{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:15:36Z","timestamp":1783664136541,"version":"3.55.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are limited data on how family physicians approach fertility counseling in Turkey. We aimed to assess family physicians\u2019 knowledge, attitudes, and counseling practices regarding fertility, reproductive planning, and oocyte cryopreservation (OCP) in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online, cross-sectional survey was conducted among family physicians practicing in family health centers or community health centers across Turkey between January and June 2026. Physicians were recruited until a predetermined sample size of at least 400 valid responses to the researcher-developed survey was reached, which included the collection of participant data and the fertility counseling questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proportion of family physicians supporting the proactive discussion of patients\u2019 reproductive plans was 34.2%, while 53.6% supported discussing age-related fertility decline and 62.6% supported discussing OCP with appropriate patients. Correct identification of the age range at which mild and pronounced fertility declines began was achieved by 60.6 and 54.1% of participants, respectively. Self-reported familiarity with OCP was lower than the support shown for counseling about OCP. Familiarity with OCP was higher among younger and unmarried physicians. A significant portion of participants anticipated that insurance coverage and clarification of legal regulations would increase the frequency of counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In Turkey, attitudes toward fertility counseling at the primary care level do not always align with contemporary knowledge. The findings suggest a need for structured education, particularly regarding age-related fertility decline, the realistic limits of\n                      <jats:italic>in vitro<\/jats:italic>\n                      fertilization (IVF) success, and indications for OCP, as well as institutional and policy frameworks to facilitate counseling.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1884680","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:37:35Z","timestamp":1783661855000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fertility counseling among family physicians in Turkey: a cross-sectional survey of knowledge, attitudes, and practices"],"prefix":"10.3389","volume":"13","author":[{"given":"Mehmet Faruk","family":"Olcenoglu","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Karamanoglu Mehmetbey University Faculty of Medicine","place":["Karaman, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merve","family":"Olcenoglu","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Karamanoglu Mehmetbey University Faculty of Medicine","place":["Karaman, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Havva","family":"Demircioglu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Karamanoglu Mehmetbey University Faculty of Medicine","place":["Karaman, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamze","family":"Savci","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Karamanoglu Mehmetbey University Faculty of Medicine","place":["Karaman, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayse Zehra Ozdemir","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, VM Medikal Park Pendik Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.fertnstert.2013.12.032","article-title":"Female age-related fertility decline","volume":"101","year":"2014","journal-title":"Fertil Steril"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1093\/humupd\/8.2.141","article-title":"The variability of female reproductive ageing","volume":"8","author":"Te Velde","year":"2002","journal-title":"Hum Reprod Update"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/j.fertnstert.2008.08.006","article-title":"Age-related fertility decline: a committee opinion","volume":"90","year":"2008","journal-title":"Fertil Steril"},{"key":"ref4","volume-title":"Society at A Glance 2024: OECD Social Indicators","author":"Adema","year":"2024"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.fertnstert.2018.12.003","article-title":"Prepregnancy counseling: committee opinion no. 762","volume":"111","year":"2019","journal-title":"Fertil Steril"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1080\/03009734.2018.1480186","article-title":"What do people know about fertility? 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