, Sulyok E, V\u00e1rnagy \u00c1, et al. The role of platelets in\n                    reproduction. [A thrombocyt\u00e1k szerepe a reprodukci\u00f3ban.] Orv Hetil. 2022; 163:\n                    1254\u20131260. [Hungarian]","DOI":"10.1556\/650.2022.32530"},{"key":"R66","doi-asserted-by":"crossref","unstructured":"Sz\u0151ke H, B\u00f3kkon I, Kap\u00f3cs G, et al. Assisted reproductive\n                    technology: stress-related epigenetic and neurodevelopmental risk? 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