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Published on: October 24, 2025
Knowledge, attitudes, and practices regarding conception and fertility: a population-based survey among
Lisbet S Lundsberg1, Lubna Pal2, Aileen M Gariepy1
1Section of Clinical and Outcomes Research in Women's Health, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut.
Objective:
To assess overall knowledge, attitudes, and practices related to conception and fertility among reproductive-age women in the United States.
Design:
Online survey of a cross-sectional sample of 1,000 women.
Setting:
United States, March 2013.
Patient(S):
Women aged 18-40 years.
Intervention(S):
None.
Main Outcome Measure(S):
Knowledge, attitudes, and practices regarding selected topics in reproductive health.
Result(S):
Forty percent of women across all age groups expressed concerns about their ability to conceive. Yet one-third of women were unaware of adverse implications of sexually transmitted infections, obesity, or irregular menses for procreative success, and one-fifth were unaware of the effects of aging. Approximately 40% were unfamiliar with the ovulatory cycle. Overall, younger women (18-24 years) demonstrated less knowledge regarding conception, fertility, and ovulation, whereas older women tended to believe in common myths and misconceptions. Respondents in all age groups identified women's health care providers (75%) and Web sites (40%) as top sources of reproductive health-related information; however, engagement with providers on specific factors affecting fertility is sparse.
Conclusion(S):
Knowledge regarding ovulation, fertility, and conception is limited among this sample of reproductive-age US women. Future initiatives should prioritize improved provider engagement and accurate information dissemination in Web-based venues.
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